Strategy Training for Optimizing Attention for Individuals With Spatial Neglect
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Pittsburgh
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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); score below established cutoff for neglect on one of the six subtests of the Behavioral Inattention Test (BIT); OR reported signs/symptoms of neglect
≥18 years old
lives within 30 miles of the University of Pittsburgh in a community dwelling.
Disqualifiers
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
Trial design
Design model
Parallel
Treatments tested in this trial
Strategy Training
BehavioralThis intervention will use an adapted form of strategy training for people with neglect.
Attention Control
BehavioralThis intervention will use a reflective listening protocol.
Treatment groups
45 Participants
are divided into 2 treatment groupsGroup A: Strategy TrainingExperimental treatment 1 intervention
Group B: Attention ControlActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Change in attention/neglect
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)
Time frame
Baseline to Post-intervention (up to 60 days)Secondary outcomes
1
Client Satisfaction with Strategy Training
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.
Time frame
Post-intervention (up to 60 days)Sponsors and contacts
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Source ClinicalTrials.gov