Literature DB >> 18191102

The value of RCT evidence depends on the quality of statistical analysis.

Cathy Faulkner1, Fiona Fidler, Geoff Cumming.   

Abstract

The authors examined statistical practices in 193 randomized controlled trials (RCTs) of psychological therapies published in prominent psychology and psychiatry journals during 1999-2003. Statistical significance tests were used in 99% of RCTs, 84% discussed clinical significance, but only 46% considered-even minimally-statistical power, 31% interpreted effect size and only 2% interpreted confidence intervals. In a second study, 42 respondents to an email survey of the authors of RCTs analyzed in the first study indicated they consider it very important to know the magnitude and clinical importance of the effect, in addition to whether a treatment effect exists. The present authors conclude that published RCTs focus on statistical significance tests ("Is there an effect or difference?"), and neglect other important questions: "How large is the effect?" and "Is the effect clinically important?" They advocate improved statistical reporting of RCTs especially by reporting and interpreting clinical significance, effect sizes and confidence intervals.

Mesh:

Year:  2007        PMID: 18191102     DOI: 10.1016/j.brat.2007.12.001

Source DB:  PubMed          Journal:  Behav Res Ther        ISSN: 0005-7967


  6 in total

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Journal:  Transl Behav Med       Date:  2015-09       Impact factor: 3.046

2.  Current use of effect size or confidence interval analyses in clinical and biomedical research.

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Journal:  Scientometrics       Date:  2021-09-18       Impact factor: 3.801

3.  Simple screening statistical tools to detect reporting bias: when should we ask for raw data?

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Journal:  Crit Care       Date:  2013-05-07       Impact factor: 9.097

4.  Pre-referral rectal artesunate in severe malaria: flawed trial.

Authors:  Karim F Hirji; Zulfiqarali G Premji
Journal:  Trials       Date:  2011-08-08       Impact factor: 2.279

5.  Meeting report of the 2nd German dialectical behavior therapy for adolescents network meeting.

Authors:  Florian Hammerle; Arne Bürger; Michael Kaess; David R Kolar
Journal:  BMC Proc       Date:  2016-07-04

6.  Performing Contrast Analysis in Factorial Designs: From NHST to Confidence Intervals and Beyond.

Authors:  Stefan Wiens; Mats E Nilsson
Journal:  Educ Psychol Meas       Date:  2016-10-06       Impact factor: 2.821

  6 in total

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