Training Therapists in Motivational Interviewing

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to test the efficacy of a Motivational Interviewing intervention on therapy participation as performed by physical and occupational therapists in an inpatient setting with patients with spinal cord injuries.

Detailed Description
-----------------
Physical and Occupational Therapists that work in the inpatient spinal cord injury unit will be trained in Motivational Interviewing and will use the communication style to determine whether it is an effective tool to increase participation in therapy as opposed to patients who will have Physical and Occupational Therapists that are not trained in Motivational Interviewing.

Official Title
-----------------
Training Therapists in Motivational Interviewing to Enhance Rehabilitation Participation for Spinal Cord Injury (SCI)

Conditions
-----------------
Spinal Cord Injuries

Intervention / Treatment
-----------------
* Behavioral: Motivational Interviewing


Participation Criteria
=================
Eligibility Criteria
-----------------
Therapist Inclusion Criteria: Inpatient therapist specializing in spinal cord injury patients for at least 3 months Practicing on one of the two designated inpatient units Willing to collect Patient Rehabilitation Participation Scale (PRPS) daily on their patients Willing to audio record conversations with patients; Willing and able to participate in 16 hours of MI training Willing to receive feedback on MI skills Therapist Exclusion Criteria: Inpatient therapist specializing in spinal cord injury patients for less than 3 months Unwilling or unable to follow the study protocol Patient Inclusion Criteria: Inpatient in the spinal cord injury unit Has a physical or occupational therapist who is a participant in the study Patient Exclusion Criteria: Unwilling to allow for therapy sessions to be recorded

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Patients in the experimental group will be exposed to a Physical or Occupational Therapist trained in Motivational Interviewing. The control group will receive standard therapy communication.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motivational Interviewing<br>Physical and Occupational Therapists will have 16 hours of training in Motivational Interviewing and use these techniques during sessions with patients. | Behavioral: Motivational Interviewing<br>* Motivational Interviewing is a communication style that is intended to give patients the tools to reach goals through their own desires and actions.<br>|
| No Intervention: Control<br>Therapists will not participate in additional training. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Increased therapy participation | To measure therapy participation in inpatients with SCI treated by rehabilitation therapists trained in Motivational Interviewing (MI) compared to those treated by therapists not trained to use MI | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Treatment Satisfaction | To measure treatment satisfaction in inpatients with SCI treated by rehabilitation therapists trained in MI compared to those treated by therapists not trained to use MI | 4 weeks | 
| Self-care and mobility | To measure Inpatient Rehabilitation Facility (IRF)-Patient Assessment Instrument (PAI) efficiency in the domains of self-care and mobility in inpatients with SCI treated by rehabilitation therapists trained in MI compared to those treated by therapists not trained to use MI | 4 weeks | 
| Efficacy of Motivational Interviewing (MI) Training | To measure 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 | 4 weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Spinal Cord Injury, Motivational Interviewing