An interventional study of Family-Clinician Collaboration Program in Stroke and Spatial Neglect, sponsored by Kessler Foundation. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-25.
Sponsored by Kessler Foundation · Not applicable, Interventional, and Treatment
Spatial neglect may occur in patients who have had a stroke. People with spatial neglect often pay much more attention to one side of the body while ignoring the other side, even though they have no difficulty seeing. The purpose of this study is to evaluate the impact on stroke recovery, including spatial neglect, of the Family-Clinician Collaboration program, where a family member of a stroke survivor actively interacts with clinical staff members providing inpatient rehabilitation services to the stroke survivor.
Spatial neglect (SN) frequently occurs in patients who have had a stroke. The problems caused by SN result in patients failing to attend to the space contralateral to the side of the stroke. This failure to attend to half of the patient's field may result in problems with perception, memory, action planning and navigation. These deficits hurt both the patients and their caregivers, and make it difficult for them to resume daily activities as they were before the stroke. More than half of the patients who had SN at admission still had it when discharged from an inpatient rehabilitation facility.
This study examines a new behavioral treatment, where the clinician and the caregiver work together to provide better treatment. The family members will engage in frequent meetings with clinicians, set goals, learn about SN and coping strategies and have the patient to perform easy, safe treatment exercises. The study will compare this Family-Clinician Collaboration with the inpatient treatment control. This study will compare the groups in measures of spatial neglect and independence in the patients and measures of caretaker burden and mental health in family members. Participants will also report on their overall opinions of the new treatment condition.
Exclusion Criteria:
Participants are dyads of a stroke survivor and their family member. Family members will work closely with the Clinician to understand the status and goals of the stroke survivor, and family members will integrate Family-Mediated Treatment Procedures into their time spent with the stroke survivor at home.
Behavioral: Family-Clinician Collaboration Program
Family-mediated treatment activities and collaboration between clinician and family members
Also known as: FCC
Spatial neglect assessment battery
Searching visual targets, writing, reading, drawing, and other tasks that require exploration of the person's surroundings. The primary outcome measure is the change between before and immediately after intervention.
Time frame: Before and immediately after intervention
Family caregiver wellness
Self-reported questionnaires regarding emotional status, caregiving stress and burden. The primary outcome measure is the change between before and immediately after intervention.
Time frame: Before and immediately after intervention
FCC feedback
Semi-structured interview on the experience of the study participation
Time frame: Immediately after intervention
Spatial neglect assessment battery
Searching visual targets, writing, reading, drawing, and other tasks that require exploration of the person's surroundings. The outcome measure is the change between immediately after intervention and 4-week follow-up.
Time frame: 4 weeks after intervention
Family caregiver wellness
Self-reported questionnaires regarding emotional status, caregiving stress and burden. The outcome measure is the change between immediately after intervention and 4-week follow-up.
Time frame: 4 weeks after intervention
This study is terminated, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.
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Kessler Foundation