Strategy training to improve attention for people with spatial neglect after stroke
Official title: Examining Strategy Training for Optimizing Attention in Rehabilitation for Community-Dwelling Individuals With Spatial Neglect
Run by University of Pittsburgh · NCT07331896 · Data updated 2026-11-12
This program tests whether metacognitive strategy training helps people with spatial neglect after stroke pay more attention and carry out daily activities more independently.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 45 (estimated) |
| Sponsor | University of Pittsburgh Academic / other |
| Locations | 1 site (Pittsburgh, Pennsylvania) |
| Status | Recruiting |
| Started | April 6, 2026 |
| Main results expected | January 2029 |
| Study ends | January 2029 |
| Registry record updated | May 12, 2026 |
| Trial ID | NCT07331896 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older who had a stroke, show signs of unilateral spatial neglect on standardized tests or by reported symptoms, and live within 30 miles of the University of Pittsburgh in a community dwelling are ideal candidates.
✕Probably not a fit
People with severe aphasia (BDAE Severity Scale score of 0), documented dementia, active major depressive disorder, those already receiving rehabilitation therapy, those unwilling to be videotaped, or those living outside the local catchment are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study delivers a metacognitive strategy training program tailored for community-dwelling adults who have unilateral spatial neglect after stroke, teaching personalized goals, self-assessment, and development and evaluation of strategies to overcome attention-related barriers. Participants receive either the strategy training or an attention-control intervention and are measured on neglect severity, self-awareness of symptoms, and disability in daily activities. The intervention is delivered at the University of Pittsburgh and targets people living within the local community. Outcomes will determine whether this personalized, strategy-focused approach reduces neglect-related disability and improves participants' awareness of their deficits.
Why it matters
Potential benefit: If successful, the intervention could reduce attention-related disability and improve self-awareness, helping people with neglect function more independently in daily life.
How similar studies have gone: Prior work on metacognitive and strategy-based interventions has shown promise for improving attention and function, but few if any trials have specifically tailored or tested this approach for community-dwelling people with unilateral spatial neglect after stroke.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * had a stroke * presence of neglect as determined by score of \<18 or 2 or more collisions on the Virtual Reality Lateralized Attention Test (VRLAT); score below established cutoff for neglect on one of the six subtests of the Behavioral Inattention Test (BIT); OR reported signs/symptoms of neglect * ≥18 years old * lives within 30 miles of the University of Pittsburgh in a community dwelling. Exclusion Criteria: * Boston Diagnostic Aphasia Examination (BDAE) Severity Scale score of 0 * dementia per medical record * active major depressive disorder per medical record * not willing to be videotaped * subject is currently receiving rehabilitation therapy as part of their usual care
Where it's running
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University of Pittsburgh
Pittsburgh, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Emily Grattan, PhD, OTR/L — University of Pittsburgh
- Study coordinator: Emily Grattan, PhD, OTRlL
- Email: esg39@pitt.edu
- Phone: 412-648-0619
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.