Motivational Interviewing for Stroke

NCT ID: NCT06195007

Last Updated: 2024-08-21

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: NA
• Total Enrollment: 1 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-12-20
• Study Completion Date: 2024-01-01

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

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Motivational Interview

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.

Group Type: EXPERIMENTAL

Motivational Interview

Intervention Type: 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.

Control

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.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Motivational Interview

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.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• 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.

Exclusion Criteria

• 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)

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 99 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Accreditation Council for Graduate Medical Education

OTHER

Sponsor Role: collaborator

University of Florida

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Christina Wilson, MD PhD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Locations

University of Florida

Gainesville, Florida, United States

Countries

United States

Other Identifiers

IRB202201687

Identifier Type: -

Identifier Source: org_study_id