Learning Outcomes

  • Define key research concepts: population, sample, sampling frame, generalisation, bias.
  • Differentiate major sampling methods in health and dental research.
  • Explain the influence of sampling on validity and generalisability.
  • Identify common bias sources in oral health studies.
  • Assess quality of oral therapy research.
  • Interpret findings with an understanding of sampling and bias effects.

Sampling Concepts

  • Sample: Group representing a larger population in research.
  • Population vs Sample:
    • Population: Entire group of interest.
    • Sample: Subset studied.

Importance of Sampling

  • Impractical to study entire population.
  • Well-chosen samples enable inference to the whole population.
  • Sample representativeness affects trustworthiness of findings.

Population Types

  • Target Population: Ideal group for generalisation.
  • Accessible Population: Available group for recruitment; often differs from target due to limitations (time, cost, ethics).

Sampling Methods

  • Probability Sampling: Random selection; unbiased samples; allows generalisation.
  • Non-Probability Sampling: Non-random selection; practical but may introduce bias.

Types of Probability Sampling

  • Simple Random Sampling: Equal chance for all individuals.
  • Systematic Sampling: Selected at regular intervals.
  • Stratified Sampling: Divided into subgroups, random samples from each.
  • Cluster Sampling: Entire groups are selected first.

Types of Non-Probability Sampling

  • Convenience Sampling: Easiest participants recruited.
  • Quota Sampling: Pre-set categories filled non-randomly.
  • Snowball Sampling: Participants recruit others from their network.

Sample Size Considerations

  • Too small: Unreliable results; risk of missing differences.
  • Too large: Unnecessary costs and burden.
  • Sample size influenced by:
    • Research design.
    • Expected effect size.
    • Statistical power.
    • Population variability.

Generalizability (External Validity)

  • Extent findings can apply to other settings/groups.
  • Generalizable when sample accurately represents the population.
  • Affected by biased samples and narrow criteria.

Bias in Research

  • Bias: Systematic error distorting findings.
  • Types of Bias:
    • Sampling Error: Method inadequacy alters representativeness.
    • Selection Bias: Systematic manipulation during enrollment.
    • Allocation Bias: Differences in participant group characteristics.
    • Observer Bias: Researcher expectations affect measurements.
    • Recall Bias: Participants misremember past events.
    • Reporting Bias: Selective reporting of positive behaviours.

Mitigating Bias

  • Techniques to reduce bias include randomisation, blinding, standardised data collection, and ensuring representative samples.