@article{21970, author = {Patel K. and Hackett M and Auton M. and Carter B. and Thornton T. and Lightbody C. and Leathley M. and Watkins C.}, title = {Motivational Interviewing Post-Stroke: An Analysis of Stroke Survivors' Concerns and Adjustment}, 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.
}, year = {2016}, journal = {Qualitative Health Research}, volume = {26}, edition = {2015/04/24}, number = {2}, pages = {264-72}, month = {93562401117}, isbn = {1049-7323 (Electronic)