Evidence map›Paper›PMID 36285484›Full record

Trial reportClinical rehabilitation2023

A study of prisms and therapy in attention loss after stroke (SPATIAL): A feasibility randomised controlled trial.

Verity Longley, Kate Woodward-Nutt, Ailie J Turton, Katie Stocking, Matthew Checketts, Ann Bamford, Emma Douglass, Julie Taylor, Julie Woodley, Pam Moule and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. From evidence to action: Italian recommendations for the diagnosis and treatment of spatial neglect in stroke patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Guideline
  3. Article
  4. Review
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

12 authors at 4 institutions in 1 country.

Verity LongleyFaculty of Health and Education, 5289Manchester Metropolitan University, Manchester, UK.ORCID 0000-0002-5492-8344
Kate Woodward-NuttGeoffrey Jefferson Brain Research Centre, The Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Manchester, UK.
Ailie J TurtonSchool for Health and Social Wellbeing, 1981University of the West of England, Bristol, UK.
Katie StockingCentre for Biostatistics, The Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Manchester, UK.
Matthew CheckettsGeoffrey Jefferson Brain Research Centre, The Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Manchester, UK.
Ann BamfordGeoffrey Jefferson Brain Research Centre, The Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Manchester, UK.
Emma DouglassSchool for Health and Social Wellbeing, 1981University of the West of England, Bristol, UK.
Julie TaylorDorothy House Hospice Care, Bradford-on-Avon, UK.
Julie WoodleySchool for Health and Social Wellbeing, 1981University of the West of England, Bristol, UK.
Pam MouleSchool for Health and Social Wellbeing, 1981University of the West of England, Bristol, UK.
Andy VailCentre for Biostatistics, The Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Manchester, UK.
Audrey BowenGeoffrey Jefferson Brain Research Centre, The Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Manchester, UK.ORCID 0000-0003-4075-1215
Manchester Academic Health Science Centre · GBUniversity of the West of England · GBDorothy Pattison Hospital · GBManchester Metropolitan University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInvestigate feasibility and acceptability of prism adaptation training for people with inattention (spatial neglect), early after stroke, during usual care.

designPhase II feasibility randomised controlled trial with 3:1 stratified allocation to standard occupational therapy with or without intervention, and nested process evaluation.

settingTen hospital sites providing in-patient stroke services.

participantsScreened positive for inattention more than one-week post-stroke; informal carers. Occupational therapists participated in qualitative interviews.

interventionAdjunctive prism adaptation training at the start of standard occupational therapy sessions for three weeks. MAIN MEASURES: Feasibility measures included recruitment and retention rates, intervention fidelity and attrition. Outcomes collected at baseline, 3 weeks and 12 weeks tested measures including Nottingham Extended Activities of Daily Living Scale. Acceptability was explored through qualitative interviews and structured questions.

resultsEighty (31%) patients were eligible, 57 (71%) consented, 54 randomised (40:13, +1 exclusion) and 39 (74%) completed 12-week outcomes. Treatment fidelity was good: participants received median eight intervention sessions (IQR: 5, 12) lasting 4.7 min (IQR: 4.1, 5.0). All six serious adverse events were unrelated. There was no signal that patients allocated to intervention did better than controls. Twenty five of 35 recruited carers provided outcomes with excellent data completeness. Therapists, patients and carers found prism adaptation training acceptable.

conclusionsIt is feasible and acceptable to conduct a high-quality definitive trial of prism adaptation training within occupational therapy early after stroke in usual care setting, but difficult to justify given no sign of benefit over standard occupational therapy. CLINICAL

trial registrationhttps://www.isrctn.com/ Ref ISRCTN88395268.

Indexed as

Mental DisordersStrokeActivities of Daily LivingFeasibility StudiesHumansPhysical Therapy Modalitiesfeasibilityfidelityinattentionoccupational therapyprismrehabilitationspatial neglectStroketrial

Identifiers

PMID36285484
PMCPMC9912302
OpenAlexW4307336957

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.