Understanding Quantitative Research + Sampling

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    Objec&ves UnderstandtheconceptofResearchDesign Identifythecharacteristicsofsomecommon

    quantitativeresearchdesigns Defineanddiscussresearchcontrol,and

    internalandexternalvalidityasthesetermsrelatetoresearchdesign

    Critiqueawrittenresearchreportintermsofdesignappropriatenessandaccuracyofdesignimplementation

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    WhatisResearchDesign? theoverallapproachbestsuitedtoanswerspecific

    questionsandachievethestatedpurposeofaresearchproject.(Powers&Knapp,2011).

    theoverallmethodoftheresearchstudy. Shouldflowfromthestatedpurpose Shouldprovideaplantoanswertheresearch

    questionsandtestthestatedhypothesis(Schmidt&Brown,2012).

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    ReviewWhatisaVariable?Variabletheoperationalizationofaconcept

    Classifyingvariables/Variabletypes Independent(IV)Thevariablethatisthoughttobethe

    cause

    Inexperimentalresearch,theresearchermanipulatesthisvariabletoseehowthateffectstheresults

    Dependent(DV)Theoutcomethatisbeingstudied.Thisisthevariablethatisofprincipleinterestinthestudy

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    MoreonVariables Othervariabletypes

    InterveningAvariablethatisbetweenanIVandaDVinacausalsequenceandsoeffectsthecausalrelationship

    X Z Y

    ExtraneousVariableApotentiallyconfoundingvariablethatisnotofinteresttothestudy Extraneousvariablesmustbecontrolledbecausetheycan

    confuseorconfoundtherelationshipbetweentheindependentanddependentvariable Failuretocontrolextraneousvariablesleadstobiaswhichresultsin

    invalidresults

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    Quan&ta&veDesigns:2Broad

    CategoriesNonexperimentalDesigns ExperimentalDesigns

    Describemeasurablephenomenon

    Explainrelationshipsamongvariables

    Describedifferencesamongvariables

    Predictingrelationshipsanddifferencesamongvariables

    Examinecausality

    DoesXcauseY?

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    Quan&ta&veDesign:Important

    ConceptsCausality Probability

    Definition:Therelationshipthatexistsbetweenacauseandits

    effect(Schmidt&Brown2012). 3conditionsforestablishing

    causality: Theremustbeatemporal

    relationship Example:XmustprecedeY

    intime

    Therelationshipbetweenvariablesmustbestrong

    NoothervariablesorconditionscanaccountfortherelationshipbetweenX&Y

    Thelikelihoodorchancethataneventwilloccurinagivensituation(Schmidt&Brown,2012)

    Inresearchonhumans,causalityisnevercompletely

    certain Ideaofprobabilityor

    likelihoodofacauseeffectrelationshipismorecommoninnursingresearch

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    Cause,Effect,ProbabilityItsnot

    thatsimple! TheoreticalCauseand

    EffectRelationship:

    X Y

    Reality:Anyeffect(Y)istheresultofmultiplecontributingcauses

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    Quan&ta&veDesign:Important

    ConceptsControl Manipulation

    Theresearchersattempttoclarifytherelationship

    betweenanindependentandadependentvariablebyeliminatingotherthings(variables)thatmightaffecttherelationship

    Eliminatingoutsideinfluencesbyclosecontrolofconditions

    Usingstatisticstoeliminatetheeffectsofothervariables

    Control/interventionoftheindependentvariablebytheresearcher

    Definingcharacteristicofanexperimentalstudy

    Donebycreatingdifferentexperimentalconditions Examples

    Dividingsubjectsintotwoormoregroupssubjectedtodifferentconditions

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    ControllingBiasinResearch

    Studies Biasresultswhenextraneousvariablesinfluencethe

    relationshipbetweentheIVandtheDV

    Controllingforbias: RandomizationSelection,assignmentorarrangement

    ofelementsbychanceinanattempttoeliminateoramelioratetheeffectsofextraneous

    Twomajormethods RandomSampling RandomAssignment

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    MethodsofRandomiza&onRandomSampling RandomAssignment

    Methodsthatassurethateverypersoninthe

    populationhasanequalchanceofbeinginthesample Thisassuresthatsampleis

    similartothepopulationitis

    takenfrom Examplesofrandomization

    Coins Tableofrandomnumbers Computergeneratedlists

    Methodsthatassurethateverysubjectinthestudyhasanequalchancetobeineithertheexperimentalorthecontrolgroup

    Increasesthelikelihoodthatextraneousvariableareevenlydistributedbetweenthetwogroupsanddonotdisproportionatelyaffectoneofthegroups

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    TwomoreimportanttermsBetweenGroups WithinGroups

    Researchstudycomparesthetwogroupsofsubjectson

    somevariable(s). Examples:

    Experimentalstudies Studiescomparingtwopre-

    existinggroupsonacertain

    variable BMIofpersonswithType2

    DiabetesversuspersonswithoutDiabetes

    Incidenceoflungcanceramongsmokersversusnon-smokers

    Comparesagroupwithitselfonsomevariable(s)atmorethan

    onepointintime. Oftenthegroupismeasuredpre

    andpostintervention Examples:

    HemoglobinA1CofindividualswithType2Diabetesbeforeandafter3monthsofMetformin

    Self-esteemofteengirlsbeforeandafterparticipatinginatargetedafter-schoolintervention

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    StudyValidityValidity:Theextenttowhichtheresultsofthestudy

    aretrue,logical,reasonable&justifiablebasedontheevidencepresentedinthestudyAccuracyofthestudyfindingsValidityisensuredbytheresearcherthroughcareful

    methodswhichcontrolforextraneousvariables Carefulselectionofsubjects Meticulousattentiontostudyprocedures/protocols Accuratemeasurementofstudyvariables Correctstatisticalmethods Accurateinterpretationofresults

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    4TypesofStudyValidity(SchmidtBrown,2012)*

    *

    *

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    ThreatstoValidityAthreat(tovalidity)isanythingthatweakensthe

    internalorexternalvalidityofastudy

    Nursesneedtobeabletoevaluatestudiestodetermineiftheresultsaretrue.(noorminimalthreatstostudyvalidity)

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    History Somethingoutsidethestudychangesandthischanges

    results(dependentvariable)

    Thisproblemismostlikelytoaffectsresearchthattakesplaceovertime

    Controlgroupisbestdefense

    Testing Measurementitselfaffectsresults

    Repeatedtestingcausesfamiliaritywithtest Useofpretestaffectspost-testresults

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    WhatthreatensInternalValidity?

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    Instrumentation Achangeinthewayavariableismeasuredduringthecourseofa

    studycanaffectvalidity Timingofmeasurements Howthevariableismeasured(typeofinstrument) Changeindatacollectors

    Subjectmortality Lossofsubjectsduetoanyfactorrelatedtothedependentvariable

    Death Studywithdrawal Losstofollow-up

    Selectionbias Subjectsinexperimentalandcontrolgroupsarenotsimilar

    enough Thisproblemaffectsstudieswithoutrandomselectionthemost

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    WhatthreatensInternalValidity?

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    WhatthreatensInternalValidity? Maturation

    Subjectschangeduetothepassageoftimeratherthanduetotheexperimentalintervention Aging Growth Diseaseprogression

    Thisproblemismostlikelytoaffectsresearchthattakesplaceovertime

    StatisticalConclusionValidity TypeIIerrors:Researchersconcludethatthereisno

    differenceorrelationship,whentheretrulyisone Thisisariskwithsmallsamplesizes

    Unreliablemeasurementinstruments

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    Reactivity HawthorneEffect

    Subjectsbehaviordifferentlybecausetheyknowtheyareinastudy

    Thisisusuallyunconsciousontheirpart ExperimenterEffect

    Somecharacteristicoftheresearcherordatacollectoraffectstheresults

    Example:Thepersonadministeringtheinterventionisprettyandnicesothesubjectstrytopleaseher

    Double-blindstudycanhelpamelioratethiseffect19

    WhatthreatensExternalValidity?

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    ConstructValidity Instrumentsusedtomeasuretraitsmustbeevaluated

    tomakesurethattheyaremeasuringthattraitalone

    Example:Measuresofanxietymightoverlapwithmeasuresofdepression

    NoveltyEffect(notinyourbook) Subjectsresponddifferentlybecausetheyknowthe

    interventionortreatmentisnewordifferent

    Itisthenoveltynottheactualinterventionthatiscausingchange

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    WhatthreatensExternalValidity?

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    WhatthreatensExternalValidity? SelectionEffects

    Samplesthatdonotrepresenttheappropriatepopulationlimitexternalvalidity Thisisminimizedbytheresearcherselectinganappropriatesamplefor

    thetargetpopulation,usingrandomselectionofsubjectsandrandomassignmenttogroups

    InteractionEffects Treatmentandsubjectselection

    TheIVmaynotaffectallindividualsinthewayitdoesinthestudy.Thismaybeduetodifferencesbetweenthestudysampleandother

    groups Treatmentandsetting

    Theresultsofthestudymayberelatedtothespecificsettingandmaynotbeapplicabletoothersettings

    Treatmentandhistory Theresultsofthestudymaybeaffectedbyeventsoccurringatthesame

    timeasthestudybutoutsideofthestudy

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    ValidityParadox

    InternalValidity ExternalValidityInternalValidity ExternalValidity

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    FundamentalsofDesign:Review:

    WhatisResearchDesign? ResearchDesignistheoverallplanforobtaining

    answerstotheresearchquestionsorfortestingtheresearchhypotheses.

    Spellsoutbasicstrategiestoinsurethatresultsareaccurate,interpretableanduseful Sample/sampling Datacollectionandmanagement Plannedstatisticalanalysis Measurestakentomaintainrigorandcontrolthreatsto

    validity

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    MoreReview Theresearchdesignmustfitthestudypurpose,

    questionand/orhypothesis

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    HowareResearchDesigns

    Classified? ByTimeElement

    Retrospective Longitudinal/Prospective Cross-Sectional

    ByType Nonexperimental Experimental

    Quasi-Experimental

    ByFunction Theresearchdesignmustfitthestudypurpose,question

    and/orhypothesis Whatistheresearchertryingtodo?

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    Classifica&onbyTimeElement Retrospective/ExPostFactoDesigns Datacollectedaboutpastevents Maybemorethanonedatapoint

    Looksatwhathappenedtounderstandacurrentphenomenon Longitudinal/ProspectiveDesigns

    Datacollectedatmorethanonepointintimebeginningatthestartofthestudy

    RepeatedMeasuressameinstrumentsusedtocollectdataaallmeasurementpointsallowingforcomparisonovertime.

    Allowsresearchertoexaminethingsinrealtime Cross-Sectional

    Datacollectedallatonepointintime Cannotbeexperimental Theoryimportanttotheinterpretationofthesestudies WhatshappeningNOW!

    Doesnotgiveanyinformationaboutchangesovertime28

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    MoreonDesignsXTimeElements Retrospective/ExPostFactoDesigns

    Case-ControlStudies Usedataonpatientswithaconditionthatiscollectedbypatienthistoryto

    determineacause HIV/AIDS,Smoking,Type2Diabetes,Hypertension

    Longitudinal/Prospective CohortStudiesfollowsgroup(s)forwardovertimeandlearnswhat

    conditionsdevelopinthegroups WomenwhotakeHRTvswomenwhodont Personswithdiabeteswhosesugaristightlycontrolledversusthosewhose

    sugarisnot

    CrossoverstudySamegroupofsubjectsreceivemorethanonetreatmentovertimeorserveastheirowncontrolgroups

    Cross-SectionalDesigns CohortComparisonStudieslookatmorethanonegroupofsubjectsat

    thesamepointintime Sexualbehaviorinteenswhogotopublicschoolversusreligiousschools DepressioninwomenwhohadaTOPversusthosewhohavenot Weightinstudentswhoeatinthedininghallsversusthosewhocookfor

    themselves

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    Nonexperimental(Descriptive) Studiesasis Nomanipulationofvariables Canbequalitativeorquantitative

    Experimental&Quasi-experimental Studywhatwouldhappenif Involvesmanipulationofvariable(s)Alwaysquantitative ControlimportantAlwaysprospective/longitudinal

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    Classifica&onbyType

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    NonexperimentalDesigns Functionisdescription Helpusunderstandthingsastheyarecurrently

    Describephenomenon

    Explainrelationshipsanddifferences Predictrelationshipsanddifferences Donotclaimtoindicatecauseandeffect

    Nomanipulationofindependentvariable Researchcontrolstillimportant Canbequantitativeorqualitative

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    SamplePathModel:Psychological

    AdjustmenttoBreastCancerDiagnosis

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    Epping-Jordan,J.etal.(1999).PsychologicaladjustmenttobreastCancer:Process

    ofemotionaldistress.HealthPsychology,18(4),315-326.

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    ExperimentalDesigns 3EssentialElementsofTrueExperimentalDesign

    1. Randomization Randomselection Randomassignment

    2. Control Extraneousvariablesarecontrolled

    3. ManipulationoftheIV

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    Attemptsbyresearchtocontrolconditionsinordertodecreasevariability(change)intheD.V.thatiscausedbyeventsorfactorsindependentofthestudydesign

    ExtrinsicFactors relatedtoenvironment/researchsituation

    IntrinsicFactors relatedtocharacteristicsofsubjectsthemselves

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    WhatisResearchControl?

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    AreasofResearchControl Sampling

    Inclusion&exclusioncriteria Randomsampling Randomassignmenttogroups

    ResearchConditions Sameforallsubjects

    DataCollection Carefulchoiceofreliableandvalidinstruments Useofcomparisonorcontrolgroups Uniformityofdatacollectionagentsandconditions Datacollectorsarealltrainedtodothesamethings

    DataManagement

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    Whatiselementsmustbe

    Controlled?

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    6TypesofTrueExperimental

    Design1. 2-group,pretest-posttest2. 2-group,posttestonly3. Solomon4-groupdesign

    2groupsgetinterventionandtwoarecontrol Seenextslide

    4. Multipleexperimentalgroups 2experimentalgroupswithonecontrolgroup

    5. Factorial Tests>1interventioncanbetestedatsametime

    6. CrossoverDesign 2treatmentsandsubjectsreceivebothtreatmentsin

    randomorder

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    CommonExperimentalDesigns

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    Quasi-ExperimentalDesigns Donotmeetalltheessentialcomponentsof

    experimentaldesign ManipulationoftheIVisalwaysincluded Maynotinclude:

    Randomization Someelementsofresearchcontrolmaybemissing

    3CommonQuasi-ExperimentalDesigns Nonequivalentcontrolgrouppretest-posttest Timeseriesdesigns Preexperimentaldesigns

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    CommonQuasi-ExperimentalDesigns

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    ReviewofClassifica&onofQuan&ta&veDesign

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    Objec&ves:SamplesandSampling Evaluatearesearchreportforappropriatenessof

    sampleandsamplingmethods

    Evaluateresearchforadequacyofsamplesize Utilizeprinciplesofevidence-basednursingto

    determineiftheresearchfindingsareapplicabletoaclinicalproblembasedonsamplecomposition

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    Whatisapopula&on? Thetotalnumberofpersonsinhabitingacountry,city,oranydistrictorarea.(www.dictionary.com)

    Inresearchterms:Anentiresetof

    people,orhospitalsorwhateverisofparticularinteresttoaresearcher(Powers&Knapp,2011)

    Sometimescalledthestudypopulationorthetargetpopulation

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    Study/TargetPopula&on Definedbyasetof

    specificcharacteristicsthattheyhavein

    common

    Canyouthinkofsomeexamplesofpopulationsfromtheresearcharticlesyouhavereadforthisclass?

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    AccessiblePopula&on Termusedtoindicatethepartofthepopulationthat

    aresearcherhasaccessto

    Example: Studypopulation:Allmenoverage50with

    hypertension

    Accessiblepopulation:Menoverage50withhypertensionwhoattendalargeclinicinacertaincity

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    StudyingPopula&ons

    Aresearcherwantstostudythegrowthanddevelopmentofveryprematureinfantsduringtheirfirst5yearsoflife.

    5,000veryprematureinfantsareborninherstateeveryyear.

    Whatdoyouthinkshedoes?

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    Howissamplinglikemakingsoup?

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    Whatisasample?

    Asubsetofapopulationthatisstudiedtolearnsomethingaboutthepopulation

    Ideallythesamplehasthesamespecificcharacteristicsasthepopulation

    AsamplethatmeetsthiscriterioniscalledREPRESENTATIVE

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    Inthisillustration,whichcirclerepresentsthepopulationand

    whichrepresentsaofthepopulation?

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    Samplingtechniquesareusedto: SelectasamplethatisaslikethepopulationaspossibleAvoidsamplingbias Controlforextraneousvariables

    extraneousvariables (Review:extraneousvariablesarethosethatarenotbeing

    measuredinthestudybutthatmightaffectstudyresults).

    Example:AresearcherwantstomeasuretheeffectofaneducationalprogramrelatedtosugarintakeonteensBMIandbloodsugarlevels

    Examplesofextraneousvariables:1. Unknowntoher,abeveragedistributorbeginsgivingout

    freesweetenedicedteaduringafter-schoolactivities.

    2. SomeoftheteenshavefamilymemberswithType2diabetesandshedoesnotknowthis.

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    GoalofSampling QuantitativeResearch

    Todecreasevariabilityamongthesubjects. Subjectsshouldbeasalikeaspossibletoavoidpre-

    existingdifferencesthatmightaffectresults QualitativeResearch

    Triestoincreasevariabilityamongthesubjectstolearnasmuchaspossibleaboutatopic.

    Trytogetsubjectswhorepresentasmanydifferentaspectsofthesubjectunderstudyinordertogetallpossibleviews. PurposiveorTheoreticalSampling

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    SamplingDecisionsareCri&calin

    Quan&ta&veResearch Oncetarget/studypopulationisknown,the

    researchertriestochoosethesamplethatisbestforthestudy.

    Mostlikeorrepresentativeofthepopulation Samplingcriteriaareusedtoselectsamplethatisas

    representativeaspossible

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    ProbabilitySampling Randomsamplingshouldresultinasamplelikethe

    studypopulation

    Characteristics(age,gender,diseasestatus)distributedequallyamongthegroups

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    Quan&ta&veSampling:Probability

    Sampling SimpleRandom samplesarecomputer-generatedortableofrandomnumbers

    orsimilar StratifiedRandom

    Subjectsaredividedbysomecharacteristic(e.g.age,clinic,race)andthenrandomsamplingisdonewithinthestrata

    ClusterSampling Randomselectionofsubjectsfromwithinknownclustersof

    individualswiththecharacteristic Example:subjectswithprostatecancerfrom6largecancercenters.Each

    clinicgroupisacluster.Thesubjectsarethenrandomizedwithineachcluster.

    SystematicSampling Usesalistofallmembersofanaccessiblepopulation.

    PopulationsizedividedbysamplesizeandtheneveryKthindividualselectedfromthelist.(Nottruerandomsampleasnotallhaveequalchanceofinclusion)

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    SampleSizeinQuan&ta&ve

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    p Q

    Research SizeMatters!

    Largersamplesaremorelikelytoberepresentativeof(like)populationofinterest

    Largersamplesaremorelikelytoresultinstatistical

    significance. Resultsusingsmallersamples

    morelikelytobetheresultofchance.

    PowerAnalysisAstatisticalprocedurethat

    allowstheresearchertocomputetheminimum#neededinsampletodetectarealdifferenceorrelationship Lookforthiswhenreading

    quantitativeresearch.4/4/13 67

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    WhataboutMortality SubjectMortality=lossofsubjectsduringthe

    courseofastudyforanyreason

    Whatdoyouthinkcancausesubjectmortality?

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    MortalityandSubjectBiasAttritionmayindicatetheexistenceofsamplingbias.

    Self-selection Failuretocomplete

    surveyorstudy

    Researchershoulddiscussattritioninreportingstudyand

    explainpotentialreasonsforit.

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    Evalua&ngQuan&ta&veSamples

    forEBN1. Wasthereanidentifiablesectiononsamplingintheresearchreport/article?

    2. Wasenoughinformationgiventounderstandhowandwhysamplechosen?

    3. Isthereenoughinformationgivenaboutthesampletotelliftheresearchappliestoyourclinicalpopulation?

    4. Forquantitativeresearch: Isthereinformationthattellsmethatthesampleis

    largeenough.

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