Exam 1 Flashcards

1
Q

Name examples of Experimental Studies

A

Controlled, Uncontrolled, Single/double blinded, Randomization, self controls, external controls

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2
Q

What is a Case-Series?

A

Researcher rep[orts on certain characteristics within a group, or series, of patients and describes in published report.
usu short time span, no control subjects by definition,
not planned in advance, no hypothesis.
PLAY IMPORTANT ROLE AS PRECURSOR TO OTHER STUDIES

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3
Q

What is a Case-Control Study?

A

Retrospective (backward-looking) over an extended period of time. Goes from outcome –> risk factors, tries to find out why.
Has a control group.
Begins with presence/absence of an outcome and then looks back to try to detect possible causes (maybe suggested in case-series report?)

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4
Q

What is a Cross-Sectional study?

A

a survey.
analyses data collected on a group of subjects at one time.
aka- prevalence studies

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5
Q

What is a Cohort Study?

A

Prospective (forward looking) ask, “what will happen?” sets up the rules first.
usu. long term, participants may be seen many times.
The “cadillac” of observational research.
Have the ability to examine the causes of disease. (but not as strong as an experimental study) ex: effects of smoking

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6
Q

What is a control?

A

group of people not receiving the thing (treatment, meds, etc) being investigated. Gives a basis for comparison.

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7
Q

What are trials with Independent Concurrent Controls?

A

studies with a control group that is receiving no treatment during the same time period as the experimental group

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8
Q

What is blinding? Single blind? Double blind?

A

when someone involved in research doesn’t know what is the control vs. the experimental.
Single blind- participant doesn’t know which group they are in but researcher does
Double blind- subject and researcher are both unaware of which group the subject is in.

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9
Q

What return rate does a cross-sectional study need for validity?

A

33%

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10
Q

Can observational studies determine causation?

A

No, only associations

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11
Q

Why is case-control not as strong a study as cohort?

A

because in looking backward to determine causation, information may be missed

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12
Q

What is a positive correlation?

A

as one factor increases, so does a second factor
ex: the older one gets, the more likely to die
Positive correlation= 1.0 upward slanting from left to right

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13
Q

What is a negative correlation?q

A

as one factor increases the other factor decreases
ex: with increasing age, mobility decreases
denoted as -1.0, downward sloping line from left to right

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14
Q

What is a correlation of zero?

A

Two factors show no statistical relationship, dots are all over, don’t make a line.
No association

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15
Q

What is randomization?

A

having a random assortment of traits of subjects in both control and experimental groups.
ex: not have all women in one group and all men in the other

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16
Q

What is a “sample of convenience?”

A

taking who comes to you (patients to your clinic) and then randomizing them. not as good

17
Q

What is a trial with self controls?

A

subject serves as their own control.

Often seen in dietary studies. ex- test a new diet, can take data before starting, during, and some time after.

18
Q

what are trials with external controls?

A

the amt of data is so great, you compare your data to it.

National averages. Ex: ACT, SAT, licensure exams…

19
Q

What is a systematic review?

A

Takes good past research and looks at the conclusions in word form.
looks for similarities

20
Q

What is a meta-analysis?

A

uses raw data from many studies to make a new study and draw new conclusions.
Cochrane review

21
Q

What is the hierarchy of evidence?

A
  1. systematic reviews/meta-analyses
  2. randomized controlled trials 3. “All or none” studies
  3. Cohort studies 5. Case-control studies 6. Case-series studies
  4. individual case studies 8. expert opinion/experience
22
Q

what is an “all or none” study?

A

subjects all responded negatively before a given intervention, but only some after. Or, some respond negatively before the intervention, but none do after.
(prior history)

23
Q

Name examples of Observational Studies

A

Case-Series, Case-Control, Cross-Sectional, Cohort Studies