Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients

Abstract

Background: Stroke patients urgently need rehabilitation to enhance activities of daily living. This study aims to determine whether motivational interviewing (MI) improves the performance of activities of daily living and enhances motivation for rehabilitation among first-stroke patients. Methods: A quasi-experimental design was used in this study. The study recruited 65 patients between March and October 2016. Before the intervention, all patients received routine care. The experimental group (n = 33) received weekly sessions of MI for 6 weeks, whereas the control group (n = 32) received individual attention from a research nurse weekly for 6 weeks. Structured questionnaires were used to collect data, including demographic data, activities of daily living data (Barthel index {BI} and instrumental activities of daily living {IADLs} scale), and rehabilitation motivation data. Results: The BI and IADLs scores significantly improved with time in both the experimental and control groups. The generalized estimating equation approach showed that at 6 weeks and 3 months after the intervention, the rehabilitation motivation scores in the experimental group were respectively 3.10 and 2.54 points higher than those in the control group, with significant differences. Conclusions: MI could effectively enhance motivation for rehabilitation among stroke patients.

Predictors of Instrumental Activities of Daily Living Performance in Patients with Stroke

“…Considering the mentioned issues, maximizing the abilities and capabilities of patients with stroke in performing IADLs as independently as possible could be the main goal for occupational therapy and rehabilitation interventions. Stroke patients with problem-solving skills, social skills, and complex environmental interactions and those motivated enough to participate in the community, IADL performance is necessary for independent performance [ 20 , 21 ]. For succeeding in this goal, determining predictors for performing IADLs could be a basic requirement.…”

Development of a tailored intervention targeting sedentary behavior and physical activity in people with stroke and diabetes: A qualitative study using a co-creation framework

“…Further, the interviewer focuses on helping the participant describe their motivation for changing their behavior and helping them note their motivation for more movement e.g., staying independent or being able to play with their grandkids. The motivational interviewing was incorporated into the ELiR based on the themes “ To preserve oneself” and “ Environment as support and motive power ” and as it is feasible ( 22 , 26 ) and effective ( 54 ) . This was implemented on the front-page ( Figure 3 ) as the participants agreed it was important to identify motivational factors.…”

Coaching-Based Teleoccupational Guidance for Home-Based Stroke Survivors and Their Family Caregivers: Study Protocol for a Superior Randomized Controlled Trial

“…In our study, motivational interviewing methods will be adopted for stroke survivors and caregivers, such as emotional support, expressing empathy, supporting self-efficacy, looking forward, looking back, and so on. These strategies will equip them with knowledge and motivation to change behaviours or to identify advantages and barriers for participant dyads to achieve goals in the current situation [ 30 , 31 ]. Furthermore, coaching sessions are crucial to ensure positive health outcomes, which can help the occupational therapist find and solve timely problems that happen to patients and their caregivers.…”