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Published on: June 6, 2025
Motivational interviewing early after acute stroke: a randomized, controlled trial
Caroline L Watkins1, Malcolm F Auton, Carol F Deans
1Clinical Practice Research Unit, Department of Nursing, University of Central Lancashire, Preston, UK. clwatkins@uclan.ac.uk
Stroke
|February 17, 2007
Summary
Motivational interviewing significantly improved mood in stroke patients three months post-stroke. This patient-centered counseling technique offers a valuable approach to enhancing recovery and well-being after a stroke.
Area of Science:
- Neurology
- Psychiatry
- Rehabilitation Medicine
Background:
- Stroke is a leading cause of long-term disability.
- Post-stroke mood disturbances are common and can impede recovery.
- Effective interventions to improve mood after stroke are needed.
Purpose of the Study:
- To evaluate the efficacy of motivational interviewing in improving mood among stroke patients.
- To assess the impact of a patient-centered counseling technique on post-stroke mood at three months.
Main Methods:
- A randomized controlled trial involving 411 stroke patients.
- Intervention group received four weekly sessions of motivational interviewing alongside usual care.
- Control group received only usual stroke care.
- Mood assessed at three months using the General Health Questionnaire.
Main Results:
- 49.0% of patients in the intervention group had normal mood at three months, compared to 39.1% in the control group.
- Motivational interviewing showed a significant benefit over usual stroke care (OR: 1.60, P=0.03).
Conclusions:
- Motivational interviewing is an effective intervention for improving mood in patients three months after stroke.
- This patient-centered approach can positively impact psychological recovery post-stroke.
