Professional Documents
Culture Documents
Hardian
Biomedic and Clinical Epidemiology Unit
MFDU
Medical or epidemiological study, major
consideration is to obtain:
Valid measurement
Reliable measurement
on the exposure factors and
outcomes of interest in the study population
• instrument
• tool
• true value truth
measurement
• measurement
– valid/accurate
– without bias
– precise/reliable
or error
– minimize bias
Some definitions…
• Validity
• Reliability
• Internal
• External
Logical Statistical
Construct
• Face Validity
– Infers that a test is valid by definition
– It is clear that the test measures what it is supposed to
e.g.
If you want to assess reaction
time, measuring how long it
takes an individual to react to a
given stimulus would have face
validity
Externally
Valid?
Logical Validity
• Face Validity
– Infers that a test is valid by definition
– It is clear that the test measures what it is supposed to
i.e.
Would assessing 15 m sprint
time be a valid means of
Assessing face validity
assessing reaction time? is therefore a subjective process.
Logical Validity
• Content Validity
– Infers that the test measures all aspects contributing to the
variable of interest
e.g.
Who is the most
physically fit?
VO2 max test?
Wingate test?
1 RM? process.
…also a subjective
Statistical Validity
• Concurrent Validity
– Infers that the test produces similar results to a
previously validated test
e.g.
VO2
max
Incremental Treadmill
Protocol with expired gas Multi-Stage Fitness (Beep)
analysis Test
Statistical Validity
• Predictive Validity
– Infers that the test provides a valid reflection of future
performance using a similar test
e.g.
Can performance
during test A be
used to predict
future performance
in test B?
A B
Logical/Statistical Validity
• Construct Validity
– Infers not only that the test is measuring what it
is supposed to, but also that it is capable of
detecting what should exist, theoretically
– Therefore relates to hypothetical or intangible
constructs
e.g.
Team Rivalry
Sportsmanship.
Threats to Validity
(and possible solutions?)
Threats to Internal Validity
• Maturation
– Changes in the DV over time irrespective of the IV
Threats to Internal Validity
• Maturation
e.g. One Group Pre-test Post-test
O1 T O2
Threats to Internal Validity
• Maturation (possible solution)
Pre-test Post-test Randomised Group Comparison
O1 T O2
R RCT
O3 P O4
Threats to Internal Validity
• History
– Unplanned events between measurements
Threats to Internal Validity
• History
O1 T O2
e.g. exercise?
• Pre-testing
– Interactive effects due to the pre-test (e.g. learning,
sensitisation, etc.)
– Also influences External Validity
Threats to Internal/External Validity
• Pre-testing …so it is actually T+O1
that is better than P, not T
e.g. T alone.
O1 O2
P O
O 4
R
3
T
O 5
Solomon Four-
Group Design P O 6
Threats to Internal Validity
• Statistical Regression
– AKA regression to the mean
– An initial extreme score is likely to be
followed by less extreme subsequent scores
e.g.
Training has the greatest effect on untrained individuals.
e.g.
Uncalibrated equipment
• Selection Bias
– The groups for comparison are not equivalent
Threats to Internal Validity
• Selection Bias
e.g. Groups not randomly assigned
T O1
i.e.
Static Group Group T were
Comparison resistance trained
to start with
P Oa
Threats to Internal Validity
• Selection Bias (possible solution)
Either: T
O1
-Randomise group
assignment,
-Pre-test and post-
test difference,
P
-Repeated Measures
Design. Oa
Threats to Internal/External Validity
• Experimental Mortality
– Missing Data due to subject drop-out
– Reduced n = reduced statistical Power
– Not only challenges quality of data gathered
(Internal Validity) but
also our ability to
generalise
(External Validity).
Therefore, solution =
recruit sufficient
(young?)
participants
Threats to External Validity
• Inadequate description
– 5th characteristic of research…
…should be replicable
e.g.
Fastest sprint when
professor enters lab
Therefore, solution =
control the lab
environment.
Threats to External Validity
• Demand Characteristics
– Participants detect the purpose of the study and
behave accordingly
e.g.
Sports Science students already know that the
carbohydrate drink is supposedly superior
Therefore, solution =
CHO double or single H2 O
blinding.
Threats to External Validity
• Operationalisation
– AKA Ecological Validity
– The DV must have some relevance in the
‘real world’
e.g.
Intracardiac blood pressure has
no equivalent in public health
survey
Experts Items
1 2 3 4 5 6 7 8 9
1 1 1 1 -1 0 … … … …
2 1 0 0 0 0 … … … …
3 1 1 -1 -1 0 … … … …
Average 1 0,7 0 -0,7 0 … … … …
Reliability
• Reliability is a pre-requisite of validity
e.g. Direct versus Indirect measures of VO2 max
• Relative
• Absolute
• Rater reliability (Objectivity)
– Intrarater reliability
– Interrater reliability.
Relative Reliability
• Intrarater reliability
– The consistency of a given observer or
measurement tool on more than one occasion
Rater Reliability
• Interrater reliability
– The consistency of a given measurement from more
than one observer or measurement tool
e.g.
Score for the Indonesian Idol
BCL = 9.9
Judika = 4.4
Armand Maulana = 7.0
Threats to Reliability
• Fatigue
8 am 9 am 10 am
• Precision of Measurements
– i.e. if we are happy to measure VO2 max to the
nearest 10 ml.kg-1.min-1, then it could probably be
reliably predicted from your training volume and age.
Reliable Valid Neither Both
Not Valid Not Reliable Reliable
Reliable Not Valid and Valid
Types of Reliability
• Test-Retest
• Equivalent Forms
• Internal Consistency
• Split-Half Approach
• Kuder-Richardson Approach
• Cronbach Alpha Approach
Test-Retest Reliability
Random Error
Systematic Error
Bias