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Clinical Research Management 512

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Clinical Research Management 512. Leslie McIntosh l mcintosh at path.wustl.edu. Lecture 7. Homework Complete problems from slides Review demo Part I Presentations Part II p-value and statistical significance Part III Hypothesis testing CI & Statistical Significance. Homework. - PowerPoint PPT Presentation
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CLINICAL RESEARCH MANAGEMENT 512 Leslie McIntosh l mcintosh at path.wustl.edu
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Page 1: Clinical Research Management 512

CLINICAL RESEARCH MANAGEMENT 512

Leslie McIntoshlmcintosh at path.wustl.edu

Page 2: Clinical Research Management 512

LECTURE 7

Homework Complete problems from slides Review demo

Part I Presentations

Part II p-value and statistical significance

Part III Hypothesis testing CI & Statistical Significance

Page 3: Clinical Research Management 512

HOMEWORKHomeworkDemonstration

Page 4: Clinical Research Management 512

DISTRIBUTION OF WEIGHT

Mean weight (kg) = 51.3Median weight (kg) = 49.5Minimum weight (kg) = 25.7Maximum weight (kg) = 98.1

Page 5: Clinical Research Management 512

SAMPLES FROM DISTRIBUTION

A B C45.5 39.0 61.739.2 41.4 53.154.7 39.4 49.034.5 34.5 60.762.0 36.0 50.059.7 37.7 39.369.1 40.9 36.443.2 56.3 51.855.2 37.8 79.052.9 49.0 70.9

Page 6: Clinical Research Management 512

STATISTICS FROM SAMPLES

A B CSample Mean of Weight (kg)

Standard Deviation

Sample Size

95% Confidence Interval

Page 7: Clinical Research Management 512

CONFIDENCE INTERVALS FROM SAMPLES

Population Mean = 51.3

Sample A

Sample CSample B

Page 8: Clinical Research Management 512

DEMONSTRATIONS

http://www.amstat.org/publications/jse/v16n3/pvalueapplet.html

Schulz, Eric. "Decisions Based on P-Values and Significance Levels" from the Wolfram Demonstrations Project? http://demonstrations.wolfram.com/DecisionsBasedOnPValuesAndSignificanceLevels/

Page 9: Clinical Research Management 512

PART IIPresentations

Page 10: Clinical Research Management 512

PART IIp-values and statistical significance

Page 11: Clinical Research Management 512

STATISTICAL SIGNIFICANCE

The statistical significance is the probability that the observed relationship (e.g., between variables) or a difference (e.g., between means) in a sample occurred by pure chance ("luck of the draw"), and that in the population from which the sample was drawn, no such relationship or differences exist.

The statistical significance of a result tells us something about the degree to which the result is "true" (in the sense of being "representative of the population").

Page 12: Clinical Research Management 512

P-VALUES

The value of the p-value represents a decreasing index of the reliability of a result (see Brownlee, 1960).

The higher the p-value, the less we can believe that the observed relation between variables in the sample is a reliable indicator of the relation between the respective variables in the population.

The p-value represents the probability of error that is involved in accepting our observed result as valid, that is, as "representative of the population."

Page 13: Clinical Research Management 512

P-VALUES (EXAMPLE) A p-value of .05 (i.e.,1/20) indicates that there is a

5% probability that the relation between the variables found in our sample is a "fluke."

Meaning: assuming that in the population there was no relation between those variables whatsoever, and we were repeating experiments like ours one after another, we could approximately expect that in every 20 replications of the experiment there would be 1 in which the relation between the variables in question would be equal or stronger than in ours.

Note that this is not the same as saying that, given that there IS a relationship between the variables, we can expect to replicate the results 5% of the time or 95% of the time.

Page 14: Clinical Research Management 512

CONCLUSIONS FROM P-VALUES

If the p-value is less than α: The difference between samples is statistically

significant. Reject the null hypothesis (H0).

If the p-value is greater than α:

The difference between samples is not statistically significant.

Do not reject the null hypothesis (H0).

Page 15: Clinical Research Management 512

PROS OF SAYING “STATISTICALLY SIGNIFICANT”

It is sometimes necessary to make an efficient answer.

An exact p-value is not always obtainable. Sounds less ambiguous than saying, “Random

sampling would create a difference this big or bigger in 5% of experiments if the null hypothesis should not be rejected.”

Page 16: Clinical Research Management 512

PART IIIHypothesis Testing

CI & Statistical Significance

Page 17: Clinical Research Management 512

HYPOTHESIS

What are you trying to answer? Do you have a secondary question of

interest? What variables will you need to answer your

question?

Page 18: Clinical Research Management 512

ERROR TYPES

Decision

Reject H0Do not Reject

H0

H0

True Type I Error No Error

False No Error Type II Error

H0 = Null Hypothesis

Page 19: Clinical Research Management 512

ERROR TYPES

Type I False Positive Occurs when the null hypothesis is rejected, but

it should not have been rejected

Type II False Negative Occurs when the null hypothesis is not rejected

and it should have been rejected

Page 20: Clinical Research Management 512

ERROR TYPES

Type I False Positive Occurs when the null hypothesis is rejected, but

it should not have been rejected

Type II False Negative Occurs when the null hypothesis is not rejected

and it should have been rejected

Page 21: Clinical Research Management 512

ANALOGIES FOR HYPOTHESIS TEST

Defendant is innocent

Defendant is guilty Gathering of

evidence Summary of

evidence Jury deliberation and

decision

Null hypothesis Alternative hypothesis Gathering of data Calculation of test

statistic Application of the

decision rule

Page 22: Clinical Research Management 512

ANALOGIES FOR HYPOTHESIS TEST

Verdict Verdict is to acquit

Verdict is to convict

Presumption of innocence

Decision Failure to reject the null

hypothesis Rejection of the null

hypothesis Assumption that the null

hypothesis is true

Page 23: Clinical Research Management 512

ANALOGIES FOR HYPOTHESIS TEST Conviction of an

innocent person

Acquittal of a guilty person

Beyond reasonable doubt

High probability of convicting a guilty person

Type I error (false positive)

Type II error (false negative)

Fixed (small) probability of Type I error

High power

Page 24: Clinical Research Management 512

RELATIONSHIP BETWEEN:CONFIDENCE INTERVAL & STATISTICAL SIGNIFICANCE

When a null hypothesis contains a value…

If a 95% CI does not contain the value of the H0, then the result must be statistically significant with p < 0.05.

If a 95% CI does contain the value of the H0, then the result must not be statistically significant (p > 0.05).

Page 25: Clinical Research Management 512

RELATIONSHIP BETWEEN:CONFIDENCE INTERVAL & STATISTICAL SIGNIFICANCE

When a null hypothesis contains a value…

If a 90% CI does not contain the value of the H0, then the result must be statistically significant with p < _____.

If a 90% CI does contain the value of the H0, then the result must not be statistically significant (p > ____).


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