Assessment of spatial neglect in current clinical practice: A nationwide survey
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Assessment of spatial neglect in current clinical practice : A nationwide survey. / Evald, Lars; Wilms, Inge Linda; Nordfang, Maria.
In: Neuropsychological Rehabilitation, Vol. 31, No. 9, 2021, p. 1374-1389.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Assessment of spatial neglect in current clinical practice
T2 - A nationwide survey
AU - Evald, Lars
AU - Wilms, Inge Linda
AU - Nordfang, Maria
PY - 2021
Y1 - 2021
N2 - This study was part of a nationwide, anonymous, open Internet survey conducted amongst healthcare professionals in Denmark on the assessment and treatment of spatial neglect (SN). The objective was to describe knowledge and practices in the assessment of SN in current clinical practice across different healthcare sectors and professions. Data included the perceived prevalence, assessment methods and observations, subtypes and differential diagnostics of SN. A total of 525 professionals participated in the survey. The vast majority (81.5%) reported that assessment of SN was provided by their workplace. The median of perceived prevalence of SN was 35% (IQR 22–51) but major differences were found between professions. Occupational therapists and psychologists appeared to be most involved in assessment, whilst nursing staff and speech therapists were least involved. Subjective observations were the most common assessment method (90%). Conversely, systematic ADL observations, paper-and-pencil tests, confrontational tests and computerized tests were less common. The survey revealed large differences in the assessment methods and awareness of various aspects of SN symptoms (subtypes and differential diagnostics) between different healthcare professions. The results emphasize the need for international multidisciplinary clinical guidelines on how to assess SN and distinguish between different subtypes and differential diagnoses.
AB - This study was part of a nationwide, anonymous, open Internet survey conducted amongst healthcare professionals in Denmark on the assessment and treatment of spatial neglect (SN). The objective was to describe knowledge and practices in the assessment of SN in current clinical practice across different healthcare sectors and professions. Data included the perceived prevalence, assessment methods and observations, subtypes and differential diagnostics of SN. A total of 525 professionals participated in the survey. The vast majority (81.5%) reported that assessment of SN was provided by their workplace. The median of perceived prevalence of SN was 35% (IQR 22–51) but major differences were found between professions. Occupational therapists and psychologists appeared to be most involved in assessment, whilst nursing staff and speech therapists were least involved. Subjective observations were the most common assessment method (90%). Conversely, systematic ADL observations, paper-and-pencil tests, confrontational tests and computerized tests were less common. The survey revealed large differences in the assessment methods and awareness of various aspects of SN symptoms (subtypes and differential diagnostics) between different healthcare professions. The results emphasize the need for international multidisciplinary clinical guidelines on how to assess SN and distinguish between different subtypes and differential diagnoses.
KW - Faculty of Social Sciences
KW - Surveys and questionnaires
KW - Symptom assessment
KW - Perceptual disorders
KW - Spatial neglect
KW - Brain injuries
KW - Stroke
U2 - 10.1080/09602011.2020.1778490
DO - 10.1080/09602011.2020.1778490
M3 - Journal article
C2 - 32573333
VL - 31
SP - 1374
EP - 1389
JO - Neuropsychological Rehabilitation
JF - Neuropsychological Rehabilitation
SN - 0960-2011
IS - 9
ER -
ID: 216603701