TY - JOUR AU - Patel K. AU - Hackett M AU - Auton M. AU - Carter B. AU - Thornton T. AU - Lightbody C. AU - Leathley M. AU - Watkins C. AB -

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.

AD - University of Central Lancashire, Preston, Lancashire, United Kingdom MFAuton@uclan.ac.uk.
University of Central Lancashire, Preston, Lancashire, United Kingdom.
University of Central Lancashire, Preston, Lancashire, United Kingdom University of Sydney, Sydney, New South Wales, Australia.
University of Central Lancashire, Preston, Lancashire, United Kingdom Australian Catholic University, New South Wales, Australia. AN - 25904673 BT - Qualitative Health Research DA - 93562401117 DP - NLM ET - 2015/04/24 LA - Eng LB - NMH
AUS
FY16 M1 - 2 N1 - Auton, Malcolm F
Patel, Kulsum
Carter, Bernie
Hackett, Maree
Thornton, Tim
Lightbody, Catherine E
Leathley, Michael J
Watkins, Caroline L
Qual Health Res. 2015 Apr 22. pii: 1049732315582197. N2 -

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.

PY - 2016 SN - 1049-7323 (Electronic)
1049-7323 (Linking) SP - 264 EP - 72 T2 - Qualitative Health Research TI - Motivational Interviewing Post-Stroke: An Analysis of Stroke Survivors' Concerns and Adjustment VL - 26 Y2 - FY16 ER -