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Motivational interviewing post-stroke : An analysis of stroke survivors' concerns and adjustment
Auton, Malcolm F. Patel, Kulsum Carter, Bernie Hackett, Maree Thornton, Tim Lightbody, Catherine E. Leathley, Michael J. Watkins, Caroline
Auton, Malcolm F.
Patel, Kulsum
Carter, Bernie
Hackett, Maree
Thornton, Tim
Lightbody, Catherine E.
Leathley, Michael J.
Watkins, Caroline
Abstract
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.
Keywords
content analysis, depression, psychosocial issues, qualitative analysis, self-efficacy, stroke, theory development
Date
2016
Type
Journal article
Journal
Book
Volume
26
Issue
2
Page Range
264-272
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled