Clinical trial NCT06940882: Development of a Novel Screening Tool for Anosognosia After Stroke.
Official title: Development and Exploration of the Acceptability and Feasibility of a Novel Screening Tool for Anosognosia After Stroke, Designed for Routine Use in Hospital Settings.
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Anosognosia
Stroke
Keywords: Anosognosia
Stroke
Assessment
Lead sponsor: University of Exeter
Sponsor class: OTHER
Collaborators: name: Royal Devon and Exeter NHS Foundation Trust
First posted: 2025-04-23
Enrollment: 90
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Stroke patients admitted to a stroke rehabilitation ward.

Multi-disciplinary staff working with stroke patients on a stroke rehabilitation ward.

Brief summary: Anosognosia, a neurological inability to acknowledge or comprehend one's own (dis)abilities, is a multi-faceted phenomenon which has consistently gained traction in research fields spanning psychology, neurology, and cognition since its conceptual introduction in 1914. Though anosognosia is not limited to following only neurological disease or injury, the majority of research has focused on the prevalence and mechanisms of anosognosia after stroke. Despite this, there is no clear consensus among the literature, and thus in clinical practice, as to how anosognosia after stroke should be assessed. This is startling given the plethora of studies which highlight anosognosia as a barrier to rehabilitation, a risk to safe discharge, and a predictor of poorer psychological and functional outcomes for both patients and their carers. Currently, there exists a vast number of assessment methods for anosognosia after stroke, which vary from performance- and observation-based tasks to self-report and discrepancy-based interviews; clinicians working in stroke make arbitrary choices as to which of these methods to use on a case-by-case basis, risking missed cases and subsequently noncomprehensive care. This research aims to develop a new screening tool for anosognosia that can be routinely implemented with post-stroke patients in hospital settings, to inform care, rehabilitation, and discharge. The study will explore the acceptability and feasibility of the new screening tool among multi-disciplinary staff working on a stroke rehabilitation unit, and provide grounds for future studies to assess the screen's psychometric properties and ability to inform novel interventions for anosognosia. Findings will have great implications for stroke survivors, their carers, and healthcare professionals alike.


Eligibility criteria: Inclusion Criteria:

* Patients aged 18 years or above who are admitted to the stroke rehabilitation unit with a clinical diagnosis of stroke.
* Multi-disciplinary staff working on the stroke rehabilitation unit.

Exclusion Criteria:

* Patients with a clinical diagnosis other than stroke.

Primary outcomes:
measure: Acceptability and Feasibility of new screening tool among multi-disciplinary staff
timeFrame: From recruitment, throughout 4-6 months of screen implementation, to the completion of focus groups approximately 8 months after recruitment.
Secondary outcomes:
measure: Uptake and Validity of new screening tool, with patients
timeFrame: Over 4-6 months, from recruitment until the completion of screen implementation.
Other outcomes:
Locations:
Study officials:
affiliation: University of Exeter
name: Alexis Clarke, DClinPsy, QiCN
role: STUDY_DIRECTOR
References: