ArticleThe American journal of occupational therapy : official publication of the American Occupational Therapy Association
Effect of Strategy Training on Self-Awareness of Deficits After Stroke.
Article 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. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Occupational therapy for cognitive impairment in stroke patients.The Cochrane database of systematic reviews · 2022Pooled it
- Article
- Stroke survivors show an overestimation of their on-road driving performance.Neurological research and practice · 2025Article
- Interrater Reliability of the Occupational Therapy Anticipatory Awareness Test: A Performance-Based Cognitive Assessment.Brain sciences · 2025Article
- Metacognition impairment in stroke.Frontiers in neurology · 2025Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
importanceSelf-awareness of deficits, or the ability to understand the effects of impairments on daily life, is often diminished after a stroke. Diminished self-awareness influences participation in rehabilitation and functional outcomes.
objectiveTo examine whether self-awareness of deficits changed over time after a stroke (N = 43) and whether metacognitive strategy training (n = 21) resulted in improved self-awareness compared with direct skill training (n = 22).
designSecondary analysis of data collected from a randomized controlled trial.
settingInpatient stroke rehabilitation.
participantsAdults with cognitive impairments after an acute stroke.
interventionMetacognitive strategy training is an approach in which clients are guided through a process of self-assessment and develop solutions for barriers to task performance. This approach was compared with direct skill training, in which the therapist provides specific instructions for task completion, removing the client-initiated assessment and problem-solving components. OUTCOMES AND MEASURES: Self-awareness measures included the Self-Regulation Skills Interview and Self-Awareness of Deficits Interview at baseline and 3 mo and 6 mo after the intervention. We used a one-way analysis of variance (ANOVA) to analyze change in self-awareness and a two-way ANOVA to examine differences between groups over time.
resultsThere was a statistically significant and potentially meaningful difference over time in the self-awareness domain of strategy behavior, F(2) = 3.35, p = .039, but there were no differences in improvements between the metacognitive strategy and direct skill training groups. CONCLUSIONS AND RELEVANCE: Self-awareness warrants further investigation to determine whether it improves naturally over time or through both interventions after stroke. WHAT THIS ARTICLE ADDS: Self-awareness of deficits, and the use of strategies in particular, may improve in the early stages of stroke recovery, but the optimal approach for intervention remains unclear.
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Registered trials
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