Motivation as a predictor of speech intelligibility after total laryngectomy
Background It has often been argued that if patients' success with speech rehabilitation after laryngectomy is limited, it is the result of lacking motivation on their part. This project investigated the role of motivation in speech rehabilitation. Methods In a multicenter prospective cohort st...
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Published in | Head & neck Vol. 35; no. 6; pp. 836 - 846 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
01.06.2013
Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
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Summary: | Background
It has often been argued that if patients' success with speech rehabilitation after laryngectomy is limited, it is the result of lacking motivation on their part. This project investigated the role of motivation in speech rehabilitation.
Methods
In a multicenter prospective cohort study, 141 laryngectomees were interviewed at the beginning of rehabilitation and 1 year after laryngectomy. Speech intelligibility was measured with a standardized test, and patients self‐assessed their own motivation shortly after the surgery. Logistic regression, adjusted for several theory‐based confounding factors, was used to assess the impact of motivation on speech intelligibility.
Results
Speech intelligibility 1 year after laryngectomy was not significantly associated with the level of motivation at the beginning of rehabilitation (odds ratio [OR], 1.3; 95% confidence interval [CI], 0.7–2.3; p = .43) after adjusting for the effect of potential confounders (implantation of a voice prosthesis, patient's cognitive abilities, frustration tolerance, physical functioning, and type of rehabilitation).
Conclusions
Motivation is not a strong predictor of speech intelligibility 1 year after laryngectomy. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 |
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Bibliography: | istex:444AD4F1BD676192530031C7DA9631537F4A640D German Cancer Aid - No. #106654 ark:/67375/WNG-HV4WVXW0-S ArticleID:HED23043 German Federal Ministry of Education and Research - No. # 7DZAIQTX ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1043-3074 1097-0347 |
DOI: | 10.1002/hed.23043 |