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Title: | 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 |
Author: | Gual, Neus Pérez, Laura Mónica Castellano-Tejedor, Carmina Lusilla Palacios, Pilar Castro, Judith Soto Bagaria, Luís Coll Planas, Laura Roqué, Marta Vena, Ana Belen Fontecha, Benito Santiago, Jose M. Lexell, Eva Månsson Chiatti, Carlos Iwarsson, Susanne Inzitari, Marco |
Keywords: | Malalties cerebrovasculars Persones grans Cerebrovascular disease Older people |
Issue Date: | 4-Sep-2020 |
Publisher: | Springer Nature |
Abstract: | Background: 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. Methods: 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. Discussion: 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: | Reproducció del document publicat a: https://doi.org/10.1186/s12877-020-01694-6 |
It is part of: | BMC Geriatrics, 2020, vol. 20 |
URI: | http://hdl.handle.net/2445/174336 |
Related resource: | https://doi.org/10.1186/s12877-020-01694-6 |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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