Projects per year
Abstract
Objective
Investigate feasibility and acceptability of prism adaptation training for people with inattention (spatial neglect), early after stroke, during usual care.
Design
Phase II feasibility randomised controlled trial with 3:1 stratified allocation to standard occupational therapy with or without intervention, and nested process evaluation.
Setting
Ten hospital sites providing in-patient stroke services.
Participants
Screened positive for inattention more than one-week post-stroke; informal carers. Occupational therapists participated in qualitative interviews.
Intervention
Adjunctive prism adaptation training at the start of standard occupational therapy sessions for three weeks.
Main measures
Feasibility measures included recruitment and retention rates, intervention fidelity and attrition. Outcomes collected at baseline, 3 weeks and 12 weeks tested measures including Nottingham Extended Activities of Daily Living Scale. Acceptability was explored through qualitative interviews and structured questions.
Results
Eighty (31%) patients were eligible, 57 (71%) consented, 54 randomised (40:13, +1 exclusion) and 39 (74%) completed 12-week outcomes. Treatment fidelity was good: participants received median eight intervention sessions (IQR: 5, 12) lasting 4.7 min (IQR: 4.1, 5.0). All six serious adverse events were unrelated. There was no signal that patients allocated to intervention did better than controls. Twenty five of 35 recruited carers provided outcomes with excellent data completeness. Therapists, patients and carers found prism adaptation training acceptable.
Conclusions
It is feasible and acceptable to conduct a high-quality definitive trial of prism adaptation training within occupational therapy early after stroke in usual care setting, but difficult to justify given no sign of benefit over standard occupational therapy.
Investigate feasibility and acceptability of prism adaptation training for people with inattention (spatial neglect), early after stroke, during usual care.
Design
Phase II feasibility randomised controlled trial with 3:1 stratified allocation to standard occupational therapy with or without intervention, and nested process evaluation.
Setting
Ten hospital sites providing in-patient stroke services.
Participants
Screened positive for inattention more than one-week post-stroke; informal carers. Occupational therapists participated in qualitative interviews.
Intervention
Adjunctive prism adaptation training at the start of standard occupational therapy sessions for three weeks.
Main measures
Feasibility measures included recruitment and retention rates, intervention fidelity and attrition. Outcomes collected at baseline, 3 weeks and 12 weeks tested measures including Nottingham Extended Activities of Daily Living Scale. Acceptability was explored through qualitative interviews and structured questions.
Results
Eighty (31%) patients were eligible, 57 (71%) consented, 54 randomised (40:13, +1 exclusion) and 39 (74%) completed 12-week outcomes. Treatment fidelity was good: participants received median eight intervention sessions (IQR: 5, 12) lasting 4.7 min (IQR: 4.1, 5.0). All six serious adverse events were unrelated. There was no signal that patients allocated to intervention did better than controls. Twenty five of 35 recruited carers provided outcomes with excellent data completeness. Therapists, patients and carers found prism adaptation training acceptable.
Conclusions
It is feasible and acceptable to conduct a high-quality definitive trial of prism adaptation training within occupational therapy early after stroke in usual care setting, but difficult to justify given no sign of benefit over standard occupational therapy.
| Original language | English |
|---|---|
| Journal | Clinical Rehabilitation |
| Early online date | 26 Oct 2022 |
| DOIs | |
| Publication status | E-pub ahead of print - 26 Oct 2022 |
Fingerprint
Dive into the research topics of 'A Study of Prisms And Therapy In Attention Loss after stroke (SPATIAL): A feasibility randomised controlled trial'. Together they form a unique fingerprint.-
(MCHP) : Manchester Centre for Health Psychology
Peters, S., Ulph, F., Arden Armitage, C., Borrelli, B., Bowen, A., Byrne-Davis, L., Edge, D., French, D., Hart, J., Todd, C., Skevington, S., Wearden, A., Cotterill, S., Brooks, J., Brown, L., Bull, E., Cordingley, L., Epton, T., Smith, D., Speer, S., Powell, R., Bartlett, K., Coupe, N., Shepherd, S., Dienes, K., Ghio, D., Hood, A., Lavallee, J., Rowland, C., Benton, J., Goldthorpe, J., McWilliams, L., Keyworth, C., Goulding, R., Loughran, M., Hawkes, R., Kapadi, A., Hurley, R., Leather, J., Musa, C., Angelakis, I., Reid, C., Alshammari, D., Mountain, D., Hooper, E., Gates, E., Johnson, F., Lomas, F., Kaplan, G., Cross, H., Foote, H., Long, H., Reid, H., Hamer, J., Sibasa, K., Hozhabrafkan, K., Al Abri, K., Lucas, L., Millard, L., Hulme, L., Dhanwani, M., Sonola-Jones, O., Sfakianaki, R., Broadbent, R., Crone, R., Husni, R. R., Mank, S., Booth, S., Hindmarch, S., Plant, S., Mace, S., Sehmbi, T., Macintyre, V., Vidayanti, V., Peterson, J., Woof, V., El-Khani, A., Devereux-Fitzgerald, A., Chisholm, A., Sawyer, C., Hope, H., Wilkes, J., Birtwell, K., Bakur, K., Stringer, G., Mohd Faudzi, F. N. B., Checketts, M., Tang, M. Y., Coupe, N., Crook, R., Hamnett, C., Lyons, S., Longley, V., Hulme, L., Mountain, D., Talbot, H., Lucas, L., Ecob, C., Huggett, C., Hozhabrafkan, K., Hyder, S. & Lee, R.
1/09/10 → …
Project: Research
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Strategies to COPE with Cognitive Difficulties after Stroke (SCOPE).
1/09/15 → 31/08/20
Project: Research