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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Developing complex interventions: lessons learned from a pilot study examining strategy training in acute stroke

Elizabeth R Skidmore¹, Deirdre R Dawson, Ellen M Whyte

¹1Department of Occupational Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, PA, USA.

Clinical Rehabilitation

|October 12, 2013

Summary

This pilot study found strategy training feasible for stroke survivors with cognitive impairments during inpatient rehabilitation. The training showed promise in reducing long-term disability, suggesting a beneficial approach for recovery.

Keywords:

Rehabilitation interventions cognitive impairment strategy training stroke

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Last Updated: May 7, 2026

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Area of Science:

Neurology
Rehabilitation Medicine
Clinical Trials

Background:

Stroke survivors often experience cognitive impairments impacting rehabilitation.
Effective interventions are needed to improve functional outcomes post-stroke.

Purpose of the Study:

To assess the feasibility of a strategy training clinical trial for adults with stroke-related cognitive impairments in inpatient rehabilitation.
To explore the impact of strategy training on disability.

Main Methods:

A non-randomized, two-group pilot study was conducted in two inpatient rehabilitation units.
Participants received either strategy training or an attention control in addition to usual care.
Feasibility was measured by recruitment, retention, session completion, fidelity, and satisfaction; disability was assessed using the Functional Independence Measure.

Main Results:

Both intervention protocols were feasible and well-adhered to, with high recruitment, retention, and fidelity.
Strategy training participants showed significantly less disability at six months compared to the attention control group.

Conclusions:

Strategy training is a feasible and acceptable adjunct intervention in acute inpatient rehabilitation for stroke survivors.
This approach shows promise for reducing long-term disability after stroke.