Trial reportClinical rehabilitation2014
Developing complex interventions: lessons learned from a pilot study examining strategy training in acute stroke rehabilitation.
Trial report in Clinical rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05248178 (Pilot Testing of tDCS and Metacognitive Strategy Training in Chronic Stroke), which is not on this map. Cited by 27 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pilot Testing of tDCS and Metacognitive Strategy Training in Chronic Stroke
Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Occupational therapy for cognitive impairment in stroke patients.The Cochrane database of systematic reviews · 2022Pooled it
- Cognitive rehabilitation for attention deficits following stroke.The Cochrane database of systematic reviews · 2019Pooled it
- Measures of fidelity of delivery of, and engagement with, complex, face-to-face health behaviour change interventions: A systematic review of measure quality.British journal of health psychology · 2017Pooled it
- Enhancing Societal Participation for Stroke Survivors With Cognitive Impairments: A Randomized Controlled Trial.Journal of the American Heart Association · 2025Trial
- Pilot RCT examining feasibility and disability outcomes of a mobile health platform for strategy training in inpatient stroke rehabilitation (iADAPT).Topics in stroke rehabilitation · 2023Trial
- Guided Training Relative to Direct Skill Training for Individuals With Cognitive Impairments After Stroke: A Pilot Randomized Trial.Archives of physical medicine and rehabilitation · 2017Trial
- Strategy Training Shows Promise for Addressing Disability in the First 6 Months After Stroke.Neurorehabilitation and neural repair · 2015Trial
- Strategy Training During Inpatient Rehabilitation May Prevent Apathy Symptoms After Acute Stroke.PM & R : the journal of injury, function, and rehabilitation · 2015Trial
- Self-Awareness and Recovery of Independence With Strategy Training.The American journal of occupational therapy : official publication of the American Occupational Therapy AssociationTrial
- A Combined Speech-Language and Counseling Intervention for Primary Progressive Aphasia: Acceptability, Feasibility, and Preliminary Outcomes.Journal of speech, language, and hearing research : JSLHR · 2026Article
- Patient engagement in inpatient rehabilitation: A scoping review of measures and evolving conceptualizations.Rehabilitation psychology · 2026Article
- From Theory to Practice: Developing the MOBILE Intervention for Adults with Depression.Healthcare (Basel, Switzerland) · 2025Article
- Underrepresentation of Participants From Marginalized Racial and Ethnic Groups: A Secondary Analysis of the Cognitive Rehabilitation Literature.Archives of rehabilitation research and clinical translation · 2025Review
- Enhancing dyadic outcomes of stroke survivors and caregivers: protocol for a randomised controlled trial.BMJ open · 2025Article
- Occupational Therapists' Perspectives on Community Implementation of Interventions Unfamiliar to Older Adults.The Gerontologist · 2024Article
- Pre-Implementation Analysis of the Usability and Acceptability of a Poststroke Complex Telehealth Biofeedback Intervention.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2024Article
- Metacognitive Strategy Training Is Feasible for People With Aphasia.OTJR : occupation, participation and health · 2021Article
- Article
- Relationship Consensus and Caregiver Burden in Adults with Cognitive Impairments 6 Months Following Stroke.PM & R : the journal of injury, function, and rehabilitation · 2019Observational
- A Paradigm Shift: Rehabilitation Robotics, Cognitive Skills Training, and Function After Stroke.Frontiers in neurology · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveTo examine the feasibility of a strategy training clinical trial in a small group of adults with stroke-related cognitive impairments in inpatient rehabilitation, and to explore the impact of strategy training on disability.
designNon-randomized two-group intervention pilot study.
settingTwo inpatient rehabilitation units within an academic health centre.
participantsIndividuals with a primary diagnosis of acute stroke, who were admitted to inpatient rehabilitation and demonstrated cognitive impairments were included. Individuals with severe aphasia; dementia; major depressive disorder, bipolar, or psychotic disorder; recent drug or alcohol abuse; and anticipated length of stay less than five days were excluded.
interventionParticipants received strategy training or an attention control session in addition to usual rehabilitation care. Sessions in both groups were 30-40 minutes daily, five days per week, for the duration of inpatient rehabilitation.
main outcome measuresWe assessed feasibility through participants' recruitment and retention; research intervention session number and duration; participants' comprehension and engagement; intervention fidelity; and participants' satisfaction. We assessed disability at study admission, inpatient rehabilitation discharge, 3 and 6 months using the Functional Independence Measure.
resultsParticipants in both groups (5 per group) received the assigned intervention (>92% planned sessions; >94% fidelity) and completed follow-up testing. Strategy training participants in this small sample demonstrated significantly less disability at six months (M (SE) = 117 (3)) than attention control participants (M(SE) = 96 (14); t 8 = 7.87, P = 0.02).
conclusionsIt is feasible and acceptable to administer both intervention protocols as an adjunct to acute inpatient rehabilitation, and strategy training shows promise for reducing disability.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.