Res Week 5
Res Week 5
Research
Control
Randomization
Validity
MANIPULATION
Manipulation refers to conscious control of the
independent variable by the researcher
through treatment or intervention(s) to observe
its effect on the dependent variable.
In other words, it is a conscious act by the
researcher, where he or she varies the
independent variable & observes the effect that
manipulation has on the dependent variable of
interest.
For example, a researcher is conducting a study
on efficacy of cholrhexidine mouthwash on the
prevention of ventilator-associated pneumonia
(VAP) among patients admitted in ICUs.
In this example, chlorhexidine mouthwash is the
independent variable, which is manipulated by the
researcher, & is used as an intervention for the
experimental group, while the control group is kept
deprived of it to observe its effect on the incidence
of VAP.
CONTROL
Control refers to use of control group & controlling
the effects of extraneous variables on the
dependent variable in which researcher is interested.
The subject in the control & experimental groups are similar
in number & characteristics, but the subject in the control
group receive no experimental treatment or any intervention
at all.
The experimental group receives the planned treatment or
intervention & a comparison is made with the control group
to observe the effect of this treatment or intervention.
RANDOMIZATION
Randomization means that every subject has an equal
chance of being assigned to experimental or of study
subjects on a random basis.
Chances of systemic bias is eliminated.
Randomization is used in true experimental research design to
minimize the threat of internal validity of the study & to
eliminate the effect of extraneous variables on dependent
variables.
On average the characteristics of the subject in
experimental & control groups are similar, thus influence of
extraneous variables on dependent variable is eliminated by
dispersing the variability of the subject characteristics equally in
both the groups.
METHODS OF RANDOMIZATION:
External validity
Degree to which results are influenced by
external factors or population and settings.
Internal validity
History,
Maturation,
Testing,
Instrumentation,
Statistical regression,
Differential selection,
Experimental Mortality,
Selection-maturation interaction
The John Henry effect
History
History refers to events other than the treatment that occur during
the course of an experiment which may influence the post-
treatment measure of treatment effect. If the explosion of the
nuclear reactor in Chernobyl, Ukraine had occurred in the middle
of a six-month treatment to help people reduce their “anxiety of
nuclear power,”
Crossover
Post-test
only
Randomized
Pretest block
post-test
only
Solomon 4 Factorial
groups
POST-TEST-ONLY CONTROL DESIGN:
Composed of two randomly assigned group, i.e. experimental
& control, but neither of which is pretested before the
implementation of treatment on the experimental group.
In addition, while treatment is implement on the experimental
group only, post-test observation is carried out on both the
group to assess the effect of manipulation.
This design can be helpful in situations where it is not
possible to pretest the subjects.
For example, to study the effect of an educational
intervention related to urinary incontinence on the
subsequent help-seeking behavior of older adults.
R O1
X
R O2
Exp. group Treatment Post-test
Random
assignment
Exp. Post-
pretest Treatment
group test
Random
assignment
Control
pretest Post-test
group
SOLOMON FOUR-GROUP DESIGN
There are two experimental groups (experimental group 1 &
experimental group 2) & two control groups (control group 1 &
control group 2).
Initially, the investigator randomly assigns subjects to the
four groups.
Out of the four groups, only experimental group 1 & control
group1 receives the pretest, followed by the treatment to the
experimental group 1 & experimental group 2.
Finally, all the four groups receive post-test, where the effects of the
dependant variables of the study are observed & comparison is
made of the four groups to assess the effect of independent
variable (experimental treatment) on the dependant variable.
Cont…
pretest Post-test
Control Group 1
Random
assignment
A A, I A, II A, III
B B, I B, II B, III
C C, I C, II C, III
CROSSOVER/ COUNTERBALANCED DESIGN
In this design, subjects are exposed to more than one
treatment, where subjects are randomly assigned to different
orders of treatment.
It is also known as ‘repeat measures design’.
This design is more efficient in establishing the highest possible
similarity among subjects exposed to different conditions, where
groups compared obviously have equal distribution of
characteristics.
Though crossover design is considered as an extremely powerful
research design, sometimes it is not effective because when
subjects are exposed to two different conditions, their responses of
the second condition may be influenced by their experience in the
first condition.
For example, when we are comparing the effectiveness of the
chlorhexidine mouth care protocol on group I & saline mouth
care protocol on the subjects of group II.
Later, the treatment is swapped, where group I receives the
saline mouth care & group II receives chlorhexidine. In such
studies, subjects serve as their own control.
Groups Protocols of the mouth care
Group I Chlorhexidine (α1) Saline (α2)
Exp. O2 O3
group O1 O2 O3 Treatment O1
A researcher might assess pain levels of a group of
patients with low-back pain. After 3 weeks of pain
assessment, subjects are taught special exercises
to reduce that pain. During the next 3 weeks, pain
levels would again be measured.
Measuring a child’s school performance on a
weekly basis, & then introducing a new teaching
technique. Then again measuring on a weekly
basis.
NONRANDOMIZED CONTROL GROUP DESIGN
AKA‘nonequivalent control group design’.
identical to the pretest-posttest control group design, except
there is no random assignment of subjects in experimental
& control groups.
In this design, experimental & control groups are selected
without randomization, & dependent variables are observed in
experimental as well as control groups before the intervention.
Later, the experimental group receives treatment & after that
posttest observation of dependant variables is carried out for
both the groups to assess the effect of treatment on
experiment group.
O1 X O2
---------------------
O3 O4
TYPES OF PRE-EXPERIMENTAL
RESEARCH DESIGN:
o One-shot case design