Open AccessUnderstanding General Activity Motivation for Persons with Stroke—A Reversal Theory Perspective
Author(s) -
Sereg,
Marko K.L. Chan,
Chi-kin. So,
Annie M.H. Chin
Publication year - 2016
Publication title -
research in health science
Language(s) - English
Resource type - Journals
eISSN - 2470-6213
pISSN - 2470-6205
DOI - 10.22158/rhs.v1n1p1
Subject(s) - stroke (engine) , psychology , medicine , physics , thermodynamics
Motivation is the barrier identified for c lients with stroke to reintegrate community living. Reversal Therapy may help to understand the pattern of bipolar variations of motivational factors. This study analyzed the general activity motivation of clients with stroke and their relationship with community participation and mental wellbeing. Methodology: Sampling of 115 subjects including 30 stroke clients and 85 normal subjects. Measurements included the validated Chinese version of General Activity Motivation Measure (GAMM), Community Integration Questionnaire (CIQ) & Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS). Results: In GAMM, the normal group scores (Mean 50.09 SD 5.79) higher then clients with stroke (Mean 46.09; SD 8.00)(p<0.05). GAMM correlated positively with CIQ and SWEMWBS (p<0.05). Four factors identified under GAMM namely Means-end, Relationship, Rules and Transactions that identified with Reversal Theory. Reversals between poles of each domain evidenced between two groups. “Acquiring new experiences” was strong predictor for community integration. Conclusion: Reversal Theory is useful to explain motivational changes among clients with stroke. To develop chances of “ new experiences ” , “feel accomplishment every day”, “get out of house regularly” and “to do the things that they can enjoy” at “their own pace” are the motivators for reintegrate into community living.