Motivational Interviewing to Improve Outcomes After Stroke or Transient Ischemic Attack Attributable to Tobacco Use
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Stroke
- Sponsor
- University of Florida
- Enrollment
- 1
- Locations
- 1
- Primary Endpoint
- Smoking cessation at 90-day post-discharge follow up
- Status
- Terminated
- Last Updated
- last year
Overview
Brief Summary
Motivational interviewing (MI) is a style of communication designed to elicit a person's own reasons for change to drive commitment toward a goal. The goal of this study is to assess the effect of trainee-led MI on patients diagnosed with acute stroke or TIA attributable to modifiable risk factors in comparison to conventional post-stroke counseling, based on patient outcomes, and meaning of work and sense of fulfillment for trainees.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient presentation consistent with a stroke or TIA
- •Patient is a current tobacco user and tobacco use contributed to the stroke
- •Resident enrolled in study assigned to Vascular Neurology service during patient admission.
Exclusion Criteria
- •Patient unable or unwilling to follow up in the outpatient stroke clinic after discharge
- •Patient has cognitive impairment or aphasia that would preclude meaningful participation in motivational interview (defined as a score of 0 on the National Institute of Health Stroke Scale \[NIHSS\] questions 1 and 9)
Outcomes
Primary Outcomes
Smoking cessation at 90-day post-discharge follow up
Time Frame: 90 days post-discharge
Yes or no
Recurrence of stroke / TIA symptoms
Time Frame: 90 days post-discharge
Yes or no
Patient rating of ability to improve their health
Time Frame: 90 days post-discharge
Patient answers question "I am confident that I can work together with my care team to improve my health" with a rating from 1 (do not agree at all) to 10 (completely agree)
Secondary Outcomes
- Patient ability to take stroke prevention medications as prescribed(90 days post-discharge)