Strategy Training for Optimizing Attention for Individuals With Spatial Neglect
Examining Strategy Training for Optimizing Attention in Rehabilitation for Community-Dwelling Individuals With Spatial Neglect
University of Pittsburgh
45 participants
Mar 1, 2026
INTERVENTIONAL
Conditions
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.
Eligibility
Inclusion Criteria4
- 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 Criteria5
- 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
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Interventions
This intervention will use an adapted form of strategy training for people with neglect.
This intervention will use a reflective listening protocol.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07331896