Web of Science: 4 citations, Scopus: 5 citations, Google Scholar: citations,
IMAGINE study protocol of a clinical trial : a multi-center, investigator-blinded, randomized, 36-month, parallel-group to compare the effectiveness of motivational interview in rehabilitation of older stroke survivors
Gual, Neus (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Pérez, Laura Mónica (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Castellano-Tejedor, Carmina (Parc Sanitari Pere Virgili (Barcelona, Catalunya))
Lusilla-Palacios, Pilar (Hospital Universitari Vall d'Hebron)
Castro, Judith (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Soto-Bagaria, Luís (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Coll-Planas, Laura (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Roqué i Figuls, Marta (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Vena, Ana Belen (Hospital Universitari Santa Maria (Lleida, Catalunya))
Fontecha, Benito (Hospital General de l'Hospitalet)
Santiago, Jose M. (Hospital General de l'Hospitalet)
Lexell, Eva Månsson (Lunds Universitet)
Chiatti, Carlos (Lunds Universitet)
Iwarsson, Susanne (Skånes universitetssjukhus)
Inzitari, Marco (Parc Sanitari Pere Virgili (Barcelona, Catalunya))

Date: 2020
Abstract: Rehabilitation pathways are crucial to reduce stroke-related disability. Motivational Interviewing (MI), as a person-centered complex intervention, aimed to empower and motivate, and could be a resource to improve rehabilitation outcomes for older stroke survivors. The IMAGINE project aims to assess the impact of MI, as a complement to standard geriatric rehabilitation, on functional improvement at 30 days after admission, compared to standard geriatric rehabilitation alone, in persons admitted to geriatric rehabilitation after a stroke. Secondary objectives include assessing the impact of MI on physical activity and performance, self-efficacy, safety, cost-utility, participants' experiences and functional status at 3 months. We will conduct a multicenter randomized clinical trial in three geriatric rehabilitation hospitals in Spain. Older adults after mild-moderate stroke without previous severe cognitive impairment or disability will be randomized into the control or intervention group (136 per group, total N = 272). The intervention group will receive 4 sessions of MI by trained nurses, including the design of a personalized rehabilitation plan agreed between stroke survivors and nurses based on stroke survivors' goals, needs, preferences and capabilities. Main outcome will be the Functional Independence Measure (FIM). In-hospital physical activity will be measured through accelerometers and secondary outcomes using validated scales. The study includes a process evaluation and cost-utility analysis. Final results are expected by end of 2020. This study will provide relevant information on the implementation of MI as a rehabilitation reinforcement tool in older stroke survivors. A potential reduction in post-stroke disability and dependence would increase person's health-related quality of life and well-being and reduce health and social care costs. IMAGINE has the potential to inform practice and policymakers on how to move forward towards shared decision-making and shared responsibilities in the vulnerable population of older stroke survivors.
Note: Altres ajuts: Fundació La Marató de TV3 373/U/2017
Rights: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Language: Anglès
Document: Article ; recerca ; Versió publicada
Subject: Stroke ; Geriatrics ; Rehabilitation ; Functional recovery ; Physical activity ; Motivational interviewing ; Adherence ; Clinical trial
Published in: BMC geriatrics, Vol. 20 (september 2020) , ISSN 1471-2318

DOI: 10.1186/s12877-020-01694-6
PMID: 32887564


12 p, 2.1 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Social and Legal Sciences > The Department of Communication and Education
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Fundació Salut i Envelliment UAB
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles

 Record created 2022-02-07, last modified 2023-10-01



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