Evidence map›Paper›PMID 25461827›Full record

ArticleArchives of physical medicine and rehabilitation2015

Kessler Foundation Neglect Assessment Process uniquely measures spatial neglect during activities of daily living.

Peii Chen, Christine C Chen, Kimberly Hreha, Kelly M Goedert, A M Barrett

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 120 citations in OpenAlex.

  1. Pooled it
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  13. Understanding Occupational Therapists' Knowledge and Confidence When Assessing for Spatial Neglect: A Special Issue Review.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2024
    Article
  14. Article
  15. Article
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  17. Article
  18. Association of delirium and spatial neglect in patients with right-hemisphere stroke.PM & R : the journal of injury, function, and rehabilitation · 2023
    Article
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Peii ChenKessler Foundation, West Orange, NJ; Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ. Electronic address: PChen@KesslerFoundation.org.
Christine C ChenDepartment of Rehabilitation Sciences, University of Texas, El Paso, TX.
Kimberly HrehaDepartment of Rehabilitation and Regenerative Medicine, Columbia University, New York, NY; Kessler Institute for Rehabilitation, West Orange, NJ.
Kelly M GoedertDepartment of Psychology, Seton Hall University, South Orange, NJ.
A M BarrettKessler Foundation, West Orange, NJ; Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ; Kessler Institute for Rehabilitation, West Orange, NJ.
Rutgers, The State University of New Jersey · USKessler Institute for Rehabilitation · USSeton Hall University · USThe University of Texas at El Paso · US

Funding

Mentoring translational cognitive science for stroke recoveryK24HD062647 · NICHD · KESSLER FOUNDATION, INC. · PI BARRETT, A. M. · 2010 to 2014
$695k
NICHD NIH HHS K24 HD062647NICHD NIH HHS K24HD062647
6 · The paper itself

Abstract

objectivesTo explore the factor structure of the Kessler Foundation Neglect Assessment Process (KF-NAP), and evaluate the prevalence and clinical significance of spatial neglect among stroke survivors.

designInception cohort.

settingInpatient rehabilitation facility (IRF).

participantsParticipants (N=121) with unilateral brain damage from their first stroke were assessed within 72 hours of admission to an IRF, and 108 were assessed again within 72 hours before IRF discharge.

interventionsUsual and standard IRF care.

main outcome measuresDuring each assessment session, occupational therapists measured patients' functions with the KF-NAP, FIM, and Barthel Index (BI).

resultsThe KF-NAP showed excellent internal consistency with a single-factor structure. The exploratory factor analysis revealed the KF-NAP to be unique from both the FIM and BI even though all 3 scales were correlated. Symptoms of spatial neglect (KF-NAP>0) were present in 67.8% of the participants at admission and 47.2% at discharge. Participants showing the disorder at IRF admission were hospitalized longer than those showing no symptoms. Among those presenting with symptoms, the regression analysis showed that the KF-NAP scores at admission negatively predicted FIM scores at discharge, after controlling for age, FIM at admission, and length of stay.

conclusionsThe KF-NAP uniquely quantifies symptoms of spatial neglect by measuring functional difficulties that are not captured by the FIM or BI. Using the KF-NAP to measure spatial neglect, we found the disorder persistent after inpatient rehabilitation, and replicated previous findings showing that spatial neglect adversely affects rehabilitation outcome even after prolonged IRF care.

Indexed as

Disability EvaluationStroke RehabilitationActivities of Daily LivingAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedOccupational TherapyPatient DischargePerceptual DisordersPrevalenceRecovery of FunctionRehabilitation CentersHemispatial neglectOutcome assessmentRehabilitationSymptom assessment

Identifiers

PMID25461827
PMCPMC4410062
OpenAlexW1970550068

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.