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The clinical effectiveness of Eye-Search therapy for patients with hemianopia, neglect or hemianopia and neglect

Szalados, R; Leff, AP; Doogan, CE; (2020) The clinical effectiveness of Eye-Search therapy for patients with hemianopia, neglect or hemianopia and neglect. Neuropsychological Rehabilitation 10.1080/09602011.2020.1751662. (In press). Green open access

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Abstract

We investigated the clinical effectiveness of Eye-Search, a web-based therapy app designed to improve visual search times, in a large group of patients with either hemianopia, neglect or both hemianopia and neglect. A prospective, interventional cohort design was used. For the main, impairment-based outcome measure (average visual search time), the within-subject control was affected vs. unaffected side. Four hundred and twenty-six participants who fitted the inclusion criteria completed all 4 time points (1200 therapy trials). We found a significant three-way interaction between therapy, side and group. Eye-Search therapy improved search times to the affected visual field of patients with either hemianopia alone or neglect and hemianopia, but not those with neglect alone. Effect sizes were moderate to large and consistent with previous studies. We found a similar significant interaction between therapy and group for the patient-reported outcome measure "finding things" that most closely matched the impairment-based outcome (visual search). Eye-Search therapy improves both impairment-based and patient-reported outcome measures related to visual search in patients with hemianopia alone or hemianopia and neglect.

Type: Article
Title: The clinical effectiveness of Eye-Search therapy for patients with hemianopia, neglect or hemianopia and neglect
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/09602011.2020.1751662
Publisher version: http://dx.doi.org/10.1080/09602011.2020.1751662
Language: English
Additional information: © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Keywords: Hemianopia, Neglect, Rehabilitation, Stroke, Visual search
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10096925
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