01695nas a2200229   4500000000100000008004100001260001600042100001300058700001400071700001300085700001400098700001600112700001700128700001600145700001500161245010000176250001500276300001100291490000700302520110500309020005101414       2016                            d  c935624011171 aPatel K.1 aHackett M1 aAuton M.1 aCarter B.1 aThornton T.1 aLightbody C.1 aLeathley M.1 aWatkins C.00aMotivational Interviewing Post-Stroke: An Analysis of Stroke Survivors' Concerns and Adjustment  a2015/04/24  a264-720 v263 a<p>
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.
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