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SMILE trial
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==Criticisms== [[James Coyne]] has criticized Crawley's work with regard to public availability of data & the involvement of Phil Parker in the SMILE study.<ref>[https://jcoynester.wordpress.com/2016/06/04/why-patients-should-not-enroll-in-a-clinical-trial-of-video-gaming-treatment-for-chronic-fatigue-syndrome/ James Coyne's criticisms of the work of Esther Crawley]</ref> [[Daniel Clark]] has noted that the primary outcome measure was changed from school attendance to scores on a self-report questionnaire after the trial was registered, a process known as [[outcome swapping]]. Before the publication of trial, he stated, "Given that LP involves making claims to patients about their own ability to control symptoms in exactly the sort of way likely to lead to [[response bias]], it seems very likely that this trial will now find LP to be 'effective'."<ref>[http://skepdic.com/lightningprocess.html Daniel Clark<nowiki>''</nowiki>s criticism on Skepdic website]</ref> The study only received final [[Ethical issues|ethical]] approval after prolonged protests from patient groups in January 2011.<ref>[http://www.meassociation.org.uk/2011/01/ethics-committee-finally-approves-controversial-pilot-into-lightning-process-and-children-with-mecfs/ Ethics Committee finally approves SMILE (January 2011)]</ref> Patient advocate [[John Peters]] has criticized the study.<ref>{{Cite web|url=https://johnthejack.com/2017/07/02/the-smile-trial-part-1/ | title = THE SMILE TRIAL (part 1)| date = 2017-07-02 | website = johnthejack|language=en|access-date=2019-07-16}}</ref><ref>{{Cite web|url=https://johnthejack.com/2017/07/05/smile-trial-part-2/ | title = THE SMILE TRIAL (part 2)| date = 2017-07-05 | website = johnthejack|language=en|access-date=2019-07-16}}</ref><ref>{{Cite web|url=https://johnthejack.com/2017/07/09/the-smile-trial-part-3/ | title = THE SMILE TRIAL (part 3)| date = 2017-07-09 | website = johnthejack|language=en|access-date=2019-07-16}}</ref> Dr [[David Tuller]] has severely criticised the SMILE trial.<ref>{{Cite web|url=http://www.virology.ws/2017/12/13/trial-by-error-the-smile-trials-undisclosed-outcomes/ | title = Trial By Error: The SMILE Trial’s Undisclosed Outcome-Swapping | last = Tuller | first = David | authorlink = David Tuller | date = Dec 13, 2017 | website = [[Virology blog]]|archive-url=|archive-date=|url-status=|access-date=2019-07-16}}</ref> Frown at Smile - This blog concerns what is widely believed to be an '''unethical '''pilot study ('''SMILE''') of a non-medical training programme ('''The Lightning Process''') on children with the neuro-immune disease '''myalgic encephalomyelitis''', also referred to as '''chronic fatigue syndrome''' or '''ME/CFS'''. (https://frownatsmile.wordpress.com/)
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