Does the Volunteer Stroke Scheme improve social outcome after stroke? A response to Geddes and Chamberlain

Abstract

A recent study by Geddes and Chamberlain (Clin Rehabil 1994; 8: 116-26) claimed that the Volunteer Stroke Scheme was particularly effective in bringing about 'social recovery' in patients with communication problems after stroke. This response argues that Geddes and Chamberlain present very little evidence to support this claim. Failings are identified in the group design, the selection of evaluation measures and the analysis of results. It is also argued that, in the current market climate of the National Health Service, such inflated claims from evaluation studies could seriously mislead purchasers. In conclusion, alternative methodologies for this type of evaluation are suggested.

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