Motivational Interviewing Post-Stroke: An Analysis of Stroke Survivors' Concerns and Adjustment

Auton, Malcolm Frederick orcid iconORCID: 0000-0002-8173-8159, Patel, Kulsum, Carter, Bernie orcid iconORCID: 0000-0001-5226-9878, Hackett, Maree, Thornton, T, Lightbody, Catherine Elizabeth orcid iconORCID: 0000-0001-5016-3471, Leathley, Michael John and Watkins, Caroline Leigh orcid iconORCID: 0000-0002-9403-3772 (2016) Motivational Interviewing Post-Stroke: An Analysis of Stroke Survivors' Concerns and Adjustment. Qualitative Health Research, 26 (2). pp. 264-272. ISSN 1049-7323

[thumbnail of Author Accepted Manuscript]
PDF (Author Accepted Manuscript) - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.


Official URL:


Our earlier research demonstrated that participation in four sessions of motivational interviewing (MI) early post-stroke has a positive impact on stroke survivors' mood. However, the theoretical underpinnings of MI in supporting adjustment (rather than its traditional use in supporting behavior change) require clarification. This article describes a content analysis of MI transcripts for 10 participants in our previous study, to identify the focus of discussions (patient "concerns") and potential effective components of our MI approach. Patients' post-stroke concerns were shown in 16 categories, including frustration, family impact, and getting well. There was a pattern of change discourse across sessions: "Sustain talk" (reasons for not changing) reduced from Session 1 onward, "change talk" (intent to change) increased then reduced, and "change expressed" (changes achieved) increased from Sessions 1 to 4. MI facilitates healthy adjustment post-stroke in some patients, in turn affecting mood, but clarification of how this effect is achieved requires further exploration.

Repository Staff Only: item control page