Family-Clinician Collaboration to Improve Neglect and Rehabilitation Outcome After Stroke
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/1/2019 |
| Start Date: | September 30, 2017 |
| End Date: | September 29, 2020 |
| Contact: | Jenny Masmela |
| Email: | jmasmela@kesslerfoundation.org |
| Phone: | 9733243564 |
Spatial neglect may occur in patients who have had a stroke. People with spatial neglect
often pay much more attention to one side of the body while ignoring the other side, even
though they have no difficulty seeing. The purpose of this study is to evaluate the impact on
stroke recovery, including spatial neglect, of the Family-Clinician Collaboration program,
where a family member of a stroke survivor actively interacts with clinical staff members
providing inpatient rehabilitation services to the stroke survivor.
often pay much more attention to one side of the body while ignoring the other side, even
though they have no difficulty seeing. The purpose of this study is to evaluate the impact on
stroke recovery, including spatial neglect, of the Family-Clinician Collaboration program,
where a family member of a stroke survivor actively interacts with clinical staff members
providing inpatient rehabilitation services to the stroke survivor.
Spatial neglect (SN) frequently occurs in patients who have had a stroke. The problems caused
by SN result in patients failing to attend to the space contralateral to the side of the
stroke. This failure to attend to half of the patient's field may result in problems with
perception, memory, action planning and navigation. These deficits hurt both the patients and
their caregivers, and make it difficult for them to resume daily activities as they were
before the stroke. More than half of the patients who had SN at admission still had it when
discharged from an inpatient rehabilitation facility.
This study examines a new behavioral treatment, where the clinician and the caregiver work
together to provide better treatment. The family members will engage in frequent meetings
with clinicians, set goals, learn about SN and coping strategies and have the patient to
perform easy, safe treatment exercises. The study will compare this Family-Clinician
Collaboration with the inpatient treatment control. This study will compare the groups in
measures of spatial neglect and independence in the patients and measures of caretaker burden
and mental health in family members. Participants will also report on their overall opinions
of the new treatment condition.
by SN result in patients failing to attend to the space contralateral to the side of the
stroke. This failure to attend to half of the patient's field may result in problems with
perception, memory, action planning and navigation. These deficits hurt both the patients and
their caregivers, and make it difficult for them to resume daily activities as they were
before the stroke. More than half of the patients who had SN at admission still had it when
discharged from an inpatient rehabilitation facility.
This study examines a new behavioral treatment, where the clinician and the caregiver work
together to provide better treatment. The family members will engage in frequent meetings
with clinicians, set goals, learn about SN and coping strategies and have the patient to
perform easy, safe treatment exercises. The study will compare this Family-Clinician
Collaboration with the inpatient treatment control. This study will compare the groups in
measures of spatial neglect and independence in the patients and measures of caretaker burden
and mental health in family members. Participants will also report on their overall opinions
of the new treatment condition.
Inclusion Criteria:
- Latest stroke occurred within last 60 days
- Functionally independent before latest stroke
- Presence of spatial neglect (moderate to severe, will be confirmed by medical records)
- Ability to follow instructions and understand verbal or written English
Exclusion Criteria:
- History of progressive neurological disorder
- History of a significant psychiatric disorder
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