title: The application of SHERPA (Systematic Human Error Reduction and Prediction Approach) in the development of compensatory cognitive rehabilitation strategies for stroke patients with left and right brain damage.
abstract: Approximately 33% of stroke patients have difficulty performing activities of daily living, often committing errors during the planning and execution of such activities. The objective of this study was to evaluate the ability of the human error identification (HEI) technique SHERPA (Systematic Human Error Reduction and Prediction Approach) to predict errors during the performance of daily activities in stroke patients with left and right hemisphere lesions. Using SHERPA we successfully predicted 36 of the 38 observed errors, with analysis indicating that the proportion of predicted and observed errors was similar for all sub-tasks and severity levels. HEI results were used to develop compensatory cognitive strategies that clinicians could employ to reduce or prevent errors from occurring. This study provides evidence for the reliability and validity of SHERPA in the design of cognitive rehabilitation strategies in stroke populations.
authors.affiliation: a Department of Sport and Health Science , Institute of Movement Science, Technical University of Munich , Munich , Germany.
authors.forename: Charmayne M L
authors.initials: CM
authors.lastname: Hughes
authors.forename: Chris
authors.initials: C
authors.lastname: Baber
authors.forename: Marta
authors.initials: M
authors.lastname: Bienkiewicz
authors.forename: Andrew
authors.initials: A
authors.lastname: Worthington
authors.forename: Alexa
authors.initials: A
authors.lastname: Hazell
authors.forename: Joachim
authors.initials: J
authors.lastname: Hermsdörfer
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D006804:Ergonomics / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000066530:Neurological Rehabilitation / Q000379:methods*; D015588:Observer Variation; D011237:Predictive Value of Tests; D020521:Stroke / Q000473:pathology / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D013647:Task Performance and Analysis
keywords: cognitive therapy; human error identification; stroke; task analysis