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 - <p>
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.
</p>

AD - University of Central Lancashire, Preston, Lancashire, United Kingdom MFAuton@uclan.ac.uk.<br/>University of Central Lancashire, Preston, Lancashire, United Kingdom.<br/>University of Central Lancashire, Preston, Lancashire, United Kingdom University of Sydney, Sydney, New South Wales, Australia.<br/>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<br/>AUS<br/>FY16
M1 - 2
N1 - Auton, Malcolm F<br/>Patel, Kulsum<br/>Carter, Bernie<br/>Hackett, Maree<br/>Thornton, Tim<br/>Lightbody, Catherine E<br/>Leathley, Michael J<br/>Watkins, Caroline L<br/>Qual Health Res. 2015 Apr 22. pii: 1049732315582197.
N2 - <p>
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.
</p>

PY - 2016
SN - 1049-7323 (Electronic)<br/>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 -