Motivation as a Predictor of Aphasia Treatment Outcomes

Abstract

Motivation is a complex phenomenon that can influence a person's ability to make progress in treatment. We sought to understand how motivation is currently measured and utilized in aphasia rehabilitation by identifying treatment studies that (1) include measurement of motivation and (2) use motivation to predict treatment response. Method: A scoping review was conducted by systematically searching PubMed, CINAHL, EBSCO, Ovid MEDLINE, and APA PsycInfo using the following search terms: (measurement OR treatment OR rehabilitation OR predict*) AND (motiv* OR engagement OR adherence OR compliance) AND (aphasia OR dysphasia). Results: Two studies met our inclusion criteria. Motivation was measured differently across studies. No studies used motivation to predict treatment outcomes. Discussion/Conclusions: Despite the importance of motivation in aphasia rehabilitation success, studies that include its measurement are sparse. Additional research is needed and should include development of measurement tools and evaluation of the predictive value of motivation on treatment outcomes.

Betting on Non-Invasive Brain Stimulation to Treat Gambling Disorder: A Systematic Review and Meta-Analysis

“…GD patients are typically sensitive to placebo responses [ 19 , 144 ], although placebo or expectations effects in NiBS have also been documented in healthy individuals [ 145 , 146 , 147 ] and other clinical populations [ 148 , 149 , 150 , 151 ]. Previous authors hypothesized that the placebo response could be a component of the therapeutic response to NiBS [ 151 ] and—probably related to general motivation aspects—to favorable outcome treatments [ 152 , 153 , 154 ]. We believe that more randomized clinical trials are needed to disentangle whether the NiBS effect found in the present meta-analysis is trustworthy or primarily due to a placebo effect.…”

Considering Personal Variables as Predictors of Aphasia Rehabilitation Outcomes

“…Hunting Pompon and Mach (2022) provide a review of the literature related to resilience, coping, and adaptation and treatment outcomes for people with aphasia. Similarly, Weatherill et al (2022) conducted another scoping review focused on motivation and predicting treatment outcomes for people with aphasia. Finally, Engelhoven et al (2022) share the results of an analysis of the respondent burden and readability of various patient-reported outcome measures for people with aphasia.…”