title: Effectiveness of interventions to improve occupational performance of people with cognitive impairments after stroke: an evidence-based review.
abstract: This evidence-based review was conducted to determine which interventions are effective in improving occupational performance after stroke. Forty-six articles met the inclusion criteria and were examined. Interventions for the following impairments were reviewed: general cognitive deficits, executive dysfunction, apraxia, memory loss, attention deficits, visual field deficits (included because of their close relationship with neglect), and unilateral neglect. Evidence is available from a variety of clinical trials to guide interventions regarding general cognition, apraxia, and neglect. The evidence regarding interventions for executive dysfunction and memory loss is limited. There is insufficient evidence regarding impairments of attention and mixed evidence regarding interventions for visual field deficits. The effective interventions have some commonalities, including being performance focused, involving strategy training, and using a compensatory as opposed to a remediation approach. The implications of the findings for practice, research, and education are discussed.
authors.affiliation: Glen Gillen, EdD, OTR, FAOTA, is Associate Professor of Rehabilitation and Regenerative Medicine (Occupational Therapy), Programs in Occupational Therapy, Columbia University Medical Center, Columbia University, New York, NY; GG50@Columbia.edu.
authors.forename: Glen
authors.initials: G
authors.lastname: Gillen
authors.affiliation: Dawn M. Nilsen, EdD, OTL, is Assistant Professor of Rehabilitation and Regenerative Medicine (Occupational Therapy), Columbia University Medical Center, New York, NY.
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Nilsen
authors.affiliation: Jessica Attridge, MS, OTR, Erasmia Banakos, MS, OTR, Marie Morgan, MS, OTR, Lauren Winterbottom, MS, OTR, and Wesley York, MS, OTR, were Graduate Students, Programs in Occupational Therapy, Columbia University, New York, NY, at the time of this review.
authors.forename: Jessica
authors.initials: J
authors.lastname: Attridge
authors.affiliation: Jessica Attridge, MS, OTR, Erasmia Banakos, MS, OTR, Marie Morgan, MS, OTR, Lauren Winterbottom, MS, OTR, and Wesley York, MS, OTR, were Graduate Students, Programs in Occupational Therapy, Columbia University, New York, NY, at the time of this review.
authors.forename: Erasmia
authors.initials: E
authors.lastname: Banakos
authors.affiliation: Jessica Attridge, MS, OTR, Erasmia Banakos, MS, OTR, Marie Morgan, MS, OTR, Lauren Winterbottom, MS, OTR, and Wesley York, MS, OTR, were Graduate Students, Programs in Occupational Therapy, Columbia University, New York, NY, at the time of this review.
authors.forename: Marie
authors.initials: M
authors.lastname: Morgan
authors.affiliation: Jessica Attridge, MS, OTR, Erasmia Banakos, MS, OTR, Marie Morgan, MS, OTR, Lauren Winterbottom, MS, OTR, and Wesley York, MS, OTR, were Graduate Students, Programs in Occupational Therapy, Columbia University, New York, NY, at the time of this review.
authors.forename: Lauren
authors.initials: L
authors.lastname: Winterbottom
authors.affiliation: Jessica Attridge, MS, OTR, Erasmia Banakos, MS, OTR, Marie Morgan, MS, OTR, Lauren Winterbottom, MS, OTR, and Wesley York, MS, OTR, were Graduate Students, Programs in Occupational Therapy, Columbia University, New York, NY, at the time of this review.
authors.forename: Wesley
authors.initials: W
authors.lastname: York
mesh_terms: D003072:Cognition Disorders / Q000534:rehabilitation*; D055317:Evidence-Based Practice; D006801:Humans; D009788:Occupational Therapy / Q000379:methods*; D012050:Rehabilitation, Vocational / Q000379:methods*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome