Motivation as a predictor of speech intelligibility after total laryngectomy

• Published in: Head & neck Vol. 35; no. 6; pp. 836 - 846
• Main Authors: Singer, Susanne, Meyer, Alexandra, Fuchs, Michael, Schock, Juliane, Pabst, Friedemann, Vogel, Hans-Joachim, Oeken, Jens, Sandner, Annett, Koscielny, Sven, Hormes, Karl, Breitenstein, Kerstin, Dietz, Andreas
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.06.2013; Wiley Subscription Services, Inc
• Subjects: Aged; cancer; Female; head and neck neoplasms; Humans; Laryngeal Neoplasms - surgery; Laryngectomy - rehabilitation; Male; Middle Aged; Motivation; Multivariate Analysis; Prospective Studies; psychology; quality of life; rehabilitation; Speech Intelligibility; Speech Therapy
• ISSN: 1043-3074; 1097-0347
• DOI: 10.1002/hed.23043

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