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Power & Sample Size Calculations Presented by: Ms. Kamla Kumari D Maharaj MSc Nursing CON JPMC Karachi Course facilitator: Ms. Rabia Riaz Dated: 28th Sep, 2010 1 Sample size • Sample size refer to the number of subjects or participants studied in a trial, including the treatment and control group, where applicable. • Sample size refers to the specific size of the group or groups being studied in research. • Four criteria are used to estimate the appropriate sample size for a study. Sometime called power analysis. 2 Criteria for estimating sample size Level of Significance (alpha) Statistical power (beta-1) Expected difference (effect size). Standard deviation 3 Level of significance (alpha) This is the threshold for finding statistical significance. Normally this is set out at .05, a 5% chance of rejecting null hypothesis when there is no fact no significance difference or relationship between underling population. As alpha get smaller, sample size requirement increase. 4 Power (beta-1) Power is 1-Beta and is defined as the probability of correctly finding statistical significance. A common value for power is .80. 5 Expected difference (effect size) This is the expected difference or relationship between two independent samples. Also known as the effect size. the effect size is determined by literature review, logical assertion, and conjecture. Formula: 6 Basic Terms and Concepts involved in Sample Size and Power Estimation Null Hypothesis: is the supposition that the effect which we are checking for does not exist. comparing treatment to no-treatment: H0 = treatment has no effect 7 Basic Terms and Concepts involved in Sample Size and Power Estimation Alternative Hypothesis: is the supposition that the effect which we are checking for does exist. comparing treatment to no-treatment: H1 = treatment has effect 8 Hypothesis Testing in Sample Size or Power Estimation Hypothesis tests are inferential procedures, they concern the inferences from sample to population. It involves the calculation of some test statistics. The most commonly used test statistics are Z (normal), χ2 (Chi-square), and t. 9 Two Possible Errors of Hypothesis Testing in Sample Size or Power Estimation The Type I Error occurs when we conclude from an experiment that a difference between groups exists when in truth it does not. Rejecting H0 when H0 is in Fact True Probability of making type I error is denoted by “α” , Investigators reject H0 and declare that a real effect exists. when the chance of this decision being wrong is less than 5%. This is what is meant when it is claimed that the result is statistically significant at p<.05 10 Two Possible Errors of Hypothesis Testing in Sample Size or Power Estimation cont… The Type II Error occurs when we conclude that there is no difference between treatments when in truth there is a difference fail to reject H0 when H0 is in Fact False probability of making type II error is denoted by β 11 Errors and Probabilities in Hypothesis Testing Not Reject H0 Reject H0 H0 True Type-I Error Power H0 False Power Type-II Error 12 Basic Terms and Concepts involved in Sample Size and Power Estimation cont… Two-tailed test When the investigator is interested in determining whether treatment A is different from treatment B (either better or worse) a 2 tailed test is indicated. Usually a 2 tailed test is performed with the risk of making a Type-1 error set at α / 2 in each tail. For a 2 tailed test at α = .05 and equal allocation of type-1 error to each tail Zα = 1.96 13 Basic Terms and Concepts involved in Sample Size and Power Estimation cont… One-tailed test Sometimes an investigator is only interested in a difference between treatments in one direction. This is appropriate when either 1. the scientific reasoning behind the experiment leads to a prediction in one direction or 2. a new treatment will be used if it is better than the standard but abandoned if it is worse or the same For a 1 tailed test at α = .05 Zα = 1.65 14 SAMPLE SIZE CALCULATIONS : SYMBOLS Z α is the “Standard Normal Deviate” corresponding to the probability α Z β is the “Standard Normal Deviate” corresponding to the probability β Common α, β= .2 .1 .05 .025 .01 .005 value Zα β= .84 1.28 1.65 1.96 2.33 2.58 15 Mathematical Symbols used to denote some common summary Statistics Population Parameters Mean Variance Standard Proportion deviation Correlation Greek letters μ σ2 σ π ϒ Roman letters _ × s2 s p r 16 Sample Size and Power Calculations The calculation of sample size depends on the summary statistics chosen. The most common choices are Treatment mean e.g. average blood pressure, average cholesterol, average days in hospital Treatment proportion e.g. % of patients who die, recover, achieve some therapeutic goal or any defined state 17 Most Common Sample Size Calculations Comparing 2 independent groups- means Comparing 2 related groups- means Comparing 2 independent groups- proportions Comparing 2 related groups- proportions 18 Sample size estimation for tests between two independent sample proportions Formula: 19 Sample size estimation for tests between two independent sample proportions cont… Where as N= the sample size estimate Zcv=Z critical value for alpha (.05 alpha has a Zcv of 1.96) Z power=Z value for 1-beta (.80 power has a Z of 0.842) P1=expected proportion for sample 1 P2=expected proportion for sample 2 20 Sample size estimation for tests between two independent sample proportions cont… Proportion Example Alpha=.05 Power=.80 P1=.70 P2=.80 p= .75 21 Sample size estimation for tests between two independent sample means where N= the sample size estimate Zcv=Z critical value for alpha (.05 alpha has a Zcv of 1.96) Zpower=Z value for 1-beta (.80 power has a Z of 0.842) s=standard deviation D=the expected difference between the two means. 22 Sample size estimation for tests between two independent sample means cont… Mean Example Alpha=.05 Power=.80 D=10 S=20 23 Reference • Germann, E. (2003). Sample Size and Statistical Power in the Planning of Experiments retrieved from www.nihtraining.com/cc/ippcr/current/.../Johnson111 505bw.ppt on dated 20/08/2010. • Johnson,L,L.(2005). Sample Size and Power retrieved from http://www.nihtraining.com/cc/ippcr/current/downloa ds/Johnson111505bw.ppt on dated 22/08/2010. • Thalheimer, W. Cook, S.(2002). How to calculate effect sizes from published research articles: A simplified methodology retrieved from www.worklearning.com/effect_sizes.htm. 0n dated 21/08/2010 24