Fidelity to a motivational interviewing intervention for those with post-stroke aphasia: a small-scale feasibility study

Holland, Emma-Joy; Watkins, Caroline; Boaden, Elizabeth; Lightbody, Catherine Elizabeth

doi:10.1080/10749357.2017.1376916

Cited by 13 publications

(8 citation statements)

References 24 publications

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“…) and modified motivation interviewing (Holland et al . ) may be of benefit to people with aphasia based on early feasibility findings. However, it is not known at what time post‐stroke these interventions are of most benefit and if they help in the prevention of mood disorders post‐stroke.…”

Section: Introductionmentioning

confidence: 99%

Help‐seeking and people with aphasia who have mood problems after stroke: perspectives of speech–language pathologists

Ryan

Bohan

Kneebone

2019

Intl J Lang & Comm Disor

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Background: Access to treatments for mood disorders may pose a challenge to individuals with compromised communication ability. Speech-language pathologists (SLPs) have previously reported that their clients with aphasia decline formal psychological support; however, their role in their clients' help-seeking has not been explored. Aims: To investigate SLPs' perspectives on how they currently support help-seeking for mood problems in people with aphasia and factors they perceive to be impacting service uptake.

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Section: Introductionmentioning

confidence: 99%

Help‐seeking and people with aphasia who have mood problems after stroke: perspectives of speech–language pathologists

Ryan

Bohan

Kneebone

2019

Intl J Lang & Comm Disor

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“…Conversely, research has shown speech pathologists can tend to avoid addressing difficult emotions in therapy sessions (Simmons-Mackie & Damico, 2011). To a lesser degree, stroke health professionals may use therapies such as solution-focused therapy, motivational interviewing and behavioural therapy (Thomas, et al, 2013;Sekhon, et al, 2015;Northcott, et al, 2015;Holland, et al, 2018). However, these were not reportedly used by health professionals in this study.…”

Section: Discussionmentioning

confidence: 80%

“…This research has clinical implications for directly targeting low mood and depression after post-stroke aphasia. Mood problems may be overcome through providing emerging therapies adapted for aphasia, such as solution-focused therapy, motivational interviewing and positive psychological therapy for patient-carer dyads (Northcott, et al, 2015;Holland, et al, 2018;Terrill, et al, 2018). Participants in this study also reported the importance of support from family members, people in the community and stroke/aphasia peers.…”

Section: Discussionmentioning

confidence: 90%

“…Beyond the findings of this systematic review, evidence is emerging for interventions such as aphasia action, success and knowledge (ASK), a brief psychosocial program ; modified behavioural activation ; solution-focused therapy (Northcott, et al, 2015); modified motivational interviewing (Holland, et al, 2018); aphasia groups (Attard, et al, 2018); relaxation training (Kneebone, 2016) and intensive language-action therapy (Mohr, Stahl, Berthier, & Pulvermüller, 2017).…”

Section: Resultsmentioning

confidence: 98%

“…(Kneebone, et al, 2012;Kneebone, et al, 2013). Further to this, none of the stroke teams in this study routinely addressed treatment of depression using modified or adapted psychological therapies for aphasia, such as behavioural therapy, life coaching or motivational interviewing programs (Worrall, et al, 2010;Northcott, et al, 2015;Holland, Watkins, Boaden, & Lightbody, 2018). This may be partly related to a lack of staff resources in psychology as reported in stroke audits (National Stroke Foundation, 2016).…”

Section: Discussionmentioning

confidence: 98%

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Translating stepped psychological care to aphasia rehabilitation

Baker¹

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Stroke rehabilitation needs more psychological services to address mood changes and depression after aphasia. An evidence-practice gap exists that can be minimised through implementation of stepped psychological care-an evidence-based framework offering multidisciplinary intervention after stroke. However, stepped psychological care has not been adapted for the communication disability associated with aphasia. Further, there is a lack of research exploring the perspectives of key stakeholders in managing depression after post-stroke aphasia. The overarching aim of this research was to describe the evidence-practice gap in managing mood changes and depression after post-stroke aphasia. Chapter one of this thesis comprises: an introduction, including a review of the literature, the aims of the thesis, and an overview of the methodology and the thesis structure. The thesis then reports on three research studies investigating the management of mood changes and depression after poststroke aphasia: 1) a systematic review of rehabilitation interventions to prevent and treat depression after post-stroke aphasia; 2) a description, from the perspective of stroke health professionals, of: a) current practice; and b) the identification of barriers and facilitators to implementing stepped psychological care to clinical practice; and 3) a description, from the perspective of people with aphasia, of: a) experiences of mood changes, depression and current practice; and b) preferences within a stepped psychological care approach. Study 1 systematically reviewed the research evidence for rehabilitation interventions to prevent and treat depression after post-stroke aphasia. It followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 45 studies were eligible for inclusion. It is not clear which interventions may prevent depression. A range of interventions that may enhance mood or treat mild depression after post-stroke aphasia were identified and described within the stepped psychological care framework. Study 2 described, from the perspectives of stroke health professionals: a) current practice for the management of depression after post-stroke aphasia; and b) the barriers and facilitators to implementing stepped psychological care for depression after post-stroke aphasia. Thirty-nine stroke health professionals participated in qualitative focus groups. Five focus groups within acute, rehabilitation and community settings were divided into two parts: 1) a discussion about current practice; and 2) information provision about the stepped psychological care framework, followed by a discussion of the barriers and facilitators to implementing this framework to clinical practice. Four core components of current practice were derived from an interpretive description analysis: 1)

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Interventions targeting psychosocial adaptation in people with stroke: A scoping review

Zhang¹,

Chen²,

Zhang³

et al. 2023

Patient Education and Counseling

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Fidelity to a motivational interviewing intervention for those with post-stroke aphasia: a small-scale feasibility study

Abstract: This small-scale feasibility study suggests that it is feasible to adapt MI for people with moderate to severe post-stroke aphasia. These findings merit further exploration of adapted MI as an intervention for this patient group.

Cited by 13 publications

References 24 publications

Help‐seeking and people with aphasia who have mood problems after stroke: perspectives of speech–language pathologists

Help‐seeking and people with aphasia who have mood problems after stroke: perspectives of speech–language pathologists

Translating stepped psychological care to aphasia rehabilitation

Interventions targeting psychosocial adaptation in people with stroke: A scoping review

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