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

Auton, Malcolm F, Patel, Kulusum, Carter, Bernie, Hackett, Maree, Thornton, Nicola, Lightbody, Catherine E, Leathley, Michael J and Watkins, Caroline (2015) Motivational Interviewing Post-Stroke An Analysis of Stroke Survivors’ Concerns and Adjustment. Qualitative Health Research, 26 (2). pp. 264-272. ISSN 1049-7323 DOI

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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.

Item Type: Article
Uncontrolled Keywords: content analysis, depression, psychosocial issues, qualitative analysis, self-efficacy, stroke, theory development
Subjects: R Medicine > RT Nursing
Divisions: Nursing and Midwifery
Date Deposited: 27 Mar 2018 13:35

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