Evidence map›Paper›PMID 40970531›Full record

Trial reportJournal of the American Heart Association2025

Enhancing Societal Participation for Stroke Survivors With Cognitive Impairments: A Randomized Controlled Trial.

Shih-Pin Hsu, Te-Hsun Hung, Yen-Nung Lin, Jiunn-Horng Kang, Der-Sheng Han, Valeria Chiu, Tsan-Hon Liou, Yi-Hsuan Wu, Peng-Sheng Ni, Elizabeth R Skidmore and 1 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03792061 (Adopting Strategy Training to Improve Participation Performance of Individuals With Cognitive Impairments After Stroke), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

NCT03792061 naactive not recruitingnot on this map

Adopting Strategy Training to Improve Participation Performance of Individuals With Cognitive Impairments After Stroke

TypeinterventionalSponsorTaipei Medical UniversityRan2019 to 2024Enrolled210ConditionsStroke, Cognitive ImpairmentArmsStrategy Training
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. ESO annual stroke evidence update 2025.European stroke journal · 2026
    Review
  3. 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

11 authors.

Shih-Pin HsuGraduate Institute of Injury Prevention and Control, College of Public Health Taipei Medical University New Taipei City Taiwan.ORCID 0000-0002-7776-5867
Te-Hsun HungGraduate Institute of Injury Prevention and Control, College of Public Health Taipei Medical University New Taipei City Taiwan.ORCID 0009-0008-2902-3800
Yen-Nung LinGraduate Institute of Injury Prevention and Control, College of Public Health Taipei Medical University New Taipei City Taiwan.
Jiunn-Horng KangDepartment of Physical Medicine and Rehabilitation Taipei Medical University Hospital Taipei Taiwan.ORCID 0000-0002-7850-4140
Der-Sheng HanDepartment of Physical Medicine and Rehabilitation National Taiwan University Hospital Taipei Taiwan.ORCID 0000-0001-7642-8060
Valeria ChiuDepartment of Physical Medicine and Rehabilitation Taipei Tzu Chi Hospital, Buddhist TzuChi Medical Foundation New Taipei City Taiwan.
Tsan-Hon LiouDepartment of Physical Medicine and Rehabilitation, Wan Fang Hospital Taipei Medical University Taipei Taiwan.ORCID 0000-0002-0959-4023
Yi-Hsuan WuDepartment of Physical Medicine and Rehabilitation National Taiwan University Hospital Taipei Taiwan.ORCID 0000-0002-1274-2007
Peng-Sheng NiHealth Law, Policy, and Management Biostatistics and Epidemiology Data Analytics Center Boston University School of Public Health Boston MA USA.ORCID 0000-0003-1774-2185
Elizabeth R SkidmoreDepartment of Occupational Therapy, School of Health and Rehabilitation Sciences University of Pittsburgh Pittsburgh PA USA.ORCID 0000-0002-8287-7193
Feng-Hang ChangGraduate Institute of Injury Prevention and Control, College of Public Health Taipei Medical University New Taipei City Taiwan.ORCID 0000-0002-0711-3644

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReturning to societal participation is an important goal for stroke survivors, but evidence for effective rehabilitation remains inconclusive. This study evaluated the efficacy of participation-focused strategy training in improving poststroke participation among community-dwelling survivors with cognitive impairments.

methodsThis multicenter, randomized trial enrolled stroke survivors with executive function impairments between January 2019 and March 2023. Participants received either strategy training (n=96) or an attention-control intervention (n=99) in 12 to 15 sessions over 8 weeks. The primary outcome was the postintervention change in participation across productivity, social, and community domains from the baseline, measured by the Participation Measure-3 Domains, 4 Dimensions. Secondary outcomes included changes in activity performance, self-efficacy, and global cognition from baseline.

resultsEligible 195 participants were included in the intention-to-treat analysis (64 women, 32.8%; median [interquartile range] age: 62 [52-68] years). After adjusting for baseline primary outcome, stroke severity, and dose of regular rehabilitation, the strategy training group showed greater improvements in productivity and social participation compared with the control group (adjusted mean difference between groups [95% CI]: 7.89 [2.61-13.16] (

conclusionsParticipation-focused strategy training significantly improved productivity and social participation among enrolled stroke survivors compared with the control intervention postintervention. Further research is warranted to confirm these findings in the oldest survivors and to explore approaches for enhancing the long-term benefits of strategy training. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT03792061.

Indexed as

Cognitive DysfunctionSocial ParticipationStrokeStroke RehabilitationSurvivorsAgedExecutive FunctionFemaleHumansMaleMiddle AgedSelf EfficacyTreatment Outcomecognitive dysfunctionrehabilitationsocial participationstrategy trainingstroke

Identifiers

PMID40970531
PMCPMC12684526

What OpenQuestion holds

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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.