research methods in ageing research Flashcards
clear differences between children and older adult research
Clear differences between children and older adult research- Punch, 2002
* Consent
* Task complexity
* Task instructions
* Children are more influential and vulnerable
* Views about society- children may have distorted views
* Child research is more complex in the sense that researchers must build rapport
what is a cohort study
- A cohort study is simply a set of individuals who share some characteristics and who are followed up over time. Research follows a cohort across their lives (usually age in years)
- 2 types of cohort studies- retrospective and prospective
prospective cohort studies: advantages and disadvantages
Prospective cohort studies= individuals are followed over time and data is collected as their characteristics or circumstances change. This is longitudinal in nature
* Use of prospective cohort studies- gather large amount of detailed data on attituded, experiences, current health, habits, progression of health, demographics, family relationships etc….
ADVANATGES of prospective-
They can show progression of how health declines over time
They can show impacts of age
They can show changing attitudes, experiences that other studies cannot
You can use same participants
* DISADVANATGES
YOU MAY HAVE TO FOLLOW LARGE NUMBERS OF SUBJECTS FOR A LONG TIME
THEY CAN BE EXPENSIVE AND TIME CONUSIMG
THEY ARE NOT good for rare diseases
They are not good for diseases with long latency
Differential loss to follow up can introduce bias
retrospective cohort studies
Retrospective cohort studies= different from prospective as they do not look at longitudinal progression. In retrospective studies individuals are samples and information is collected about their past
* Example- Tonelii et al., 2021- looked at dementia and multi morbidities, and the challenges faced within the health system
* ADVANTAGES
Less expensive than prospective
Can be performed immediately as they rely on past experiences or past information
Less time
* DISADVANTAGES
Not good for very rare diseases
If one uses records that were not designed for the study, the available data may be of poor quality
There is frequently an absence of data on potential confounding factors if the data was recorded in the past
It may be difficult to identify an appropriate cohort and appropriate comparison group
Differential losses to follow up can also bias retrospective cohort studies
randomised control trials- AD + DIS
The national institute for health and care excellence defines it as;
A study in which a number of similar people are randomly assigned to 2 or more groups to test a specific drug, treatment or other intervention
One group (the experimental group) has the intervention being testes
The other (the control) has n alternative intervention, a dummy intervention (placebo) or no intervention at all
Can be double blinded or single blinded
Outcomes
The groups are followed up to see how effective the experimental intervention was
Outcomes are measured at specific times and any difference in response between the groups is assessed statistically. This method is also used to reduce bias
ADVANTAGES
– Clear comparison between groups
– Blinding and double blinding minimizes bias
– Considered gold standard to publish
DISADVANTAGES
– Lack of applicability
– May need a large sample size(power calculation)
– Sometimes its obvious which group participants are in
– Ethical limitations- consent etc…
observational studies (non randomised)
– Qualitive or quantitative (this is debatable)
– Used t collect information by observing the subjects in a natural environment and then analyzing the information
– Based on behavioral patterns psychological character, attitude and beliefs of the subject
– Consists of watching, listening, touching, and recording the behavior, attitude, and characteristics of objects or phenomena or living beings
– ADVANTAGES
Easy to conduct
Natural surroundings
Less cooperation form ppts is needed
High accuracy with more than one observer
– DISADVANATGES
Not everything is observed, important things can be missed
Observer bias-
Time consuming
No background to the participants
Expensive to do
Ethical- if covert, there Is issues of consent. Also not debriefed after