California State University Northridge.
VA Greater Los Angeles Healthcare System, CA.
Am J Speech Lang Pathol. 2022 Oct 25;31(5S):2421-2443. doi: 10.1044/2022_AJSLP-22-00064. Epub 2022 Oct 19.
In the aphasia literature, motivation has been described as potentially influencing rehabilitation outcomes, and there are reports that researchers and clinicians have acted to promote it. However, studies directly investigating the range of beliefs and practices surrounding motivation do not exist currently. The purpose of this scoping review is to develop themes related to the beliefs and practices appearing in the recent aphasia literature.
Four databases (CINAHL, PsycINFO, PubMed, and Google Scholar) were searched using keywords and (including derivatives such as motiv*) for articles published between 2009 and 2020. Searches returned 19,731 articles; after deleting duplicates and applying inclusionary criteria, 365 articles remained. In each article, text surrounding the term was highlighted and thematic analysis was applied to these quotations.
Sixteen themes were developed through thematic analysis and placed into two groups. The first group contained five themes suggesting that researchers believed that motivation should be studied and recognized the value of motivation in person(s) with aphasia when participating in research or clinical activities. The second group contained 11 themes reporting diverse beliefs and practices in how motivation is incorporated in research and clinical activities.
Results from this scoping review suggest that aphasia researchers, clinicians, and persons with aphasia hold beliefs about motivation that can influence clinical and research decisions. In general, beliefs and decisions related to motivation appeared to be guided by intuition rather than theories of motivation. These themes are discussed within the context of three psychological needs proposed by self-determination theory: competency, autonomy, and relatedness. Applying theories of motivation to future study in aphasia rehabilitation will guide work that can provide empirical support for these beliefs.
在失语症文献中，动机被描述为可能影响康复结果，有报道称研究人员和临床医生已经采取行动来促进动机。然而，目前并没有直接调查围绕动机的信念和实践范围的研究。本研究旨在通过范围综述来确定与最近失语症文献中出现的信念和实践相关的主题。
使用关键词 和 （包括 motiv*等衍生物）在四个数据库（CINAHL、PsycINFO、PubMed 和 Google Scholar）中进行搜索，检索时间范围为 2009 年至 2020 年。搜索共返回 19731 篇文章；删除重复项并应用纳入标准后，剩余 365 篇文章。在每篇文章中，突出显示围绕术语 的文本，并对这些引语进行主题分析。
通过主题分析得出 16 个主题，并将其分为两组。第一组包含五个主题，表明研究人员认为应该研究动机，并在研究或临床活动中参与者为失语症患者时认识到动机的价值。第二组包含 11 个主题，报告了在研究和临床活动中纳入动机的不同信念和实践。
这项范围综述的结果表明，失语症研究人员、临床医生和失语症患者对动机持有信念，这些信念可能会影响临床和研究决策。一般来说，与动机相关的信念和决策似乎是由直觉而不是动机理论指导的。在自我决定理论提出的三种心理需求（能力、自主性和关联性）的背景下讨论这些主题。将动机理论应用于未来的失语症康复研究将指导那些为这些信念提供实证支持的工作。
