Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. We examined similarities and differences in cultural values, beliefs, and experiences between OTs in Taiwan and the United States with respect to the delivery of a strategy-training intervention approach to stroke survivors. Findings of this study increase understanding of the distinctions between strategy training and traditional rehabilitation practice and highlight the potential factors that may affect the delivery of strategy training to stroke survivors in different cultural contexts. Primary Author and Speaker: Feng-Hang Chang Contributing Authors: Jessica Kersey, Chao-Yi Wu, Minmei Shih, Beth Fields, and Elizabeth Skidmore

Importance: Self-awareness of deficits, or the ability to understand the effects of impairments on daily life, is often diminished after a stroke. Diminished self-awareness influences participation in rehabilitation and functional outcomes. Objective: To examine whether self-awareness of deficits changed over time after a stroke (N = 43) and whether metacognitive strategy training (n = 21) resulted in improved self-awareness compared with direct skill training (n = 22). Design: Secondary analysis of data collected from a randomized controlled trial. Setting: Inpatient stroke rehabilitation. Participants: Adults with cognitive impairments after an acute stroke. Intervention: Metacognitive strategy training is an approach in which clients are guided through a process of self-assessment and develop solutions for barriers to task performance. This approach was compared with direct skill training, in which the therapist provides specific instructions for task completion, removing the client-initiated assessment and problem-solving components. Outcomes and Measures: Self-awareness measures included the Self-Regulation Skills Interview and Self-Awareness of Deficits Interview at baseline and 3 mo and 6 mo after the intervention. We used a one-way analysis of variance (ANOVA) to analyze change in self-awareness and a two-way ANOVA to examine differences between groups over time. Results: There was a statistically significant and potentially meaningful difference over time in the self-awareness domain of strategy behavior, F(2) = 3.35, p = .039, but there were no differences in improvements between the metacognitive strategy and direct skill training groups. Conclusions and Relevance: Self-awareness warrants further investigation to determine whether it improves naturally over time or through both interventions after stroke. What This Article Adds: Self-awareness of deficits, and the use of strategies in particular, may improve in the early stages of stroke recovery, but the optimal approach for intervention remains unclear.

Date Presented 4/9/2016 This study analyzed the effect of an interdisciplinary rehabilitation program on functional performance and followed the recovery process of participants over a 1-yr period. Survivor community participation and life satisfaction along with family and caregiver burden are discussed. Primary Author and Speaker: Jennifer Weaver Additional Authors and Speakers: Steven Wheeler, Jessica Kersey

Date Presented 4/16/2015 This poster presentation details the results of a longitudinal study on recovery from traumatic brain injury (TBI) both during and after interdisciplinary functional rehabilitation. Outcome variables include client functioning and self-reported life satisfaction as well as postdischarge caregiver burden.