Motivational Interviewing for Stroke

N/ATerminatedNCT06195007

University of Florida1 enrolled

Overview

Motivational interviewing (MI) is a style of communication designed to elicit a person's own reasons for change to drive commitment toward a goal. The goal of this study is to assess the effect of trainee-led MI on patients diagnosed with acute stroke or TIA attributable to modifiable risk factors in comparison to conventional post-stroke counseling, based on patient outcomes, and meaning of work and sense of fulfillment for trainees.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Acute Stroke Transient Ischemic Attack

Interventions

Motivational InterviewBEHAVIORAL

The motivational interview (MI) is a 10-15 minute patient-centered conversation which will focus on tobacco use. Multiple communication strategies can be employed during the MI, including open-ended questions, affirmative statements, reflective listening, use of a 'confidence ruler', and summarizing. The 'confidence ruler' technique in this patient population involves asking the patient "On a scale of zero to ten, how confident are you that you can stop using tobacco?", and then requesting further information about why they selected a certain number. These communication strategies and techniques are designed to uncover and foster a patient's own internal motivations to change the target behavior.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 99 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient presentation consistent with a stroke or TIA * Patient is a current tobacco user and tobacco use contributed to the stroke * Resident enrolled in study assigned to Vascular Neurology service during patient admission. Exclusion Criteria: * Patient unable or unwilling to follow up in the outpatient stroke clinic after discharge * Patient has cognitive impairment or aphasia that would preclude meaningful participation in motivational interview (defined as a score of 0 on the National Institute of Health Stroke Scale \[NIHSS\] questions 1 and 9)

Locations (1)

University of Florida

Gainesville, Florida, United States

Outcomes

Primary Outcomes

Smoking cessation at 90-day post-discharge follow up

Yes or no

Time frame: 90 days post-discharge

Patient rating of ability to improve their health

Patient answers question "I am confident that I can work together with my care team to improve my health" with a rating from 1 (do not agree at all) to 10 (completely agree)

Time frame: 90 days post-discharge

Recurrence of stroke / TIA symptoms

Yes or no

Time frame: 90 days post-discharge

Secondary Outcomes

Patient ability to take stroke prevention medications as prescribed

Yes or no

Time frame: 90 days post-discharge

Data from ClinicalTrials.gov

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