180 Participants Needed

Motivational Interviewing for Spinal Cord Injury

Recruiting at 2 trial locations
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Shirley Ryan AbilityLab
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines whether people with spinal cord injuries or disorders benefit more in rehab when therapists use a counseling style called motivational interviewing. The goal is to determine if this approach encourages greater participation in therapy and improves daily life after hospital discharge. Individuals with a spinal cord injury staying in the hospital's spinal injury unit and willing to have their therapy sessions recorded may qualify for this study. As an unphased trial, it offers a unique opportunity to contribute to innovative rehabilitation methods that could enhance future patient care.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems to focus on therapy participation and motivational interviewing, so it's best to ask the trial coordinators for clarification.

What prior data suggests that motivational interviewing is safe for spinal cord injury patients?

Research has shown that motivational interviewing is generally safe for patients. This counseling method helps individuals make positive changes by boosting their motivation. Studies indicate that it often improves participation in rehabilitation, which is crucial for recovery. Participants in motivational interviewing sessions report high satisfaction, rating it 6.7 out of 7, indicating they find it very satisfactory.

No reports of harmful side effects from motivational interviewing exist. It emphasizes talking and counseling rather than physical treatment, reducing the risk of negative effects. Although specific data on side effects for spinal cord injury patients is limited, existing research suggests that motivational interviewing is well-received and safe in therapy settings.12345

Why are researchers excited about this trial?

Researchers are excited about Motivational Interviewing for spinal cord injury because it introduces a new technique focused on enhancing patient motivation and engagement, rather than relying solely on physical interventions. Unlike standard care, which typically includes physical and occupational therapy without additional psychological techniques, Motivational Interviewing involves a structured conversation style that aims to strengthen a person's motivation and commitment to change. This method could lead to better patient outcomes by addressing the emotional and cognitive barriers that often hinder recovery in spinal cord injury patients.

What evidence suggests that motivational interviewing is effective for spinal cord injury rehabilitation?

This trial will compare the effects of Motivational Interviewing with standard care for spinal cord injury patients. Research has shown that motivational interviewing can increase patient participation in rehabilitation sessions. One study found that therapists trained in this technique felt more satisfied and empathetic, potentially leading to better patient outcomes. Other research suggests that this method may enhance quality of life and boost physical activity for individuals with spinal cord injuries. Some studies also report better recovery and higher satisfaction with treatment among patients. Overall, motivational interviewing appears promising in encouraging therapy participation and improving rehabilitation results for spinal cord injury patients.26789

Who Is on the Research Team?

LE

Linda Ehrlich-Jones, PhD, RN

Principal Investigator

Shirley Ryan AbilityLab

Are You a Good Fit for This Trial?

This trial is for inpatient therapists specializing in spinal cord injury patients who are willing to record therapy sessions and participate in motivational interviewing (MI) training. It's also for patients with SCI/D who consent to these recordings and will take surveys at discharge and six months later.

Inclusion Criteria

I am willing to have my therapy sessions audio recorded.
I have been an inpatient therapist for spinal cord injury patients for at least 3 months.
I work in the SCI units at one of the specified rehabilitation centers.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive therapy sessions with physical and occupational therapists, with some therapists trained in Motivational Interviewing

4 weeks
2 therapy sessions per week

Discharge Assessment

Participants complete a brief survey near the time of their discharge to assess functional abilities

1 week

Follow-up

Participants are monitored for community participation and functional outcomes post-discharge

6 months
1 survey at 6 months post-discharge

What Are the Treatments Tested in This Trial?

Interventions

  • Motivational Interviewing

Trial Overview

The study tests if SCI/D patients have better rehabilitation participation when their therapists use motivational interviewing. It compares outcomes between those treated by MI-trained therapists versus non-MI-trained ones, looking at function at discharge and community integration after six months.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Experimental Group: Motivational InterviewingExperimental Treatment1 Intervention
Group II: Control Group: Standard CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Shirley Ryan AbilityLab

Lead Sponsor

Trials
212
Recruited
17,900+

Baylor Research Institute

Collaborator

Trials
210
Recruited
205,000+

University of Washington

Collaborator

Trials
1,858
Recruited
2,023,000+

Citations

1.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/38782232

Effect of a Mindfulness and Motivational Interviewing ...

Results: The recruitment, retention, and adherence rates were 84.7%, 100%, and 98.6%, respectively. The intervention showed significant positive effects on ...

Training a Spinal Cord Injury Rehabilitation Team in ... - PMC

Results. Findings suggest that professionals are performing quite well and they refer to satisfactory empathy, satisfaction at work, and no signs of burnout or ...

Effect of a Mindfulness and Motivational Interviewing ...

Primary outcomes included quality of life, physical activity, depression, and chronic pain. Secondary outcomes included exercise self-efficacy and mindfulness.

Training Therapists in Motivational Interviewing to Enhance ...

This study addresses the problem that patient participation in Spinal Cord Injury (SCI) rehabilitation is not always optimal.

Effectiveness of Psycho-emotional Support in Acute Spinal ...

Thus, it is expected to lead to better and faster functional recovery and consequently to higher perceived satisfaction with treatment. Detailed Description.

“The Other Thousand Hours”: A Spinal Cord Injury Self ...

These data indicate that a tailored group SCI SM intervention may be necessary to produce positive outcomes for this population. ... Motivational interviewing: A ...

Enhancing Rehabilitation Participation in Patients with SCI ...

“Motivational interviewing often leads to greater engagement in the rehabilitation process, and we know more active participation is linked to ...

Enhancing Rehabilitation Participation in Patients with SCI/ ...

We plan to conduct a multi-site randomized controlled trial of motivational interviewing (MI) training for physical therapists (PTs) and ...

RRP 09-143 – HSR Study - VA Health Systems Research

On a 1-to7 point scale (1=very dissatisfied, 7=very satisfied) participants reported high satisfaction with the training format, M (SD)=6.7 (0.5); its ...