People with aphasia: capacity to consent, research participation and intervention inequalities

Marian C. Brady, Alex Frederick, Brian Williams

Research output: Contribution to journalArticlepeer-review

59 Citations (Scopus)


Of 14 randomized controlled trials included in the recent Cochrane review of the evidence relating to information provision after stroke, only one included people with aphasia with the remainder either excluding this patient sub-group (10/14 trials) or failing to report any exclusion criteria. A third of people that experience a stroke will also experience aphasia, affecting their speaking, understanding, reading, and writing. The pervasive supposition that people with aphasia lack the capacity to make decisions for themselves is flawed and has the potential to lead to inequalities in care. We highlight the degree to which people with aphasia have been excluded from full participation in some areas of stroke research and the potential clinical consequences of their systematic exclusion.
Original languageEnglish
Pages (from-to)193–196
Number of pages4
JournalInternational Journal of Stroke
Issue number3
Early online date6 Nov 2012
Publication statusPublished - 1 Apr 2013


  • aphasia
  • stroke


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