Study Designs Flashcards
Double-Blinded Randomised control trial
- control group
- randomly assigned
- complete follow up
- patient and therapist blinded
- blind and independent assesor
- measure meaningful outcomes
- between group comparisons
Experimental research
Researcher manipulates and controls one or more independent variables
Observes resultant variation in one or more dependent variables
Compare to suggest cause-and-effect relationship
Non-Experimental research
Investigations that are descriptive or exploratory
No direct control overstudied variables
Observational
Case studies and case series
- Assess a patient who presents with the condition
- Applying the intervention -> measuring the outcome
- consecutive patient series controls for recall bias (but still issues with recall bias)
- don’t control for natural recovery, statistical regression, placebo, Hawthorne, polite patients effect
Single-arm cohort studies
Assess a group of patients who present with the condition.
Monitor change in outcomes under treatment
- everyone gets the same treatment
- data reported at the group level
- poor bias control
Non-randomised comparison studies
- Includes a control group that doesn’t receive the intervention
- non-randomised selection
- Cant be sure the two groups are comparable
Randomised control trial (RCT)
- controls for selection bias by ensuring group equality
- only way to ensure high probability of comparable groups is by random allocation
- higher quality design style
Types of comparators
- Head to head trial: treatment A vs treatment B
- Usual care/natural clinical course
- Natural history
- Sham