UNLABELLED: Winkens I, Van Heugten CM, Wade DT, Habets EJ, Fasotti L. Efficacy of Time Pressure Management in stroke patients with slowed information processing: a randomized controlled trial. OBJECTIVE: To examine the effects of a Time Pressure Management (TPM) strategy taught to stroke patients with mental slowness, compared with the effects of care as usual. DESIGN: Randomized controlled trial with outcome assessments conducted at baseline, at the end of treatment (at 5-10wk), and at 3 months. SETTING:Eight Dutch rehabilitation centers. PARTICIPANTS: Stroke patients (N=37; mean age +/- SD, 51.5+/-9.7y) in rehabilitation programs who had a mean Barthel score +/- SD at baseline of 19.6+/-1.1. INTERVENTION: Ten hours of treatment teaching patients a TPM strategy to compensate for mental slowness in real-life tasks. MAIN OUTCOME MEASURES: Mental Slowness Observation Test and Mental Slowness Questionnaire. RESULTS: Patients were randomly assigned to the experimental treatment (n=20) and to care as usual (n=17). After 10 hours of treatment, both groups showed a significant decline in number of complaints on the Mental Slowness Questionnaire. This decline was still present at 3 months. At 3 months, the Mental Slowness Observation Test revealed significantly higher increases in speed of performance of the TPM group in comparison with the care-as-usual group (t=-2.7, P=.01). CONCLUSIONS: Although the TPM group and the care-as-usual group both showed fewer complaints after a 3-month follow-up period, only the TPM group showed improved speed of performance on everyday tasks. Use of TPM treatment therefore is recommended when treating stroke patients with mental slowness.
RCT Entities:
UNLABELLED: Winkens I, Van Heugten CM, Wade DT, Habets EJ, Fasotti L. Efficacy of Time Pressure Management in strokepatients with slowed information processing: a randomized controlled trial. OBJECTIVE: To examine the effects of a Time Pressure Management (TPM) strategy taught to strokepatients with mental slowness, compared with the effects of care as usual. DESIGN: Randomized controlled trial with outcome assessments conducted at baseline, at the end of treatment (at 5-10wk), and at 3 months. SETTING: Eight Dutch rehabilitation centers. PARTICIPANTS: Strokepatients (N=37; mean age +/- SD, 51.5+/-9.7y) in rehabilitation programs who had a mean Barthel score +/- SD at baseline of 19.6+/-1.1. INTERVENTION: Ten hours of treatment teaching patients a TPM strategy to compensate for mental slowness in real-life tasks. MAIN OUTCOME MEASURES: Mental Slowness Observation Test and Mental Slowness Questionnaire. RESULTS:Patients were randomly assigned to the experimental treatment (n=20) and to care as usual (n=17). After 10 hours of treatment, both groups showed a significant decline in number of complaints on the Mental Slowness Questionnaire. This decline was still present at 3 months. At 3 months, the Mental Slowness Observation Test revealed significantly higher increases in speed of performance of the TPM group in comparison with the care-as-usual group (t=-2.7, P=.01). CONCLUSIONS: Although the TPM group and the care-as-usual group both showed fewer complaints after a 3-month follow-up period, only the TPM group showed improved speed of performance on everyday tasks. Use of TPM treatment therefore is recommended when treating strokepatients with mental slowness.
Authors: Christina Weyer-Jamora; Melissa S Brie; Tracy L Luks; Ellen M Smith; Steve E Braunstein; Javier E Villanueva-Meyer; Paige M Bracci; Susan Chang; Shawn L Hervey-Jumper; Jennie W Taylor Journal: Neurooncol Pract Date: 2020-11-04
Authors: Anne Forster; Lesley Brown; Jane Smith; Allan House; Peter Knapp; John J Wright; John Young Journal: Cochrane Database Syst Rev Date: 2012-11-14