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Идёт набор NCT07331896

Strategy Training for Optimizing Attention for Individuals With Spatial Neglect

Без фазы С лечением Stroke Neglect, Hemispatial

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Strategy Training, Attention Control.
Кому может быть актуально
Состояния в реестре: Stroke, Neglect, Hemispatial. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Examining Strategy Training for Optimizing Attention in Rehabilitation for Community-Dwelling Individuals With Spatial Neglect

Обзор

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.

Подробное описание

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.

Вмешательства

  • Поведенческое Strategy Training
    This intervention will use an adapted form of strategy training for people with neglect.
  • Поведенческое Attention Control
    This intervention will use a reflective listening protocol.

Первичные конечные точки

  • Change in attention/neglect [Срок оценки: Baseline to Post-intervention (up to 60 days)]
Вторичные конечные точки (1)
  • Client Satisfaction with Strategy Training [Срок оценки: Post-intervention (up to 60 days)]

Критерии участия

Критерии включения

  • 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.

Критерии исключения

  • 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

США · 1 центр
  • University of Pittsburgh — Pittsburgh

Идентификаторы

NCT: NCT07331896 · STUDY25090119

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗