Understanding and treating motivation difficulties in ventilator-dependent SCI patients.
Motivation for spinal cord injury rehabilitation is a difficult management task for clinicians. Ventilator-dependent quadriplegics experience conditions which are particularly likely to lead to motivational problems. The following article provides a theoretical model with which to understand patient motivation. The model conceptualizes patient motivation as a patient-rehabilitation environment fit problem and employs concepts from social learning theory to facilitate understanding and intervention with such difficulties. The model is applied to two ventilator-dependent rehabilitation cases. Recommendations for clinical practice are provided.
Jordan
S A
SA
Department of Psychology, Madonna Centres, Lincoln, NE 68506-2134.
Wellborn
W R
WR
Kovnick
J
J
Saltzstein
R
R
D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009042:Motivation; D011782:Quadriplegia / Q000523:psychology / Q000534:rehabilitation; D012121:Respiration, Artificial / Q000523:psychology*; D013119:Spinal Cord Injuries / Q000523:psychology* / Q000534:rehabilitation