Motivational Interviewing for Spinal Cord Injury
What You Need to Know Before You Apply
What is the purpose of this trial?
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
Who Is on the Research Team?
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
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive therapy sessions with physical and occupational therapists, with some therapists trained in Motivational Interviewing
Discharge Assessment
Participants complete a brief survey near the time of their discharge to assess functional abilities
Follow-up
Participants are monitored for community participation and functional outcomes 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
Physical and Occupational Therapists in this group will receive 16 hours of training in Motivational Interviewing and use these techniques during sessions with enrolled patient participants.
Therapists in this group will not participate in additional training and provide standard care to enrolled patient participants.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Shirley Ryan AbilityLab
Lead Sponsor
Baylor Research Institute
Collaborator
University of Washington
Collaborator
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