Other Study Designs Flashcards
Factorial Design
Answer two or more research questions in one cohort of subjects
Factorial Design Pros
More efficient
Save time and resources
Factorial Design Cons
Potential interactions between treatment effects
Medical Tests
Risk factor screening
Disease diagnosis
Estimate prognosis
Medical tests descriptive or observational
Causality is usually irrelevant
Objective: association between a test and a particular outcome
Criteria for clinical usefulness
Considerations
Performance of the “gold standard”
Generalizability (disease spectrum and variability)
Blinding
Cost vs Charges
Health Related Quality of Life
Refers to total well being including physical health and functioning, psychological health and functioning, social functioning and pt perceptions of general well being
Cost-effective threshold
Value judgement with no current consensus
Quasi-experimental design
Pre-post intervention
Treatment is not random
Answers: What is the effect of X on Y?
Cannot make definitive causal inferences
Define Utility
Evaluate the impact of a new poly, practice guideline, therapeutic agent
Define autonomy
Respect each participant as a person capable of making an informed decision regarding participation in the research study
Uncoherced and fully informed
Ethical Principles per Belmont Report
Autonomy
Beneficence
Justice
Define Deneficence
Maximize benefits for the individual participant and/or society while minimizing risk of harm to the individual
Individual takes risk and population takes benefits
Define Justice
Equitable selection of participants
Equality in distribution of benefits and burdens among the population groups likely to benefit from the research
Institutional Review Board
Oversight committee to ensure that human research is ethical and justified
All research reviewed here first
Exemption of waiver is determined by IRB