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An international and multidisciplinary consensus on the labeling of spatial neglect using a modified Delphi method
Center for Stroke Rehabilitation Research, Kessler Foundation, NJ, West Orange, United States; Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, NJ, Newark, United States.
Allied Health and Human Performance Academic Unit, University of South Australia, SA, Adelaide, Australia.
Manchester Centre for Health Psychology, and the Geoffrey Jefferson Brain Research Centre, University of Manchester, Salford, United Kingdom.
Departments of Psychiatry and Psychology & Neuroscience, Life Sciences Centre - Oceanography, Dalhousie University, NS, Halifax, Canada.
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2024 (English)In: Archives of Rehabilitation Research and Clinical Translation, E-ISSN 2590-1095, Vol. 6, no 2, article id 100343Article in journal (Refereed) Published
Abstract [en]

Survivors of neurologic injury (most commonly stroke or traumatic brain injury) frequently experience a disorder in which contralesionally positioned objects or the contralesional features of individual objects are often left unattended or underappreciated. The disorder is known by >200 unique labels in the literature, which potentially causes confusion for patients and their families, complicates literature searches for researchers and clinicians, and promotes a fractionated conceptualization of the disorder. The objective of this Delphi was to determine if consensus (≥75% agreement) could be reached by an international and multidisciplinary panel of researchers and clinicians with expertise on the topic.

To accomplish this aim, we used a modified Delphi method in which 66 researchers and/or clinicians with expertise on the topic completed at least 1 of 4 iterative rounds of surveys. Per the Delphi method, panelists were provided with results from each round prior to responding to the survey in the subsequent round with the explicit intention of achieving consensus. The panel ultimately reached consensus that the disorder should be consistently labeled spatial neglect. Based on the consensus reached by our expert panel, we recommend that researchers and clinicians use the label spatial neglect when describing the disorder in general and more specific labels pertaining to subtypes of the disorder when appropriate.

Place, publisher, year, edition, pages
Elsevier, 2024. Vol. 6, no 2, article id 100343
Keywords [en]
Consensus, Delphi technique, Neurologic rehabilitation, Perceptual disorders, Rehabilitation
National Category
Neurology
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URN: urn:nbn:se:umu:diva-226963DOI: 10.1016/j.arrct.2024.100343ISI: 001253697300001Scopus ID: 2-s2.0-85195542508OAI: oai:DiVA.org:umu-226963DiVA, id: diva2:1876336
Available from: 2024-06-24 Created: 2024-06-24 Last updated: 2025-04-24Bibliographically approved

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Fordell, Helena

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