ebp study design Flashcards

1
Q

experimental design

A

include active manipulations

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2
Q

observational design

A

no manipulations. observe systematically, don’t alter

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3
Q

controlled experiemental

A

include non-treatment comparison group

-controlled trial: one group receives treatmnt/manipulation, control group does not

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4
Q

uncontrolled experimental

A

no control group: all participants receive treatmemt (no control/comparison group)

ex. initial drug safety, tolerability determination

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5
Q

prospective

A

hypothesis testing, methods planned out before data collection
-experimental studies must be prospective

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6
Q

retrospective

A

analyze pre-existing data
-ranked lower than prospective: no control over systematic or unknown influences, can’t assess validity of procedures

*key: you form your question with the data that already exists

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7
Q

representative sample

A

-even representation from all relevant group (gender, ethnicity, age, region)
-stratified sampling is great for this

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8
Q

matched groups

A

purposefully balance groups on traits expected to affect outcomes

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9
Q

longitudinal

A

following the same people over a period of time

limitations: subject to atrition, costly, have to wait for results

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10
Q

cross-sectional

A

use subject groups of different ages/stages to proxy for developmental trajectory

strengths: can measure just once: no subject attrition, cheaper, likely to finish data collection

limitations: risk nonequivalence of important/nuisance variables between groups

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11
Q

case studies

A

an observational control study, describes single patient

case series - describe series of similar patients

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12
Q

pretest/post test designs

A

pretest: pretest - treatment/alternative - test

posttest: treatment/alternative - test

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13
Q

correlational study

A

looking for a relationship among data that already exists

always retropsective

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14
Q

internal validity

A

accuracy of relation between observations and the subjects observed

-does it measure what the authors intended it to

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15
Q

external validiy

A

generalizability = applicability of patterns/results to a larger population

-does it apply to more people

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16
Q

blinding

A

make involved people unaware of information that could bias findings

examples:
-researchers dont know which group is which
-participants are blind to what group they are apart of
-both are blinded, people doing analysis are blinded

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17
Q

confounders/nuisance variables

A

unintended, uncontrolled, or unknown factors that could affect the results (alternate explanation, nullification, or false conclusion)

-mitigate by knowing behavior might affect and try to eliminate it

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18
Q

replicability

A

do the studies replicate

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19
Q

descriptive stats

A

summarizes characteristics of data set
-counts: frequency, percentage
-location/central tedency: mean, median, and mode
-indvidual location: rank, percentile rank, standard score
-variability: range, variance, standard deviation

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20
Q

inferential stats

A

use sample to infer characteristics of population (t-test, anova)

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21
Q

p-values

A

if p=.05, 5% of the time you’d find a difference just by chance, even when there isnt one

p-value < alpha value = reject null hypothesis/accept alternative hypothesis

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22
Q

confidence intervals

A

range of values around a descriptive stat of our sample (eg. mean, medium) that were x% confident contains the populations true stat
-typically 95%

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23
Q

parametric

A

assume (=require) data have normal distrubution
-two sample t-test
-paired t-test
-simple or complex anova
-pearson correlation (r)

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24
Q

non-parametric

A

dont assume/require anything an=bout the shape of the distrubution
-wilcoxon rank-sum test
-wilxcoxin signed-rank test
-kruskall wallis test
-friedmans test
-chi-square
-spearman correlation (p)

25
statistical significance
the numbers on the data you collected the stat is reliable (unlikely it occured by chance)
26
practical significance
-useful in clinical decisions/situations -measure with effect size
27
clinical importance
clinical importance is a situtation like theres a 2-point difference in scoring, do you change what youre doing?
28
effect size
-estimate of treatment effect's size/magnitude -important to report with stats and interpret
29
efficacy
impact of treatment in lab conditions
30
effectiveness
impact as administered in real world
31
main features of CATE
-treatment evidence 1.plausible rationale for study 2. experimental? 3. control/comparison? 4. random assignment? 5. methods, participants defind? 6. participants representative of population? 7. tx clear? and more i dont feel like putting
32
main features of CADE
research on classifying people before treatment -screening, diagnosis, differential diagnosis diagnostic fqs: -patient/problem -index measure -compared to te reference -outcome = accuracy of diagnostic tool
33
factors for applying research results to client
-levels of evidence
34
how to gather and incorporate patient preferences
use the capp
35
main parts of research paper
-background -participants -limitations/problems -research question/purpose/aim -measures/procedures -application/usefulness -study design -results/conclusion -your assessment
36
single-blind
either patient or practioner are unaware of the patient's treatment group assignment
37
double/triple-blind
-other researchers are unaware of (something) -researchers who interact with subjects, give treatment, evaluate progress, analyze data -ex. have blinded outside observer evaluate effectiveness
38
multiple baseline (experimental, controlled)
treatment group/patient is its own control, measure multiple times before tx, part-way through, after, later-follow up
39
cohort - controlled observational
groups differing on a variable are followed over time to observe differences in outcomes
40
case control - controlled observational
compare group with disorder to controls (w/o disorder), usually at on or a few points in time
41
cross sectional - controlled observational
examine relationships between variables in a sample at one point in time (correlational: common method)
42
quasi-experimental designs
-treatment and control groups differ intrinsically (group with disorder gets treatment, compared to no-treatment control group without disorder)
43
what does it mean when a statistical test compares 2 groups and gives a p-value <0.5
the scores from the 2 groups are different
44
main features of CABR
-basic research, not clinical
45
main features of CASC
-turned to issues with single-case design
46
main feature of CASM
for systemic reviews and meta-analysis -elgibility -search criteria -search -studies selected -search validity -study selection bias -quality -effect size -importance -analyze -consistency -interpret -relevance
47
main features of CAPE
-when uncertain about the efficacy of a treatment for a specfic patient -checklist for apprasing patient evidence -not critical apprasial
48
main features of CAPP
-apprasing evidence on patient preferences
49
Vygotsky's social interactionism theory suggests language development is facilitated by what
verbal guidance and adult modeling
50
what does nativist theory say about language knowledge at birth
it is developed through cognitive processess
51
cognitive theory proposes that lang development is contingent upon what
the development of cognitive percursors
52
in info-processing theory, what plays a crucial role in lang learning
cognitive functioning mechanisms
53
according to nativist theory, what enables children to learn lang. quickly
the lang. acquisition device integrating universal and speccific lang rules
54
what does behavioral theory primarily focus on
observable and measurable aspects of behavior
55
social interactionism theory views lang as a product of what
social-communicative functions in human relations
56
according to behavioral theory, how is verbal behavior acquired
under conditions of stimulation, response, and reinforcement
57
what does cognitive theory suggest i necessary before lang production
acquisition of concepts
58
how many chromosomes are typically present in people with down syndrome
47 - duplication of chromosome #21 resulting in 47 instead of 46