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

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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., Leathley, Michael J.·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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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.
University of Lancashire (GB)
ORCID: Watkins, Caroline L.
Dickinson, Hazel A.
Lightbody, C. Elizabeth
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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Motivational Interviewing Early After Acute Stroke: A Randomized, Controlled Trial

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