Motivational Interviewing for Stroke

NCT06195007 | Terminated

• 1 other identifier: IRB202201687
• Study Type: interventional
• Target: 1
• Locations: 1 country
• Sites: 1

Brief Summary

Motivational interviewing (MI) is a style of communication designed to elicit a person's own reasons for change to drive commitment toward a goal. The goal of this study is to assess the effect of trainee-led MI on patients diagnosed with acute stroke or TIA attributable to modifiable risk factors in comparison to conventional post-stroke counseling, based on patient outcomes, and meaning of work and sense of fulfillment for trainees.

Conditions

Acute Stroke; Transient Ischemic Attack

Outcome Measures

Primary Outcomes (3)

• Smoking cessation at 90-day post-discharge follow up

  Yes or no

  90 days post-discharge

• Patient rating of ability to improve their health

  Patient answers question "I am confident that I can work together with my care team to improve my health" with a rating from 1 (do not agree at all) to 10 (completely agree)

  90 days post-discharge

• Recurrence of stroke / TIA symptoms

  Yes or no

  90 days post-discharge

Secondary Outcomes (1)

• Patient ability to take stroke prevention medications as prescribed

  90 days post-discharge

Study Arms (2)

Motivational Interview

EXPERIMENTAL

Patients included in the study who are being treated by a resident in the MI intervention group will have a motivational interview during their initial hospitalization.

Behavioral: Motivational Interview

Control

NO INTERVENTION

Patients included in the study who are being treated by a resident in the Control group will not have a motivational interview during their hospitalization.

Interventions

Motivational Interview BEHAVIORAL

The motivational interview (MI) is a 10-15 minute patient-centered conversation which will focus on tobacco use. Multiple communication strategies can be employed during the MI, including open-ended questions, affirmative statements, reflective listening, use of a 'confidence ruler', and summarizing. The 'confidence ruler' technique in this patient population involves asking the patient "On a scale of zero to ten, how confident are you that you can stop using tobacco?", and then requesting further information about why they selected a certain number. These communication strategies and techniques are designed to uncover and foster a patient's own internal motivations to change the target behavior.

Motivational Interview

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient presentation consistent with a stroke or TIA
• Patient is a current tobacco user and tobacco use contributed to the stroke
• Resident enrolled in study assigned to Vascular Neurology service during patient admission.

You may not qualify if:

• Patient unable or unwilling to follow up in the outpatient stroke clinic after discharge
• Patient has cognitive impairment or aphasia that would preclude meaningful participation in motivational interview (defined as a score of 0 on the National Institute of Health Stroke Scale \[NIHSS\] questions 1 and 9)

Sponsors & Collaborators

• University of Florida: lead
• Accreditation Council for Graduate Medical Education: collaborator

Study Sites (1)

University of Florida

Gainesville, Florida, 32608, United States

Location

MeSH Terms

Conditions

Stroke; Ischemic Attack, Transient

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Brain Ischemia

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Christina Wilson, MD PhD

  University of Florida

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 21, 2023
• First Posted: January 8, 2024
• Study Start: December 20, 2023
• Primary Completion: December 20, 2023
• Study Completion: January 1, 2024
• Last Updated: August 21, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)