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

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:...

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Autores principales: Chen, Hsiao-Mei, Lee, Hsiao-Lu, Yang, Fu-Chi, Chiu, Yi-Wen, Chao, Shu-Yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216097/
https://www.ncbi.nlm.nih.gov/pubmed/32316197
http://dx.doi.org/10.3390/ijerph17082755
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author Chen, Hsiao-Mei
Lee, Hsiao-Lu
Yang, Fu-Chi
Chiu, Yi-Wen
Chao, Shu-Yuan
author_facet Chen, Hsiao-Mei
Lee, Hsiao-Lu
Yang, Fu-Chi
Chiu, Yi-Wen
Chao, Shu-Yuan
author_sort Chen, Hsiao-Mei
collection PubMed
description 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.
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spelling pubmed-72160972020-05-22 Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients Chen, Hsiao-Mei Lee, Hsiao-Lu Yang, Fu-Chi Chiu, Yi-Wen Chao, Shu-Yuan Int J Environ Res Public Health Article 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. MDPI 2020-04-16 2020-04 /pmc/articles/PMC7216097/ /pubmed/32316197 http://dx.doi.org/10.3390/ijerph17082755 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Hsiao-Mei
Lee, Hsiao-Lu
Yang, Fu-Chi
Chiu, Yi-Wen
Chao, Shu-Yuan
Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients
title Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients
title_full Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients
title_fullStr Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients
title_full_unstemmed Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients
title_short Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients
title_sort effectiveness of motivational interviewing in regard to activities of daily living and motivation for rehabilitation among stroke patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216097/
https://www.ncbi.nlm.nih.gov/pubmed/32316197
http://dx.doi.org/10.3390/ijerph17082755
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