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

Author

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  • Hsiao-Mei Chen

    (Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Hsiao-Lu Lee

    (Department of Nursing, Yuhing Junior College of Health Care & Management, Kaohsiung 80776, Taiwan)

  • Fu-Chi Yang

    (College of General Education, National Chin-Yi University of Technology, Taichung 40201, Taiwan
    Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Yi-Wen Chiu

    (Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Shu-Yuan Chao

    (Department of Nursing, Hungkuang University, Taichung 43302, Taiwan)

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.

Suggested Citation

  • Hsiao-Mei Chen & Hsiao-Lu Lee & Fu-Chi Yang & Yi-Wen Chiu & Shu-Yuan Chao, 2020. "Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients," IJERPH, MDPI, vol. 17(8), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2755-:d:346266
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    References listed on IDEAS

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    1. Liye Zou & Albert Yeung & Nan Zeng & Chaoyi Wang & Li Sun & Garrett Anthony Thomas & Huiru Wang, 2018. "Effects of Mind-Body Exercises for Mood and Functional Capabilities in Patients with Stroke: An Analytical Review of Randomized Controlled Trials," IJERPH, MDPI, vol. 15(4), pages 1-13, April.
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    Cited by:

    1. Giulio Verrienti & Cecilia Raccagni & Ginevra Lombardozzi & Daniela De Bartolo & Marco Iosa, 2023. "Motivation as a Measurable Outcome in Stroke Rehabilitation: A Systematic Review of the Literature," IJERPH, MDPI, vol. 20(5), pages 1-25, February.

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