Enhancing Rehabilitation Participation in Patients With SCI/D Using Motivational Interviewing

Conditions

• Spinal Cord Disease
• Spinal Cord Injuries (SCI)

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Motivational Interviewing — BEHAVIORAL
  Motivational Interviewing is an evidence-based counseling style that aims to foster positive health behavior change in patients through their desires and actions.

Study Details

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

Key Dates

Start date

Nov 1, 2025

Status verified

Jan 2026

Primary completion

Apr 20, 2027

Completion

Apr 20, 2027

Study Design

Enrollment

180 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

OTHER

Arms

• Experimental: Experimental Group: Motivational Interviewing
  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.
• No Intervention: Control Group: Standard Care
  Therapists in this group will not participate in additional training and provide standard care to enrolled patient participants.

Primary Outcome Measure

Therapy Participation Level [ Time Frame: From enrollment to the end of 4-week treatment ]

Locations (3)

Find similar trials in Chicago, IL

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