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Section 1.3 ~ Types of Statistical Studies Introduction to Probability and Statistics Ms. Young Sec. 1.3 Objective After this section you will understand the differences between observational studies and experiments, including the selection of treatment and control groups, the placebo effect, and blinding. Sec. 1.3 Types of Statistical Studies Subjects – the people, animals (or other living things), or objects chosen for the study If the subjects are people, they are commonly referred to as participants Sec. 1.3 Observational Study Observe or measure characteristics of the subjects without attempting to influence or modify those characteristics Examples ~ Nielsen ratings; “people meters” measure the viewing habits, but don’t influence what is being watched Measuring weights; still considered observational even though the researchers are interacting with the participants because the person’s weight is not changing based on the interaction Opinion polls; considered observational as long as the researcher doesn’t attempt to sway the participants answers in any way Sec. 1.3 Experiment Observe the effects on the subjects after applying a treatment Ex. ~ Vitamin C study; to determine whether large doses of vitamin C help to prevent colds Considered an experiment because the participants are actually given large doses (or treatments) of vitamin C Sec. 1.3 Example 1 Identify the study as observational or experimental a. The Salk polio vaccine case study (p.8) Experiment because researchers tested a treatment (vaccine) to see whether it reduced the incidence of polio. b. A poll in which people are asked for whom they plan to vote in the next election. Observational because it attempts to determine voting preferences but does not try to sway votes. Sec. 1.3 Variables of Interest A variable is any item or quantity that can vary or take on different values In a statistical study, variables of interest are what we want to learn about Example ~ Nielsen ratings; number of viewers watching the Super Bowl would be the variable of interest Sec. 1.3 Cause and Effect Cases In cases where we think cause and effect may be involved, we typically subdivide the variables of interest into two categories: Explanatory variable – the variable that may explain, or cause the effect Ex. ~ the actual dose of vitamin C Response variable – the variable that responds to the changes in the explanatory variable Ex. ~ the number of colds that occurred Sec. 1.3 Observational Studies Retrospective study – an observational study that uses data from the past Especially valuable when the study would be impractical or unethical to conduct Ex. ~ studying the effects of consuming alcohol during pregnancy Prospective study – designed to collect data in the future from groups that share common factors Ex’s. ~ How high school dropouts compare (socially, financially, etc.) to high school graduates within 10 years of graduation (or drop out date) The risk of heart disease among smokers Sec. 1.3 Example 2 You want to know whether children born prematurely do as well in elementary school as children born at full term. What type of study should you do? Retrospective observational study; you would collect data on past premature births (as well as full term births) and compare their elementary school performances Sec. 1.3 Experiments The need for controls Vitamin C study – How can the researchers know whether the subjects would have gotten more colds without the vitamin C? Must conduct the experiment with two (or more) groups of subjects Treatment group – the group that receives the treatment being tested takes the large doses of vitamin C Control group – the group that does not receive the treatment being tested Doesn’t take any doses of vitamin C Sec. 1.3 Example 3 Look again at the Salk polio vaccine Case Study on page 8. What was the treatment? Which group of children constituted the treatment group? Which constituted the control group? The treatment was the Salk vaccine The treatment group was the group of children that received the Salk vaccine The control group was the group of children that received the injection of salt water Sec. 1.3 Confounding Variables Confounding variables are variables that are unaccounted for that may affect a study Ex. ~ Consider an experiment in which a statistics teacher seeks to determine whether students who study in study groups earn higher grades than students who study independently. Suppose that at the end of the semester, the teacher found that students who studied in study groups earned higher grades. Furthermore, suppose that (unbeknownst to the teacher) those students all lived in a dormitory where a curfew ensured that they got plenty of sleep. The new variable amount of sleep, would be considered a confounding variable because it could have been the reason (or part of the reason) that those students had higher grades, but it was not initially accounted for. Sec. 1.3 Assigning Treatment and Control Groups Researchers generally employ two strategies to prevent confounding in treatment and control groups Assigning the subjects to the treatment and control groups at random Using sufficiently large groups so that they are unlikely to differ in a significant way (like all living in a dorm with a strict curfew) Sec. 1.3 The Placebo Effect The placebo effect refers to the situation in which patients improve simply because they believe they are receiving a useful treatment A placebo is something that looks or feels just like the treatment being tested, but lacks the active ingredients Placebos are used to distinguish between results caused by the placebo effect and results that are truly due to the treatment Researchers try to make sure that the participants do not know whether they are part of the treatment group or the control group and they give the control group the placebo and the treatment group the real dose. Sec. 1.3 Example 4 What was the placebo in the Salk polio vaccine study? Why did researchers use a placebo in this experiment? The salt water injection was the placebo in this study To differentiate between improvements from the vaccine and improvements from the placebo effect Sec. 1.3 Experimenter Effects An experimenter effect is a type of confounding that occurs when the experimenter somehow influences the results of the study Typically occurs through facial expression, tone of voice, or attitude change This can occur when the experimenter knows who received the treatment and who didn’t Ex. ~ Consider an experiment that is testing an anti-depressant drug in which the experimenter will interview the patients to find out if they are feeling better after a certain time frame If the experimenter is conducting the interviews and they know who received the drug and who received the placebo, then they may be inclined to sway the participant’s moods using facial expressions, a certain tone of voice, or different attitudes. Sec. 1.3 Blinding Blinding is the practice of keeping people in the dark about who is in the treatment group and who is in the control group Single-blind experiment – participants do not know what group they are in, but experimenters do Double-blind experiment – neither the participants nor the experimenters know who belongs to each group The researchers that are conducting the study typically hire experimenters in a double-blind experiment to keep track of the two groups and make any necessary contact with the participants Sec. 1.3 Example 5 For each of the experiments described below, identify any problems and explain how the problems could have been avoided A new drug for attention deficit disorder (ADD) is supposed to make affected children more polite. Randomly selected children suffering from ADD are divided into treatment and control groups. The experiment is single-blind. Experimenters evaluate how polite the children are during one-on-one interviews Since the experimenters know which children received the drug, they may inadvertently speak differently or interpret the children’s behaviors differently based on what they want to see or hear (experimenters effect). This experiment should have been double-blind A chiropractor performs adjustments on 25 patients with back pain. Afterward, 18 of the patients say they feel better. He concludes that the adjustments are an effective treatment The 25 patients are all being “treated,” but there is no control group to compare the results to. These patients may be feeling better as a result of the placebo effect. The experiment should have had a control group; maybe an actor that pretends to adjust the patient the same as the real chiropractor. Sec. 1.3 Meta-Analysis Meta-analysis is a type of study in which researchers review many past studies as a whole The goal in this type of study is to find trends in the group that may not have been evident in each individual study See case study on P.31 for an example of metaanalysis Sec. 1.3 Summary Two basic types of statistical studies: Observation & Experiment Sometimes observational studies need to be retrospective or prospective Experiments need controls (treatment groups and control groups) to avoid suffering from confounding Furthermore, some experiments require blinding (either single or double) to avoid suffering from confounding (mainly the placebo effect and the experimenter effect) A third type of study is a meta-analysis which is beneficial when there are previous studies that have already been done