Dynamic assessment and prediction of learning potential in clients with unilateral neglect.

Full Abstract

OBJECTIVE: We investigated the application of dynamic assessment in examining learning potential for adults with right hemisphere stroke and unilateral neglect. METHODS: Forty adults with right cerebrovascular accident were randomly assigned to a control or dynamic group. Both groups were administered standard pretests and posttests of unilateral neglect. The dynamic group received cues, strategy training, and feedback during an object search task. RESULTS: Multivariate analysis of covariance indicated significant differences between groups on the object search task, with reduced unilateral neglect in the dynamic group. Greater initiation of left-sided search, strategy use, and near and intermediate transfer of learning were observed in the dynamic group. CONCLUSIONS: The brief dynamic assessment, developed for this study, provided an opportunity to observe the client's ability to incorporate strategy training and feedback across visual search tasks. This assessment approach has the potential to characterize learning profiles and to guide intervention decisions.

Author information

Author/s: Toglia, Joan (J); Cermak, Sharon A (SA);

Affiliation: Mercy College Graduate Occupational Therapy Program, 555 Broadway, Dobbs Ferry, NY 10522, USA. jtoglia(-atsign-)mercy.edu

Grants: G11 HD035965 (Agency:NICHD NIH HHS)

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural

Journal: The American journal of occupational therapy. : official publication of the American Occupational Therapy Association (Am J Occup Ther), published in United States. (Language: eng)

Reference: -2009 Sep-Oct; vol 63 (issue 5) : pp 569-79

Dates: Created 2009/09/29; Completed 2009/10/23;

PMID: 19785256, status: MEDLINE (last retrieval date: 10/23/2009, IMS Date: )

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