Effects of a Motivational Interviewing Program on Stroke Prevention Behaviors in Patients with Ischemic Stroke
Keywords:
motivational interviewing program, stroke prevention behaviors, ischemic stroke patientsAbstract
This experimental study aimed to investigate the effects of a motivational interviewing program on stroke prevention behaviors in patients with ischemic stroke admitted to the stroke unit at Phon Thong Hospital, Roi Et Province, from November 2023 to January 2024. The study employed stratified randomization based on levels of stroke prevention behavior scores. Participants were randomly assigned using computer generation, assigning 10 participants to the experimental group and 10 participants to the control group. The research instruments included: 1) personal and health information record forms, 2) screening tools such as the 6-item Cognitive Impairment Test, ESRS, and ABCD2; 3) a stroke prevention behavior questionnaire; and 4) a motivational interviewing program for stroke prevention behaviors. The content validity of the stroke prevention behavior tool was examined by five experts, yielding a content validity index (CVI) of 0.90. Reliability was tested using Cronbach’s alpha coefficient, yielding alpha of 0.88. Data were analyzed using paired samples t-test and independent samples t-tests. The results showed that: 1) the mean scores of stroke prevention behaviors before and after receiving the program within the experimental group significantly differed (t = -42.84, 95% CI = -61.69 to -55.51, p-value < .001), and 2) the mean scores of stroke prevention behaviors after receiving the program between the control and experimental groups significantly differed (t = -52.62, 95% CI = -59.67 to -55.08, p-value < .001). It can be concluded that the motivational interviewing program developed by the researcher can improve stroke prevention behaviors among ischemic stroke patients. Recommendations for nursing practice and further study were made
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