Attentional therapy for the treatment of neglect disorder

INTERVENTION: Participants will be randomised into two groups; 1) Therapy VR, 2) Control VR. Both groups will receive the same exposure to VR stimulation. Therapy VR will induce smooth pursuit eye movements and encourage spatial attention to the affected side (usually left) while Control VR will consist of playing a game using vertical eye movements only so no expectation that this will improve neglect. The VR stimulation will be delivered 5 days a week for 2 (min)‐3 (max) weeks. Participants will be assessed on our outcome measures twice before, once during and twice after the intervention. Participants will complete 5 assessment sessions (T1‐T5).Assessments all relate to behavioral tests, eye movement tests, functional questionnaires (for attending staff or carers). CONDITION: Neglect disorder following stroke ; Nervous System Diseases PRIMARY OUTCOME: ; 1. Neglect measured using Free Exploration test (based on eye movements when viewing standardised images) at baseline, pre‐intervention, daily during the intervention, and at post‐intervention follow up; 2. Neglect measured by behavioural inattention cancellation test at baseline; 3. Neglect measured using Catherine Bergego Scale at baseline, pre‐intervention, and at post‐intervention follow up by questionnaire for staff; SECONDARY OUTCOME: ; 1. Length of stay in an inpatient setting measured using statistics about length of stay during the two groups from patient records; 2. Participant reported outcome measures (PROMS) involving a semi‐structured interview; INCLUSION CRITERIA: 1. 18 years or older 2. Any type of acute stroke 3. Evidence of clinically significant neglect 4. Able to tolerate the use of Virtual Reality hardware and software 5. Willing and able to provide written informed consent