Background

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.

Purpose

To explore the client with ABI perspective of motivation and engagement in individuals based in community ABI programs.

Method

Interpretive description methods were utilized. Semi-structured interviews were conducted with 21 individuals with an ABI.

Findings

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.

Implications

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.

中文翻译：

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积极进取：获得性脑损伤后参与社区计划的长期观点。

背景

动机低下是获得性脑损伤（ABI）后的常见问题，并且在受伤后可以持续数年。然而，在ABI成立多年之后，人们对于参与社区活动的动机观点知之甚少。

目的

以基于ABI计划的个人动机和参与度来探索具有ABI观点的客户。

方法

使用解释性描述方法。对21位ABI人士进行了半结构化访谈。

发现

与会者认为，内在因素（例如希望的感觉）和外在因素（例如社会支持）都会影响参与动机的程度。当增强积极的内部和外部动机，减少消极的内部和外部动机时，就会产生选择感和控制感，从而增加参与度。

含义

培养康复的积极方面，增加选择和控制，可能会促进参与。外部动机，例如减少重复性和促进同伴支持，是社区和临床环境可以相对容易实施的动机，而内部动机（例如对治疗的态度）则可能需要不断解决，以增强动机和参与度。