Journal of health sciences, Hiroshima University Volume 3 Issue 1
2003-11-28 発行


The effect of “Approach for Encouraging Patients' Initiative" for patients with unilateral spatial neglect
Ando, Yoshihiko
Hatta, Tatsuo
Kamakura, Noriko
Unilateral Spatial Neglect (USN) is common after right hemisphere brain damage and has beenfound to be an important predictor of functional ability after injury. In this study, the focus was on patients'own initiative to see if this initiative helps improve their USN. In this study, “Approach for EncouragingPatients'Initiative"is designed to encourage patients to acknowledge their neglect symptoms, and to planand acquire some compensations while doing their favorite tasks. The experiment was carried out on 2 cases using a single case design (A-B-A'). The independentvariable is considered to be “Approach for Encouraging Patients'Initiative", and the dependent variable tobe USN quantity. A series of 10 sessions for each of the A-B-A'stages were held at the frequency of 3-4times a week. The Behavioral Inattention Test (BIT) was administered at the beginning and at the end ofthe experiment, 4 times in total, in order to examine the degree of the generalization. As a result, both ofthe 2 cases on USN quantity showed an improvement at the B stage, and the BIT experiment alsoindicated an improvement at the end of the B stage. It allowed the compensatory methods acquired at theB stage to be used in the following A'stage. Voluntary comments about USN were also noted. It issuggested that “Approach for Encouraging Patients'Initiative"can prompt the patients'awareness ofUSN, plus the acquisition and expansion of its compensation methods.
unilateral spatial neglect
therapeutic approach
single-case design