Designing Clinical Research: Ch. 1

protocol

the written plan of the study

research question

the objective of the study, the uncertainty the investigator wants to resolve.

background, significance

these two sections of a protocol set the proposed study in context and give it rationale

observational study

study in which the researcher takes a passive role studying subjects

clinical trial

the researcher applies an intervention and examines its effects on these events

cohort studies

observations are made in a group of subjects that is followed over time

cross-sectional studies

observations are made on a single occasion

prospective study

cohort study that begins in the present and follows subjects into the future

retrospective study

cohort study that examines information and specimens that have been collected in the past

Case-control study

study in which the investigator compares a group of people who have a disease or condition with another group who does not.

descriptive

studies that "explore the lay of the land

analytic

studies that evaluate associations to permit inferences about cause-and-effect relationships

randomized blinded trial

two groups created by a random process, and a blinded intervention

inclusion and exclusion criteria

specifications that define the target population: the kinds of patients best suited to the research question.

predictor variable

in considering the association between two variables, the one that occurs first or more likely on biologic grounds to be causal

outcome variable

in considering the association between two variables, the one that occurs last or more likely on biologic grounds to be the effect of another variable

intervention

a special kind of predictor variable that the investigator manipulates

confounding variables

other predictors of the outcome, that could be related to the intervention or predictor variable, and confuse the interpretation of the findings.

hypothesis

specific version of the research question that establishes the basis for tests of statistical significance.

sample size

the number of subjects needed to observe the expected difference in outcome between study groups with reasonable probability

internal validity

the degree to which the investigator draws the correct conclusions about what actually happened in the study

external validity

the degree to which conclusions of a study can be appropriately applied to people and events outside the study

generalizability

another word for external validity.

inferences

drawn from findings in a study to the nature of the universe around it.

random error

a wrong result due to chance- sources of variation that are equally likely to distort estimates from the study in either direction.

systematic error

a wrong result due to bias- sources of variation that distort the study findings in one direction.

sampling error

errors that threaten inferences from the study subjects to the population

measurement error

errors that threaten the inferences from the study measurements to the phenomena of interest.