quantitative research Flashcards

(66 cards)

1
Q

what is human research?

A

systematic investigation either interventional (a trial) or observation (study natural phenonmenon)

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2
Q

what are the two types of human research?

A

medical (clinical) research or non-medical (social science) research

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3
Q

What makes a study trustworthy in clinical decision-making?

A
  • Appropriate sampling
  • Accurate data collection
  • Correct analysis
  • High reliability
  • Strong validity
  • Minimal bias
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4
Q

what are good studies?

A

good studies are designed in a way that helps to answer a question without error or bias

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5
Q

what is quantitative data?

A

Systematic investigation that primary focuses on quantifying relationships, behaviours with a specified population
Generating numerical data. Can be statistically analysed to establish patterns, correlations or casual relationships.

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6
Q

what are the types of research?

A
  • explore research
  • descriptive research
  • causal research
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7
Q

what are the types of research: exploratory research?

A

Explore or discover new things by collecting new data.

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8
Q

what are the types of research: descriptive research?

A

Describe characteristics about thepopulationor phenomenon being studied

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9
Q

what are the types of research: causal research?

A

study cause and effect relationship.

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10
Q

what is sampling?

A
  • Selecting participants from a target population
  • Rarely study the entire population
  • Sampling affects generalisability
  • Poor sampling = misleading clinical decisions
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11
Q

types of probability sampling?

A
  • random sampling
  • stratified sampling
  • cluster sampling
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12
Q

types of non-probability sampling?

A
  • convenience sampling
  • purposive sampling
  • snowball sampling
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13
Q

random sampling?

A

everyone has an equal chance of being pick to be a part of a study. No human bias in who is picked.

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14
Q

stratified sampling?

A

Divide population is split into groups then pick people randomly from each group.

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15
Q

cluster sampling?

A

Population divided into clusters, based on factors then randomly selected the same number of people from each cluster.

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16
Q

convenience sampling?

A

Choosing individuals who are easiest to reach

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17
Q

purposive sampling?

A

Intentionally selecting specific individuals

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18
Q

snowball sampling?

A

Spread through word and mouth, participants refer others to join the study.

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19
Q

what is sampling bias?

A

Systematic error in how sample was chosen.
Cannot be fixed by increasing sample size

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20
Q

what are the types of sampling bias?

A

Selection bias
Volunteer bias
Non-response bias

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21
Q

sampling errors?

A

Random variation between sample and population
Occurs even with good sampling
Reduced by larger sample size
Reduced by random selection

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22
Q

how to reduce sampling error?

A

Use random selection
Use a comprehensive sampling frame
Increase sample size
Avoid convenience sampling

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23
Q

what do you distinguish characteristics of a study design?

A

timing of the study
directionality of the study
goals of the study

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24
Q

what is a case report & case series?

A

A case of a very rare disease, or an unusual presentation of symptoms.

Starting point for thinking about etiology (cause).

No comparison group, so we CANNOT make any associations.

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25
what is a cross sectional study?
Data is collected at a single point in time to provide a snapshot of a population. Collect data on exposure and disease simultaneously Grouping of subjects by exposure and an outcome status after collecting data. Sampling - based on demographic characteristics – age, ethnicity, location The main tool is a survey / Questionnaire. Compute prevalence (%) to estimate the magnitude of a problem.
26
pros of a cross-sectional study
Quick, easy to conduct, and inexpensive Measure prevalence of disease Describe patterns of disease occurrence Can study several diseases or exposures
27
cons of cross-sectional study?
Selection bias Retrospective recall of timing of exposure (recall bias) Cannot argue any temporal relationship between the two variables (exposure must precede disease to be causal)
28
what is a case-control study?
Select subjects based on the disease status (YES/NO) Have the disease (Cases) or not (Controls) Compare groups to determine how many in each group had (in the past)the exposure – (Odds ratio).
29
pros of a case-control study?
Relatively inexpensive & fast Select cases from disease registries or records Great for rare diseases Can study multiple exposures to one disease
30
cons of a case-control study?
Appropriate control group is hard to find Potential for high recall bias Weak in establishing temporality: Can assume, but cannot confirm the temporal sequence of exposure and disease
31
what is a cohort study?
Subject selection based on exposure (exposed vs. unexposed) [e.g., exposure to radiation] Follow people prospectively until disease occurs or the study ends –TEMPORALITY Compare disease incidence between exposed and unexposed (Relative Risk/Ratio)
32
what is a longitudinal cohort study?
Data is gathered for the same subjects repeatedly over a period. It can extend over years or even decades. The same individuals are observed over the study period.
33
pros of a cohort study?
Temporal sequence Useful when studying rare exposures You can study multiple disease outcomes Can directly compute disease risk (incidence)
34
cons of cohort study?
Expensive due to follow-up period. Tracking subjects is a challenge (dropouts, lost). Potential for loss to follow-up Dropouts may introduce selection bias. (Attrition Bias)
35
what is a randomised controlled trial?
Considered the ‘GOLD standard’ among all designs. Researcher manipulates exposure. Treatment group & Control group / Placebo or Current treatment. Establish a temporal relationship - exposure and then assessing a defined outcome.
36
what are the methodology used in a randomised controlled trail
Blinding : Single/double/triple Randomization: Random assignment of subjects to groups. Use of Placebo.
37
types of RCT:
- blind - randomised - placebo
38
procs of an RCT
Reduced confounding (randomization) Reduce bias by blinding Temporal sequence Strongest evidence of a direct effect
39
cons of an RCT
Not as much control over outside forces Possibility for non-compliance with assigned treatment Loss to follow-up Expensive design and long follow-up
40
types of quantitative research methods?
surveys and questionnaires observations methods experimental methods
41
what is meant by surveys and questionnaires?
Structured tools used to collect large amounts of data from participants. Example: Patient satisfaction surveys with Likert scale responses from 1 to 5.
42
what is meant by observational methods?
Quantitative observation involves systematically recording behaviours or events as they occur. Example: Counting the number of times hand hygiene is performed in a shift.
43
what is meant by experimental methods?
Involves manipulating variables in a controlled setting to observe outcomes. Example: Administering a new drug to one group and a placebo to another.
44
what is meant by measurement error?
Instrument error Observer error Participant misunderstanding Calibration issues Example Blood pressure cuff not calibrated = false hypertension diagnosis.
45
what is meant by data quality errors?
Missing data Incomplete responses Data entry errors Inconsistent definitions Poor data quality = poor clinical decisions.
46
what is data analysis in quantitative research?
Descriptive statistics (means, prevalence) Inferential statistics (t-test, chi-square, correlation) Effect size Confidence intervals
47
what are outliners?
Extreme values far from other observations Can be real OR data errors Example: One patient weight recorded as 600 kg instead of 60 kg.
48
what can outliers be?
Indicate data entry error Distort the mean Suggest non-equivalent groups at baseline Influence statistical results Important: The mean is sensitive to outliers. The median is more robust.
49
what is meant by a misinterpretation of results?
Correlation ≠ causation Overgeneralisation Ignoring confounders
50
what is reliability?
the consistency of a measurement
51
types of reliability?
Test–retest reliability Inter-rater reliability Internal consistency
52
what happens if something is not reliable?
Inconsistent scoring = inconsistent care Poor reliability weakens evidence Reliability affects treatment guidelines
53
reliability: test-retest?
stability over time
54
reliability: inter-rater?
stability across users - do different people get different scores
55
reliability: internal consistency?
stability within the tool do all question in the survey measure the same thing
56
what is validity?
does the instrument measure what it claims to measure
57
types of validity?
Content validity Criterion validity Construct validity
58
difference between internal and external validity?
internal validity Are results trustworthy within the study? External validity Can we apply results to our patients or in other locations?
59
validity: content validity?
does the tool cover all parts of the problem? - fall risk assessment
60
validity: criterion validity?
does it match a 'gold standard'?
61
validity: construct validity?
does it measure the right idea?
62
what is bias?
systematic error that distorts results
63
what are the types of bias in quantitative research?
Selection bias Recall bias Measurement bias Attrition bias Publication bias Confirmation bias
64
what is attrition bias?
Attrition bias occurs when participants drop out unevenly between groups Dropouts differ systematically from those remaining
65
what does attrition bias affect?
Statistical power Smaller sample = reduced ability to detect real effects Internal validity Groups may no longer be equivalent External validity Final sample may not represent original population
66
clinical consequences of bias?
Incorrect treatment decisions Harm to patients Misallocation of resources Poor guideline development