The Effect of Motivational Interviewing on Patients With Lumbar Discectomy

NCT07169955 | Completed

• 1 other identifier: 2023-1170
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

Abstract Objective: The aim of the study was to determine the effect of motivational interviewing about adaptation to body mechanics on the level of disability due to low back pain and quality of life in patients with lumbar discectomy surgery. Method: The design of the study was a randomized controlled clinical trial with a pretest-posttest and follow-up design with a control group. The study will be conducted with patients who are hospitalized in the neurosurgery clinic of a university hospital, who have undergone discectomy surgery and whose discharge is planned. The data will be collected using the Participant Information Form, the Scale for Assessing Adaptation to Body Mechanics for Individuals with Lumbar Disc Herniation, the Motivational Interviewing Change Cycle Determination Form, the Oswetry Low Back Pain Disability Index and the World Health Organization Quality of Life Scale-Short Form. Motivational interview was applied to the experimental group. Motivational interviewing will be conducted for 6 sessions.

Conditions

Lumbar Disc Surgery; Motivational Interviewing; Nursing Care

Keywords

motivational interviewing; lumbar discectomy; nursing care; oswetry low back pain disability; quality of life

Outcome Measures

Primary Outcomes (2)

• Oswetry Low Back Pain Disability Index

  The scale defined by Fairbanks (1980) and later modified by Hudson Cook (2004) is recommended as a sensitive scale for measuring functional disability in patients with low back pain due to its validity and reliability. Turkish validity and reliability was performed by Yakut et al. (2004). The Cronbach's alpha value of the scale was found to be 0.918 at day 1 and 0.895 at day 7 (Yakut et al., 2004). The form includes 10 questions, each question has 6 options ranging from 0 to 5 points. The patient is asked to choose the statement that best describes his/her condition. The highest score obtained from the scale is 50, and 1-10 points are considered as mild functional disability, 11-30 points as moderate functional disability, and 31-50 points as severe functional disability

  At 6 weeks after discharge

• World Health Organization Quality of Life Scale-Short Form

  It is an international quality of life assessment scale developed by WHOQOL-BREF. It consists of a total of 26 questions assessing four domains: physical, mental, social and environmental. The WHOQOL-BREFTR version consists of 27 questions with one national question added during Turkish validity and reliability studies. The questions were asked to be answered considering the last 15 days.

  At 6 weeks after discharge

Secondary Outcomes (2)

• Oswetry Low Back Pain Disability Index

  At 12 weeks after discharge

• World Health Organization Quality of Life Scale-Short Form

  At 12 weeks after discharge

Study Arms (2)

Motivational İnterviewing Group

EXPERIMENTAL

patients who underwent lumbar discectomy surgery for the first time and whose discharge was planned, not having any complications before and after disc surgery (fecal and urinary incontinence, foot drop, cauda equina syndrome, tingling, numbness, etc.), being 18 years of age or older, having no spine or musculoskeletal problems other than disc herniation.

Other: Motivational Interviewing

Control Group

NO INTERVENTION

patients who underwent lumbar discectomy surgery for the first time and whose discharge was planned, not having any complications before and after disc surgery (fecal and urinary incontinence, foot drop, cauda equina syndrome, tingling, numbness, etc.), being 18 years of age or older, having no spine or musculoskeletal problems other than disc herniation,

Interventions

Motivational Interviewing OTHER

Implementation of the Research in the Experimental Group Since the patients in the experimental group come from many different cities and regions, the interviews will be conducted online. It was planned to conduct weekly online individual motivational interviews with the patients for 40 minutes on one day of the week for 6 weeks. In the last session of the motivational interview (6th week), Oswetry Low Back Pain Disability Index and World Health Organization Quality of Life Scale - Short Form will be administered. Post-tests will be administered 6 weeks after these forms are administered. Three months (12 weeks) after the first interview, the tests will be administered again.

Motivational İnterviewing Group

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• being in the pre-intention or intention stage according to the motivational interviewing change cycle determination form,
• low and medium scores on the body mechanics adaptation assessment scale for individuals with lumbar disc herniation, patients who underwent lumbar discectomy surgery for the first time and whose discharge was planned,

You may not qualify if:

• volunteering to participate in the study, having no problems in speaking and understanding Turkish, being 18 years of age or older,
• having no spine or musculoskeletal problems other than disc herniation,
• having a smartphone and internet access.
• having a psychiatric diagnosis,
• being in the preparation, action or maintenance phase of change,
• planning to participate in any rehabilitation program for the first 12 weeks after surgery.

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi Hospital

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Motivational Interviewing

Intervention Hierarchy (Ancestors)

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

Study Officials

• Keziban Öztürk, MSc

  Gazi University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research assisstant

Study Record Dates

• First Submitted: August 28, 2025
• First Posted: September 12, 2025
• Study Start: July 29, 2025
• Primary Completion: October 29, 2025
• Study Completion: January 29, 2026
• Last Updated: February 11, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)