Treatment FAQ

what kind of statistical test should i use in a before and after treatment?

by Candido Hayes Published 2 years ago Updated 2 years ago
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For before and after comparison on the same group of people, a paired sample t-test where the dependent variable is continuous (e.g. systolic blood pressure before and after treatment) and McNemar's test where the dependent variable is dichotomous (e.g. hypertension yes / no before and after treatment). Cite 1 Recommendation 31st Dec, 2020

Full Answer

Which statistical test should be used to compare treatment groups?

If the frequency of success in two treatment groups is to be compared, Fisher’s exact test is the correct statistical test, particularly with small samples. For large samples (about N> 60), the chi-square test can also be used [Table 1]. Paired samples

What should be considered before performing a statistical test?

Before the data are recorded and the statistical test is selected, the question to be answered and the null hypothesis must be formulated. The test and the level of significance must be specified in the study protocol before the study is performed.

What is a statistical test used for?

A statistical test is used to compare the results of the endpoint under different test conditions (such as treatments). There are often two therapies. If results can be obtained for each patient under all experimental conditions, the study design is paired (dependent).

When should the appropriate statistical analysis be done?

However, it is important that the appropriate statistical analysis is decided before starting the study, at the stage of planning itself, and the sample size chosen is optimum. These cannot be decided arbitrarily after the study is over and data have already been collected.

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What statistical test do you use for before and after?

Paired ttest – An extremely powerful test for detecting differences (it is, in fact, the most “sensitive” of all our five tests). It is usually used for “Before vs. After” type experiments, where the same individuals are measured before and after the application of some sort of treatment.

How would you decide which statistical test to use?

For a statistical test to be valid, your sample size needs to be large enough to approximate the true distribution of the population being studied. To determine which statistical test to use, you need to know: whether your data meets certain assumptions. the types of variables that you're dealing with.

What type of variable is before and after?

For before and after comparison on the same group of people, a paired sample t-test where the dependent variable is continuous (e.g. systolic blood pressure before and after treatment) and McNemar's test where the dependent variable is dichotomous (e.g. hypertension yes / no before and after treatment).

What statistical test can you use to determine if any of the two treatments have a significantly different affect compared to the control?

Paired t-test A paired (samples) t-test is used when you have two related observations (i.e., two observations per subject) and you want to see if the means on these two normally distributed interval variables differ from one another.

When do you use ANOVA or t-test?

The Student's t test is used to compare the means between two groups, whereas ANOVA is used to compare the means among three or more groups.

When do we use t-test and Z test?

If the population standard deviation is unknown, Z-test is recommended to be used. If the population standard deviation is known, then, the size of the sample does determine which test can be used: If the size is smaller than 30, T-test is recommended to be used.

How do you analyze pre and post test data in SPSS?

15:2225:56Pretest and Posttest Analysis Using SPSS - YouTubeYouTubeStart of suggested clipEnd of suggested clipYou take pretest put in variable one post-test variable two and then okay that's it. And this givesMoreYou take pretest put in variable one post-test variable two and then okay that's it. And this gives you some different information remember this is across all 80 of the records this doesn't compare.

What does a chi-square test tell you?

The chi-square test is a hypothesis test designed to test for a statistically significant relationship between nominal and ordinal variables organized in a bivariate table. In other words, it tells us whether two variables are independent of one another.

When do we use the chi-square Χ² test?

You can use a chi-square test of independence when you have two categorical variables. It allows you to test whether the two variables are related to each other. If two variables are independent (unrelated), the probability of belonging to a certain group of one variable isn't affected by the other variable.

When do we use one-way ANOVA and t-test?

t-test can be performed in a double-sided or single-sided test. ANOVA is one-sided test due to no negative variance. t-test is used when the population is less than 30. ANOVA is used for huge population counts.

Why is ANOVA better than multiple t-tests?

Two-way anova would be better than multiple t-tests for two reasons: (a) the within-cell variation will likely be smaller in the two-way design (since the t-test ignores the 2nd factor and interaction as sources of variation for the DV); and (b) the two-way design allows for test of interaction of the two factors ( ...

What is the difference between F-test and ANOVA?

ANOVA separates the within group variance from the between group variance and the F-test is the ratio of the mean squared error between these two groups.

What are the main assumptions of statistical tests?

Statistical tests commonly assume that: the data are normally distributed the groups that are being compared have similar variance the data are i...

What is a test statistic?

A test statistic is a number calculated by a  statistical test . It describes how far your observed data is from the  null hypothesis  of no rela...

What is statistical significance?

Statistical significance is a term used by researchers to state that it is unlikely their observations could have occurred under the null hypothe...

What is the difference between quantitative and categorical variables?

Quantitative variables are any variables where the data represent amounts (e.g. height, weight, or age). Categorical variables are any variables...

What is the difference between discrete and continuous variables?

Discrete and continuous variables are two types of quantitative variables : Discrete variables represent counts (e.g. the number of objects in a...

Popular Answers (1)

This depends on the data (continuous versus binary versus categorical etc.).

All Answers (22)

I think a paired t -test might be appropriate here. However, you also should consider your sample size. If the sample size is not big, you might consider to do a nonparametric approach, for example, sign test for paired comparison. This sign test for paired comparison could be done using, for example, R.

Similar questions and discussions

What is the statistical test I can use for the pre-test post-test control group research design?

What is alternate hypothesis?

alternate hypothesis is a consistent direction of difference. count the number of live and dead patients after treatment with drug or placebo, test the hypothesis that the proportion of live and dead is the same in the two treatments, repeat this experiment at different hospitals. Test. Nominal Variables.

Is the design of a study more important than the analysis?

It is often said that the design of a study is more important than the analysis. A badly designed study can never be retrieved, whereas a poorly analyzed study can usually be re-analyzed.

Why subtract pre values from post values?

Lots of people do this. However, the purpose of subtracting the pre values from the post values is to control for variation in the pre values. Put another way, if the pre values were all the same, you could just use the post values, which would fully reflect the difference.

Can you do a MANOVA if you have a paired t-test?

You can do a MANOVA to control for the fact that a and b might be correlated. If a and b are not correlated, you could also probably make the case for doing two paired t-tests, one for a and one for b. People do this all the time, even if a and b are indeed correlated.

Why is it important to select a statistical test before a study begins?

The selection of the statistical test before the study begins ensures that the study results do not influence the test selection. The decision for a statistical test is based on the scientific question to be answered, the data structure and the study design.

What is statistical testing?

Statistical tests are mathematical tools for analyzing quantitative data generated in a research study. The multitude of statistical tests makes a researcher difficult to remember which statistical test to use in which condition. There are various points which one needs to ponder upon while choosing a statistical test.

Why are ratio and interval measured as continuous?

Because variables conforming only to nominal or ordinal measurements cannot be reasonably measured numerically, sometimes they are grouped together as categorical variables, whereas ratio and interval measurements are grouped together as quantitative or continuous variables due to their numerical nature.

Why are ratios useful?

Ratio measurements have both a meaningful zero value and the distances between different measurements defined; they provide the greatest flexibility in statistical methods that can be used for analyzing the data .

Is there a hypothesis in a prevalence study?

In some cases there is no hypothesis; the investigator just wants to “see what is there”. For example, in a prevalence study, there is no hypothesis to test , and the size of the study is determined by how accurately the investigator wants to determine the prevalence.

Popular Answers (1)

Yes, a repeated-measures ANOVA is better than conducting multiple t-tests since you increase the risk of committing a Type-I error with each test. In this case, a repeated-measures ANOVA including 'training' as a between-subjects factor with two levels (training, control) and 'time' as a within-subjects factor with two levels (pre, post).

All Answers (6)

Yes, a repeated-measures ANOVA is better than conducting multiple t-tests since you increase the risk of committing a Type-I error with each test. In this case, a repeated-measures ANOVA including 'training' as a between-subjects factor with two levels (training, control) and 'time' as a within-subjects factor with two levels (pre, post).

Similar questions and discussions

How do I compare 2 different groups (control vs. treatment) over time? And how do I see at what moment in time they become sign. different?

What is a correlation test?

It should be noted that the tests meant for numerical data are for testing the association between two variables. These are correlation tests and they express the strength of the association as a correlation coefficient. An inverse correlation between two variables is depicted by a minus sign.

Does perfect correlation mean causality?

A perfect correlation may indicate but does not necessarily mean causality. When two numerical variables are linearly related to each other, a linear regression analysis can generate a mathematical equation, which can predict the dependent variable based on a given value of the independent variable.[2] .

Is a one tailed test smaller than a two tailed test?

Although for a given data set, a one-tailed test will return a smaller pvalue than a two-tailed test, the latter is usually preferred unless there is a watertight case for one-tailed testing. It is obvious that we cannot refer to all statistical tests in one editorial.

Is it safe to use non-parametric tests?

For numerical data, it is important to decide if they follow the parameters of the normal distribution curve (Gaussian curve), in which case parametric tests are applied. If distribution of the data is not normal or if one is not sure about the distribution, it is safer to use non-parametric tests.

When to use t-test?

When to use a t-test. A t-test can only be used when comparing the means of two groups (a .k.a. pairwise comparison). If you want to compare more than two groups, or if you want to do multiple pairwise comparisons, use an ANOVA test or a post-hoc test. The t-test is a parametric test of difference, meaning that it makes the same assumptions about ...

What is a t test in statistics?

Most statistical software (R, SPSS, etc.) includes a t-test function. This built-in function will take your raw data and calculate the t -value. It will then compare it to the critical value, and calculate a p -value. This way you can quickly see whether your groups are statistically different.

What is a t-test?

Published on January 31, 2020 by Rebecca Bevans. Revised on December 14, 2020. A t-test is a statistical test that is used to compare the means of two groups. It is often used in hypothesis testing to determine whether a process or treatment actually has an effect on the population of interest, ...

How to test whether petal length differs by species?

In your test of whether petal length differs by species: Your observations come from two separate populations (separate species), so you perform a two-sample t-test. You don’t care about the direction of the difference, only whether there is a difference, so you choose to use a two-tailed t-test.

What are the values to include in a t-test?

When reporting your t-test results, the most important values to include are the t-value, the p-value, and the degrees of freedom for the test. These will communicate to your audience whether the difference between the two groups is statistically significant (a.k.a. that it is unlikely to have happened by chance).

What is the null hypothesis?

You can test the difference between these two groups using a t-test. The null hypothesis (H 0) is that the true difference between these group means is zero. The alternate hypothesis (H a) is that the true difference is different from zero.

Why is it important to ask a statistician about the design of a study?

It is an important question, because if a study is too small it will not be able to answer the question posed, and would be a waste of time and money. It could also be deemed unethical because patients may be put at risk with no apparent benefit. However, studies should not be too large because resources would be wasted if fewer patients would have sufficed. The sample size depends on four critical quantities: the type I and type II error rates α and β (discussed in Chapter 5), the variability of the data σ², and the effect size d. In a trial the effect size is the amount by which we would expect the two treatments to differ, or is the difference that would be clinically worthwhile.

Why are case control studies considered preliminary investigations?

Such case control studies are commonly undertaken as a preliminary investigation, because they are relatively quick and inexpensive. The comparison of the blood pressure in farmers and printers given in Chapter 3 is an example of a case control study.

What is recall bias?

A particular problem is recall bias, in that the cases, with the disease, are more motivated to recall apparently trivial episodes in the past than controls, who are disease free. Cross sectional studies are common and include surveys, laboratory experiments and studies to examine the prevalence of a disease. ...

What are the disadvantages of crossover trials?

The main disadvantage is that there may be a carry over effect in that the action of the second treatment is affected by the first treatment. An example of a crossover trial is given in table 7.2, in which different dosages of bran are compared within the same individual.

What is crossover study?

A crossover study is one in which two or more treatments are applied sequentially to the same subject. The advantages are that each subject then acts as their own control and so fewer subjects may be required. The main disadvantage is that there may be a carry over effect in that the action of the second treatment is affected by the first treatment.

Why do people drop out of trials?

Patients are likely to drop out of trials if the treatment is unpleasant, and often fail to take medication as prescribed. It is usual to adopt a pragmatic approach and analyse by intention to treat , that is analyse the study by the treatment that the subject was assigned to, not the one they actually took.

What is input in medical studies?

Most medical studies consider an input, which may be a medical intervention or exposure to a potentially toxic compound, and an output, which is some measure of health that the intervention is supposed to affect. The simplest way to categorise studies is with reference to the time sequence in which the input and output are studied.

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