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Research Methodology & Biostatistics Diploma

This document discusses different types of study designs used in medical research. It begins by classifying studies as either experimental or observational based on whether they involve intervention/manipulation. Experimental studies are further divided into randomized controlled trials, where participants are randomly assigned to treatment or control groups, and quasi-experimental studies which lack random assignment. Observational studies do not involve intervention and include analytical studies such as cohort and case-control designs as well as descriptive cross-sectional studies. The document provides examples and details about randomized controlled trials and their use in testing causal hypotheses.

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0% found this document useful (0 votes)
66 views13 pages

Research Methodology & Biostatistics Diploma

This document discusses different types of study designs used in medical research. It begins by classifying studies as either experimental or observational based on whether they involve intervention/manipulation. Experimental studies are further divided into randomized controlled trials, where participants are randomly assigned to treatment or control groups, and quasi-experimental studies which lack random assignment. Observational studies do not involve intervention and include analytical studies such as cohort and case-control designs as well as descriptive cross-sectional studies. The document provides examples and details about randomized controlled trials and their use in testing causal hypotheses.

Uploaded by

marwa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

UMST University of Medical Sciences & Technology

Graduate College
Medical and Health Studies Board
Diploma in Research Methodology & Biostatistics

Study design

Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com


Study Design
(Intervention/manipulation)
Classification of Study Design

Yes No

Experimental Observational
Studies Studies
Features Availability of a
of true experiments control group

Yes No Yes No
Quasi Descriptive
Randomized Analytical
Experimental Studies
Control trials studies
Studies

Time of study
Longitudinal Point study
studies

Cohort Case-control Cross-sectional


study study studies

Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com


Study Design
(Intervention/manipulation)
Classification of Study Design

Yes No

Experimental Observational
Studies Studies
Features Availability of a
of true experiments control group

Yes No Yes No
Quasi Descriptive
Randomized Analytical
Experimental Studies
Control trials studies
Studies

Time of study
Longitudinal Point study
studies

Cohort Case-control Cross-sectional


study study studies

Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com


Experimental Studies

• Investigator can “control” the exposure


• Generally involves random assignment
to groups
• Clinical trials are the most well known
experimental design
• The ultimate step in testing causal
hypotheses

Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com


Experimental Studies
• In an experiment, we are interested in
the consequences of some treatment
on some outcome.
• The subjects in the study who actually
receive the treatment of interest are
called the treatment group.
• The subjects in the study who receive
no treatment or a different treatment
are called the comparison group.
Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com
Randomized Controlled Trials (RCTs)
• a design with subjects randomly assigned to
“treatment” and “comparison” groups

• provides most convincing evidence of


relationship between exposure and effect

• not possible to use RCTs to test effects of


exposures that are expected to be harmful,
for ethical reasons
Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com
RANDOMIZATION
outcome
Intervention
Experimental Design
no outcome
Study
population
outcome
Control
no outcome
baseline
future

time
Study begins here (baseline point)
Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com
Randomized Controlled Trials (RCTs)

– the “gold standard” of research designs


– provides most convincing evidence of
relationship between exposure and effect

• trials of hormone replacement therapy in


menopausal women found no protection
for heart disease, contradicting findings of
prior observational studies

Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com


Randomized Controlled Trials
• Disadvantages
–Very expensive
–Not appropriate to answer certain
types of questions
• it may be unethical, for
example, to assign persons to
certain treatment or
comparison groups
Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com
Quasi-Experimental Studies
• a design in which one characteristic of a
true experiment is missing:
randomization or use of a separate
control group.
• Includes manipulation of an
independent variable which serves as
intervention
• Offers less tightness against bias

Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com


What is the Problem is this Study
• A researcher plans to study the impact of
health education on the level of participation
of a village in an immunization campaign.
• The researcher decides to select two villages.
One village (treatment group) will receives
sessions of health education and another
village (control group) will not receive health
education.
• Immunization campaign will be carried out in
both villages.
Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com
The Problem is a selection bias: villages was not
randomly assigned to groups
• A researcher plans to study the impact of
health education on the level of participation
of a village in an immunization campaign.
• The researcher decides to select two villages.
One village (treatment group) will receives
sessions of health education and another
village (control group) will not receive health
education.
• Immunization campaign will be carried out in
both villages.
Diploma in Research Methodology and Biostatistics – Dr. Mounkaila NOMA – mounkailanoma@gmail.com
Do you have any question?

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