Strategy Training for Individuals With Unilateral Neglect

Last updated: August 16, 2024
Sponsor: University of Pittsburgh
Overall Status: Active - Recruiting

Phase

N/A

Condition

Stroke

Cerebral Ischemia

Treatment

Strategy Training

Attention Control

Clinical Study ID

NCT06400147
STUDY24030047
  • Ages > 18
  • All Genders

Study 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' awareness of their neglect. This study seeks to examine the effects of strategy training on self-awareness, disability, and neglect.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • primary diagnosis of stroke

  • admission to inpatient rehabilitation facility

  • ≥18 years old

  • presence of neglect as determined by score of <18 on the Virtual Reality LateralizedAttention Test (VRLAT) or score below established cutoff for neglect on one of thesix subtests of the Behavioral Inattention Test (BIT)

Exclusion

Exclusion Criteria:

  • Boston Diagnostic Aphasia Examination (BDAE) Severity Scale score of 0 (severeglobal aphasia)

  • diagnosis of dementia indicated in medical record

  • diagnosis of active major depressive disorder/bipolar/psychotic disorder indicatedin medical record

  • anticipated length of stay <10 days

Study Design

Total Participants: 38
Treatment Group(s): 2
Primary Treatment: Strategy Training
Phase:
Study Start date:
August 16, 2024
Estimated Completion Date:
December 01, 2025

Study 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' 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. This study examines whether strategy training facilitates reductions in disability and neglect and improves self-awareness after acute stroke.

Connect with a study center

  • University of Pittsburgh

    Pittsburgh, Pennsylvania 15219
    United States

    Active - Recruiting

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