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Cited by 166Stroke Rehabilitation and RecoveryPsychotherapy Techniques and ApplicationsCardiac Health and Mental Health

Motivational Interviewing Early After Acute Stroke: A Randomized, Controlled Trial

Watkins, Caroline L., Auton, Malcolm F., Deans, Carol F., Dickinson, Hazel A., Jack, Cathy I.A., Lightbody, C. Elizabeth, Sutton, Christopher J., van den Broek, Martin D. +1 more·2007·Stroke
DOI 10.1161/01.str.0000258114.28006.d7
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Abstract

BACKGROUND AND PURPOSE: The purpose of this study was to determine whether motivational interviewing, a patient-centered counseling technique, can benefit patients' mood 3 months after stroke. METHODS: A single-center, open, randomized, controlled trial was conducted at a single hospital with a stroke unit. Subjects consisted of 411 consecutive patients on the stroke register who were over 18 years of age and who did not have severe cognitive and communication problems that would prevent them from taking part in an interview; were not known to be moving out of the area after discharge; and were not already receiving psychiatric or clinical psychology intervention. All patients received usual stroke care. Patients in the intervention group received 4 individual, weekly sessions of motivational interviewing with a trained therapist in addition to usual stroke care. The primary outcome was the proportion of patients with normal mood at 3 months poststroke measured by the 28-item General Health Questionnaire (normal, <5; low > or=5) using a mailed questionnaire. RESULTS: Eighty-one of 207 (39.1%) patients in the control group and 100 of 204 (49.0%) patients in the intervention group had normal mood at follow up. A significant benefit of motivational interviewing over usual stroke care (OR: 1.60, 95% CI: 1.04 to 2.46, P=0.03) was found. CONCLUSIONS: Our results suggest motivational interviewing leads to an improvement in patients' mood 3 months after stroke.

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  • An RCT reported that motivational interviewing delivered 1:1 over four sessions showed significant effects on mood at 3 months after stroke compared with a TAU group and improved mood and reduced mortality at 12 months.

    “An RCT reported that MI, delivered 1:1 over four sessions, showed significant effects on mood at 3 months after stroke in comparison with a TAU group (Watkins et al., 2007) and improved mood and reduced mortality at 12 months (Watkins et al., 2011).”

    From Brief group‐based acceptance and commitment therapy for stroke survivors. (2019) · cites this paper as Watkins et al., 2007

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Authors
Watkins, C. L., Auton, M. F., Deans, C. F., Dickinson, H. A., Jack, C. I. A., Lightbody, C. E., Sutton, C. J., van den Broek, M. D., & Leathley, M. J.
Affiliations
  • St George's Hospital (GB)
  • From the Clinical Practice Research Unit (C.L.W., M.F.A., C.F.D., C.E.L., C.J.S., M.J.L.), University of Central Lancashire, Preston, UK; Royal Liverpool and Broadgreen University Hospitals NHS Trust (H.A.D.), Liverpool, UK; The Royal Group of Hospitals and Dental Hospital Health and Social Services Trust (C.I.A.J.), Belfast, UK; and Wolfson Neurorehabilitation Centre and St George’s Hospital (M.D.v.d.B.), Wimbledon, London, UK.
ORCID
Venue
Stroke
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2007-03
Volume
38
Issue
3
Pages
1004-1009
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
DOI
10.1161/01.str.0000258114.28006.d7
OpenAlex
W2012654870
Cited by
166
References
23
Citations by year
2026: 1 · 2025: 4 · 2024: 11 · 2023: 8 · 2022: 4 · 2021: 6 · 2020: 8 · 2019: 13 · 2018: 10 · 2017: 9 · 2016: 5 · 2015: 10 · 2014: 13 · 2013: 8 · 2012: 11
FWCI
11.39
Type
journal article
Language
en
Open access
closed
Locations
  • Stroke (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
  • CLOK (University of Central Lancashire) (submittedVersion)
Funders
North-West University
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords
motivational interviewing, acute stroke, post-stroke depression, mood, patient-centered counseling, psychological intervention, stroke rehabilitation, General Health Questionnaire
MeSH terms
Acute Disease, Aged, Female, Humans, Interviews as Topic, Male, Middle Aged, Motivation, Psychotherapy, Brief, Time Factors, Stroke

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