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A randomized control trial of the effects of home-based online attention training and working memory training on cognition and everyday function in a community stroke sample.

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Title: A randomized control trial of the effects of home-based online attention training and working memory training on cognition and everyday function in a community stroke sample.
Authors: Peers, Polly V. (AUTHOR), Punton, Sarah F. (AUTHOR), Murphy, Fionnuala C. (AUTHOR), Watson, Peter (AUTHOR), Bateman, Andrew (AUTHOR), Duncan, John (AUTHOR), Astle, Duncan E. (AUTHOR), Hampshire, Adam (AUTHOR), Manly, Tom (AUTHOR)
Source: Neuropsychological Rehabilitation. Dec2022, Vol. 32 Issue 10, p2603-2627. 25p. 1 Diagram, 4 Charts, 3 Graphs.
Subjects: Mnemonics, Stroke, Short-term memory, Online education, Communities
Abstract: Cognitive difficulties are common following stroke and can have widespread impacts on everyday functioning. Technological advances offer the possibility of individualized cognitive training for patients at home, potentially providing a low-cost, low-intensity adjunct to rehabilitation services. Using this approach, we have previously demonstrated post-training improvements in attention and everyday functioning in fronto-parietal stroke patients. Here we examine whether these benefits are observed more broadly in a community stroke sample. Eighty patients were randomized to either 4 weeks of online adaptive attention training (SAT), working memory training (WMT) or waitlist (WL). Cognitive and everyday function measures were collected before and after the intervention, and after 3 months. During training, weekly measures of patients' subjective functioning were collected. The training was well received and compliance good. No differences in our primary end-point, spatial bias, or other cognitive functions were observed. However, on patient-reported outcomes, SAT participants showed greater levels of improvement in everyday functioning than WMT or WL participants. In line with our previous work, everyday functioning improvements were greatest for patients with spatial impairments and those who received SAT training. Whether attention training can be recommended for stroke survivors depends on whether cognitive test performance or everyday functioning is considered more relevant. [ABSTRACT FROM AUTHOR]
Copyright of Neuropsychological Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A randomized control trial of the effects of home-based online attention training and working memory training on cognition and everyday function in a community stroke sample.
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  Data: <searchLink fieldCode="AR" term="%22Peers%2C+Polly+V%2E%22">Peers, Polly V.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Punton%2C+Sarah+F%2E%22">Punton, Sarah F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murphy%2C+Fionnuala+C%2E%22">Murphy, Fionnuala C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Watson%2C+Peter%22">Watson, Peter</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bateman%2C+Andrew%22">Bateman, Andrew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Duncan%2C+John%22">Duncan, John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Astle%2C+Duncan+E%2E%22">Astle, Duncan E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hampshire%2C+Adam%22">Hampshire, Adam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Manly%2C+Tom%22">Manly, Tom</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neuropsychological+Rehabilitation%22">Neuropsychological Rehabilitation</searchLink>. Dec2022, Vol. 32 Issue 10, p2603-2627. 25p. 1 Diagram, 4 Charts, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Mnemonics%22">Mnemonics</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Short-term+memory%22">Short-term memory</searchLink><br /><searchLink fieldCode="DE" term="%22Online+education%22">Online education</searchLink><br /><searchLink fieldCode="DE" term="%22Communities%22">Communities</searchLink>
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  Data: Cognitive difficulties are common following stroke and can have widespread impacts on everyday functioning. Technological advances offer the possibility of individualized cognitive training for patients at home, potentially providing a low-cost, low-intensity adjunct to rehabilitation services. Using this approach, we have previously demonstrated post-training improvements in attention and everyday functioning in fronto-parietal stroke patients. Here we examine whether these benefits are observed more broadly in a community stroke sample. Eighty patients were randomized to either 4 weeks of online adaptive attention training (SAT), working memory training (WMT) or waitlist (WL). Cognitive and everyday function measures were collected before and after the intervention, and after 3 months. During training, weekly measures of patients' subjective functioning were collected. The training was well received and compliance good. No differences in our primary end-point, spatial bias, or other cognitive functions were observed. However, on patient-reported outcomes, SAT participants showed greater levels of improvement in everyday functioning than WMT or WL participants. In line with our previous work, everyday functioning improvements were greatest for patients with spatial impairments and those who received SAT training. Whether attention training can be recommended for stroke survivors depends on whether cognitive test performance or everyday functioning is considered more relevant. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neuropsychological Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/09602011.2021.1972817
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        Text: English
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      – SubjectFull: Communities
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              Text: Dec2022
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