AzTrials
AzTrials

Spinal Cord Injuries (SCI)NCT07364773

Enhancing Rehabilitation Participation in Patients With SCI/D Using Motivational Interviewing

A study testing Motivational Interviewing in people with Spinal Cord Injuries (SCI) and Spinal Cord Disease, run by Shirley Ryan AbilityLab at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this multi-site clinical trial is to see whether people with spinal cord injury or disorder (SCI/D) demonstrate higher level of participation in rehabilitation sessions and other outcomes when their therapists are trained in a counseling style called motivational interviewing. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Motivational Interviewing
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
3 sitesUnited States
Study dates
1 Nov 2025to 20 Apr 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Therapist Inclusion Criteria:

  • Inpatient therapist specializing in spinal cord injury patients for at least 3 months;
  • Practicing at the designated SCI inpatient units at Shirley Ryan AbilityLab, Baylor Scott \& White Institute for Rehabilitation and University of Washington-Harborview Medical Center;
  • Willing to audio record conversations during regularly-scheduled rehabilitation therapy sessions with patients;
  • Willing and able to participate in 16 hours of MI training; and
  • Willing to receive feedback on MI skills.

Therapist Exclusion Criteria:

  • Inability to speak and understand English
  • Inpatient therapist specializing in spinal cord injury patients for less than 3 months; and
  • Unwilling or unable to follow the study protocol

Patient Inclusion Criteria:

  • Adults (18+)
  • Presence of a traumatic or non-traumatic spinal cord injury
  • Inpatient in the spinal cord injury unit of the three study sites
  • Has a physical or occupational therapist who is a participant in the study

Patient Exclusion Criteria:

  • Inability to speak and understand English
  • Cognitive deficits
  • Unwilling to allow for therapy sessions to be recorded

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

United States3 sites, 3 recruiting
  • Shirley Ryan AbilityLab

    Chicago, Illinois, 60611

    My Le, 3122388253, mle@sralab.org

    Jenny Burns, jburns03@sralab.org

    Recruiting
  • Baylor Scott & White Institute for Rehabilitation

    Dallas, Texas, 75246

    Dannae Arnold, 214-820-9663, Dannae.Arnold@BSWHealth.org

    Dannae Arnold, PT, DPT, ATP

    Recruiting
  • University of Washington - Harborview Medical Center

    Seattle, Washington, 98104

    Charles Bombardier, PhD, 206-744-4607, chb@uw.edu

    Charles Bombardier, PhD

    Recruiting

Other trials in United States

About this study

Official title: Enhancing Rehabilitation Participation in Patients With Spinal Cord Injury or Disorder Using Motivational Interviewing

The purpose of this multi-site clinical trial is to see whether people with spinal cord injury or disorder (SCI/D) demonstrate higher level of participation in rehabilitation sessions and other outcomes when their therapists are trained in a counseling style called motivational interviewing. We want to answer the following questions:

  1. Do inpatients with SCI/D treated by physical therapists (PTs) and occupational therapists (OTs) who receive MI training and coaching demonstrate greater therapy participation compared to those treated by therapists who do not receive MI training and coaching?
  2. Do inpatients with SCI/D treated by PTs and OTs who receive MI training and coaching demonstrate greater functional improvement at discharge from inpatient rehabilitation and greater community integration at 6 months after discharge compared to those treated by therapists who do not receive MI training and coaching?
  3. What are the potential moderators and mediators of the effect of training and coaching on MI skills on therapy participation?
Read more

Researchers will compare patient participation level and other outcomes of inpatients with SCI/D treated by PTs and OTs who receive MI training and coaching with those treated by therapists who do not receive MI training and coaching.

Therapist participants will:

  1. Audio record 2 therapy sessions per week with each enrolled SCI patient participant
  2. Half of the therapists will attend a 16-hour training on MI skills and 2 practice therapy session

Patient participants will:

  1. Consent to audio recording of their therapy sessions
  2. Complete one brief survey near the time of their discharge and another survey 6 months later
Read the detailed description

We plan to conduct a multi-site randomized controlled trial of motivational interviewing (MI) training for physical therapists (PTs) and occupational therapists (OTs) who treat people with SCI during inpatient rehabilitation. We will test whether patients treated by MI trained PTs and OTs demonstrate greater participation in therapy sessions and better functional, social, and educational/occupational outcomes relative to patients treated by therapists without MI training. This stage of research is appropriate because a Neilsen Foundation funded pilot study that we recently completed had promising results. Study results showed that SCI patients treated by MI trained PTs and OTs participated significantly more actively in therapy sessions compared to controls. However, the study had several limitations that need to be addressed to produce a more definitive and influential trial. First, the study was conducted at a single site and results may not generalize to other sites. Second, we did not examine whether MI training and improved participation resulted in patients having better clinically meaningful outcomes such as higher likelihood of discharge to home or superior functional, social, or educational/occupational outcomes. Third, therapists trained in MI achieved only minimal competency in MI skills. We hypothesize that if therapists received ongoing coaching to improve their MI skills during the trial the positive impact on patient participation and other outcomes might be even more robust.

Being tested
Motivational Interviewing
Keywords
Spinal Cord Injury, Spinal Cord Disorder, Motivational Interviewing, Rehabilitation
Medical subject headings
Spinal Cord Injuries, Spinal Cord Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Motivational InterviewingBehavioural

    Motivational Interviewing is an evidence-based counseling style that aims to foster positive health behavior change in patients through their desires and actions.

Study groups in NCT07364773
Study groupRoleWhat they receive
Experimental Group: Motivational InterviewingExperimentalPhysical and Occupational Therapists in this group will receive 16 hours of training in Motivational Interviewing and use these techniques during sessions with enrolled patient participants.
Receives: Behavioral: Motivational Interviewing
Control Group: Standard CareNo interventionTherapists in this group will not participate in additional training and provide standard care to enrolled patient participants.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Therapy Participation Level

    A blinded assessor will use the Pittsburgh Rehabilitation Participation Scale (PRPS) to measure therapy participation in inpatients with SCI treated by therapists trained in Motivational Interviewing (MI) compared to those treated by therapists not trained to use MI. The PRPS rating ranges from 1 (none) to 6 (excellent), with higher scores indicating higher level of participation

    Measured: From enrollment to the end of 4-week treatment

Secondary outcomes (3)
  1. Efficacy of Motivational Interviewing (MI) Training

    We will use the Motivational Interviewing Treatment Integrity (MITI) to continually evaluate 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. The ratings are on a 5-point Likert scale from 1 (low) to 5 (high), with higher scores indicating higher level of efficacy.

    Measured: During 1 year of inpatient rehabilitation

  2. Functional Abilities

    The Spinal Cord Injury Functional Independence (SCI-FI) will be administered to patient participants within approximately one week of their discharge from inpatient rehabilitation. The response scale range from 1 (unable to do the activity) to 5 (no difficulty), with higher scores indicating higher functional ability.

    Measured: At week 4

  3. Participation in the Community

    The Participation Assessment with Recombined Tools-Objective (PART-O) will be administered to patient participants to measure their level of involvement in the community 6 months post discharge. Higher scores indicate higher level of participation.

    Measured: At 6 months post-discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jan 2026
  2. Study start1 Nov 2025
  3. Primary completion20 Apr 2027 (estimated)
  4. Study completion20 Apr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Patients in the experimental group will receive treatment from a Physical or Occupational Therapist trained in Motivational Interviewing. Those in the control group will receive standard therapy communication.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07364773
Sponsor's protocol ID
STU00219326
Other IDs
973467
Status last verified
Jan 2026
First submitted
9 Oct 2025
Last updated
23 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Moyers TB, Rowell LN, Manuel JK, Ernst D, Houck JM. The Motivational Interviewing Treatment Integrity Code (MITI 4): Rationale, Preliminary Reliability and Validity. J Subst Abuse Treat. 2016 Jun;65:36-42. doi: 10.1016/j.jsat.2016.01.001. Epub 2016 Jan 13.

    PubMed 26874558
  • Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000 Jan;55(1):68-78. doi: 10.1037//0003-066x.55.1.68.

    PubMed 11392867
  • Deci EL, Ryan RM. Self-determination theory in health care and its relations to motivational interviewing: a few comments. Int J Behav Nutr Phys Act. 2012 Mar 2;9:24. doi: 10.1186/1479-5868-9-24.

    PubMed 22385839
  • Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. Third ed. New York, NY: The Guilford Press; 2013.

  • Miller WR, Rollnick S. Meeting in the middle: motivational interviewing and self-determination theory. Int J Behav Nutr Phys Act. 2012 Mar 2;9:25. doi: 10.1186/1479-5868-9-25. No abstract available.

    PubMed 22385872
  • Kramer Schmidt L, Andersen K, Nielsen AS, Moyers TB. Lessons learned from measuring fidelity with the Motivational Interviewing Treatment Integrity code (MITI 4). J Subst Abuse Treat. 2019 Feb;97:59-67. doi: 10.1016/j.jsat.2018.11.004. Epub 2018 Nov 20.

    PubMed 30577900
  • Whiteneck GG, Gassaway J, Ketchum JM. Transforming a Traumatic Brain Injury Measure of Participation Into a Psychometrically Sound Spinal Cord Injury Participation Measure. Arch Phys Med Rehabil. 2019 Dec;100(12):2293-2300. doi: 10.1016/j.apmr.2019.06.020. Epub 2019 Aug 14.

    PubMed 31421095
  • Heinemann AW, Dijkers MP, Ni P, Tulsky DS, Jette A. Measurement properties of the Spinal Cord Injury-Functional Index (SCI-FI) short forms. Arch Phys Med Rehabil. 2014 Jul;95(7):1289-1297.e5. doi: 10.1016/j.apmr.2014.01.031. Epub 2014 Mar 3.

    PubMed 24602551
  • Miller WR, Yahne CE, Moyers TB, Martinez J, Pirritano M. A randomized trial of methods to help clinicians learn motivational interviewing. J Consult Clin Psychol. 2004 Dec;72(6):1050-62. doi: 10.1037/0022-006X.72.6.1050.

    PubMed 15612851
  • Bombardier CH, Dyer JR, Burns P, Crane DA, Takahashi MM, Barber J, Nash MS. A tele-health intervention to increase physical fitness in people with spinal cord injury and cardiometabolic disease or risk factors: a pilot randomized controlled trial. Spinal Cord. 2021 Jan;59(1):63-73. doi: 10.1038/s41393-020-0523-6. Epub 2020 Jul 21.

    PubMed 32694748
  • Bombardier CH, Bell KR, Temkin NR, Fann JR, Hoffman J, Dikmen S. The efficacy of a scheduled telephone intervention for ameliorating depressive symptoms during the first year after traumatic brain injury. J Head Trauma Rehabil. 2009 Jul-Aug;24(4):230-8. doi: 10.1097/HTR.0b013e3181ad65f0.

    PubMed 19625862
  • O'Halloran PD, Blackstock F, Shields N, Holland A, Iles R, Kingsley M, Bernhardt J, Lannin N, Morris ME, Taylor NF. Motivational interviewing to increase physical activity in people with chronic health conditions: a systematic review and meta-analysis. Clin Rehabil. 2014 Dec;28(12):1159-71. doi: 10.1177/0269215514536210. Epub 2014 Jun 18.

    PubMed 24942478
  • Ehrlich-Jones L, Mallinson T, Fischer H, Bateman J, Semanik PA, Spring B, Ruderman E, Chang RW. Increasing physical activity in patients with arthritis: a tailored health promotion program. Chronic Illn. 2010 Dec;6(4):272-81. doi: 10.1177/1742395309351243. Epub 2010 Aug 9.

    PubMed 20696695
  • Watkins CL, Auton MF, Deans CF, Dickinson HA, Jack CI, Lightbody CE, Sutton CJ, van den Broek MD, Leathley MJ. Motivational interviewing early after acute stroke: a randomized, controlled trial. Stroke. 2007 Mar;38(3):1004-9. doi: 10.1161/01.STR.0000258114.28006.d7. Epub 2007 Feb 15.

    PubMed 17303766
  • Bombardier CH, Rimmele CT. Alcohol use and readiness to change after spinal cord injury. Arch Phys Med Rehabil. 1998 Sep;79(9):1110-5. doi: 10.1016/s0003-9993(98)90180-0.

    PubMed 9749693

Questions about this trial

What is this clinical trial studying?

A study testing Motivational Interviewing in people with Spinal Cord Injuries (SCI) and Spinal Cord Disease, run by Shirley Ryan AbilityLab at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 23 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Therapy Participation Level (time frame: From enrollment to the end of 4-week treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07364773, which also lists 26 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in