Health TrialsbyHealthPanel

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

ConditionsSpinal Cord Injuries (SCI)Spinal Cord Disease
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorShirley Ryan AbilityLab

About 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

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Inpatient therapist specializing in spinal cord injury patients for at least 3 months;

Practicing at the designated SCI inpatient units at Shirley Ryan AbilityLab, Baylor Scott & White Institute for Rehabilitation and University of Washington-Harborview Medical Center;

Willing to audio record conversations during regularly-scheduled rehabilitation therapy sessions with patients;

Willing and able to participate in 16 hours of MI training; and

Disqualifiers

Inability to speak and understand English

Inpatient therapist specializing in spinal cord injury patients for less than 3 months; and

Unwilling or unable to follow the study protocol

Adults (18+)

Trial design

Design model

Parallel

Treatments tested in this trial

  • 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.

Treatment groups

180 Participants
are divided into 2 treatment groups
Group A: Experimental Group: Motivational InterviewingExperimental treatment 1 intervention
Group B: Control Group: Standard CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Therapy Participation Level

A blinded assessor will use the Pittsburgh Rehabilitation Participation Scale (PRPS) to measure therapy participation in inpatients with SCI treated by therapists trained in Motivational Interviewing (MI) compared to those treated by therapists not trained to use MI. The PRPS rating ranges from 1 (none) to 6 (excellent), with higher scores indicating higher level of participation

Time frame
From enrollment to the end of 4-week treatment

Secondary outcomes

1

Efficacy of Motivational Interviewing (MI) Training

We will use the Motivational Interviewing Treatment Integrity (MITI) to continually evaluate 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. The ratings are on a 5-point Likert scale from 1 (low) to 5 (high), with higher scores indicating higher level of efficacy.

Time frame
During 1 year of inpatient rehabilitation
2

Functional Abilities

The Spinal Cord Injury Functional Independence (SCI-FI) will be administered to patient participants within approximately one week of their discharge from inpatient rehabilitation. The response scale range from 1 (unable to do the activity) to 5 (no difficulty), with higher scores indicating higher functional ability.

Time frame
At week 4
3

Participation in the Community

The Participation Assessment with Recombined Tools-Objective (PART-O) will be administered to patient participants to measure their level of involvement in the community 6 months post discharge. Higher scores indicate higher level of participation.

Time frame
At 6 months post-discharge

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shirley Ryan AbilityLab

Lead sponsor

Baylor Research Institute

Collaborator

University of Washington

Collaborator

Source ClinicalTrials.gov
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