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t-Test uses
Test variable must be continuous

Paired / Dependent Samples t-Test
Tests whether there is a statistically significant difference between two dependent sample means
Used when the SAME group is measured twice (e.g. before vs after)
Used when two groups are matched or paired on some basis
Design = within-subjects / dependent groups
IV = experimental condition with 2 levels
DV = continuous outcome (e.g. reaction time in milliseconds)
Hypotheses and NHST
H₀: μ₁ = μ₂ → μ₁ − μ₂ = 0 (no true mean difference)
Hₐ: μ₁ ≠ μ₂ → μ₁ − μ₂ ≠ 0 (a true mean difference exists)
Set α = .05
p < .05 → reject H₀ → statistically significant difference
p ≥ .05 → do not reject H₀ → not statistically significant
Paired t-Test assumptions
DV must be interval or ratio
Both sets of scores should be approx normally distributed
The DIFFERENCE SCORES should also be approx normally distributed
Cohen’s d
Measures the size of the difference between the two means in standard deviation units
Tells us practical significance / magnitude
Cohen’s d - interpretation

Reading a Paired t-Test Result
Look at the two means first to identify the direction of the difference
Use the p value to decide statistical significance
Use the 95% CI of the MEAN DIFFERENCE: if it includes 0, the difference is not statistically significant at α = .05
Use Cohen’s d to describe practical significance
Quasi-Experimental Design
Resembles an experimental design BUT there is no random allocation of participants into groups
Participants may self-select into groups or interventions may be assigned to pre-existing groups
Some have no control group
Used when: an RCT is not feasible, practical or ethical
Can support a relationship between an intervention/exposure and outcome
- Lack of randomisation makes alternative explanations harder to rule out
Quasi-Experimental Design - limitations
Practice/testing effects
Changes in the data-collection instrument
Lack of control over other variables
Types of Quasi-Experimental Design

Internal validity
Whether differences between study groups are due to the IV rather than confounding, bias or other explanations
Random chance: assess using p values and 95% CIs
Confounding: randomisation helps distribute differences between groups
Bias: blinding and placebo treatments can reduce systematic differences in data collection
Random Error vs Systematic Error

Selection Bias
Sample differs systematically from the population
Under- or over-representation of particular groups
Systematic differences in how participants are recruited into study groups
Low response rate can produce a sample that does not accurately represent the target population
Information Bias
Systematic differences in data collection, measurement or classification
Recall bias
Cases may remember previous exposures differently from controls
Reporting bias
Participants under-report or exaggerate responses
Recording bias
More info may be recorded for one group than another
Interviewer bias
Questions/recording differ between participants
Attrition/withdrawal bias
Loss to follow-up, especially if disproportionate between groups
Misclassification bias
Participants systematically classified incorrectly (e.g. exposed/non-exposed or diseased/disease-free)
Confounding
Effect of the study factor/exposure on the outcome is mixed with the effect of another variable
Should be related to the exposure AND be an independent risk factor for the outcome/disease
Ways to control confounding:
Randomisation: distributes differences between groups
Matching: controls matched to cases on factors such as age, sex or smoking
Stratified analysis: analyse separate subgroups (e.g. age groups, sex, smokers/non-smokers)
Hierarchy of evidence
