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Reducing attention deficits after stroke using attention process training: a randomized controlled trial.

Suzanne L Barker-Collo1, Valery L Feigin, Carlene M M Lawes

  • 1Clinical Training Programme, Department of Psychology-Tamaki Campus, Faculty of Science, University of Auckland, Auckland, New Zealand. s.barker-collo@auckland.ac.nz

Stroke
|July 25, 2009
PubMed
Summary
This summary is machine-generated.

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Attention Process Training (APT) significantly improved attention deficits in stroke survivors compared to standard care. This intervention offers a viable method for enhancing cognitive function post-stroke.

Area of Science:

  • Neuroscience
  • Clinical Psychology
  • Rehabilitation Medicine

Background:

  • Impaired attention is a common and debilitating consequence of stroke, negatively impacting recovery and quality of life.
  • Attention Process Training (APT) has shown efficacy in improving attention deficits following traumatic brain injury, but its effectiveness in stroke populations was previously unestablished.

Purpose of the Study:

  • To evaluate the effectiveness of Attention Process Training (APT) in improving attention and broader functional outcomes in stroke survivors.
  • To determine if APT can mitigate attention deficits that contribute to poor stroke outcomes.

Main Methods:

  • A prospective, single-blinded, randomized clinical trial involving 78 incident stroke survivors with identified attention deficits.
  • Participants were randomized to receive standard care plus APT (up to 30 hours) or standard care alone.

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  • The primary outcome measure was the Integrated Visual Auditory Continuous Performance Test Full-Scale Attention Quotient, assessed at 5 weeks and 6 months post-randomization.

    • Main Results:

    • Attention Process Training (APT) led to a statistically significant improvement in the primary outcome (Attention Quotient) compared to standard care (P<0.01).
    • A trend towards significance was observed for improvements on the Cognitive Failures Questionnaire (P=0.07).
    • No significant differences were found in other measures of attention or broader functional outcomes between the groups.

    Conclusions:

    • Attention Process Training (APT) is a practical and effective intervention for addressing attention deficits in individuals recovering from stroke.
    • APT represents a valuable therapeutic option for stroke survivors experiencing attentional impairments.