2004
DOI: 10.1080/13682820410001681216
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Ask a silly question: two decades of troublesome trials

Abstract: Researchers in speech and language therapy have given too little attention to the basics of clinical outcome research. This requires that clinical and theoretical insights are used to identify specific therapies for well-defined groups of clients. These therapies must be tested first in efficacy, then in effectiveness studies, and their results should be disseminated to clinicians. Only then is it meaningful to carry out large-scale trials of the effectiveness of therapy provision for a client group or to cond… Show more

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Cited by 71 publications
(80 citation statements)
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“…It is well established that people with communication disorders are a heterogeneous group [16] . Heterogeneity within diagnostic categories poses enormous problems for research into treatment outcomes.…”
Section: The Populationmentioning
confidence: 99%
“…It is well established that people with communication disorders are a heterogeneous group [16] . Heterogeneity within diagnostic categories poses enormous problems for research into treatment outcomes.…”
Section: The Populationmentioning
confidence: 99%
“…Such restrictive criteria limit the extent to which the existing literature can be used to address questions regarding the value of aphasia treatment. On this point, we appreciate Tim Pring's (2004) appraisal of this situation in his essay entitled "Ask a silly question: Two decades of troublesome trials." We acknowledge that under ideal circumstances the best available evidence would consist of meta-analyses of high-quality randomized control trials.…”
Section: Introductionmentioning
confidence: 99%
“…heterogeneity, efficacy vs effectiveness) are perpetuated, which presents barriers to building a robust evidence base. A prime example is the paper titled Ask a silly question: two decades of troublesome trials 23 which, despite including several valid pro-RCT comments, tends to be wrongly interpreted as proof that RCTs are inappropriate for SL therapy.…”
Section: Evidence For Speech and Language Therapy For People With Aphmentioning
confidence: 99%