After rejecting the null hypothesis in a repeated measures ANOVA, post hoc tests are needed to determine where the significant differences lie among the population means.
Potential Explanations for Significant Differences
When a repeated measures ANOVA indicates a significant difference, several explanations are possible:
No difference between pre-treatment and one-month post-treatment, but a significant difference at six months post-treatment due to delayed treatment effects.
One month post-treatment is significantly different from both pre-treatment and six months post-treatment, indicating a temporary effect.
Pre-treatment scores are significantly different from both one-month and six-month post-treatment scores, suggesting a sustained treatment effect.
All three time points (pre-treatment, one month, and six months) are significantly different from each other, indicating continuous change over time.
Importance of Identifying the Correct Explanation
Determining the correct explanation is crucial for understanding the treatment's effectiveness and making informed decisions about future treatment modifications.
Pairwise Comparisons
Post hoc tests involve making pairwise comparisons to identify specific differences between time points.
For the example, the following comparisons are needed:
Pre-treatment vs. one month post-treatment
Pre-treatment vs. six months post-treatment
One month post-treatment vs. six months post-treatment
Tukey's Honestly Significant Difference (HSD) Test
Tukey's HSD test is used for pairwise comparisons in repeated measures ANOVA.
The formula is similar to the one used in independent samples ANOVA, but with MS error in the numerator instead of MS within treatments.