Spatial Neglect: An Exploration of Clinical Assessment Behaviour in Stroke Rehabilitation.

Autor:	Fisher G; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Quel de Oliveira C; Discipline of Physiotherapy, Graduate School of Health, Faculty of Health, University of Technology Sydney, Sydney, Australia., Stubbs PW; Discipline of Physiotherapy, Graduate School of Health, Faculty of Health, University of Technology Sydney, Sydney, Australia., Power E; Discipline of Speech Pathology, Graduate School of Health, Faculty of Health, University of Technology Sydney, Sydney, Australia., Checketts M; Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK., Porter-Armstrong A; Healthcare Technology Innovation and Assessment in the School of Health and Social Care, Edinburgh Napier University, Scotland, UK., Kennedy DS; Motion and Mobility Rehabilitation Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada.
Jazyk:	angličtina
Zdroj:	Clinical rehabilitation [Clin Rehabil] 2024 May; Vol. 38 (5), pp. 688-699. Date of Electronic Publication: 2024 Feb 12.
DOI:	10.1177/02692155241230270
Abstrakt:	Objective: There is a large gap between evidence-based recommendations for spatial neglect assessment and clinical practice in stroke rehabilitation. We aimed to describe factors that may contribute to this gap, clinician perceptions of an ideal assessment tool, and potential implementation strategies to change clinical practice in this area. Design: Qualitative focus group investigation. Focus group questions were mapped to the Theoretical Domains Framework and asked participants to describe their experiences and perceptions of spatial neglect assessment. Setting: Online stroke rehabilitation educational bootcamp. Participants: A sample of 23 occupational therapists, three physiotherapists, and one orthoptist that attended the bootcamp. Intervention: Prior to their focus group, participants watched an hour-long educational session about spatial neglect. Main Measures: A deductive analysis with the Theoretical Domains Framework was used to describe perceived determinants of clinical spatial neglect assessment. An inductive thematic analysis was used to describe perceptions of an ideal assessment tool and practice-change strategies in this area. Results: Participants reported that their choice of spatial neglect assessment was influenced by a belief that it would positively impact the function of people with stroke. However, a lack of knowledge about spatial neglect assessment appeared to drive low clinical use of standardised functional assessments. Participants recommended open-source online education involving a multidisciplinary team, with live-skill practice for the implementation of spatial neglect assessment tools. Conclusions: Our results suggest that clinicians prefer functional assessments of spatial neglect, but multiple factors such as knowledge, training, and policy change are required to enable their translation to clinical practice. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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