title: Further validation of the Motivation for Traumatic Brain Injury Rehabilitation Questionnaire (MOT-Q) in patients with acquired brain injury.
abstract: The Motivation for Traumatic Brain Injury Rehabilitation Questionnaire (MOT-Q) evaluates motivation for rehabilitation in four subscales: Interest in rehabilitation, Lack of anger, Lack of denial, and Reliance on professional help. The objective of this study was to further validate the MOT-Q in 122 inpatients and 92 outpatients with acquired brain injury (ABI). The main measures were motivation for rehabilitation (MOT-Q), self-awareness (Patient Competency Rating Scale), and treatment motivation (Visual Analogue Scale). The MOT-Q showed adequate feasibility in terms of few items with missing responses and few undecided responses. We found no floor or ceiling effects, and significant item-total MOT-Q correlations for 29 of 31 items. Internal consistency was good for the MOT-Q total and acceptable to good for the subscales. The MOT-Q scores were significantly intercorrelated except for the subscales Lack of denial and Reliance on professional help in the inpatient group. The MOT-Q total and subscales were significantly associated with treatment motivation. The Lack of denial subscale showed no significant association with treatment motivation and no to moderate significant associations with self-awareness. In conclusion, the overall MOT-Q is a valid instrument to assess motivation for rehabilitation in patients with ABI. Further research is needed to examine the validity of the subscales.
authors.affiliation: a Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine , University Medical Center Utrecht and De Hoogstraat Rehabilitation , Utrecht , The Netherlands .
authors.forename: Hileen
authors.initials: H
authors.lastname: Boosman
authors.affiliation: b Maastricht University , Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience , Maastricht , The Netherlands.|c Maastricht University , Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience , Maastricht , The Netherlands.
authors.forename: Caroline M
authors.initials: CM
authors.lastname: van Heugten
authors.affiliation: b Maastricht University , Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience , Maastricht , The Netherlands.
authors.forename: Ieke
authors.initials: I
authors.lastname: Winkens
authors.affiliation: b Maastricht University , Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience , Maastricht , The Netherlands.
authors.forename: Sanne M J
authors.initials: SM
authors.lastname: Smeets
authors.affiliation: a Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine , University Medical Center Utrecht and De Hoogstraat Rehabilitation , Utrecht , The Netherlands .
authors.forename: Johanna M A
authors.initials: JM
authors.lastname: Visser-Meily
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001364:Awareness; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation / Q000502:physiology*; D017063:Outcome Assessment, Health Care; D011594:Psychometrics; D015203:Reproducibility of Results; D057566:Self Report; D011795:Surveys and Questionnaires; D064232:Visual Analog Scale; D055815:Young Adult
keywords: Adult; Behaviour; Behaviour mechanisms; Brain injury; Psychometry; Stroke