Stroke, Neglect, Hemispatial
Conditions
Brief summary
It is common for individuals after stroke to have a cognitive perceptual impairment called unilateral spatial neglect (neglect). Individuals with neglect have difficulty paying attention to one side of their body or one side of the environment and therefore experience difficulty performing daily activities. There are a lack of effective treatments for neglect and new interventions are needed to help reduce disability for these individuals. Metacognitive strategy training (strategy training) is an intervention that has the potential to reduce neglect-related disability and improve individuals' attention and awareness of their neglect. This study seeks to examine the effects of strategy training on neglect, self-awareness, and disability, specifically for individuals who are living in the community after their stroke.
Detailed description
Unilateral spatial neglect (neglect) post stroke is characterized by a lack of attention to one side of the body or one side of the environment. Individuals with neglect experience significant disability and are often unaware of their neglect symptoms which can make it even more difficult to treat. There are a lack of effective treatments for neglect and new interventions are needed to help reduce disability for these individuals. Metacognitive strategy training (strategy training) is an intervention that has the potential to reduce neglect-related disability and improve individuals' attention and awareness of their neglect. Strategy training teaches individuals to develop personalized goals, self-assess their performance of daily activities, and develop and evaluate strategies designed to overcome barriers and improve their performance of daily activities. While strategy training shows promise for individuals with neglect, no studies have tailored the intervention for this group of individuals or examined the effects of strategy training for individuals with neglect specifically with individuals living in the community. This study examines whether strategy training facilitates reductions in neglect and disability and improves self-awareness.
Interventions
BEHAVIORALStrategy Training
This intervention will use an adapted form of strategy training for people with neglect.
BEHAVIORALAttention Control
This intervention will use a reflective listening protocol.
Sponsors
University of Pittsburgh
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* had a stroke * presence of neglect as determined by score of \<18 or 2 or more collisions on the Virtual Reality Lateralized Attention Test (VRLAT) or score below established cutoff for neglect on one of the six subtests of the Behavioral Inattention Test (BIT); * ≥18 years old * lives within 30 miles of the University of Pittsburgh in a community dwelling.
Exclusion criteria
* Boston Diagnostic Aphasia Examination (BDAE) Severity Scale score of 0 * dementia per medical record * active major depressive disorder per medical record * not willing to be videotaped * subject is currently receiving rehabilitation therapy as part of their usual care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in attention/neglect | Baseline to Post-intervention (up to 60 days) | Change in attention/neglect measured with the Catherine Bergego Scale. Total scores on the Catherine Bergego Scale therapist-rated assessment range from 0-30 (higher=greater neglect). The a priori criterion for change was a medium effect size of change (Cohen's d≥0.5) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Client Satisfaction with Strategy Training | Post-intervention (up to 60 days) | Client satisfaction is measured using the Client Satisfaction Questionnaire-8. The a priori criterion for satisfaction was: ≥90% of participants report mean satisfaction score ≥3 on the Client Satisfaction Questionnaire-8 items. Item scores on the Client Satisfaction Questionnaire-8 range from 0-4. Higher scores on the Client Satisfaction Questionnaire-8=greater satisfaction. |
Countries
United States
Contacts
CONTACTEmily Grattan, PhD, OTRlL
PRINCIPAL_INVESTIGATOREmily Grattan, PhD, OTR/L
University of Pittsburgh
Outcome results
None listed