RehabMeasures Instrument
  1. Rehabilitation Measures Database
  2. Motivations for TBI Rehabilitation Questionnaire

Motivations for TBI Rehabilitation Questionnaire

Last Updated

Purpose

Likert scale questionnaire developed to assess motivation to participate in post-acute rehabilitation, including factors of denial, anger, apathy, compliance, medical information seeking, and excessive enthusiasm (likely not genuine).

Link to Instrument

instrument details

Acronym MOT-Q

Cost

Free

Diagnosis/Conditions

  • Brain Injury Recovery

Populations

Brain Injury

Key Descriptions

  • 31 items in 4 subscales:
    1) Lack of denial
    2) Interest in rehabilitation
    3) Lack of anger
    4) Reliance on professional help
  • Maximum score of 62
  • Ratings are made based on agreement with statements:
    -2 strongly disagree
    -1 disagree
    0 undecided
    1 agree
    2 strongly agree
  • Items are keyed on a scoresheet so that positive numbers represent greater motivation (negative statements reverse scored).
  • Scoresheet with clear scoring guidance is in the article from Chervinsky and colleagues.

Number of Items

31

Equipment Required

  • Score Sheet

Time to Administer

10 minutes

Required Training

No Training

Instrument Reviewers

Initially reviewed by Karen McCulloch, PT, PhD, NCS and the TBI EDGE task force of the Neurology Section of the APTA in 7/2012

ICF Domain

Body Structure
Body Function

Professional Association Recommendation

Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.

 

For detailed information about how recommendations were made, please visit:  http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations

 

Abbreviations:

 

HR

Highly Recommend

R

Recommend

LS / UR

Reasonable to use, but limited study in target group  / Unable to Recommend

NR

Not Recommended

 

Recommendations based on level of care in which the assessment is taken:

 

Acute Care

Inpatient Rehabilitation

Skilled Nursing Facility

Outpatient

Rehabilitation

Home Health

TBI EDGE

NR

LS

NR

LS

NR

 

Recommendations for use based on ambulatory status after brain injury:

 

Completely Independent

Mildly dependant

Moderately Dependant

Severely Dependant

TBI EDGE

N/A

N/A

N/A

N/A

 

Recommendations for entry-level physical therapy education and use in research:

 

Students should learn to administer this tool? (Y/N)

Students should be exposed to tool? (Y/N)

Appropriate for use in intervention research studies? (Y/N)

Is additional research warranted for this tool (Y/N)

TBI EDGE

No

No

Yes

Not reported

Considerations

  • (Chervinsky et al, 1998) Denial of deficits may be the most important component of motivation in TBI patients.
  • (Saltapidas et al, 2007; n= 70 (38 English speaking background (ESB), 32 culturally and linguistically diverse (CALD); mean age=39.06(14.85); time since TBI= 27 months (range=4-89 months); Australian sample). No significant difference between groups (ESB and CALD) on any rehab motivation variables on the MOT-Q.

Do you see an error or have a suggestion for this instrument summary? Please e-mail us!

Brain Injury

back to Populations

Internal Consistency

Traumatic brain injury: (Chervinsky et al 1998; n=174 military sample with TBI, n=139 moderate to severe injury, n=35 mild injury, all out of PTA)

  • Excellent internal consistency of total scale alpha=.91, (subscale alphas range = .73-.86) 

 

Acquired Brain Injury: (Bains et al 2007; n=40 individuals with acquired brain injury, n=23 TBI, n=13 CVA, n=4 infectious and anoxic contiditions; mean 13.53 (3.94) months post-injury; mean age=40.55(13.31))

  • Excellent internal consistency of total scale (alpha=.86) 
  • Excellent internal consistency of subscales except for reliance on professional help (alpha=.64)

Criterion Validity (Predictive/Concurrent)

Traumatic brain injury: (Chervinsky et al, 1998)

  • Adequate correlation of total MOT-Q score and lack of denial subscale score with MMPI indicators of hypochondriasis, depression, hysteria. Lack of denial subscale score also adequately correlated with MMPI indicators for paranoia, schizophrenia and psychasthenia.

Construct Validity

Traumatic Brain Injury: (Chervinsky et al, 1998)

  • MOT-Q variables had moderate linear relationships to a combination of MMPI variables based on regression analyses, with greatest magnitude to health concerns content scale, followed by the K, Inhibition of aggression and social alienation scales.

Content Validity

Traumatic brain injury: (Chervinsky et al, 1998)

  • The researchers began with 40 items based on statements made in rehabilitation by patients that reflect attitudes about rehabilitation. Items reduced to 31 based on items with correlation to total score <.3. Developed subscales based on factor analysis where all items demonstrated single loading on one subscale factor (specifics not reported).

Bibliography

Bains, B., Powell, D. T., et al. (2007). "An exploratory study of mental representations for rehabilitation based upon the Theory of Planned Behaviour." Neuropsychol Rehabil 17(2): 174-191.

Chervinsky, A. B., Ommaya, A. K., et al. (1998). "Motivation for Traumatic Brain Injury Rehabilitation Questionnaire (MOT-Q):: Reliability, Factor Analysis, and Relationship to MMPI-2 Variables." Archives of Clinical Neuropsychology 13(5): 433-446.

Saltapidas, H. and Ponsford, J. (2007). "The influence of cultural background on motivation for and participation in rehabilitation and outcome following traumatic brain injury." J Head Trauma Rehabil 22(2): 132-139.

rehabilitation measures

More Instruments Like This

We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.

updated Apr 1, 2024

Iowa Scales of Personality...

read more

updated Jan 8, 2024

Reading Comprehension Batt...

read more

updated Jul 10, 2023

Contextual Memory Test

read more