RCT Flashcards
how to not get assesment bias
blinding or masking
which could result in under or overestimation of effect
how to combat allocation bias
stratification of the sample but be careful not to use too many factors (2 is ok)
cross over design
to give both participant groups the advantage of the treatments
- time between treatment A and B is called Washout period
- not useable for cognitive therapy for example
analysis method: intention to treat
compare outcome according to randomized group (so even if treatment wasn’t followed in the end)
- external validity
- randomization is maintained
- treatment assignment based only on chance
analysis method: per protocol
as randomized, conditional to protocol compliance
- efficacy of treatment under ideal circumstances (compliance)
- proof of therapeutic concept
- don’t have to include data of ppts that didn’t comply
analysis method: as treated
last one, this analyzes all people that received the treatment regardless of the compliance
- so only those who drop out are not taken into account
when RCT
always experimental
compares interventions, medications or different groups
- low bias
- rn it’s gold standard of science
- different protocols
Aerobic exercise and Parkinson’s study
double blind RCT, one group aerobic exercise, one group stretching
outcome: functional connectivity and behavioral control
intention to treat
results:
- increase connectivity anterior putamen and sensorimotor cortex, increased functional connectivity in right frontoparietal NW
- increase in behavioral control
smartphone app depression study
predictor and outcome already in the name kinda
intention to treat
intervention app was behavioral activation and mindfulness intervention
control used app with mood monitoring component
depression lower in intervention