Relationships between physical therapist motivation scores, patient motivation scores, and patient functional outcomes
Date
2000-05
Authors
Hemby, Trish
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Abstract
Purpose: The purpose of this research was to assess the relationship between patient motivation levels, physical therapist motivation levels, and functional outcomes, using an integrative motivation tool. This motivation tool addressed five motivation sources: intrinsic motivation, instrumental motivation, internal self-concept motivation, external self-concept motivation, and goal internalization.
Methodology: The Motivation Sources Inventory (MSI) and the Cincinnati Knee Scale (CKS) were administered to patients at the initiation of physical therapy intervention and at the point of discharge from intervention. The patients' physical therapists were administered the MSI at the initiation of data collection. The predictive value of patient motivation levels on changes in patient functional outcomes (as measured by post - pre CKS scores) was examined with a linear regression procedure. A descriptive analysis of the physical therapist motivation scores was conducted. T-tests were used to compare both pre- and posttreatment MSI means and pre- and post-treatment CKS means.
Results: There was no significant difference between pre- and post treatment MSI means. There was a significant difference between pre- and post-treatment CKS means. The significant predictor of positive changes in CKS scores was internal self-concept motivation. Both physical therapists had the highest motivation scores in internal self-concept motivation.
Conclusion and Discussion: Internal self-concept motivation was found to be the strongest predictor of positive changes in functional outcomes for patients with knee pathology treated by physical therapists. These results underscore the importance of understanding patient motivation sources in planning physical therapy intervention programs that can best lead to positive functional outcomes.
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Keywords
physical therapy, motivation, motivational sources
Citation
Hemby, T. (2000). Relationships between physical therapist motivation scores, patient motivation scores, and patient functional outcomes (Unpublished thesis). Southwest Texas State University, San Marcos, Texas.