Motivational Interviewing for Stroke

Acute Stroke Clinical Trial

Official title:

Motivational Interviewing to Improve Outcomes After Stroke or Transient Ischemic Attack Attributable to Tobacco Use

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06195007
• Other study ID #: IRB202201687
• Status: Recruiting
• Phase: N/A
• Start date: August 1, 2024
• Est. completion date: July 2025

Study information

• Verified date: June 2024
• Source: University of Florida
• Contact: Julie Segura
• Phone: (352) 733-2412
• Email: Julie.segura[@]neurology.ufl.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Motivational interviewing (MI) is a style of communication designed to elicit a person's own reasons for change to drive commitment toward a goal. The goal of this study is to assess the effect of trainee-led MI on patients diagnosed with acute stroke or TIA attributable to modifiable risk factors in comparison to conventional post-stroke counseling, based on patient outcomes, and meaning of work and sense of fulfillment for trainees.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 86
• Est. completion date: July 2025
• Est. primary completion date: July 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 99 Years

Eligibility

Inclusion Criteria:

• Patient presentation consistent with a stroke or TIA

• Patient is a current tobacco user and tobacco use contributed to the stroke

• Resident enrolled in study assigned to Vascular Neurology service during patient admission.

Exclusion Criteria:

• Patient unable or unwilling to follow up in the outpatient stroke clinic after discharge

• Patient has cognitive impairment or aphasia that would preclude meaningful participation in motivational interview (defined as a score of 0 on the National Institute of Health Stroke Scale [NIHSS] questions 1 and 9)

Related Conditions & MeSH terms

• Acute Stroke
• Ischemic Attack, Transient
• Stroke
• Transient Ischemic Attack

Intervention

Behavioral:
• Motivational Interview
The motivational interview (MI) is a 10-15 minute patient-centered conversation which will focus on tobacco use. Multiple communication strategies can be employed during the MI, including open-ended questions, affirmative statements, reflective listening, use of a 'confidence ruler', and summarizing. The 'confidence ruler' technique in this patient population involves asking the patient "On a scale of zero to ten, how confident are you that you can stop using tobacco?", and then requesting further information about why they selected a certain number. These communication strategies and techniques are designed to uncover and foster a patient's own internal motivations to change the target behavior.

Locations

Country	Name	City	State
United States	University of Florida	Gainesville	Florida

Sponsors (2)

Lead Sponsor	Collaborator
University of Florida	Accreditation Council for Graduate Medical Education

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Smoking cessation at 90-day post-discharge follow up	Yes or no	90 days post-discharge
Primary	Patient rating of ability to improve their health	Patient answers question "I am confident that I can work together with my care team to improve my health" with a rating from 1 (do not agree at all) to 10 (completely agree)	90 days post-discharge
Primary	Recurrence of stroke / TIA symptoms	Yes or no	90 days post-discharge
Secondary	Patient ability to take stroke prevention medications as prescribed	Yes or no	90 days post-discharge