KEY Chapter 10 Review Questions
- Trier = "to try"
- An experiment assigns the
exposure to study subjects.
- Clinical Trial - therapeutic intervention administered
to individuals.
Field Trial - preventive intervention is administered to individuals.
Community Trial - therapeutic or preventive intervention administered to
aggregates
- Randomized = treatment assigned via chance mechanisms.
Controlled = treatment group compared to a "non-treated" group.
Double-blinded = study subjects and outcome
ascertainers are kept in dark about treatment received
- Lind's famous study was a non-randomized trial.
- Par�s had run out of the
standard treatment and was forced to switch to an alternative treatment. Since the
assignment of the
intervention was not under his control, the study is actually
non-experimental.
- To provide a meaningful baseline for comparison.
- The Hawthorne
effect
- Placebo effect = improvements associated with an inert
intervention.
- . . . by balancing the groups with
respect to potential confounders.
- Admissibility criteria are criteria used to recruit subjects for
study. Restriction of study subjects to population subsets (e.g., age groups)
encourages comparability.
- Respect for individuals,
beneficence, and justice (see Table 10.2, p. 187).
- Equipoise is "balanced doubt."
- Informed consent is the ability to give agreement freely in light of the facts and without obligation.
- IRB stands for institutional review board comprised of outside researchers, clinicians, administrators, and laypeople who oversee
that the study is being conducted ethically.
- Intention to treat analysis considers outcomes in participants that
withdraw and whether noncompliant..
- analyze-as-randomized
Last update: 11/23/2008