Motivational Interviewing Post-Stroke An Analysis of Stroke Survivors’ Concerns and Adjustment

Malcolm F Auton, Kulusum Patel, Bernie Carter, Maree Hackett, Nicola Thornton, Catherine E Lightbody, Michael J Leathley, Caroline Watkins

    Research output: Contribution to journalArticle

    6 Citations (Scopus)
    36 Downloads (Pure)

    Abstract

    Our earlier research demonstrated that participation in four sessions of motivational interviewing (MI) early post-stroke has a positive impact on stroke survivors’ mood. However, the theoretical underpinnings of MI in supporting adjustment (rather than its traditional use in supporting behavior change) require clarification. This article describes a content analysis of MI transcripts for 10 participants in our previous study, to identify the focus of discussions (patient “concerns”) and potential effective components of our MI approach. Patients’ post-stroke concerns were shown in 16 categories, including frustration, family impact, and getting well. There was a pattern of change discourse across sessions: “Sustain talk” (reasons for not changing) reduced from Session 1 onward, “change talk” (intent to change) increased then reduced, and “change expressed” (changes achieved) increased from Sessions 1 to 4. MI facilitates healthy adjustment post-stroke in some patients, in turn affecting mood, but clarification of how this effect is achieved requires further exploration.
    Original languageEnglish
    Pages (from-to)264-272
    JournalQualitative Health Research
    Volume26
    Issue number2
    DOIs
    Publication statusE-pub ahead of print - 22 Apr 2015

    Keywords

    • content analysis
    • depression
    • psychosocial issues
    • qualitative analysis
    • self-efficacy
    • stroke
    • theory development

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