Motivational interviewing for improving recovery after stroke

Cheng, Daobin; Qu, Zhanli; Huang, Jianyi; Xiao, Yang; Luo, Hui; Wang, Jin

doi:10.1002/14651858.cd011398.pub2

Cited by 34 publications

(49 citation statements)

References 31 publications

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“…A strength of the present review is the combining of behavioural counselling interventions based on common aims, content and approach. This is in contrast with other systematic reviews (Cheng et al, 2015;O'Halloran et al, 2014) (Michie et al, 2013).…”

Section: Discussioncontrasting

confidence: 86%

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

Martin

Dobson

Hall

et al. 2019

Musculoskeletal Care

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Objective A systematic review and meta‐analysis of controlled trials was carried out to examine the effect of behavioural counselling on determinants of behaviour change in adults with chronic, painful musculoskeletal conditions. Methods Seven databases were searched up to January 2019. Two reviewers independently screened title/abstracts and full texts. Eligible trials included those including participants over 18 years of age with a chronic, painful musculoskeletal condition, a measurement of at least one behavioural determinant and lifestyle behaviour, and where behavioural counselling was the distinguishing intervention. Two reviewers independently extracted data and assessed for risk of bias using the Cochrane Risk of Bias Tool. Meta‐analyses were conducted, using standardized mean differences and 95% confidence intervals (CIs) when at least two trials examined the same outcome. The quality of the evidence was evaluated using the Grades of Recommendation, Assessment, Development and Evaluation approach. Results Fourteen unique trials, reported in 16 publications, were included. Low‐quality evidence showed that behavioural counselling has a small effect on increasing self‐reported physical activity (standardized mean difference 0.26; 95% CI 0.00, 0.53). Very‐low‐quality evidence showed that behavioural counselling has a moderate effect on self‐efficacy related to physical activity (standardized mean difference 0.69; 95% CI 0.19, 1.18). Low‐quality evidence suggested that behavioural counselling has no effect on symptoms of depression and anxiety. Conclusions Behavioural counselling may help to increase self‐reported physical activity levels in adults with chronic painful musculoskeletal conditions. Self‐efficacy may be a behavioural determinant in an underlying causal pathway explaining positive lifestyle change.

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Section: Discussioncontrasting

confidence: 86%

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

Martin

Dobson

Hall

et al. 2019

Musculoskeletal Care

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“…The results of this study showed that the 6-week MI intervention and control intervention both significantly improved the BI and IADLs scores, but the BI and IADLs scores between the two groups did not show significant differences. These results are consistent with the findings of the study on MI intervention conducted by Cheng et al [21] There are several possible reasons for the absence of significant differences in the present study. First, the timing of the MI intervention and the short period of intervention might have influenced the results.…”

Section: Comparison Of Differences In Activities Of Daily Living (Bi supporting

confidence: 94%

“…MI can enhance the intrinsic motivation of stroke patients, and it might be helpful for improving their activities of daily living in specific ways [17,21]. The results of this study showed that the 6-week MI intervention and control intervention both significantly improved the BI and IADLs scores, but the BI and IADLs scores between the two groups did not show significant differences.…”

Section: Comparison Of Differences In Activities Of Daily Living (Bi mentioning

confidence: 67%

“…First, the timing of the MI intervention and the short period of intervention might have influenced the results. The MI intervention in this study was performed in the daytime or nighttime, and most MI interventions were performed after patient rehabilitation, leading to different levels of physical and mental fatigue, which might have had some impact on the intervention effect [16,21,22]. Furthermore, the duration of the intervention in this study was 6 weeks, with only 15-30 min of MI in each session.…”

Section: Comparison Of Differences In Activities Of Daily Living (Bi mentioning

confidence: 99%

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Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients

Chen

Lee

Yang

et al. 2020

IJERPH

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Background: Stroke patients urgently need rehabilitation to enhance activities of daily living. This study aims to determine whether motivational interviewing (MI) improves the performance of activities of daily living and enhances motivation for rehabilitation among first-stroke patients. Methods: A quasi-experimental design was used in this study. The study recruited 65 patients between March and October 2016. Before the intervention, all patients received routine care. The experimental group (n = 33) received weekly sessions of MI for 6 weeks, whereas the control group (n = 32) received individual attention from a research nurse weekly for 6 weeks. Structured questionnaires were used to collect data, including demographic data, activities of daily living data (Barthel index {BI} and instrumental activities of daily living {IADLs} scale), and rehabilitation motivation data. Results: The BI and IADLs scores significantly improved with time in both the experimental and control groups. The generalized estimating equation approach showed that at 6 weeks and 3 months after the intervention, the rehabilitation motivation scores in the experimental group were respectively 3.10 and 2.54 points higher than those in the control group, with significant differences. Conclusions: MI could effectively enhance motivation for rehabilitation among stroke patients.

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“…Examples of studies assessing effectiveness of Motivational Interviewing are presented in Table 4. [61][62][63][64][65]. Another effective approach in working with cardiac patients is also a short-term Solution Focused Brief Therapy (SFBT).…”

Section: Effective Forms Of Psychological Assistance In Work With Carmentioning

confidence: 99%

Psychological interventions in cardiology - short-term motivational strategies

Mierzyńska¹,

Jurczak²,

Piotrowicz³

2017

Arch Psych Psych

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SummaryCardiovascular diseases are the most important cause of death in industrialized countries. They require long treatment and their prevention is a long-term effort at individual and social levels. Therefore more and more attention is drawn to the psychosocial processes and phenomena associated with people engagement in health harmful behaviour.The current state of medical and psychological knowledge allows the selection of several major research directions integrating these two areas within cardiology. These directions regard physiological mechanisms of the development of cardiovascular diseases, the impact of psychopathological symptoms on patients' functioning and psychological mechanisms associated with patient compliance. Studies in cardiac patients indicate the effectiveness of many psychological interventions. It has been proven that they have significant impact on the quality of life, a level of anxiety, symptoms of depression, symptoms of post-traumatic stress and mortality in cardiac patients.The main factor exerting influence on patients' coping with the treatment process and on their commitment to activities beneficial for their health is motivation. The importance of motivation process in the course and effects of treatment was the basis for development of an approach known as Motivational Interviewing (MI), which is an effective tool for promoting involvement of patients in the treatment process. Another effective approach is also a short-term Solution Focused Brief Therapy (SFBT). It allows to cooperate with people in various contexts, including somatic patients, both during hospitalization and outpatient treatment. It is worth noting that the situation in the field of psychocardiology is steadily improving. psychological interventions / cardiac patients / Motivational Interviewing / Solution Focused Brief Therapy

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Motivational interviewing for improving recovery after stroke

Abstract: There is insufficient evidence to support the use of motivational interviewing for improving activities of daily living after stroke. Further well designed RCTs are needed.

Cited by 34 publications

References 31 publications

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients

Psychological interventions in cardiology - short-term motivational strategies

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