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. 2015 Jun 3;2015(6):CD011398.
doi: 10.1002/14651858.CD011398.pub2.

Motivational interviewing for improving recovery after stroke

Daobin Cheng  1 , Zhanli Qu, Jianyi Huang, Yousheng Xiao, Hongye Luo, Jin Wang
Affiliations

Motivational interviewing for improving recovery after stroke

Daobin Cheng et al. Cochrane Database Syst Rev. .

Abstract

Background: Psychological problems are common complications following stroke that can cause stroke survivors to lack the motivation to take part in activities of daily living. Motivational interviewing provides a specific way for enhancing intrinsic motivation, which may help to improve activities of daily living for stroke survivors.

Objectives: To investigate the effect of motivational interviewing for improving activities of daily living after stroke.

Search methods: We searched the Cochrane Stroke Group's Trials Register (November 2014), the Cochrane Central Register of Controlled Trials (CENTRAL; 2015, Issue 1), MEDLINE (1948 to March 2015), EMBASE (1980 to March 2015), CINAHL (1982 to March 2015), AMED (1985 to March 2015), PsycINFO (1806 to March 2015), PsycBITE (March 2015) and four Chinese databases. In an effort to identify further published, unpublished and ongoing trials, we searched ongoing trials registers and conference proceedings, checked reference lists, and contacted authors of relevant studies.

Selection criteria: Randomised controlled trials (RCTs) comparing motivational interviewing with no intervention, sham motivational interviewing or other psychological therapy for people with stroke were eligible.

Data collection and analysis: Two review authors independently selected studies for inclusion, extracted eligible data and assessed risk of bias. Outcome measures included activities of daily living, mood and death.

Main results: One study involving a total of 411 participants, which compared motivational interviewing with usual care, met our inclusion criteria. The results of this review did not show significant differences between groups receiving motivational interviewing or usual stroke care for participants who were not dependent on others for activities of daily living, nor on the death rate after three-month and 12-month follow-up, but participants receiving motivational interviewing were more likely to have a normal mood than those who received usual care at three-months and 12-months follow-up.

Authors' conclusions: There is insufficient evidence to support the use of motivational interviewing for improving activities of daily living after stroke. Further well designed RCTs are needed.

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Conflict of interest statement

Daobin Cheng: none known. Zhanli Qu: none known. Jianyi Huang: none known. Yousheng Xiao: none known. Hongye Luo: none known. Jin Wang: none known.

Figures

1
1
Study flow diagram.
2
2
Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
3
3
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
1.1
1.1. Analysis
Comparison 1 Motivational interviewing versus usual care, Outcome 1 Activities of daily living.
1.2
1.2. Analysis
Comparison 1 Motivational interviewing versus usual care, Outcome 2 Mood.
1.3
1.3. Analysis
Comparison 1 Motivational interviewing versus usual care, Outcome 3 Death.
See this image and copyright information in PMC

Update of

  • doi: 10.1002/14651858.CD011398

References

References to studies included in this review

Watkins 2011 {published data only}
    1. Watkins CL, Auton MF, Deans CF, Dickinson HA, Jack CI, Lightbody CE, et al. Motivational interviewing early after acute stroke: a randomized, controlled trial. Stroke 2007;38(3):1004‐9. - PubMed
    1. Watkins CL, Wathan JV, Leathley MJ, Auton MF, Deans CF, Dickinson HA, et al. The 12‐month effects of early motivational interviewing after acute stroke: a randomized controlled trial. Stroke 2011;42(7):1956‐61. - PubMed

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