M1: Experimental Epidemiology Flashcards
Intervention or experimentation involves attempting to change a variable in one or more groups of people. This could mean the elimination of a dietary factor thought to cause allergy, or testing a new treatment on a selected group of patients
Experimental epidemiology
The effects of an intervention are measured by comparing the _______ with that in a _______
outcome in the experimental group, control group
What is ALWAYS required for study participants to sign before taking part in any experiment
Informed Consent
3 designs of an interventional study
(RaFiC)
- Randomized controlled trial
- Field trial
- Community Trial
is an epidemiological experiment designed to study the effects of a particular intervention, usually a treatment for a specific disease
randomized controlled trial
Subjects in the study population are (randomly allocated) to intervention and control groups, and the results are assessed by comparing outcomes
randomized controlled trial
is an epidemiological experiment involving people who are healthy but presumed to be at risk; data collection takes place “in the field,” usually among non-institutionalized people in the general population
Field Trials
Purpose of Field trials
Prevent diseases that may occur with relatively low frequency
epidemiological experiments that are often logistically complicated and expensive endeavors
Field Trials
One of the largest field trials was that testing of what?
Salk Vaccine for poliomyelitis
Epidemiological experiment that can be used to evaluate interventions aimed at reducing exposure
without necessarily measuring the occurrence of health effects.
Field Trials
In this form of experiment, the treatment groups are communities rather than individuals.
Community trials
This is particularly appropriate for diseases that are influenced by (social conditions), and for which prevention efforts target group behavior.
Community Trials
is a good example of a
condition appropriate for community trials
Cardiovascular
4 Limitation of community trials
(LISR)
1. Limiting in design
2. Impossible to isolate during intervention
3. Small scope
4. Random allocation not practical
_______________________________
Basically it is too small hence the design is limited and it cannot be randomized nor isolated.
is new to the pyramid of evidence strength
Systematic Review/Meta-Analysis
THREE MAIN TYPES OF OBSERVATIONAL
STUDIES
(3Cs)
Cross-sectional study
Cohort study
Case-control study
THREE BASIC CHARACTERISTICS of Experimental studies
(CoMRand)
- Manipulation
- Control
- Randomizations