Intro to Research

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Created by:

dourada Plus on January 31, 2011

Subjects:

lccw

Description:

Intro to research mid-term review questions

Classes:

LWCC, LCCW, LCCW Freshman 2

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Intro to Research

pure
→ abstract and general
→ concerned with a brand new theory/new paradigm
→ often claimed to be done for its own sake
→ ex/ Einstein (theory of relativity); Galaleo
1/74

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pure → abstract and general
→ concerned with a brand new theory/new paradigm
→ often claimed to be done for its own sake
→ ex/ Einstein (theory of relativity); Galaleo
applied → designed to answer a practical question
→ based on previous knowledge
→ ex/ Newton: why did apple fall down?; does chiropractic work?
experimental → evaluates impact of manipulating one variable on another
→ variable's effect on an outcome (manipulate variable)
→ control group
→ ex/ comparison studies
descriptive → first report of something new/unique experience with something
(case/treatment) already known (watched over time)
→ looks at current reality to gain insight on trends
→ ex/ case studies!
clinical → done in "real" world setting, where control often quite difficult to do (mimic reality in a lab; little control)
→ may be observational, applied, descriptive, or experimental
→ ex/ randomized clinical trial
laboratory → done in artificial/unreal/simplified/controlled type of setting
→ ex/ lab rat studies
randomized clinical trial ex: of experimental applied research
tradition→ it's the way it's always been done (paradigm)
→ ex/ cultural tradition, family tradition
→ rehabilitative sciences/practices are steeped in tradition
→ ex/ chiropractic techniques
→ problem: because it's always been done the same way, some things are never evaluated for validity/ compared to better alternatives
Authority → because the doctor says so!
→ ex/ names: Dr..., ...PhD, Peg Phillips, etc.)
→ ex/ books: Bible, Torah, Koran, Green Books
→ can lead to dogmatism (i.e. Galen's views on anatomy/physiology...not questioned); until Versalius, da Vinci, Harvey questioned and laid foundations for relying on one's own observations
Trial and error → keep trying until something works
→ no systematic approach, haphazard
→ expensive (time and money)
→ process ends when satisfactory solution is found (may not go further to find best/perfect solution)
→ ex/ Thomas Edison (discovered filament for electric lights by accident); Paul Ehrlich (discovered chemotherapy/chemical formulations)
Logical reasoning → it stands to reason, thus it must be true
→ credited to ancient Greeks
-two kinds: deductive and Inductive
Deductive- starts with general premise/proposition and
goes to specific
- conclusion in form of syllogism: kind of logical argument in which one proposition (the conclusion) is
inferred from two others (the premises) of a certain form
- premises must be true
- can generate hypotheses
- cannot be new source of knowledge
- ex/ chiropractic: premise of universal intelligence
Inductive - starts with specific and generalizes
- ex/ case study approach
Quantitative Paradigm methods -scientific method
1.Theory- developed a priori (before the fact)
2.Subject Selection- randomly; reasonable sample size needed to derive significant results (calculated before implementation)
3.Measurement - instrumentation (i.e. tools, tests, interview protocols)
4. Manipulation - generally of only one variable (controlled)
5.Control - essential to eliminate/reduce extraneous variables (to accurately elucidate cause/effect relationship)
Quantitative paradigm assumptions1. reality: single, objective: single, objective reality and it is based on our ability to measure natural phenomena (aka empiricism)
- goal is to understand and reliably predict and/or control reality
2.investigator and subject: independent of one another (possible to study something unobtrusively)
3. generalizable : desirable and possible --goal of research to develop generalizable characteristics of reality
4. causes and effects: causal- can be determined/ differentiated from each other
- concern: whether relationship between independent (cause) and dependent (effect)
variables can be clearly shown
5. research is value-free (i.e. use of control groups for reference eliminates investigator biases in interpreting significance of findings)
Qualitative paradigm methods1.Theory- allowed to develop as investigator proceeds
- one begins with an idea of what concepts may be important- process often open-ended
2.Subject Selection-non-random, targeted
- considered non-problematic since statistical analysis is not done
3.Measurement - interviews/narratives of/by subjects- records feelings, perceptions rather than objective facts
4.Manipulation - no manipulation is done; simply reported/described
5.Control - no control
- setting is natural, may change with each individual and interactions
Qualitative paradigm assumptions1. reality: multiple, constructed- realities (i.e. there are several versions of reality)
- truth about anything is relative
- ex/ patient responses to same chiropractor: cool vs. weird
2. investigator and subject -dependent (process of inquiry affects both)
- ex/ chiropractor participating in study of professional demeanor likely to change behavior
during observation
3. Generalizable: Situation Specific--knowledge is time- and context-dependent (i.e. idiographic/ pertinent only to particular case under study)
4.causes from effects: Non-causal--impossible to distinguish (i.e. it's better to describe than impart
meaning that allows/suggests control or predictability)
5. research is value-bound (i.e. reflected in types of questions asked, how constructs are
defined/measured)
- all inquiry influenced by values of inquirer and funding resources
Single System ParadigmAssumptions → same as quantitative, except: - treatment effectiveness is subject- and setting-dependent
→ subject-centered
▪ Single-System methods:
1. Theory - a priori (same as quantitative)
2. Subject Selection - targeted, purposive
3. Measurement - objective, standardized
4. Manipulation - same as quantitative
5. Control - same as quantitative
hypothesis a testable prediction, often implied by a theory
variable measurable indicators of a characteristic, whose value may change in individual or whose value may differ among members of a population
(ability to measure a variable , is dependent on the ability to define it)
types: continuous, discrete, dichotommous, independant, dependent, confounding, or random
statistic numerical characteristic of a sample from a population (roman letters denote)
number that correlates, organizes and summarizes a group of recorded variables-collecting, classifying, and analyzing data
parameter a numerical characteristic of a population (greek letters denote)
- ex/ mean, standard deviation, variance, correlation, proportion
association an observed relationship between two or more variables
operationalization aka operationalized concepts
to make operational; to define an abstract concept in such a that it can be practially measured, in statistics this requires assigning numbers to attributes (like visit frequency, patient satisfaction etc) so that they may be analyzed (this process of quantifying/counting is actually the process operationalization)
paradigm one that serves as a pattern or model
form or model for how things work
algorithm a precise rule (or set of rules) specifying how to solve some problem
-established and well defined step by step method used to achieve desired mathematical results
-ex: PV+, PV-
spurious association a casual relation is apparent in two variables, when in fact none exists because a third, hidden variable causes both
construct an abstract or general idea inferred or derived from specific instances, not real
n=1 study single system study
like quantitative
variables-objective, theory-priori
focuses on one target population
Incidence vs prevalence of subluxation prevalence measure of total number of cases in population-how widespread the "disease" is
incidence- rate of occurrence of new cases-risk of contracting the "disease"
content validity vs criterion-related validity content-extent to which an indicator(s) measures full domain of interest -how effect a test is at actually measuring what it claims to
criterion-extent to which one test predict or agree with the results of gold standard
sensitivity vs specificity of a screening sensitivity-ability to identify those who truely have the "disease" (=A/A+C)
specificity-ability to identify those who truely do not have the "disease" (=D/B+D)
reliability vs validity of tests reliability-repeatable
validity-is it measuring what it is intended to measure
(general valid tests are reliable, but reliable doesn't always indicate vailidity)
Quantitative vs Qualitative theory-a priori vs open ended
subjects-random vs targeted
measurement-instrument vs narrative(subjective)
manipulation-one variable vs all variable
ratio vs proportion ratio-comparison of 2 statistical values(5men:15women)
proportions-expression of equivalent ratios(5men:20population)
ratio the relative magnitudes of two quantities (usually expressed as a quotient)
proportion the quotient obtained when the magnitude of a part is divided by the magnitude of the whole
PV+ vs PV-positive vs negative predictive value
PV+ a screening tests ability to correcting identify those with the "disease"
PV- a screening tests ability to correctly identify those who do not have "disease"
prevalence of "disease" important
-low prev PV- more likely to be accurate
-as prev increases PV+ will also increase
PV+= A/A+B
PV-=D/C+D
normal vs negative distribution normal-parabolic curve even on both side mean=median=mode
Negative-skewed to the right, mean<median<mode
Positive-skewed to the left mode<median<mean
mean the arithmetic average of a distribution, obtained by adding the scores and then dividing by the number of scores
median The middle number in a set of numbers that are listed in order
mode the most frequent value of a random variable
Intra vs Inter-examiner validity Intra-extent to which same examiner will produce same results
Inter- extent to which multiple examiners will get same results
True/False Positive/Negative TP-those who test positive for X that have X (box A)
TN-those who test negative for X who don't have X (box D)
FP-those who test positive for X that don't have X (box B)
FN-those who test negative for X that have X (box C)
Randomization and blinding attempt to reduce bias of test by gathering an untargeted population, so as to recreate a semblance of the general population,
and by disallowing information to possibly bias an examiners observation or patient's experience
tradition vs authority knowledge authoritative knowledge can become traditional over time
-the way we have always done it
-because so and so said so
trial and error vs scientific method -haphazard manipulation until success
-logic, hypothesis, and systematic variation to control and prove/disprove
descriptive and inferential statistics -descrp/parametric to describe what's going on in our data, organizes and summarizes observations (mean, median mode, standard deviation)
-to make inferences from our data, draw conclusions about conditions
N vs n N represents entire population
n represents population studied
continuous vs discrete -observed and reported on a linear scale, continuous units
-limited, discontinuous range of observable data, measurable in whole units
independant vs dependant variables -intervention thought to influence event
-correlated direct effect on outcomes
systematic and random measurement error discordance between what was measured and what was actually occuring
sys- arising out of a faulted system
rand-happenstance
nominal/classification uses discrete data only, and these data are utilized as category labels and have no logical order
-can only do frequency and mode
ordinal/rank order uses discrete data, but this data is at least ranked
-giving numbers inherent worth
-can analyze count, mean, mode
interval data continuous data with equal intervals between each, no zero point
-mean, mode, count
ratio scale continuous data with equal intervals and a set zero point
-all analysis applicable
Continuous variable -e.g. joint ROM,strength, distance, weight, chronological time, height
-value anywhere along a continuum within a defiend range
discrete variable -e.g. heart beat
-measured in whole units
-nominal scale data is discrete by definition
dichotomous/binary variable -e.g. yes/no, male/female, case/not case
- discrete that can only have certain values
Independent/manipulable/predictor variable -e.g. drug use, surgical intervention, chiropractic adjustment
-characteristic or experimental intervention thought to influence a particular event/manifestation
-not all independent variable are manipulable
Dependent/outcome variable -e.g. recovery, addiction, death, complications
-resulting outcome/event/manifestation
confounding variable -e.g. lung cancer risk from radon confounded by smoking
-e.g. chronic cough from exposure to workplace SO2 confounded by smoking
-one which distorts the degree to which an independent variable affects a dependent variable, may be due to an association with one or both variables
random variable -one whose value is determined by chance
-applicable to studies in which participants are picked at random
nominal/classification scale -discrete data
-e.g. sex nationality, blood type, clinical diagnosis
-only frequency and mode
ordinal/rank order data -discrete but ordered
-numbers indicate rank- are qualitative
-e.g. pain index, grading and staging of neoplasms, likert rating scale
-count, mode, and median only
interval data -continuous (parametric)
-e.g. calendar yr, IQ, temperature
-doesn't represent absolute magnitude
ratio scale -units with equal intervals measured from a true zero
-quantitative
-e.g. distance, age, time, weight, blood pressure, ROM
face validity -most basic and least rigorous
e.g. ROM (goniometer), length (ruler), strength (dynamometer), sensation (pin prick), gait, and balance
obvious and non-controversial
content validity -e.g. theoretical domain or universe of behavioral variables
-extent to which an indicator measures full domain of interest
-questionaires, examinations, inventories, interviews
-e.g. choosing NBCE questions
criterion-related validity -measure results of target test to predict or agree with gold standard
-most objective validity
-TB skin test vs X-ray vs culture
-to what extent is leg length inequality an indicator of LBP
construct validity -degree to which one measure correlates with other measures of the same abstract concept
-e.g IQ as a measure of intelligence, functional status, quality of life perception
internal validity -when differences between treatment and control group outcomes are attributable only too independent variable
-adjustment vs emotional support
external validity -degree to which research findings can be applied to general population
-vaccine efficacy
predictive validity -ability to predict outcome
-e.g. advanced ed --> financial success or X-ray abnormal mass --> malignancy

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