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Cited by 104Stroke Rehabilitation and RecoveryCardiac Health and Mental HealthSubstance Abuse Treatment and Outcomes

The 12-Month Effects of Early Motivational Interviewing After Acute Stroke: A Randomized Controlled Trial

Watkins, Caroline L., Wathan, Jennifer V., Leathley, Michael J., Auton, Malcolm F., Deans, Carol F., Dickinson, Hazel A., Jack, Cathy I.A., Sutton, Christopher J. +2 more·2011·Stroke
DOI 10.1161/strokeaha.110.602227
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Abstract

Background and Purpose—: The purpose of this study was to determine whether motivational interviewing (MI), a patient-centered counseling technique, can benefit patients' mood and mortality poststroke. Methods—: This was a single-center, open, randomized, controlled trial. The setting was a hospital with a stroke unit. Four hundred eleven consecutive patients on the stroke register were >18 years old, not known to be moving out-of-area postdischarge, not receiving psychiatric or clinical psychology intervention, and were without severe cognitive or communication problems preventing participation in interviews. All patients received usual stroke care. Patients in the intervention group also received 4 individual, weekly sessions of MI. The primary outcome was the proportion of patients with normal mood measured by the 28-item General Health Questionnaire (normal <5; low ≥5) using a mailed questionnaire at 12 months poststroke. Results—: At 12-month follow-up (including imputed data), 37.7% patients in the control group and 48.0% patients in the intervention group had normal mood. Twenty-five (12.8%) of 195 patients in the control group and 13 (6.5%) of 199 patients in the intervention group had died. A significant benefit of motivational interviewing over usual stroke care was found for mood ( P =0.020; OR, 1.66; 95% CI, 1.08 to 2.55) and mortality ( P =0.035; OR, 2.14; 95% CI, 1.06 to 4.38). Conclusions—: Results suggest that motivational interviewing improves patients' mood and reduces mortality 12 months poststroke. Clinical Trial Registration—: URL: www.controlled-trials.com . Unique identifier: ISRCTN54465472.

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Crossref · 10.1161/strokeaha.110.602227

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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., 2011

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Authors
Watkins, C. L., Wathan, J. V., Leathley, M. J., Auton, M. F., Deans, C. F., Dickinson, H. A., Jack, C. I. A., Sutton, C. J., van den Broek, M. D., & Lightbody, C. E.
Affiliations
  • National Health Service (GB)
  • From the Clinical Practice Research Unit (CPRU; C.L.W., J.V.W., M.J.L., M.F.A., H.A.D., C.J.S., C.E.L.), Preston, UK; Merseycare National Health Service Trust (C.F.D.), Liverpool, UK; Belfast Trust (C.I.A.J.), Belfast, UK; and St George's Healthcare National Health Service Trust (M.D.v.d.B.), London, UK.
ORCID
Venue
Stroke
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2011-07
Volume
42
Issue
7
Pages
1956-1961
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
DOI
10.1161/strokeaha.110.602227
OpenAlex
W2063641463
Cited by
104
References
43
Citations by year
2026: 3 · 2025: 5 · 2024: 5 · 2023: 7 · 2022: 19 · 2021: 2 · 2020: 7 · 2019: 9 · 2018: 7 · 2017: 6 · 2016: 9 · 2015: 11 · 2014: 5 · 2013: 3 · 2012: 4
FWCI
4.14
Type
journal article
Language
en
Open access
closed
Locations
  • Stroke (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
motivational interviewing, acute stroke, post-stroke depression, mood, mortality, patient-centered counseling, stroke rehabilitation, psychological intervention
MeSH terms
Acute Disease, Affect, Aged, Ischemic Attack, Transient, Communication, Counseling, Female, Humans, Male, Middle Aged, Motivation, Psychotherapy, Surveys and Questionnaires, Treatment Outcome, Stroke

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