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Shiggins C, Ryan B, O'Halloran R, Power E, Bernhardt J, Lindley RI, McGurk G, Hankey GJ, Rose ML. Towards the consistent inclusion of people with aphasia in stroke research irrespective of discipline. Arch Phys Med Rehabil 2022; 103:2256-2263. [PMID: 35905771 DOI: 10.1016/j.apmr.2022.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 06/12/2022] [Accepted: 07/04/2022] [Indexed: 11/30/2022]
Abstract
People with aphasia have been systematically excluded from stroke research or included without the necessary modifications, threatening external study validity. In this paper, we propose that 1) the inclusion of people with aphasia should be considered as standard in stroke research irrespective of discipline and that 2) modifications should be made to stroke research procedures to support people with aphasia to achieve meaningful and valid inclusion. We argue that outright exclusion of this heterogenous population from stroke research based purely on a diagnosis of aphasia is rarely required and present a rationale for deliberate inclusion of people with aphasia in stroke research. The purpose of this paper is fourfold; 1) to highlight the issue and implications of excluding people with aphasia from stroke research; 2) to acknowledge the current barriers to including people with aphasia in stroke research; 3) to provide stroke researchers with methods to enable inclusion, including recommendations, resources, and guidance; and 4) to consider research needed to develop aphasia inclusive practices in stroke research.
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Affiliation(s)
- Ciara Shiggins
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia; School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Queensland Aphasia Research Centre, Brisbane, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; School of Health Sciences, University of East Anglia, Norwich, Norfolk, UK.
| | - Brooke Ryan
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia; University of Technology Sydney, Graduate School of Health, Clinical Psychology, Ultimo, NSW 2007, Australia; Speech Pathology, Curtin School of Allied Health, Curtin University, Perth, Australia
| | - Robyn O'Halloran
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia; School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia
| | - Emma Power
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia; University of Technology Sydney, Graduate School of Health, Speech Pathology, Ultimo, NSW 2007, Australia
| | - Julie Bernhardt
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia; Director, NHMRC Centre of Research Excellence Stroke Rehabilitation and Brain Recovery & Co-Head of Stroke Theme, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Australia
| | - Richard I Lindley
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia; Westmead Applied Research Centre; Faculty of Medicine and Health, University of Sydney
| | - Gordon McGurk
- Chairperson, Human Research Ethics Committee, Royal Brisbane and Women's Hospital; Chairperson, Human Research Ethics Committee A, University of Queensland; Member, Human Research Ethics Committee, Townsville Hospital and Health Service; Director, OmniAdvisory Consulting
| | - Graeme J Hankey
- Professor of Neurology, Medical School, Faculty of Health & Medical Sciences, The University of Western Australia, Australia
| | - Miranda L Rose
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia; School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia
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