Quiz 2 Deck 1 Flashcards

1
Q

the extent to which the intervention produces a desired outcome under USUAL CLINICAL conditions

A

effectiveness

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2
Q

the extent to which the intervention produces a desired outcome under IDEAL conditions

A

efficacy

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3
Q

this term refers to research performed on patients to assess an intervention

A

clinical trial

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4
Q

experimental design abbreviation

A

RCT: Randomized Control Trial

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5
Q

experimental design is best for ____

A

controlling bias

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6
Q

weakness of experimental design

A

excessive bias control may overshadow clinical relevance

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7
Q

this design is MORE vulnerable to bias, but MORE clinically relevant

A

Quasi-experimental design

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8
Q

this design is MOST vulnerable to bias, but MOST clinically relevant

A

Non-experimental (Observation)

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9
Q

why do we care if random assignment of participants?

A
  • limits bias.

- greater control for random events.

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10
Q

most common methods of random assignemnt in PT

A
  • block randomization

- stratified randomization

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11
Q

simple randomization

A

like flipping a coin. Can lead to unequal numbers of participants in the groups.

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12
Q

block randomization

A

involves assigning participants to groups (e.g. n = 8) and then equally randomizing participants within a group into even smaller groups

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13
Q

Stratified randomization

A

selecting specific strata (age, race, or clinic) and randomizing within these strata. For example, within a clinic, randomize by age and race.

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14
Q

concealed allocation

A

each participant’s group assignment is concealed from the people enrolling individuals in the study

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15
Q

why do we look at whether the baseline characteristics (i.e. sociodemographic, clinical, and prognostic) of the groups are similar?

A

Addresses potential differences among the groups that may influence the study’s results.

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16
Q

this addresses the potential loss of statistical power & potential differences created between (among) the groups that are unrelated to the experimental intervention

A

subject attrition

17
Q

this addresses potential bias due to participant non-compliance with the protocol

A

intention to treat analysis

18
Q

when do we use intention to treat?

A

when subject “non-compliance” occurs

19
Q

what happens to data collection after intention to treat analysis?

A

subject data analyzed according to the original random assignment, the way they were intended to be treated.

20
Q

what is PEDro?

A

Physiotherapy Evidence Database: scores systematic reviews & RCTs on a 1-10 scoring scale

21
Q

what PEDro score indicates “acceptable” validity?

A

6/10 or greater

22
Q

how many questions are on PEDro? How many points for each “yes”?

A

11 questions, 1 pt for each yes (for 10 out of the 11)

23
Q

which question on PEDro is NOT worth 1 pt?

A

Eligibility criteria were specified (yes = 0pts)

24
Q

PEDro scale items

A
  • random allocation
  • concealed allocation
  • baseline comparability
  • blind assessors
  • blind subjects
  • blind therapists
  • adequate followup
  • intention to treat
  • btwn group comparisons
  • point estimates & variability
25
Q

what is baseline comparability?

A

groups are similar on important characteristics at the start of the study

26
Q

what is adequate followup?

A

outcomes obtained from at least 85% of the subjects

27
Q

what does “point estimates & variability” mean on PEDro?

A

stats that estimate strength of treatment effect & variability (standard deviation, 95% CI)

28
Q

guidelines for research: ___ for RCTs.

A

CONSORT (Consolidated Standards of Reporting Trials)

29
Q

guidelines for research: ___ for observational studies

A

STROBE (Strengthening the Reporting of Observational Studies in Epidemiology)

30
Q

guidelines for research: ___ for diagnostic accuracy studies (there are 2)

A

STARD (Standards for the Reporting of Diagnostic Accuracy). QUADAS (Quality Assessment of Diagnostic Accuracy).

31
Q

guidelines for research: ___ for systematic reviews/meta-analysis

A

PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyses)

32
Q

what is often used to quickly understand research design & subject info?

A

flow charts