TY - JOUR
T1 - Self-awareness and recovery of independence with strategy training
AU - Skidmore, Elizabeth R.
AU - Swafford, Melissa
AU - Juengst, Shannon B.
AU - Terhorst, Lauren
N1 - Funding Information:
Research funding was provided by the Eunice Kennedy Shriver National Center for Medical Rehabilitation Research (R01 HD074693), the University of Pittsburgh Medical Center Rehabilitation Institute, the University of Pittsburgh K. Leroy Irvis Fellowship, and the University of Pittsburgh Office of Research Health Sciences. This article presents a secondary analysis of data gathered from a federally registered trial (NCT02755805; http:// www.clinicaltrials.gov).
Publisher Copyright:
© 2018 American Occupational Therapy Association Inc. All rights reserved.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - OBJECTIVE. Poor self-awareness co-occurs with cognitive impairments after stroke and may influence independence in daily activities. Strategy training promotes independence after stroke, but poor awareness may attenuate treatment response. We examined the degree to which awareness status affected changes in independence attributed to strategy training. METHOD. We conducted a secondary analysis of 30 participants with cognitive impairments after acute stroke randomized to strategy training or attention control in addition to typical inpatient rehabilitation. We measured awareness with the Self-Awareness of Deficits Interview and independence with the FIMTM. Data were analyzed using general linear models. RESULTS. Poor awareness attenuated improvements in independence over time, F(3, 55)=3.04, p=.038. Strategy training promoted greater improvements in independence over time relative to attention control, F(3, 55)=5.93, p=.002. However, the interaction between awareness and intervention was not significant, F(1, 19)=0.025, p=.877. CONCLUSION. Awareness status may not affect the response to strategy training, indicating that strategy training may benefit people with poor awareness.
AB - OBJECTIVE. Poor self-awareness co-occurs with cognitive impairments after stroke and may influence independence in daily activities. Strategy training promotes independence after stroke, but poor awareness may attenuate treatment response. We examined the degree to which awareness status affected changes in independence attributed to strategy training. METHOD. We conducted a secondary analysis of 30 participants with cognitive impairments after acute stroke randomized to strategy training or attention control in addition to typical inpatient rehabilitation. We measured awareness with the Self-Awareness of Deficits Interview and independence with the FIMTM. Data were analyzed using general linear models. RESULTS. Poor awareness attenuated improvements in independence over time, F(3, 55)=3.04, p=.038. Strategy training promoted greater improvements in independence over time relative to attention control, F(3, 55)=5.93, p=.002. However, the interaction between awareness and intervention was not significant, F(1, 19)=0.025, p=.877. CONCLUSION. Awareness status may not affect the response to strategy training, indicating that strategy training may benefit people with poor awareness.
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U2 - 10.5014/ajot.2018.023556
DO - 10.5014/ajot.2018.023556
M3 - Article
C2 - 29280726
AN - SCOPUS:85044106641
SN - 0272-9490
VL - 72
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 1
M1 - 7201345010
ER -