Dynamic assessment and prediction of learning potential in clients with unilateral neglect.

Overview

OBJECTIVE: We investigated the application of dynamic assessment in examining learning potential for adults with right hemisphere stroke and unilateral neglect. METHODS: Forty adults with right cerebrovascular accident were randomly assigned to a control or dynamic group. Both groups were administered standard pretests and posttests of unilateral neglect. The dynamic group received cues, strategy training, and feedback during an object search task. RESULTS: Multivariate analysis of covariance indicated significant differences between groups on the object search task, with reduced unilateral neglect in the dynamic group. Greater initiation of left-sided search, strategy use, and near and intermediate transfer of learning were observed in the dynamic group. CONCLUSIONS: The brief dynamic assessment, developed for this study, provided an opportunity to observe the client's ability to incorporate strategy training and feedback across visual search tasks. This assessment approach has the potential to characterize learning profiles and to guide intervention decisions.

The American journal of occupational therapy : official publication of the American Occupational Therapy Association Journal