Evidence map›Paper›PMID 35239707›Full record

Trial reportPloS one2022

The efficacy of a task model approach to ADL rehabilitation in stroke apraxia and action disorganisation syndrome: A randomised controlled trial.

Jo Howe, Winnie Chua, Emily Sumner, Bogna Drozdowska, Rosanna Laverick, Rachel L Bevins, Emilie Jean-Baptiste, Martin Russell, Pia Rotshtein, Alan M Wing

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04044911 (Randomised Controlled Trial of a Task Model Approach), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT04044911 nacompletednot on this map

Randomised Controlled Trial of a Task Model Approach (CogWatch) to Tea Making Training in Stroke Apraxia and Action Disorganisation Syndrome

TypeinterventionalSponsorUniversity of BirminghamRan2014 to 2014Enrolled29ConditionsStroke, ApraxiasArmsTask model (CogWatch)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Observational
  3. 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

10 authors at 3 institutions in 1 country.

Jo HoweSchool of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.
Winnie ChuaSchool of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-6747-8813
Emily SumnerSchool of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.
Bogna DrozdowskaSchool of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.
Rosanna LaverickSchool of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.
Rachel L BevinsSchool of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.
Emilie Jean-BaptisteSchool of Electronic, Electrical and Systems Engineering, College of Engineering and Physical Sciences, University of Birmingham, Birmingham, United Kingdom.
Martin RussellSchool of Electronic, Electrical and Systems Engineering, College of Engineering and Physical Sciences, University of Birmingham, Birmingham, United Kingdom.
Pia RotshteinSchool of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.
Alan M WingSchool of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.
University of Birmingham · GBAston University · GBCoventry University · GB

Funding

Biotechnology and Biological Sciences Research Council BB/R003971/1
6 · The paper itself

Abstract

backgroundApraxia and action disorganization syndrome (AADS) after stroke can disrupt activities of daily living (ADL). Occupational therapy has been effective in improving ADL performance, however, inclusion of multiple tasks means it is unclear which therapy elements contribute to improvement. We evaluated the efficacy of a task model approach to ADL rehabilitation, comparing training in making a cup of tea with a stepping training control condition.

methodsOf the 29 stroke survivors with AADS who participated in this cross-over randomized controlled feasibility trial, 25 were included in analysis [44% females; mean(SD) age = 71.1(7.8) years; years post-stroke = 4.6(3.3)]. Participants attended five 1-hour weekly tea making training sessions in which progress was monitored and feedback given using a computer-based system which implemented a Markov Decision Process (MDP) task model. In a control condition, participants received five 1-hour weekly stepping sessions.

resultsCompared to stepping training, tea making training reduced errors across 4 different tea types. The time taken to make a cup of tea was reduced so the improvement in accuracy was not due to a speed-accuracy trade-off. No improvement linked to tea making training was evident in a complex tea preparation task (making two different cups of tea simultaneously), indicating a lack of generalisation in the training.

conclusionsThe clearly specified but flexible training protocol, together with information on the distribution of errors, provide pointers for further refinement of task model approaches to ADL rehabilitation. It is recommended that the approach be tested under errorless learning conditions with more impaired patients in future research.

trial registrationRetrospectively registered at ClinicalTrials.gov on 5th August 2019 [NCT04044911] https://clinicaltrials.gov/ct2/show/NCT04044911?term=Cogwatch&rank=1.

Indexed as

ApraxiasStrokeStroke RehabilitationActivities of Daily LivingAgedFemaleHumansMaleTeaTea

Identifiers

PMID35239707
PMCPMC8893688
OpenAlexW4214876200

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.