37. INTERVENTIONAL STUDIES Flashcards
1
Q
- Which studies are conducted in the present time period?
A
- Cross Sectional Studies
2
Q
- Which studies are aimed at analysing future results?
A
- Prospective Cohort Studies
- Randomised Controlled Trials
3
Q
- Which studies look at the past?
A
- Retrospective Cohort Studies
- Case Control Studies
4
Q
- What is an Analytical Study?
A
- this is when you compare groups
- the researcher does have some kind of influence
5
Q
- What is a Descriptive Study?
A
- this is when you describe what you see in nature
- the researcher has no influence
EXAMPLES:
- Case Reports
- Case Series studies
6
Q
- What are Experimental (intervention) Studies?
A
- the researcher in this study completely controls the
exposure
THEY CONTROL THE FOLLOWING ASPECTS OF THE EXPOSURE:
- type
- amount
- duration
- randomisation
RANDOMISATION:
- how the exposure will be distributed to the population
7
Q
- What is the most vigorous type of study design?
A
- Experimental (Intervention) Studies
THIS IS BECAUSE OF:
- Random Assignment
- Concealment
- Blinding
8
Q
- What effect does Random Assignment have?
A
- it reduces the Confounding Bias
9
Q
- What effect does Concealment have?
A
- it reduces Selection Bias
10
Q
- What does Blinding reduce?
A
- it reduces the Biased Measurement
- this means that it reduces information bias
11
Q
- When looking at an Experimental (Intervention0 Study, what can be said about the conclusions made about the Exposure-Outcome association?
A
- these conclusions are accurate
- this is because of the Prospective Design of the study
- it is because of the High Internal Validity of the trials
12
Q
- What are the disadvantages of Trials?
A
- they are not always possible
- they are not always appropriate
- they are not always ethical
13
Q
- What is necessary to compare groups in an Experimental (Intervention) Study?
A
- there needs to be Randomised Control Trials
- there needs to be Non-Randomised Control Trials
14
Q
- What are the four different types of Trials we have in Experimental (Intervention) Studies?
A
- Prophylactic Trials
- Treatment Trials
- RCT Trials
- Community (Cluster) Trials
15
Q
- Define: Prophylactic Trials.
A
- these trials evaluate the efficiency of the intervention
- this intervention is designed to prevent disease
EXAMPLES OF INTERVENTIONS:
- vaccines
- vitamin supplements
- patient education
16
Q
- Define: Treatment Trials.
A
- these trials evaluate the efficacy of curative drugs
- they evaluate the efficacy of interventions
- they evaluate the efficacy of drugs that are designed to
manage signs and symptoms of a disease
17
Q
- Define: RCT Trials.
A
- these are trials that use individuals
- these are tightly controlled trials
- they are narrowly focused
- they use highly selected groups
- they can be a short or long trial
18
Q
- Define: Community (Cluster) Trials.
A
- they are trials that look at cities, regions, schools or
hospitals - they are less rigid
- they are aimed at a group of individuals
- they are long trials
- they are used for prevention
19
Q
- Define: Clinical Trail Phases.
A
- they are designed to answer a specific research
question
20
Q
- How many phases are there to Clinical Trials?
A
- there are 4 phases
21
Q
- What is Phase I of Clinical Trials?
A
- the researchers test a new drug or treatment
- they test it on a small group of people for the first time
- they do this to evaluate its safety
- they want to determine a safe dosage
- they want to see the side effect
- there is no control group in this Phase
22
Q
- What is Phase II of Clinical Trials?
A
NB:
- we only move onto this phase if Phase I has passed all
the safety requirements
- the drug is given to a larger group of people
- this aims to see if the drug is effective
- this is a form of outcome assessment
- this phase aims to further evaluate the safety of the
drug - there is no control group included
23
Q
- What is Phase III of Clinical Trials?
A
- the drug is given to a large group of people
- this aims to confirm its effectiveness
- it monitors the side effects
THESE RESULTS ARE THEN COMPARED TO:
- commonly used treatments or placebos
- this allows us to collect information on how we can use
the drug safely
24
Q
- What is Phase IV of Clinical Trials?
A
- these are the studies that are done after the drug has
been marketed - they allow us to gather information about the drug’s
effects in various populations - it lets us track any side effects of the drug’s long term
use