Equipoise, Informed Consent and Clinical Research It is worthwhile to reflect on some ethical issues that are inherent in performing clinical research. The practice of dysphagia management is likely the most medically related aspect of the field of speech-language pathology. We have an increasing obligation to our patients and to the medical community to demonstrate ... Article
Article  |   June 01, 2002
Equipoise, Informed Consent and Clinical Research
Author Affiliations & Notes
  • Lynne C. Brady Wagner
    Spaulding Rehabilitation Hospital, Boston, MA
Article Information
Swallowing, Dysphagia & Feeding Disorders / Research Issues, Methods & Evidence-Based Practice / Articles
Article   |   June 01, 2002
Equipoise, Informed Consent and Clinical Research
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), June 2002, Vol. 11, 22-23. doi:10.1044/sasd11.2.22
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), June 2002, Vol. 11, 22-23. doi:10.1044/sasd11.2.22
It is worthwhile to reflect on some ethical issues that are inherent in performing clinical research. The practice of dysphagia management is likely the most medically related aspect of the field of speech-language pathology. We have an increasing obligation to our patients and to the medical community to demonstrate clear evidence that our practices and recommendations are efficacious (Mike, 1999; Pellegrino, 1999). Our research base has grown in the past 20 years and is largely founded on single case and small group studies. The ethical mandate that clinicians use interventions based on sound evidence, rather than anecdotal experience, is very important (Mike, 1999). If a treatment has not been studied in a large, controlled fashion, therapists should be in equipoise, “i.e., a state of genuine uncertainty about the risks and benefits of alternative interventions or non-interventions” (Lyerly & Mahowald, 2001, p. 151).
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