Skip to main content

Research Repository

Advanced Search

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

Fisher, Georgia; Quel de Oliveira, Camila; Stubbs, Peter W.; Power, Emma; Checketts, Matthew; Porter-Armstrong, Alison; Kennedy, David S.

Authors

Georgia Fisher

Camila Quel de Oliveira

Peter W. Stubbs

Emma Power

Matthew Checketts

David S. Kennedy



Abstract

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.

Citation

Fisher, G., Quel de Oliveira, C., Stubbs, P. W., Power, E., Checketts, M., Porter-Armstrong, A., & Kennedy, D. S. (2024). Spatial Neglect: An Exploration of Clinical Assessment Behaviour in Stroke Rehabilitation. Clinical Rehabilitation, 38(5), 688-699. https://doi.org/10.1177/02692155241230270

Journal Article Type Article
Acceptance Date Nov 8, 2023
Online Publication Date Feb 12, 2024
Publication Date 2024-05
Deposit Date Mar 1, 2024
Publicly Available Date Mar 1, 2024
Print ISSN 0269-2155
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 38
Issue 5
Pages 688-699
DOI https://doi.org/10.1177/02692155241230270
Keywords Spatial neglect, clinical assessment, acquired brain injury, allied health, implementation science, qualitative research
Public URL http://researchrepository.napier.ac.uk/Output/3528860

Files





You might also like



Downloadable Citations