title: Motivational Interviewing Post-Stroke: An Analysis of Stroke Survivors' Concerns and Adjustment.
abstract: 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.
authors.affiliation: University of Central Lancashire, Preston, Lancashire, United Kingdom MFAuton@uclan.ac.uk.
authors.forename: Malcolm F
authors.initials: MF
authors.lastname: Auton
authors.affiliation: University of Central Lancashire, Preston, Lancashire, United Kingdom.
authors.forename: Kulsum
authors.initials: K
authors.lastname: Patel
authors.affiliation: University of Central Lancashire, Preston, Lancashire, United Kingdom.
authors.forename: Bernie
authors.initials: B
authors.lastname: Carter
authors.affiliation: University of Central Lancashire, Preston, Lancashire, United Kingdom University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Maree
authors.initials: M
authors.lastname: Hackett
authors.affiliation: University of Central Lancashire, Preston, Lancashire, United Kingdom.
authors.forename: Tim
authors.initials: T
authors.lastname: Thornton
authors.affiliation: University of Central Lancashire, Preston, Lancashire, United Kingdom.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Lightbody
authors.affiliation: University of Central Lancashire, Preston, Lancashire, United Kingdom.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Leathley
authors.affiliation: University of Central Lancashire, Preston, Lancashire, United Kingdom Australian Catholic University, New South Wales, Australia.
authors.forename: Caroline L
authors.initials: CL
authors.lastname: Watkins
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D020521:Stroke / Q000523:psychology*; D017741:Survivors; D006113:United Kingdom
keywords: content analysis; depression; psychosocial issues; qualitative analysis; self-efficacy; stroke; theory development