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A randomized control trial of the effects of home-based online attention training and working memory training on cognition and everyday function in a community stroke sample.
Peers, Polly V; Punton, Sarah F; Murphy, Fionnuala C; Watson, Peter; Bateman, Andrew; Duncan, John; Astle, Duncan E; Hampshire, Adam; Manly, Tom.
Afiliación
  • Peers PV; MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
  • Punton SF; MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
  • Murphy FC; MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
  • Watson P; MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
  • Bateman A; Oliver Zangwill Centre, Cambridge Community Services NHS Trust, Ely, UK.
  • Duncan J; School of Health and Social Care, University of Essex, Colchester, UK.
  • Astle DE; MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
  • Hampshire A; MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
  • Manly T; Division of Brain Sciences, Department of Medicine, Imperial College London, London, UK.
Neuropsychol Rehabil ; 32(10): 2603-2627, 2022 Dec.
Article en En | MEDLINE | ID: mdl-34505555
Cognitive difficulties are common following stroke and can have widespread impacts on everyday functioning. Technological advances offer the possibility of individualized cognitive training for patients at home, potentially providing a low-cost, low-intensity adjunct to rehabilitation services. Using this approach, we have previously demonstrated post-training improvements in attention and everyday functioning in fronto-parietal stroke patients. Here we examine whether these benefits are observed more broadly in a community stroke sample. Eighty patients were randomized to either 4 weeks of online adaptive attention training (SAT), working memory training (WMT) or waitlist (WL). Cognitive and everyday function measures were collected before and after the intervention, and after 3 months. During training, weekly measures of patients' subjective functioning were collected. The training was well received and compliance good. No differences in our primary end-point, spatial bias, or other cognitive functions were observed. However, on patient-reported outcomes, SAT participants showed greater levels of improvement in everyday functioning than WMT or WL participants. In line with our previous work, everyday functioning improvements were greatest for patients with spatial impairments and those who received SAT training. Whether attention training can be recommended for stroke survivors depends on whether cognitive test performance or everyday functioning is considered more relevant.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Clinical_trials Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Neuropsychol Rehabil Asunto de la revista: NEUROLOGIA / PSICOLOGIA / REABILITACAO Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Clinical_trials Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Neuropsychol Rehabil Asunto de la revista: NEUROLOGIA / PSICOLOGIA / REABILITACAO Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido