Efficacy of time pressure management in stroke patients with slowed information processing: a randomized controlled trial.

Full Abstract

Winkens I, Van Heugten CM, Wade DT, Habets EJ, Fasotti L. Efficacy of Time Pressure Management in stroke patients with slowed information processing: a randomized controlled trial. OBJECTIVE: To examine the effects of a Time Pressure Management (TPM) strategy taught to stroke patients with mental slowness, compared with the effects of care as usual. DESIGN: Randomized controlled trial with outcome assessments conducted at baseline, at the end of treatment (at 5-10wk), and at 3 months. SETTING: Eight Dutch rehabilitation centers. PARTICIPANTS: Stroke patients (N=37; mean age +/- SD, 51.5+/-9.7y) in rehabilitation programs who had a mean Barthel score +/- SD at baseline of 19.6+/-1.1. INTERVENTION: Ten hours of treatment teaching patients a TPM strategy to compensate for mental slowness in real-life tasks. MAIN OUTCOME MEASURES: Mental Slowness Observation Test and Mental Slowness Questionnaire. RESULTS: Patients were randomly assigned to the experimental treatment (n=20) and to care as usual (n=17). After 10 hours of treatment, both groups showed a significant decline in number of complaints on the Mental Slowness Questionnaire. This decline was still present at 3 months. At 3 months, the Mental Slowness Observation Test revealed significantly higher increases in speed of performance of the TPM group in comparison with the care-as-usual group (t=-2.7, P=.01). CONCLUSIONS: Although the TPM group and the care-as-usual group both showed fewer complaints after a 3-month follow-up period, only the TPM group showed improved speed of performance on everyday tasks. Use of TPM treatment therefore is recommended when treating stroke patients with mental slowness.

Author information

Author/s: Winkens, Ieke (I); Van Heugten, Caroline M (CM); Wade, Derick T (DT); Habets, Esther J (EJ); Fasotti, Luciano (L);

Affiliation: Vilans, Hoensbroek, Maastricht University, Maastricht, The Netherlands. i.winkens(-atsign-)vilans.nl

Journal and publication information

Publication Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: Archives of physical medicine and rehabilitation (Arch Phys Med Rehabil), published in United States. (Language: eng)

Reference: 2009-Oct; vol 90 (issue 10) : pp 1672-9

Dates: Created 2009/10/05; Completed 2009/10/22;

PMID: 19801055, status: MEDLINE (last retrieval date: 10/22/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article
(including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.