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Rich TJ, Williams LJ, Bowen A, Eskes GA, Hreha K, Checketts M, Mancuso M, Fordell H, Chen P. An International and Multidisciplinary Consensus on the Labeling of Spatial Neglect Using a Modified Delphi Method. Arch Rehabil Res Clin Transl 2024; 6:100343. [PMID: 39006109 PMCID: PMC11240031 DOI: 10.1016/j.arrct.2024.100343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/16/2024] Open
Abstract
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.
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Affiliation(s)
- Timothy J. Rich
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ, United States
- Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ, United States
| | - Lindy J. Williams
- Allied Health and Human Performance Academic Unit, University of South Australia, Adelaide, South Australia, Australia
| | - Audrey Bowen
- Manchester Centre for Health Psychology, and the Geoffrey Jefferson Brain Research Centre, University of Manchester, Salford, United Kingdom
| | - Gail A. Eskes
- Departments of Psychiatry and Psychology & Neuroscience, Life Sciences Centre - Oceanography, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Kimberly Hreha
- Department of Orthopaedic Surgery, Occupational Therapy Doctorate Division, Duke University School of Medicine, Durham, NC, United States
| | - Matthew Checketts
- Geoffrey Jefferson Brain Research Centre, The Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Salford, United Kingdom
| | - Mauro Mancuso
- Physical and Rehabilitative Medicine Unit, Italian National Health Service Az-Azienda, USL, Tuscany, Italy
| | - Helena Fordell
- Department of Clinical Science, Neurosciences, Umeå University, Umeå, Sweden
| | - Peii Chen
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ, United States
- Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ, United States
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Wegner-Clemens K, Malcolm GL, Shomstein S. Predicting attentional allocation in real-world environments: The need to investigate crossmodal semantic guidance. WILEY INTERDISCIPLINARY REVIEWS. COGNITIVE SCIENCE 2024; 15:e1675. [PMID: 38243393 DOI: 10.1002/wcs.1675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 12/01/2023] [Accepted: 12/07/2023] [Indexed: 01/21/2024]
Abstract
Real-world environments are multisensory, meaningful, and highly complex. To parse these environments in a highly efficient manner, a subset of this information must be selected both within and across modalities. However, the bulk of attention research has been conducted within sensory modalities, with a particular focus on vision. Visual attention research has made great strides, with over a century of research methodically identifying the underlying mechanisms that allow us to select critical visual information. Spatial attention, attention to features, and object-based attention have all been studied extensively. More recently, research has established semantics (meaning) as a key component to allocating attention in real-world scenes, with the meaning of an item or environment affecting visual attentional selection. However, a full understanding of how semantic information modulates real-world attention requires studying more than vision in isolation. The world provides semantic information across all senses, but with this extra information comes greater complexity. Here, we summarize visual attention (including semantic-based visual attention), crossmodal attention, and argue for the importance of studying crossmodal semantic guidance of attention. This article is categorized under: Psychology > Attention Psychology > Perception and Psychophysics.
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Affiliation(s)
- Kira Wegner-Clemens
- Psychological and Brain Sciences, George Washington University, Washington, DC, USA
| | | | - Sarah Shomstein
- Psychological and Brain Sciences, George Washington University, Washington, DC, USA
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Sanocki T, Lee JH. Attention-Setting and Human Mental Function. J Imaging 2022; 8:159. [PMID: 35735958 PMCID: PMC9224755 DOI: 10.3390/jimaging8060159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 05/02/2022] [Accepted: 05/20/2022] [Indexed: 02/04/2023] Open
Abstract
This article provides an introduction to experimental research on top-down human attention in complex scenes, written for cognitive scientists in general. We emphasize the major effects of goals and intention on mental function, measured with behavioral experiments. We describe top-down attention as an open category of mental actions that initiates particular task sets, which are assembled from a wide range of mental processes. We call this attention-setting. Experiments on visual search, task switching, and temporal attention are described and extended to the important human time scale of seconds.
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Affiliation(s)
- Thomas Sanocki
- Department of Psychology, University of South Florida, Tampa, FL 33620, USA;
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