8. Designing experiments The Practice of Statistics in the Life Sciences Third Edition © 2014 W. H. Freeman and Company Objectives (PSLS Chapter 8) Designing experiments Experimental terminology Comparative, randomized experiments Completely randomized designs Block designs Matched pairs designs Ethics and experimentation Terminology The individuals in an experiment are the experimental units. If they are human, we call them subjects. The explanatory variables in an experiment are often called factors. A treatment is any specific experimental condition applied to the subjects. If an experiment has several factors, a treatment is a combination of specific levels of each factor. The factor may be the administration of a drug. One group of people may be placed on a diet/exercise program for 6 months (treatment), and their blood pressure (response variable) would be compared with that of people who did not diet or exercise. Comparative, randomized experiments Experiments compare the response to a given treatment versus: another treatment the absence of treatment (often called a control) a placebo (a fake treatment) Experiments randomize the assignment of subjects to treatments. Experiments use replication: several or many individuals are studied. Inventing experimental design Fisher was sent to a UK agricultural station to evaluate the effect of fertilizers. He found decades worth of bad data. Fertilizer had been applied to a field one year and not in another to compare the yield of grain produced in the two years. Fertilizer was applied to one field and not to a nearby field in the same year. Satellite and soil recordings show that soil types and moisture vary, even within a single field. F F F F F F Solution: Randomized comparative experiments. He selected many fields and randomly assigned the fields to receive fertilizer or not. Grain yield was then compared for the two conditions. F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F Importance of design Gastric freezing was once a recommended treatment for peptic ulcers. Patients would swallow a balloon through which a refrigerated liquid was pumped for an hour to cool the stomach. The treatment was shown to be safe and significantly reduce ulcer pain and it was widely used for years (2500 gastric freeze machines sold and 15,000 patients chilled). A randomized comparative experiment was later performed to compare the effect of gastric freezing with that of a placebo: - 28 of the 82 patients subjected to gastric freezing improved - 30 of the 78 patients in the control group improved Gastric freezing was then abandoned. About the “placebo effect” Improvement in health or perceived condition due not to any active treatment, but only to the patient’s belief that he or she is being cared for or helped. therapeutic results on up to 35% of patients famous placebo: kiss/blow/hug/Band-aid to help kids cope with minor injuries neural response to the placebo effect seen as early as the spinal cord Science (2009), DOI: 10.1126/science.1180142 “negative placebo effect” also observed; labeling an active drug a placebo lowers its effectiveness Sci Transl Med (2014), DOI: 10.1126/scitranslmed.3006175 Design issue: Bias and blinding Bias, conscious or unconscious, from the placebo effect (subjects) or the experimenter is a challenge. “Blinding” can help against bias. A double-blind experiment is one in which neither the subjects nor the experimenter(s) know which individuals received which treatment until the experiment is completed. However, subjects must be informed that they will get one of a number of treatments, and must consent to that condition (it would be unethical otherwise). doi:10.2519/jospt.2008.2791 doi: 10.1016/j.pain.2011.04.006 Lack of realism Is the sample representative of the target population? Random sampling is meant to gain information about a larger population. population sample Is the treatment appropriate for the response you want to study? FDA requiring lower recommended dose for certain sleep drugs containing zolpidem (Jan. 10, 2013): “Since women eliminate zolpidem from their bodies more slowly than men, the FDA has notified the manufacturers that the recommended dose should be lowered for women.” Carcinogenicity studies administer high doses of a potential carcinogen to lab rats. Results don’t always apply to humans (e.g., saccharin delisted in 2000). Some common experimental designs In a completely randomized experimental design individuals are randomly assigned to groups, then the groups are assigned to treatments completely at random. In a block design, subjects are divided into blocks (groups sharing a given characteristic) before the randomization, in order to account for possible differences between the blocks. The blocks are NOT random. Randomization occurs inside each block. A block design lets us choose how many individuals of each block will receive each treatment. Repeated measures and matched pairs designs Choose pairs of subjects that are closely matched (like twins). Within each pair, randomly assign who will receive which treatment. Or give the two (or more) treatments to each subject over time, in random order, so we have repeated measures for each subject. Each subject is given two chili bowls: version A and version B. Subjects eat and rate both versions. Half of all subjects are given version A first then version B. The other half are given version B first then version A. What experimental design? Six male runners participated in two running trials separated by one week. In random order, they consumed either chocolate milk or a Gatorade-like sports drink after their run. Protein synthesis was assessed three hours later. In a study of sickle-cell anemia, 152 patients were given the drug hydroxyurea, and 147 were given a placebo (dummy pill), based on random assignment. The researchers counted the episodes of pain in each subject at the end of the study. Ethics and experimentation Biology deals with life. Experimentations have an impact on live subjects and ecosystems. What rights do human subjects, animals, ecosystems have? There is a difference between what can physically be done and what can be done ethically. When is it okay/not okay to include a placebo group? When should an experiment be interrupted? Personal standards vary, and extreme experimentations have occurred. Committees have been established to review all research proposals. Subjects must give “informed” consent.
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