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The problem of bias in behavioural intervention studies

Lessons from the Pace trial

Bibliographic Data

ID4229365
AuthorsCarolyn Wilshire (Victoria University of Wellington), Carolyn E Wilshire (0000-0002-0126-4708, corresponding author)
Year2017
Volume22
Issue9
Pages1128-1133
Publication date2017-08-01
Open AccessYes
TypeARTICLE
VenueJournal of Health Psychology (JOURNAL)
Journal identifiersISSN: 1359-1053 • E-ISSN: 1461-7277
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1359105317700885
PMID28805526
OpenAlexW2602340560
LanguageEN
Citations received3
References cited18

Geraghty's recent editorial on the PACE trial for chronic fatigue syndrome has stimulated a lively discussion. Here, I consider whether the published claims are justified by the data. I also discuss wider issues concerning trial procedures, researcher allegiance and participant reporting bias. Cognitive behavioural therapy and graded exercise therapy had modest, time-limited effects on self-report measures, but little effect on more objective measures such as fitness and employment status. Given that the trial was non-blinded, and the favoured treatments were promoted to participants as 'highly effective', these effects may reflect participant response bias. In non-blinded trials, the issue of reporting biases deserves greater attention in future

Clinical trial · Cognition · Intervention (counseling · Pace · Physical therapy · Psychiatry · Randomized controlled trial · Behavioral Health and Interventions · Fibromyalgia and Chronic Fatigue Syndrome Research · Medicine · Olfactory and Sensory Function Studies · Psychology · Clinical Psychology

  • Intense Meditation-Related Experiences (Imres) and Perceived Impacts on Self and Worldview

    Open Access•Tom Wood, Merle Kock et al.•Mindfulness•2026

  • Further commentary on the Pace trial

    Open Access•Keith J Geraghty•Journal of Health Psychology•2017

  • Medically Unexplained Physical Symptoms

    Open Access•Lisa M Mcandrew, Myrna L Friedlander et al.•The Counseling Psychologist•2019

  • Consort 2010 Statement

    Open Access•the CONSORT Group, Kenneth F Schulz et al.•BMC Medicine•2010

  • Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (Pace)

    Open Access•Peter D White, PD White et al.•The Lancet•2011

  • Pace-Gate

    Open Access•Keith J Geraghty•Journal of Health Psychology•2017

Citations per year0.33
Citation span2017 - 2026 (10)
Highly citedNo

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Open DOISci-HubOpen Access
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