Delivering motivational interviewing early post stroke: standardisation of the intervention.
Kulsum PatelMalcolm F AutonCaroline Leigh WatkinsChristopher J SuttonValerio BenedettoMaree L HackettEmma-Joy HollandCatherine E LightbodyPublished in: Disability and rehabilitation (2020)
Variation in therapist characteristics and MI dose did not affect participant outcome. These may have been tolerated due to high fidelity to MI principles.IMPLICATIONS FOR REHABILITATIONMotivational Interviewing (MI) can help reduce depression in stroke survivors when delivered early after stroke.The effectiveness of our MI intervention depends on the delivery of high quality MI; in particular, interactions with low levels of MI-inconsistency, and high global MI ratings, ideally delivered over more than one session, each lasting at least 30 minutes.Provided high quality MI is being delivered, the intervention can still have a beneficial effect on participant outcome, even with flexibility and variation in therapist characteristics, and duration and number of sessions, which may be inevitable in a clinical context.