COMMITS Vs. 1.0
Research type
Research Study
Full title
COMMITS - Confirming the Mechanism of Motivational Interviewing Therapy after Stroke: a multi-centre randomised controlled trial
IRAS ID
261352
Contact name
Catherine Elizabeth Lightbody
Contact email
Sponsor organisation
The University of Central Lancashire
Duration of Study in the UK
2 years, 4 months, 0 days
Research summary
Aim
To test if a talking therapy (Motivational Interviewing Based Intervention (MIBI)) helps stroke survivors come to terms with their stroke and reduce depression.Background
Stroke can have a devastating effect on people, physically and emotionally. Depression affects about one in three stroke survivors at any one time, and up to half of all stroke survivors. Depression reduces ability to take part in rehabilitation, resulting in poorer recovery, and even when at home prevents people from taking part in social and leisure activities.
Depression can be treated with drugs, but these do not always help or suit everyone. Talking therapies may help. In our previous study, four sessions of MIBI, reduced depression at three months and 12 months after stroke, and people were less likely to die. However, our study was conducted in one hospital, with a small number of people and we cannot be sure that it would work in the same way in other hospitals.
Method
To test whether the MIBI improves mood, people will be randomly (as with tossing a coin) allocated into three groups. Some people will receive MIBI, others will spend the same amount of time with a visitor, and others will receive usual care. This will enable us to work out whether it is the MIBI, attention or simply time that leads to any improvements. Patients will be seen by MIBI therapists or visitors for 4x45 minute weekly sessions. We will then assess depression, anti-depressants and quality of life using postal questionnaires at 6 weeks, and 3 months.
We will develop a Patient Carer and Public Involvement (PCPI) group to support the research. PCPI involvement will ensure that the research questions are relevant, the methods acceptable and findings communicated to the right people.Expected Outcome
Improved mood and adjustment to life after stroke.REC name
Wales REC 5
REC reference
19/WA/0337
Date of REC Opinion
27 Nov 2019
REC opinion
Favourable Opinion