Brain: Affects 80% of stroke patients, decision science teaches you how to improve cognitive recovery after stroke

Many modern medical interventions rely heavily on patients’ behavior, but lack effective tools to ensure patient compliance : some patients skip the necessary medications, while others only engage in half of the minimum required physical activity.
Some do not adhere to dietary recommendations at all
.

This is also true for rehabilitation after stroke

Many modern medical interventions rely heavily on patient behavior, but lack effective tools to ensure patient compliance Many modern medical interventions rely heavily on patient behavior, but lack effective tools to ensure patient compliance

Each year, 16 million people have their first stroke
.

In addition to physical defects, impairments in learning, memory, and executive function are common consequences of brain damage caused by stroke, affecting up to 80% of stroke survivors, and greatly reducing the independence, participation, quality of life and long-term patients.

Each year, 16 million people have their first stroke

Motivation models and tools developed in decision neuroscience and behavioral economics provide promising, but largely untapped clinical potential

How to use decision-making neuroscience to normalize the driving factors and resistance factors of behavior, and provide strategies to balance motivation and change behavior? Experts from the Institute of Clinical Neuroscience and Medical Psychology at the University of Düsseldorf School of Medicine in Germany used a strategy of early voluntary choice restriction ("pre-commitment") and tested whether it can increase severe damage The number of self-rehabilitation training for stroke patients
.

The results were published in the recent "Brain" magazine

In this randomized controlled study, stroke patients with working memory impairment (n = 83) were prescribed daily self-directed gamified cognitive training as a supplement to standard treatment during inpatient neurological rehabilitation after the acute phase
.

Patients assigned to pre-committed interventions can choose to limit competing options to self-directed training, especially the possibility of meeting with clients

Study design, recruitment, allocation and analysis

The results showed that all patients in the intervention group chose this pre-selection restriction, and it was very effective
.

Patients in the pre-commitment group performed the prescribed self-gaming cognitive training twice as many times as those in the control group without pre-commitment [50% vs 21% days, Pcorr = 0.

Patients in the pre-commitment group performed the prescribed self-gaming cognitive training twice as many times as those in the control group without pre-commitment [50% vs 21% days, Pcorr = 0.

In addition, additional self-directed cognitive training was associated with greater improvements in visuospatial and verbal working memory performance (Pcorr = 0.

Pre-commit the training effect of the combined intervention group
.

Pre-commitment enhances training behavior (AC)

It can be seen that additional interventions in neuroscience decision-making have significantly increased the number of effective cognitive training for severely impaired stroke patients
.
These results are worthy of comprehensive clinical trials that directly link decision-based neuroscience interventions to clinical results
.

It can be seen that additional interventions in neuroscience decision-making have significantly increased the number of effective cognitive training for severely impaired stroke patients
.
These results are worthy of comprehensive clinical trials that directly link decision-based neuroscience interventions to clinical results
.
It can be seen that additional interventions in neuroscience decision-making have significantly increased the number of effective cognitive training for severely impaired stroke patients
.
These results are worthy of comprehensive clinical trials that directly link decision-based neuroscience interventions to clinical results
.

 

references:

A decision-neuroscientific intervention to improve cognitive recovery after stroke , Brain, Volume 144, Issue 6, June 2021, Pages 1764–1773, https://doi.
org/10.
1093/brain/awab128

A decision-neuroscientific intervention to improve cognitive recovery after stroke in this message