Research Designs Flashcards

1
Q

When an elderly sample is selected from a local fitness center

A

“Healthy-user” bias

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2
Q

When the population is selected from an impaired or diseased group

A

Berkson’s Bias

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3
Q

When patients with certain characteristics are excluded

-Ex: racial groups, socioeconomic groups, etc

A

Exclusion Bias

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4
Q

Bias decreases

A

Generalizability

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5
Q

What are the two major classes of research designs?

A
  1. ) Experimental

2. ) Non-experimental/observational

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6
Q

Is characterized by random assignment, manipulation of independent variables, and control of extraneous factors

A

Experimental Research

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7
Q

Experimental research is the best form of research for

A

Cause-and-effect

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8
Q

Experimental research is the standard for

A

Clinical trials

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9
Q

Characterized by no control over group assignment and no control over independent variables

A

Non-experimental/observational research

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10
Q

Non-experimental/observational research can not be used to determine

A

Causality

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11
Q

What is the gold standard experimental design for treatment studies?

A

Randomized control trial (RCT)

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12
Q

Equivalent groups are needed to interpret effects. We randomize because randomization removes

A

Selection bias

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13
Q

In the physicians aspirin study, randomization was accomplished through

A

Computer generated random numbers

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14
Q

When the investigator “knows” the expected results and treats groups differently

A

Investigator bias

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15
Q

One way to control investigator bias is when the people randomizing individuals into groups are blinded as to which subjects go into which group. This is called

A

Allocation Concealment

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16
Q

Another way to prevent investigator bias is to blind the investigator who is providing treatments or making measurements as to which group is which. This is called

A

Investigator blinding

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17
Q

Investigator bias can me minimized by

A

Allocation concealment and investigator blinding

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18
Q

When subjects change their behavior in a study, for example, they may want to please the investigators so they act differently. This is called

A

Subject bias (Hawthorne effect)

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19
Q

The Hawthorne effect (subject bias) effects

A

External and internal validity

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20
Q

How is the Hawthorne effect combated?

A

Subject “blinding” by use of a placebo group

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21
Q

Using a placebo group does not really work if the study involves an obvious

A

Physical change

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22
Q

When patients and clinicians are both blinded

A

Double Blinding

23
Q

Ambiguous term, generally used to mean that the subjects are blinded

A

Single-blinding

24
Q

Besides just controlling the allocation and outcome of a study, a researcher also needs to control

A

Extraneous variables (i.e. diet, non-compliance, drop out, etc.)

25
To help ensure compliance in the physicians study, subjects filled out a compliance questionnaire that also asked about the outcomes every
Six months
26
What are two ways to deal with drop-outs or treatment changes?
1. ) Analysis according to treatment assigned (intention to treat) 2. ) Analysis according to treatment received (explanatory) (better way)
27
The physicians study measured the number of new cases of disease arising during a given period of time, meaning they measured the
Incidence (absolute risk)
28
How do we find the Incidence (absolute risk)
Incidence = # people w/ disease / # total people
29
How do we calculate the relative risk or risk ratio?
incidence in exposed / incidence in unexposed
30
Both estimate the risk of disease (or outcome) in exposed (treated) vs. unexposed (untreated)
Risk ratios and Odds ratios
31
What is the risk reduction?
1 - RR
32
The physicians study showed a reduction in the risk of MI by
47%
33
However, the physicians study also showed an INCREASE in the risk for
Strokes
34
What are two common types of observational studies?
Case-control and cohort studies
35
What makes case-control and cohort studies observational?
1. ) Can not manipulate independent variables | 2. ) Can not control all extraneous factors
36
A group of people who have something in common when they are first assembled and who are then observed for a period of time to see what happens to them
Cohort
37
The goal of this type of study is to study "predictor variables"
Cohort (incidence) Studies
38
One of the problems with cohort studies may be
Internal validity
39
What is a major threat to the internal validity of a cohort study?
Extraneous factors
40
Differences between groups, i.e. another factor (other than the one of interest) that may be related to the differences between groups
Extraneous factors
41
The best solution to the threat that extraneous factors pose on internal validity is
randomization
42
To help minimize the extraneous factors, we could increase restriction, increasing restriction decreases
Generalizability (external validity)
43
What are the two different types of cohort studies?
Prospective and Retrospective
44
What is the usual statistic when comparing two groups?
Risk Ratio (RR = Incidence in exposed / Incidence in unexposed)
45
Like odds, Risk Ratios (RRs) are given with 95% confidence intervals. If the confidence interval includes 1, there is
No statistically significant difference
46
Looking backwards to compare people with and without a condition
Case-control study
47
Case-control studies are good for
Diseases w/ long latency and rare diseases
48
The big difference between case control and cohort studies is that in case-control studies, we don;t measure the
Incidence (it can only be estimated)
49
Measure how many people develop disease out of a total, i.e. what is the relative incidence of disease in both groups
Cohort studies
50
Look at people who already have the disease and determine the odds of exposure. I.e. what is the odds that the diseased group was exposed?
Case-control studies
51
What are three threats to the internal validity in case-control studies?
1. ) Control group selection 2. ) Recall bias 3. ) Can't determine risk directly
52
People may not remember their exposure of the event of interest. This is called
Recall bias
53
Since case-control studies can not measure the incidence, they instead use the
Odds ratios