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Virtual Prism Adaptation Therapy: Protocol for Validation in Healthy Adults

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Revising the Kessler Foundation Neglect Assessment Process Manual: A Guidebook to Assessing Spatial Neglect.

Kimberly Hreha¹, Peii Chen^2,3

¹Department of Orthopaedic Surgery, Occupational Therapy Doctorate Division, School of Medicine, Duke University, Durham, NC, USA.

Hong Kong Journal of Occupational Therapy : HKJOT

|November 27, 2025

Summary

This summary is machine-generated.

The Kessler Foundation Neglect Assessment Process (KF-NAP®) manual has been updated to the 2023 edition. This revision enhances the assessment of spatial neglect in neurological patients, improving clinical practice.

Keywords:

KF-NAP manual assessment spatial neglect

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Area of Science:

Neuroscience
Rehabilitation Medicine
Clinical Psychology

Background:

Spatial neglect is a subtle disorder of spatial attention often missed without thorough assessment.
The Kessler Foundation Neglect Assessment Process (KF-NAP®), utilizing the Catherine Bergego Scale (CBS), is a standardized tool for detecting and quantifying spatial neglect in daily activities.
The KF-NAP has been widely adopted since 2012, with the 2015 edition being the most current version prior to this update.

Purpose of the Study:

To inform health professionals about the updated KF-NAP 2023 Manual.
To enhance user experience with the KF-NAP assessment.
To improve the clinical practice of assessing spatial neglect in neurological populations.

Main Methods:

The 2023 KF-NAP Manual was revised based on qualitative user feedback gathered through informal channels and a multisite implementation project.
Changes included adding detail to observation and scoring procedures.
A "questions to consider" section and setting-specific highlighted instructions were incorporated.

Main Results:

The KF-NAP Manual now features enhanced detail in observation and scoring procedures.
New "questions to consider" sections provide further guidance for each item.
Instructions are highlighted based on practice setting, with examples like outpatient assessment of personal belongings.

Conclusions:

The KF-NAP 2023 Manual offers improved clarity and detail for health professionals.
These enhancements aim to optimize the assessment of spatial neglect.
The updated manual supports better clinical practice and user experience in evaluating neurological patients.