Derakhshanrad Seyed Alireza, Piven Emily
Department of Occupational Therapy, School of Rehabilitation Sciences AND Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
University of Texas at El Paso, El Paso, Texas AND Health Matters First of Florida, Inc., Oakland, FL, USA.
Iran J Neurol. 2016 Oct 7;15(4):189-194.
Research has shown that in order for recovery from a stroke to occur, motivation for recovery has been essential component of rehabilitation. Researchers and clinicians have tended to categorize stroke survivors subjectively into two groups: those who have been motivated or unmotivated, perhaps due to the paucity of objective measures that distinguish the groups. Since classification of clients based on subjective inference would be prone to bias, this pilot study aimed to establish a regionally validated scale that was adequately standardized for measuring motivation of adult post-stroke survivors in Iran. The Persian version of Hermans Achievement Motivation Questionnaire (PHAMQ) was identified as the best test for the purposes of this study. A multistep process was undertaken to create an adapted scale from the PHAMQ that focused on functional behaviors, often seen in the process of rehabilitation. Thus, the Adapted Achievement Motivation Questionnaire (AAMQ) was examined for reliability and validity. Cronbach's alpha was used for measuring internal consistency and expert panel opinions were sought to analyze the content validity of AAMQ. A convenience sample of 25 stroke subjects comprised of 10 males and 15 females participated in this study with the mean age [(± standard deviation (SD)] 58.3 ± 9.8 years and range of 35-72 years. Expert opinion regarding the relevance of AAMQ items led to provide compelling evidence for a 28-item AAMQ. Cronbach's alpha of 0.946 showed a perfect internal consistency for test items. This pilot study suggested that AAMQ could be utilized as a regionally validated scale for examining the motivational level of patients who have sustained strokes in Iran. Further research are recommended.
研究表明,为了实现中风后的恢复,恢复的动力一直是康复的重要组成部分。研究人员和临床医生倾向于主观地将中风幸存者分为两组:有动力的和没有动力的,这可能是由于缺乏区分这两组的客观指标。由于基于主观推断对患者进行分类容易产生偏差,因此这项初步研究旨在建立一个经过地区验证的量表,该量表经过充分标准化,用于测量伊朗成年中风幸存者的动力。赫尔曼成就动机问卷的波斯语版本(PHAMQ)被确定为本研究目的的最佳测试。我们采取了一个多步骤的过程,从PHAMQ中创建一个适应量表,该量表侧重于康复过程中常见的功能行为。因此,对改编后的成就动机问卷(AAMQ)进行了信度和效度检验。使用克朗巴哈系数来测量内部一致性,并寻求专家小组的意见来分析AAMQ的内容效度。25名中风受试者组成的便利样本,包括10名男性和15名女性,参与了本研究,平均年龄[(±标准差(SD)]为58.3±9.8岁,年龄范围为35-72岁。关于AAMQ项目相关性的专家意见为28项AAMQ提供了有力证据。克朗巴哈系数为0.946,表明测试项目具有完美的内部一致性。这项初步研究表明,AAMQ可作为一个经过地区验证的量表来检查伊朗中风患者的动机水平。建议进行进一步的研究。