Evidence map›Paper›PMID 29280726›Full record

Trial reportThe American journal of occupational therapy : official publication of the American Occupational Therapy Association

Self-Awareness and Recovery of Independence With Strategy Training.

Elizabeth R Skidmore, Melissa Swafford, Shannon B Juengst, Lauren Terhorst

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of occupational therapy : official publication of the American Occupational Therapy Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06086301 nacompletednot on this map

Pilot Testing Post-Intensive Care Transitions Using Rehabilitation and Engagement To Heal ICU Survivors and Families (PICTURE-THIS)

TypeinterventionalSponsorUniversity of PittsburghRan2023 to 2025Enrolled42ConditionsPost-intensive Care Syndrome, Transitional Care, Critical Care, Health ServicesArmsPICTURE-THIS, Enhanced Usual Care, Run-In Phase
NCT06501365 naterminatednot on this map

Post-Intensive Care Transitional Care, Rehabilitation, and Family-Support RCT

TypeinterventionalSponsorUniversity of PittsburghRan2025 to 2026Enrolled2ConditionsIntensive Care Unit Syndrome, Disabilities Multiple, Critical Illness, Caregiver BurdenArmsPost Intensive Care Transitions Rehabilitation and Family Support (PIC-TRFS), Enhanced Usual Care Control
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Metacognition impairment in stroke.Frontiers in neurology · 2025
    Article
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

4 authors.

Elizabeth R SkidmoreElizabeth R. Skidmore, PhD, OTR/L, is Professor and Chair, Department of Occupational Therapy and Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA; skidmore@pitt.edu.
Melissa SwaffordMelissa Swafford, MOT, OTR/L, is K. Leroy Irvis Fellow, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA.
Shannon B JuengstShannon B. Juengst, PhD, CRC, is Assistant Professor, Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas.
Lauren TerhorstLauren Terhorst, PhD, is Associate Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA.

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
Closing Gap in Stroke Rehabilitation: Early Intervention for Cognitive DisabilityR01HD074693 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SKIDMORE, ELIZABETH RENEE · 2013 to 2018
$2.6M
NICHD NIH HHS K12 HD055931NICHD NIH HHS R01 HD074693
6 · The paper itself

Abstract

objectivePoor self-awareness co-occurs with cognitive impairments after stroke and may influence independence in daily activities. Strategy training promotes independence after stroke, but poor awareness may attenuate treatment response. We examined the degree to which awareness status affected changes in independence attributed to strategy training.

methodWe conducted a secondary analysis of 30 participants with cognitive impairments after acute stroke randomized to strategy training or attention control in addition to typical inpatient rehabilitation. We measured awareness with the Self-Awareness of Deficits Interview and independence with the FIM™. Data were analyzed using general linear models.

resultsPoor awareness attenuated improvements in independence over time, F(3, 55) = 3.04, p = .038. Strategy training promoted greater improvements in independence over time relative to attention control, F(3, 55) = 5.93, p = .002. However, the interaction between awareness and intervention was not significant, F(1, 19) = 0.025, p = .877.

conclusionAwareness status may not affect the response to strategy training, indicating that strategy training may benefit people with poor awareness.

Indexed as

Occupational TherapySelf EfficacyStroke RehabilitationHumansInterviews as TopicTreatment Outcome

Identifiers

PMID29280726
PMCPMC5744716

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.