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clinical trials
medical experiments involving human subjects
nonadherers
subjects who participate but don’t follow the experimental treatment
dropouts
subjects who begin the experiment but do not complete it
cause systematic bias
matched pair design:
compares 2 treatments by choosing pairs of subjects that are as closely matched as possible. sometimes a “pair” is one subject who gets both treatments (one on each arm, etc)
block
a group of experimental subjects that are known before the experiment ot be similar in some way
expected to affect the response to the treatment
advantages of block designs
allows us to draw separate conclusions about each block
allows more precise overall conclusions
control outside variables
institutional review board
reviews all planned studies in advance in order to protect the subjects from possible harm. can require changes to the study or consent form
informed consent
subjects must be informed in advance about the nature of a study and any risk of harm it may bring
The subjects should be told what kinds of questions the survey will ask and about how much of their time it will take.
Experimenters must tell subjects the nature and purpose of the study and outline possible risks.
Subjects must then consent, usually in writing
assent
children give this, their agreement to participate in the study. must also have their parent(s) or guardian(s) permission that meets the standards of informed consent.
how to reduce bias
use a better instrument to make the measurements
improve reliability
by repeating a measurement several times and using the average result.
double blind experiment
means that neither the participants nor the researchers know which people received which treatment
basic requirement of comparative experiments
equal treatment for all subjects except for the actual treatments the experiment is
comparing
refusals
when people refuse to participate in a study
can cause bias (if the a lot of a similar group of people refuse, it will become biased)
generalizing
most common weakness in experiments is that we cannot generalize the conclusions widely. Some experiments apply unrealistic treatments, some use subjects from some special group such as college students, and all are performed at some specific place and time. We want to see similar experiments at other places and times confirm important findings.
basic completely randomized experiments
divides all the subjects among all the treatments in one randomization
keys to convincing experiments
randomization, control, and adequate numbers of subjects
confidential
no outside parties have access to individual data
anonymity
subjects’ names are not known to anyone involved in the study, not even to the director of the study. It is not possible to determine which subject produced which data
sources of bias in clinical trials
refusals, nonadherers (taking another drug outside of the one being tested could skew results), and dropouts (If subjects drop out because of their reaction to one of the treatments, bias can result)
potential barriers of informed consent
possible risks
long consent forms
inability to read consent forms
scared of possible side-effects
to measure something
to assign a number to some property of an individual
variable
result of measurement that takes different values for different people or things
units
used to record measurements/variables
validity
a variable is a valid measure of a property if it is relevant or appropriate as a representation of that property
a rate is a more valid measure than a simple count
predictive validity
used when we want to measure human personality and other vague properties
errors in measurement
reduce value of the data
measured value = true value + bias + random error
reliability
if random error is small or 0, the measurement is reliable — can still be biased
means that the result is dependable
smaller random error = more reliable
random error
repeated measurements on the same individual give different results
round off errors
sum may be slightly off (more than 100%) bc of rounding errors
distribution of a variable
tells us what values it takes and how often it takes those values
bar graph
better for making comparisons of the sizes of categories
if there is a natural ordering of the variable, it can be displayed along the horizontal axis of the bar graph, but not easily displayed in a pie chart
can display entire distribution or display only a few categories
pie chart
displays the percentage for each category (not count), and only works if you have all the categories (must add to 100%)
trend
long-term upward or downward movement over time (line graph)
seasonal variation
pattern that repeats itself at known regular intervals of time (line graph)