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IMAGINE study proto...
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
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- Gual, Neus (author)
- Vall d'Hebron University Hospital
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- Pérez, Laura Mónica (author)
- Vall d'Hebron University Hospital
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- Castellano-Tejedor, Carmina (author)
- Autonomous University of Barcelona,Vall d'Hebron University Hospital
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- Lusilla-Palacios, Pilar (author)
- Vall d'Hebron University Hospital
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- Castro, Judith (author)
- Vall d'Hebron University Hospital
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- Soto-Bagaria, Luís (author)
- Vall d'Hebron University Hospital
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- Coll-Planas, Laura (author)
- Autonomous University of Barcelona
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- Roqué, Marta (author)
- Autonomous University of Barcelona
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- Vena, Ana Belen (author)
- Hospital Universitari Arnau de Vilanova de Lleida
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- Fontecha, Benito (author)
- Bellvitge University Hospital-IDIBELL
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- Santiago, Jose M. (author)
- Bellvitge University Hospital-IDIBELL
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- Lexell, Eva Månsson (author)
- Lund University,Lunds universitet,Hållbar vardag och hälsa i ett livsperspektiv,Forskargrupper vid Lunds universitet,Sustainable occupations and health in a life course perspective,Lund University Research Groups,Skåne University Hospital
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- Chiatti, Carlos (author)
- Lund University,Lunds universitet,Delaktighet, åldrande och vardagsliv,Forskargrupper vid Lunds universitet,Participation, ageing and everyday life,Lund University Research Groups,Skåne University Hospital
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- Iwarsson, Susanne (author)
- Lund University,Lunds universitet,Aktivt och hälsosamt åldrande,Forskargrupper vid Lunds universitet,Active and Healthy Ageing Research Group,Lund University Research Groups,Skåne University Hospital
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- Inzitari, Marco (author)
- Autonomous University of Barcelona,Vall d'Hebron University Hospital
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(creator_code:org_t)
- 2020-09-04
- 2020
- English.
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In: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318. ; 20:1
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http://dx.doi.org/10... (free)
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https://bmcgeriatr.b...
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Abstract
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- 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. TRIAL REGISTRATION: ClinicalTrials.gov: NCT03434938 , registered on January 2018.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Keyword
- Adherence
- Clinical trial
- Functional recovery
- Geriatrics
- Motivational interviewing
- Physical activity
- Rehabilitation
- Stroke
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Gual, Neus
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Pérez, Laura Món ...
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Castellano-Tejed ...
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Lusilla-Palacios ...
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Castro, Judith
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Soto-Bagaria, Lu ...
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show more...
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Coll-Planas, Lau ...
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Roqué, Marta
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Vena, Ana Belen
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Fontecha, Benito
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Santiago, Jose M ...
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Lexell, Eva Måns ...
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Chiatti, Carlos
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Iwarsson, Susann ...
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Inzitari, Marco
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Neurology
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Geriatrics
- Articles in the publication
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BMC Geriatrics
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Lund University