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Metacognitive function poststroke: a review of definition and assessment
Mona Al Banna1, Noor Abdulla Redha1, Fatema Abdulla2
1School of Postgraduate Studies and Research, Royal College of Surgeons in Ireland-Medical University of Bahrain, Busaiteen, Bahrain.
Journal of Neurology, Neurosurgery, and Psychiatry
|May 22, 2015
Summary
This review highlights the varied definitions and assessment tools for metacognition in stroke research. Standardized tools are needed for better rehabilitation outcomes in stroke survivors.
Area of Science:
- Neuroscience
- Psychology
Background:
- Metacognition involves self-awareness and regulation of cognitive processes.
- Understanding metacognition is crucial for cognitive and emotional functioning post-stroke.
Purpose of the Study:
- To review definitions and assessment tools for metacognition in stroke studies.
- To identify gaps in current research, particularly regarding acute stroke assessment.
Main Methods:
- Comprehensive literature search across multiple databases (MEDLINE, CINAHL, PsycINFO, etc.).
- Inclusion criteria focused on studies examining metacognition in relation to stroke.
- Analysis of 34 eligible articles based on initial search of 1412 publications.
Main Results:
- Heterogeneity in metacognition definitions and assessment tools (SRSI, SADI, AQ, PCRS) was observed.
- Most studies focused on chronic stroke, with limited research in the acute phase.
- Metacognition research in stroke lags behind other acquired brain injuries.
Conclusions:
- A lack of standardized definitions and assessment tools hinders consistent research and clinical application.
- Developing a standard metacognitive assessment tool is recommended for stroke rehabilitation.
- Future research should prioritize acute stroke assessment and standardized methodologies.

