Delivering motivational interviewing early post stroke: standardisation of the intervention
| Autor: | Maree L. Hackett, Valerio Benedetto, Emma-Joy Holland, Catherine Elizabeth Lightbody, Kulsum Patel, Caroline L Watkins, Chris J Sutton, Malcolm Frederick Auton |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Motivational interviewing B761 Motivational Interviewing Complex interventions 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Adaptation Psychological Humans Medicine L340 cardiovascular diseases Stroke Depression (differential diagnoses) business.industry Rehabilitation Stroke Rehabilitation medicine.disease Post stroke Physical therapy 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Patel, K, Auton, M F, Watkins, C L, Sutton, C J, Benedetto, V, Hackett, M L, Holland, E & Lightbody, C E 2020, ' Delivering motivational interviewing early post stroke: standardisation of the intervention ', Disability and Rehabilitation, pp. 1-6 . https://doi.org/10.1080/09638288.2020.1864035 |
| ISSN: | 0963-8288 |
| DOI: | 10.1080/09638288.2020.1864035 |
| Popis: | Background We applied Motivational Interviewing (MI) techniques, early after stroke, to facilitate psychological adjustment to life post-stroke. In our trial, MI-plus-usual-care increased the likelihood of normal mood at 3-months post-stroke, compared to usual-care alone. Whilst appropriate training, manuals, and supervision may increase adherence to core principles of this complex intervention, unintended variability in implementation inevitably remains. We aimed to explore the impact of variability on participant outcome. Methods Using our trial data (411 participants), we explored variation in MI delivery, examining: therapist characteristics (stroke care expertise/knowledge, psychology training); MI content (fidelity to MI techniques assessed with Motivational Interviewing Treatment Integrity code, describing therapist behaviours as MI-consistent, MI-neutral or MI-inconsistent); and MI dose (number/duration of sessions). Results The four MI therapists (two nurses/two psychologists) had varying expertise and MI delivery. Across therapists, mean average session duration ranged 29.5–47.8 min. The percentage of participants completing the per-protocol four sessions ranged 47%–74%. These variations were not related to participant outcome. There were uniformly high frequencies (>99%) of MI-consistent and MI-neutral interactions, and low frequencies ( |
| Databáze: | OpenAIRE |
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