Search training for people with visual field loss after stroke: A cohort study / Ailie J. Turton in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 255-265 Titre : Search training for people with visual field loss after stroke: A cohort study Type de document : texte imprimé Auteurs : Ailie J. Turton ; Jayne Angilley ; Verity Longley ; Philip Clatworthy ; Ian D. Gilchrist Année de publication : 2018 Article en page(s) : p. 255-265 Langues : Anglais (eng) Mots-clés : Occupational therapy  stroke  hemianopia  intervention  measurement Résumé : Introduction People with visual field loss after stroke often experience difficulties in everyday activities. The purpose of this study was to assess the acceptability of search training as used within occupational therapy and the feasibility of possible measures for use in a future trial. Method Nine participants took part in a goal oriented intervention that was delivered three times a week for 3 weeks. Patient reports of acceptability and outcomes using the Visual Function Questionnaire-25 were collected. Participants’ room-search behaviour before and after the intervention was recorded using a head-worn camera. Results Eight participants completed nine treatment visits. All participants reported improved awareness and attention to the blind side during activities following the intervention. Seven participants’ change scores on the Visual Function Questionnaire-25 exceeded six points. Patterns of head-direction behaviour and overall room-search times were variable across patients; markedly, improved performance was only evident in the most severely affected participant. Conclusion The intervention was acceptable. The Visual Function Questionnaire-25 is a feasible measure for assessing patient-reported outcomes. While the room search was informative about individuals’ behaviour, more sophisticated methods of gaze tracking would allow search processes to be determined in real-world activities that are relevant to patients’ goals. Permalink : ./index.php?lvl=notice_display&id=80079 [article] Search training for people with visual field loss after stroke: A cohort study [texte imprimé] / Ailie J. Turton ; Jayne Angilley ; Verity Longley ; Philip Clatworthy ; Ian D. Gilchrist . - 2018 . - p. 255-265. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 255-265 Mots-clés : Occupational therapy  stroke  hemianopia  intervention  measurement Résumé : Introduction People with visual field loss after stroke often experience difficulties in everyday activities. The purpose of this study was to assess the acceptability of search training as used within occupational therapy and the feasibility of possible measures for use in a future trial. Method Nine participants took part in a goal oriented intervention that was delivered three times a week for 3 weeks. Patient reports of acceptability and outcomes using the Visual Function Questionnaire-25 were collected. Participants’ room-search behaviour before and after the intervention was recorded using a head-worn camera. Results Eight participants completed nine treatment visits. All participants reported improved awareness and attention to the blind side during activities following the intervention. Seven participants’ change scores on the Visual Function Questionnaire-25 exceeded six points. Patterns of head-direction behaviour and overall room-search times were variable across patients; markedly, improved performance was only evident in the most severely affected participant. Conclusion The intervention was acceptable. The Visual Function Questionnaire-25 is a feasible measure for assessing patient-reported outcomes. While the room search was informative about individuals’ behaviour, more sophisticated methods of gaze tracking would allow search processes to be determined in real-world activities that are relevant to patients’ goals. Permalink : ./index.php?lvl=notice_display&id=80079

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Visual search training in occupational therapy – an example of expert practice in community-based stroke rehabilitation / Ailie J. Turton in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.674-687 Titre : Visual search training in occupational therapy – an example of expert practice in community-based stroke rehabilitation Type de document : texte imprimé Auteurs : Ailie J. Turton, Auteur ; Jayne Angilley, Auteur ; Marie Chapman, Auteur Année de publication : 2015 Article en page(s) : p.674-687 Langues : Anglais (eng) Mots-clés : Occupational therapy  stroke  visual fields  spatial attention  search training  intervention Résumé : Introduction: Visual searching is an essential component of many everyday activities. Search training is practised as part of occupational therapy to improve performance skills both in people with hemianopia and those with spatial inattention post stroke. Evaluation of the effectiveness of such training first requires a systematic and detailed description of the intervention. To this end, this study describes the practice of a specialist occupational therapist. Method: Single sessions of intervention delivered by the occupational therapist to five participants with visual search disorders post stroke were video recorded. The recordings were analysed for content using a framework approach. Results: The occupational therapist educated participants about the impact of their visual impairment on everyday activities. She used instructions, spatial cueing, placement of objects and verbal feedback to train increased amplitudes of eye and head movements, to direct attention into the blind field or neglected space and to encourage systematic searching during occupations and activities. Activities were graded by manipulating the area for attention and complexity in the environment. Conclusion: This investigation provides a detailed description of a specialist occupational therapist’s community-based intervention for improving visual search post stroke. En ligne : http://bjo.sagepub.com/content/78/11/674.abstract Permalink : ./index.php?lvl=notice_display&id=40958 [article] Visual search training in occupational therapy – an example of expert practice in community-based stroke rehabilitation [texte imprimé] / Ailie J. Turton, Auteur ; Jayne Angilley, Auteur ; Marie Chapman, Auteur . - 2015 . - p.674-687. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.674-687 Mots-clés : Occupational therapy  stroke  visual fields  spatial attention  search training  intervention Résumé : Introduction: Visual searching is an essential component of many everyday activities. Search training is practised as part of occupational therapy to improve performance skills both in people with hemianopia and those with spatial inattention post stroke. Evaluation of the effectiveness of such training first requires a systematic and detailed description of the intervention. To this end, this study describes the practice of a specialist occupational therapist. Method: Single sessions of intervention delivered by the occupational therapist to five participants with visual search disorders post stroke were video recorded. The recordings were analysed for content using a framework approach. Results: The occupational therapist educated participants about the impact of their visual impairment on everyday activities. She used instructions, spatial cueing, placement of objects and verbal feedback to train increased amplitudes of eye and head movements, to direct attention into the blind field or neglected space and to encourage systematic searching during occupations and activities. Activities were graded by manipulating the area for attention and complexity in the environment. Conclusion: This investigation provides a detailed description of a specialist occupational therapist’s community-based intervention for improving visual search post stroke. En ligne : http://bjo.sagepub.com/content/78/11/674.abstract Permalink : ./index.php?lvl=notice_display&id=40958

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