Efficacy of computer versus group memory training for memory rehabilitation post-stroke

Inclusion criteria: *diagnosis of stroke occurring at least three months prior to the intervention start date *Sufficient English language and cognition to ensure successful and valid completion of outcome measures and rehabilitation *Access to a computer and the internet and computer proficiency necessary to navigate through an online platform of training *Subjective (self or other) memory complaints *Ability to attend weekly memory groups held at Notting Hill, the Austin hospital or Monash Health sites Exclusion criteria: *History of other neurological conditions such as epilepsy and traumatic brain injury *Diagnosis of dementia or mild cognitive impairment *Diagnosis of transient ischemic attack (TIA) rather than stroke *History of psychiatric or medical issues impacting upon cognition. Participants will be randomly allocated into one of three conditions; restoration, compensation or a wait list control group. Participants allocated into the restoration condition will be asked to complete six weeks of computer memory training while participants in the compensation condition will be asked to attend a face to face memory group once a week for six weeks. Further details of each respective intervention are provided below. For the computer memory training (i.e. restoration condition), participants will be required to complete a project specific suite of memory games developed in collaboration with Lumos labs. Training is completed on a computer at home for 30 minutes, five times per week for six weeks. Participants can flexibly decide upon which days and times to train . There are 13 different memory games that form apart of the training, with each session alternating between these games. Researchers will be in regular contact with participants throughout the 6 week training period to address any concerns or technical complications. Frequency of training will be monitored electronically by researchers. For the group memory sessions (i.e. compensation), participants will be required to attend a face to face memory skills group for 2 hours on a weekday for a six week period. The groups are held in Notting Hill, the Austin Hospital and Monash Health sites and are run by neuropsychologists who have experience in the field of brain injury. Groups provide participants with education surrounding the impact of stroke on memory and cover a number of strategies that aim to minimise the impact of these changes on daily functioning. For instance, the group covers strategies that may be helpful to remember peoples names. Compliance with group training will be monitored using a register of attendance at each session. We will attempt to match participants to the closest group where possible. Finally all participants will be asked to complete 'pen and paper' memory tasks immediately prior to the rehabilitation, immediately following the rehabilitation and at a six week follow up. Goal Attainment Scaling will be used to evaluate the extent to which participants percieve thier personalised memory goals were accomplished during the course of the intervention. Total score on Royal Prince Alfred Prospective Memory Task (RPA‐ProMem) ;Total self reported memory failures on the Everyday Memory Questionnaire‐Revised ;Bilateral working memory performance as assessed by aged scaled scores on Digits backwards and Spatial span subtest of the Wechsler Adult Intelligence Scale Fourth Edition (WAIS‐IV) and Wechsler Memory Scale Fourth Edition (WMS‐IV) respectivley;Visual memory and learning T‐scores on the Brief Visuospatial Memory Test Revised (BVMT‐R);Other reports of patient memory failure assessed on the other version of the Comprehensive Assessment of Prospective Memory (CAPM‐other);Quality of life as assessed by the Assessment of Quality of Life (AQoL‐8D);Anxiety total scores on the Hospital Anxiety and Depression Scale (HADS);Self reported prospective memory failures on the Comprehensive Assessment of Prospective Memory (CAPM);Depression total score on the Hospital Anxiety and Depression Scale (HAD )