Enhancing Rehabilitation Participation in Patients With Spinal Cord Injury or Disorder Using Motivational Interviewing
Shirley Ryan AbilityLab
Summary
The purpose of this multi-site clinical trial is to see whether people with spinal cord injury or disorder (SCI/D) demonstrate higher level of participation in rehabilitation sessions and other outcomes when their therapists are trained in a counseling style called motivational interviewing. We want to answer the following questions: 1. Do inpatients with SCI/D treated by physical therapists (PTs) and occupational therapists (OTs) who receive MI training and coaching demonstrate greater therapy participation compared to those treated by therapists who do not receive MI training and coaching? 2. Do inpatients with SCI/D treated by PTs and OTs who receive MI training and coaching demonstrate greater functional improvement at discharge from inpatient rehabilitation and greater community integration at 6 months after discharge compared to those treated by therapists who do not receive MI training and coaching? 3. What are the potential moderators and mediators of the effect of training and coaching on MI skills on therapy participation? Researchers will compare patient participation level and other outcomes of inpatients with SCI/D treated by PTs and OTs who receive MI training and coaching with those treated by therapists who do not receive MI training and coaching. Therapist participants will: 1. Audio record 2 therapy sessions per week with each enrolled SCI patient participant 2. Half of the therapists will attend a 16-hour training on MI skills and 2 practice therapy session Patient participants will: 1. Consent to audio recording of their therapy sessions 2. Complete one brief survey near the time of their discharge and another survey 6 months later
Description
We plan to conduct a multi-site randomized controlled trial of motivational interviewing (MI) training for physical therapists (PTs) and occupational therapists (OTs) who treat people with SCI during inpatient rehabilitation. We will test whether patients treated by MI trained PTs and OTs demonstrate greater participation in therapy sessions and better functional, social, and educational/occupational outcomes relative to patients treated by therapists without MI training. This stage of research is appropriate because a Neilsen Foundation funded pilot study that we recently completed had promis…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Therapist Inclusion Criteria: * Inpatient therapist specializing in spinal cord injury patients for at least 3 months; * Practicing at the designated SCI inpatient units at Shirley Ryan AbilityLab, Baylor Scott \& White Institute for Rehabilitation and University of Washington-Harborview Medical Center; * Willing to audio record conversations during regularly-scheduled rehabilitation therapy sessions with patients; * Willing and able to participate in 16 hours of MI training; and * Willing to receive feedback on MI skills. Therapist Exclusion Criteria: * Inability to speak and understand En…
Interventions
- BehavioralMotivational Interviewing
Motivational Interviewing is an evidence-based counseling style that aims to foster positive health behavior change in patients through their desires and actions.
Locations (3)
- Shirley Ryan AbilityLabChicago, Illinois
- Baylor Scott & White Institute for RehabilitationDallas, Texas
- University of Washington - Harborview Medical CenterSeattle, Washington