Dosing and Deployment Trial: A Home-based Optokinetic Treatment

The Mobility Assessment Course

Evaluates a person's mobility, using visual search multitask, to assess neglect, and its relation with existing neglect tasks. The change in score from pre- to post-treatment is the primary outcome measure of the study. For this assessment, the focus on side-to side spatial imbalance (the total score is the difference between targets found on the right versus the left side). There are 40 targets (20 on each side). Lower total score indicates a poorer performance (0-40). The mean control asymmetry= 0.75 (SD=0.81), and if the asymmetry score is greater or equal to 2.78, neglect is present.

Health-ITUES

A 20-item questionnaire that evaluates the impact, perceived usefulness, perceived ease of use about a specific technology. The change in score from pre- to post-treatment is a secondary outcome measure of the study. The score is calculated as the mean of all items with each item weighted equally. The higher the score, the more usable the person feels the technology is. Range of possible scores is 1 to 5.

Stroke Assessment of Fall Risk

A tool which includes items related to stroke-specific neurologic deficits to determine the ability to predict falls. The change in score from pre- to post-treatment is a secondary outcome measure of the study. If the total score has 0 yes responses- there is low fall risk. If the total score = 1 yes response, then there is a level 1 fall risk. And if the total score =2 or more yes responses, or any yes response to item 3 (nursing judgment) then this is a Level 2 fall risk (highest amount).

Caregiver Burden Scale

A 22-item scale to determine burden that is experienced by care partners. The change in score from pre- to post-treatment is a secondary outcome measure of the study. There are multiple categories in this scale. Items 1-8 gains insight into general strain, 9-11 captures information on isolation, and 12-16 captures information on disappointment, and 17-19 on emotional involvement, and 20-22 on environmental burden. The higher the score the more burden the caregiver has (range from 1 (not at all) to 88 (often)).

The Oxford Cognitive Screen

Designed for stroke survivors to bypass common post-stroke barriers such as aphasia and spatial neglect. It is evaluated across 14 distinct subtests that span 5 cognitive domains: attention, memory, language, number processing, and praxis. Each subtest is scored on its own range and compared against specific clinical cutoff thresholds. Rather than a single number test, it evaluates multiple distinct tasks, each with its own minimum and maximum values. For the majority of the subtests, a higher score denotes better cognitive functioning. The numbers here indicate the range (0-max). Picture Naming (0-4), Sentence reading (0-15), Semantics (0- 3), Orientation (0-4), Visual field assessment (0-4), Number writing (0-3), Calculations (0-4), Visual Spatial Neglect (Broken Hearts Test) (0-50 left gap, 0-50 right gap, 0-50 total correct), Meaningless Gesture Imitation (0-12), Verbal memory- free recall (0-4), Verbal memory -recognition (0-4), Episodic (0-4), Executive (0-13).

Catherine Bergego Scale via the Kessler Foundation Neglect Assessment Process

10 real-life items that are assessed through direct observation following the Kessler Foundation Neglect Assessment Process (KF-NAP). The 10 items are: gaze orientation (\*which is IGD), limb awareness, auditory attention, personal belongings, dressing, grooming, navigation, collisions, meals, and cleaning after meals. Each item is scored from 0 (no neglect) to 3 (severe neglect). The final scores from 0-30 and indicates the overall severity of spatial neglect as one single construct.

Aphasia Rapid Test

Screens for communication deficits that would impact ability to follow instructions with higher score indicating more severe aphasia (0/26), 0= no aphasia and 26= the most aphasia possible.