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An International and Multidisciplinary Consensus on the Labeling of Spatial Neglect Using a Modified Delphi Method
Timothy J Rich1,2, Lindy J Williams3, Audrey Bowen4
1Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ, United States.
Summary
Neurologic injury survivors often experience spatial neglect, a condition with over 200 names causing confusion. An expert panel reached consensus, recommending "spatial neglect" as the consistent label for this disorder.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- Survivors of neurologic injury, such as stroke or traumatic brain injury, often exhibit a disorder affecting attention to contralesional stimuli.
- This condition is known by over 200 different labels, leading to confusion for patients, families, researchers, and clinicians.
Purpose of the Study:
- To achieve consensus among international experts on a unified label for the disorder of inattention to contralesional space.
- To simplify literature searches and promote a cohesive understanding of the condition.
Main Methods:
- A modified Delphi method was employed, involving 66 international and multidisciplinary experts in the field.
- Experts participated in at least one of four iterative survey rounds, with feedback from previous rounds provided to facilitate consensus.
Main Results:
- The expert panel achieved ≥75% agreement on a single, consistent label for the disorder.
- Consensus was reached that the disorder should be uniformly referred to as 'spatial neglect'.
Conclusions:
- The study recommends the consistent use of the term 'spatial neglect' by researchers and clinicians when discussing the disorder.
- This unified terminology aims to improve clarity, facilitate research, and enhance patient and family understanding.
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