The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.
Motivational Interviewing Early After Acute Stroke: A Randomized, Controlled Trial
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 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
Citations
Cites
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Research works printed but not linked: 5
- 10.1161/str.32.3.696 · DOI
- Leathley M, Fall S, Sharma AK, Watkins C, Barer D. Life after stroke: multi-centre trial of psychosocial interventions after stroke [Abstract]. Cerebrovasc Dis. 2003; 16 (suppl 4): 70.
- Watkins CL, Leathley MJ, Davies A. The Stroke Expectations Questionnaire (SEQ): identification of patients’ ideas about recovery. Clin Rehabil. 1998; 12: 173–174.
- Watkins CL. The Effects of Patient’s Expectations on the Rehabilitation Process [PhD thesis]. Liverpool UK: University of Liverpool; 1999.
- 10.1161/str.32.1.113 · DOI
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A Meta-Analysis of Motivational Interviewing: Twenty-Five Years of Empirical Studies
Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010) · Research on Social Work Practice · doi:10.1177/1049731509347850 · Cited by 1,086
Lundahl, B., Moleni, T., Burke, B. L., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013) · Patient Education and Counseling · doi:10.1016/j.pec.2013.07.012 · Cited by 909
Self-efficacy and self-management after stroke: a systematic review
Jones, F., & Riazi, A. (2011) · Disability and Rehabilitation · doi:10.3109/09638288.2010.511415 · Cited by 421
Interventions for treating depression after stroke
Hackett, M. L., Anderson, C. S., House, A., & Xia, J. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003437.pub3 · Cited by 387
Interventions for preventing depression after stroke
Hackett, M. L., Anderson, C. S., House, A. O., & Halteh, C. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003689.pub3 · Cited by 273
Metadata
- 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)
- Venue
- Stroke
- Published
- 2007-03
- Volume
- 38
- Issue
- 3
- Pages
- 1004-1009
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- 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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