engleski

Patient's motivation for speech-language therapy after stroke: a pilot study.

Motivation is an important part of the rehabilitation process and effects functional outcomes which means that increased levels of motivation can lead to more positive outcomes (Hallams&Baker, 2009). In recent years, in the process of treatment planning and determining the prognosis of speech-language outcomes, more and more attention has been given to assessing the patient's motivation for treatment as a crucial element of language recovery. Deci and Ryan (1985) state that motivation for a particular behavior can be explained along a continuum of self- determination. Their theoretical model of motivation suggested that three types of motivation regulate our behavior: intrinsic, extrinsic, and amotivation. Intrinsically motivated patients are those who are engaging in therapy purely for the pleasure and satisfaction (Pelletier et al., 1997, Markland et al., 2005). Extrinsically motivated patients are those who are participating in therapy because they feel pressured to do so or they see that it will help them return home. Amotivated patients are those who see no link between therapy sessions and recovery. In addition to determining the type of motivation it is also important to identify all the factors that can affect the patient's level of motivation. Hallms and Baker (2009) listed nineteen factors that affect the patient's motivation subdivided into three categories: social factors, environmental factors and personal factors. The Client Motivation for Therapy Scale (CMOTS ; Pelletier, Tuson & Haddad, 1997) was translated and adapted for the purpose of this study. This scale is designed according to the Deci and Ryan's Self-Determination Theory and measures the different forms of motivation: client's Intrinsic Motivation, four forms of regulation for Extrinsic Motivation (integrated, identified, introjected and external regulation) and Amotivation for therapy. In order to assess the factors that influence the patient's motivation a questionnaire has been designed based on the list of nineteen factors (social factors, environmental factors and personal factors) that affect the patient's motivation as proposed by Hallms and Baker (2009). Those two questionnaires were given both to patients with aphasia included in speech-language therapy and to their family member. The purpose of this study is to assess the level of motivation of stoke survivors and to determine which factors are helping or hindering the patient's motivation. The second goal is to determine the differences between the patient motivational self report and the report of family members about the patient's motivation for treatment.

aphasia ; stroke ; motivation ; speech language therapy

nije evidentirano