Rehabilitation: an ‘everyday’ motivation model

Geelen, Ronald; Soons, Paul H.G.M.

doi:10.1016/0738-3991(96)00871-3

Cited by 36 publications

(23 citation statements)

References 4 publications

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“…Subjective norms may also be culturally driven and may not always be in keeping with a rehabilitation model. For instance, Geelen and Soons (1996) model of motivation suggests that people who hold the belief that illness/injury is deserved and ought not be resisted, are unlikely to actively participate in rehabilitation. Similarly, MacLean, Pound, Wolfe, and Rudd (2000), carried out a qualitative study of the beliefs of stroke patients and found that if the family's mental representations reinforce the idea that their relative needs to rest or that they are sick, this will negatively influence engagement in rehabilitation as would over-protection by the family.…”

Section: The Theory Of Planned Behaviour (Tpb)mentioning

confidence: 99%

An exploratory study of mental representations for rehabilitation based upon the Theory of Planned Behaviour

Bains

Powell

Lorenc

2007

Neuropsychological Rehabilitation

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This study explores whether mental representations based upon the Theory of Planned Behaviour (TPB) can predict engagement in rehabilitation after acquired brain injury (ABI). A scale was developed to measure: treatment outcome beliefs, perceived barriers, subjective norm, and control cognitions. Other adjustment factors that are often seen as important in predicting engagement, e.g., denial and anger, were also measured using the Motivation for Traumatic Brain Injury Questionnaire (MOT-Q). Clinicians also provided ratings of patient's engagement in rehabilitation which was used as the measure of actual behaviour. The scales were administered to 40 participants with ABI who were a mean of 14 months post-injury. The new scale showed good internal reliability, and regression analyses demonstrated that "treatment outcome beliefs" were the main aspects of TPB that predicted engagement. Control beliefs and adjustment factors added very little to the variance in engagement that was already explained by TPB. However, the amount of variance that was explained by TPB was small and it is suggested that other volitional factors need to be considered in order to predict engagement more accurately. This study thus constitutes a first exploration of mental representations about rehabilitation after ABI using TPB. It suggests a theoretical model that may help clinicians to formulate lack of engagement. It also suggests that addressing patients' beliefs about the benefits of undertaking rehabilitation may prove fruitful in increasing engagement.

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Section: The Theory Of Planned Behaviour (Tpb)mentioning

confidence: 99%

An exploratory study of mental representations for rehabilitation based upon the Theory of Planned Behaviour

Bains

Powell

Lorenc

2007

Neuropsychological Rehabilitation

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“…Motivation is an important variable in an older adult's ability to recover from any disabling event (Dishman, 1994; Geelen & Soons, 1996; Sharma et al, 1996). By definition, motivation is the inner urge that moves or prompts a person to action (Glickstein, 1990).…”

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confidence: 99%

Use of the Apathy Evaluation Scale as a Measure of Motivation in Elderly People

Resnick

Zimmerman

Magaziner

et al. 1998

Rehabilitation Nursing

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Motivation plays an important part in an elderly individual's ability to recover from a disabling event. On the other hand, apathy is a lack of motivation. The Apathy Evaluation Scale (AES) is an 18‐item instrument that rates a person's thoughts, actions, and emotions over the previous 4 weeks. The purpose of this study was to use the AES with 102 patients in a geriatric rehabilitation program to determine if it predicted improved function after rehabilitation. In addition, a short 7‐item version of the AES was tested. A strong correlation was demonstrated between the 18‐item AES and the 7‐item AES, the Mini‐Mental State Examination, and the Geriatric Depression Scale. In separate regression analyses, we found that admission function and both the 18‐item and 7‐item AES were significant predictors of discharge function, and that functional level at admission to rehabilitation accounted for 31% of the variance in function after rehabilitation. The findings suggest that the AES might be an appropriate measure of motivation in older adults and might predict success in rehabilitation. Moreover, the ability to identify patients with low motivation can alert healthcare providers to develop interventions to improve older adults' motivation and help them attain and maintain their highest functional level.

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“…The responses of therapists in describing common practices used to foster engagement were very similar to suggestions provided by Geelen and Soons [14] to enhance motivation among rehabilitation patients.…”

Section: Discussionmentioning

confidence: 89%