Universitas Advent Indonesia

Program Studi Ilmu

Keperawatan
Sschool Year of 2018-2019
• The McNemar test is used to
determine if there are differences on a
dichotomous dependent variable
between two related groups. It can be
considered to be similar to the paired-
samples t-test, but for a dichotomous
rather than a continuous dependent
variable.
• The McNemar test is used to analyze
pretest-posttest study designs, as well
as being commonly employed in
analyzing matched pairs and case-
control studies. If you have more than
two repeated measurements, you
could use Cochran's Q test.
• Assumption #1: You have one categorical
dependent variable with two categories (i.e.,a
dichotomous variable) and one categorical
independent variable with two related groups.
Examples of dichotomous variables include
perceived safety (two groups: "safe" and "unsafe"),
exam performance (two groups: "pass" and "fail"),
preferred choice of cereal brand (two groups:
"brand A" and "brand B"), feeling of seasickness
(two groups: "yes" and "no"), level of exhaustion
(two groups: "low" and "high"), use of safety
equipment (two groups: "uses safety helmet" and
"doesn't use safety helmet), skin cream
effectiveness (two groups: "rash" and "no rash"),
and so forth.
• Assumption #2: The two groups of your dependent
variable must be mutually exclusive. This means that no
groups can overlap. In other words, a participant can
only be in one of the two groups; they cannot be in both
groups at the same time.
For example, imagine you were using a McNemar's test to
determine whether the proportion of participants who
passed an exam (as opposed to failing the exam) before a
two week revision period (i.e., an intervention) increased
after the intervention (i.e., your dependent variable would
be "exam performance", which has two categories: "pass"
and "fail"). When a participant took the exam before the
two week revision period, they could have only "passed" it
or "failed" it. They could not pass and fail at the same time
(e.g., they either got 60 out of 100 marks and above, which
was a "pass", or 59 marks and below, which was a "fail").
Similarly, after the two week revision period, the participant
could still only either pass or fail the exam.
• Assumption #3: The cases (e.g.,
participants) are a random sample
from the population of interest.
However, in practice, this is not always
how sampling took place.