Application of Motivational Psychological Intervention Based on Behavior Change Theory in Patients with Cerebral Small Vessel Disease

LI Xiaona; TIAN Yanxia; LIU Zhanya

doi:10.3969/j.issn.2096-305X.2025.04.015

Abstract：Objective To evaluate the efficacy of a motivational psychological intervention based on behavior change theory in patients with cerebral small vessel disease(CSVD).Methods 80 CSVD inpatients meeting inclusion/exclusion criteria were enrolled from the Zhengzhou People's Hospital(October 2022-October 2024)and randomly allocated via lottery to either a control group(n=40,routine care)or an intervention group(n=40,routine care plus behavior change theory-based intervention).Outcomes included step width,gait speed,stride length,compliance,Short Physical Performance Battery(SPPB)scores,Tinetti scores,cognitive function,Self-Rating Anxiety Scale(SAS)scores,and Self-Rating Depression Scale(SDS)scores.Results After the intervention,the observation group showed significantly better improvements in step width,walking speed,and stride length compared to the control group(P＜0.05).Additionally,the observation group had significantly higher scores in physical activity,exercise monitoring,and proactive advice-seeking(P＜0.05).The observation group also demonstrated significantly higher scores in standing balance,3-meter walk,and five-time sit-to-stand tests,as well as overall scores(P＜0.05).According to the Tinetti assessment,the observation group had significantly higher scores in gait,balance,and total scores after the intervention(P＜0.05).Moreover,the observation group exhibited significantly improved cognitive function(P＜0.05).In terms of emotional status,the observation group showed significantly lower SAS(anxiety)and SDS(depression)scores compared to the control group after the intervention(P＜0.05).Conclusion The behavior change theory-based intervention significantly improves gait,balance,compliance,cognitive function,and emotional status in CSVD patients,offering an effective rehabilitation strategy.