Spinal Cord Injuries
Conditions
Keywords
Spinal Cord Injury, Motivational Interviewing
Brief summary
The purpose of this study is to test the efficacy of a Motivational Interviewing intervention on therapy participation as performed by physical and occupational therapists in an inpatient setting with patients with spinal cord injuries.
Detailed description
Physical and Occupational Therapists that work in the inpatient spinal cord injury unit will be trained in Motivational Interviewing and will use the communication style to determine whether it is an effective tool to increase participation in therapy as opposed to patients who will have Physical and Occupational Therapists that are not trained in Motivational Interviewing.
Interventions
BEHAVIORALMotivational Interviewing
Motivational Interviewing is a communication style that is intended to give patients the tools to reach goals through their own desires and actions.
Sponsors
The Craig H. Neilsen Foundation
Shirley Ryan AbilityLab
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Patient participants will be blinded as will an assessor measuring participation during sessions. Therapist participants will be aware of the arm in which they will be placed.
Intervention model description
Patients in the experimental group will be exposed to a Physical or Occupational Therapist trained in Motivational Interviewing. The control group will receive standard therapy communication.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Therapist Inclusion Criteria: * Inpatient therapist specializing in spinal cord injury patients for at least 3 months * Practicing on one of the two designated inpatient units * Willing to collect Patient Rehabilitation Participation Scale (PRPS) daily on their patients * Willing to audio record conversations with patients; * Willing and able to participate in 16 hours of MI training * Willing to receive feedback on MI skills Therapist
Exclusion criteria
* Inpatient therapist specializing in spinal cord injury patients for less than 3 months * Unwilling or unable to follow the study protocol Patient Inclusion Criteria: * Inpatient in the spinal cord injury unit * Has a physical or occupational therapist who is a participant in the study Patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Increased therapy participation | 4 weeks | To measure therapy participation in inpatients with SCI treated by rehabilitation therapists trained in Motivational Interviewing (MI) compared to those treated by therapists not trained to use MI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment Satisfaction | 4 weeks | To measure treatment satisfaction in inpatients with SCI treated by rehabilitation therapists trained in MI compared to those treated by therapists not trained to use MI |
| Self-care and mobility | 4 weeks | To measure Inpatient Rehabilitation Facility (IRF)-Patient Assessment Instrument (PAI) efficiency in the domains of self-care and mobility in inpatients with SCI treated by rehabilitation therapists trained in MI compared to those treated by therapists not trained to use MI |
| Efficacy of Motivational Interviewing (MI) Training | 4 weeks | To measure the efficacy of MI training by measuring adherence to MI counseling skills in rehabilitation therapists trained to use MI compared to those not trained to use MI |
Countries
United States
Outcome results
None listed