MRC Cognition and Brain Sciences Unit, University of Cambridge , Cambridge, UK.
School of Rehabilitation Science, McMaster University, Institute for Applied Health Sciences Room 403 , Hamilton, Ontario, Canada.
Brain Inj. 2020 Aug 23;34(10):1331-1338. doi: 10.1080/02699052.2020.1802657. Epub 2020 Aug 11.
Low motivation is a common problem after acquired brain injury (ABI) and can persist for years after injury. Little is known, however, about perspectives of motivation with respect to engaging in the community, many years after ABI.
To explore the client with ABI perspective of motivation and engagement in individuals based in community ABI programs.
Interpretive description methods were utilized. Semi-structured interviews were conducted with 21 individuals with an ABI.
Participants felt that both internal factors, such as feelings of hope, and external factors, such as social support, influence levels of motivation to engage. When positive internal and external motivators were enhanced, and negative internal and external motivators reduced, this gave rise to a sense of choice and control, which led to increased engagement.
Fostering positive aspects of rehabilitation and increasing choice and control may promote engagement. External motivators, such as reducing repetitiveness and promoting peer support, are motivators that community and clinical settings can implement relatively easily, whilst internal motivators such as attitudes toward therapy may need to be addressed continuously to enhance motivation and engagement.
低动机是获得性脑损伤（ABI）后的一个常见问题，并且在损伤后多年仍会持续存在。然而，关于 ABI 多年后参与社区的动机观点，我们知之甚少。
探索社区 ABI 项目中个体的 ABI 患者的动机和参与的观点。
采用解释性描述方法。对 21 名 ABI 患者进行了半结构化访谈。
参与者认为，内部因素，如希望感，以及外部因素，如社会支持，都会影响参与的动机水平。当积极的内部和外部激励因素增强，消极的内部和外部激励因素减少时，这会产生一种选择和控制的感觉，从而导致参与度的提高。
培养康复的积极方面，增加选择和控制，可能会促进参与。外部激励因素，如减少重复性和促进同伴支持，是社区和临床环境相对容易实施的激励因素，而内部激励因素，如对治疗的态度，则需要持续关注，以增强动机和参与度。
