Is motivation the missing link in motor speech therapy?

Tracks
4
Acquired brain injury/traumatic brain injury (ABI/TBI)
Dysarthria
Motor speech
Friday, June 13, 2025
1:30 PM - 1:40 PM

Overview

Dr Megan Keage and Ellen Hall


Details

⏫ In-practice
⏲️ 1.30pm - 1.50pm
⌛ 20-minutes
📚 Assumed knowledge of attendees: Intermediate (Some previous learning/working knowledge of topic e.g. treated a few cases)


Presenter

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Dr Megan Keage
The University Of Melbourne

Is motivation the missing link in motor speech therapy?

1:30 PM - 1:50 PM

Presentation summary

This presentation examines the role of motivation in motor speech therapy for individuals with dysarthria following acquired brain injury (ABI). It highlights the integration of motivational theory into traditional motor speech interventions and its impact on client engagement and therapy outcomes. The presentation will provide a concise overview of the study’s objectives, methods, key findings, and conclusions. The primary objective of this study was to assess whether the inclusion of motivational principles could enhance participation in intensive motor speech therapy and improve speech and psychosocial outcomes. A case study design was used, involving nine participants who completed the Motivating Motor Speech (MMS) program. Designed by Applied Communication Skills (ASC; a private practice in Metropolitan Melbourne), MMS combines traditional drill-based motor speech exercises with explicit teaching of motivational theories such as Self-Determination Theory, Goal-Setting Theory, and Social Cognitive Theory, in addition to motivating group activities. Key results showed statistically significant improvements in speech intelligibility at both single-word and sentence levels, as well as overall voice ratings. Participants also demonstrated increased engagement in therapy, with thematic analysis identifying factors such as intervention type, individual characteristics, and motivational influences as critical to their experience. The presentation will include a discussion of how integrating motivational theory into motor speech therapy may address challenges related to client compliance and engagement, offering a new avenue for improving therapy outcomes in individuals with dysarthria post-ABI

Refrences

• Bandura, A. (1986). Social Foundations of Thought and Action: A Social Cognitive Theory. Prentice-Hall.
• Finch, E., Rumbach, A. F., & Park, S. (2020). Speech pathology management of non-progressive dysarthria: A systematic review of the literature. Disability and Rehabilitation, 42(3), 296-306.
• Kleim, J. A., & Jones, T. A. (2008). Principles of experience-dependent neural plasticity: Implications for rehabilitation after brain damage. Journal of Speech, Language, and Hearing Research, 51(1), S225-S239.
• Locke, E. A., & Latham, G. P. (2002). Building a practically useful theory of goal setting and task motivation: A 35-year odyssey. American Psychologist, 57(9), 705-717.
• Maas, E., Robin, D. A., Hula, S. N. A., Freedman, S. E., Wulf, G., Ballard, K. J., & Schmidt, R. A. (2008). Principles of motor learning in treatment of motor speech disorders. American Journal of Speech-Language Pathology, 17(3), 277-298.
• Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68-78.

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Senior Lecturer in Speech Pathology, and Collaborative Practice Clinical Projects Lead, Melbourne School of Health Sciences.
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Miss Ellen Hall
Applied Communication Skills

Is motivation the missing link in motor speech therapy?

1:30 PM - 1:50 PM

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Ellen has clinical experience delivery speech pathology services to clients with ABI and complex communication needs. Ellen has a special interest in working with clients with acquired motor speech disorders to find creative ways to maintain their motivation and engagement in therapy to reach their therapy goals.

Session chair

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Katerina Fusco
Flinders University + Self-employed (private Sp)

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

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