Spatial neglect is a syndrome due to impaired neural networks critical for spatial attention and related cognitive and motor functions. Affected individuals also have impaired self-awareness of their own neglect symptoms. The present randomized controlled study was the first proof-of-concept pilot examining the multi-context treatment approach using a protocol of spatial exploration strategy training in one brief session (20-30 minutes). The therapist provided supportive feedback and semi-structured guidance to promote strategy learning and self-discovery of omission errors. 40 patients with left-sided neglect after right brain stroke were included. The results showed that the treatment reduced lateralized bias toward the ipsilesional side of space but did not improve overall detection performance. Impaired general self-awareness of daily-life spatial difficulties was found independent of treatment outcome. This implies that judgment regarding responsiveness to treatment should not be made based on an awareness interview or the severity of neglect symptoms. Lastly, the treatment showed the potential of improving online contextual self-awareness of spatial abilities. A collaborative and interactive approach that focuses on helping the patient self-discover, monitor and self-manage their errors, appears to have a potential for decreasing neglect symptoms. Future studies are required to examine additional aspects of the multi-context treatment approach.

中文翻译：

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空间忽视的空间探索策略训练：一项试点研究

空间忽视是一种由于对空间注意力和相关认知和运动功能至关重要的神经网络受损而导致的综合症。受影响的人对自己的忽视症状的自我意识也受损。目前的随机对照研究是第一个在一个简短的会议（20-30 分钟）中使用空间探索策略训练协议检查多情境治疗方法的概念验证试点。治疗师提供支持性反馈和半结构化指导，以促进策略学习和自我发现遗漏错误。纳入 40 例右脑卒中后左侧忽视患者。结果表明，该治疗减少了对空间同侧的偏向，但没有提高整体检测性能。发现日常生活空间困难的一般自我意识受损与治疗结果无关。这意味着不应根据意识访谈或忽视症状的严重程度来判断对治疗的反应。最后，该治疗显示了提高空间能力的在线情境自我意识的潜力。专注于帮助患者自我发现、监控和自我管理错误的协作和交互方法似乎有可能减少忽视症状。未来的研究需要检查多情境治疗方法的其他方面。这意味着不应根据意识访谈或忽视症状的严重程度来判断对治疗的反应。最后，该治疗显示了提高空间能力的在线情境自我意识的潜力。专注于帮助患者自我发现、监控和自我管理错误的协作和交互方法似乎有可能减少忽视症状。未来的研究需要检查多情境治疗方法的其他方面。这意味着不应根据意识访谈或忽视症状的严重程度来判断对治疗的反应。最后，该治疗显示了提高空间能力的在线情境自我意识的潜力。专注于帮助患者自我发现、监控和自我管理错误的协作和交互方法似乎有可能减少忽视症状。未来的研究需要检查多情境治疗方法的其他方面。似乎有可能减少忽视症状。未来的研究需要检查多情境治疗方法的其他方面。似乎有可能减少忽视症状。未来的研究需要检查多情境治疗方法的其他方面。