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  • Question 1 - What database is most suitable for finding scholarly material that has not undergone...

    Incorrect

    • What database is most suitable for finding scholarly material that has not undergone official publication?

      Your Answer: Cochrane Library

      Correct Answer: SIGLE

      Explanation:

      SIGLE is a database that contains unpublished of ‘grey’ literature, while CINAHL is a database that focuses on healthcare and biomedical journal articles. The Cochrane Library is a collection of databases that includes the Cochrane Reviews, which are systematic reviews and meta-analyses of medical research. EMBASE is a pharmacological and biomedical database, and PsycINFO is a database of abstracts from psychological literature that is created by the American Psychological Association.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      10.2
      Seconds
  • Question 2 - Which studies are most susceptible to the Hawthorne effect? ...

    Correct

    • Which studies are most susceptible to the Hawthorne effect?

      Your Answer: Compliance with antipsychotic medication

      Explanation:

      The Hawthorne effect is a phenomenon where individuals may alter their actions of responses when they are aware that they are being monitored of studied. Out of the given choices, the only one that pertains to a change in behavior is the adherence to medication. The remaining options related to outcomes that are not under conscious control.

      Types of Bias in Statistics

      Bias is a systematic error that can lead to incorrect conclusions. Confounding factors are variables that are associated with both the outcome and the exposure but have no causative role. Confounding can be addressed in the design and analysis stage of a study. The main method of controlling confounding in the analysis phase is stratification analysis. The main methods used in the design stage are matching, randomization, and restriction of participants.

      There are two main types of bias: selection bias and information bias. Selection bias occurs when the selected sample is not a representative sample of the reference population. Disease spectrum bias, self-selection bias, participation bias, incidence-prevalence bias, exclusion bias, publication of dissemination bias, citation bias, and Berkson’s bias are all subtypes of selection bias. Information bias occurs when gathered information about exposure, outcome, of both is not correct and there was an error in measurement. Detection bias, recall bias, lead time bias, interviewer/observer bias, verification and work-up bias, Hawthorne effect, and ecological fallacy are all subtypes of information bias.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      12.2
      Seconds
  • Question 3 - A cohort study of 10,000 elderly individuals aimed to determine whether regular exercise...

    Incorrect

    • A cohort study of 10,000 elderly individuals aimed to determine whether regular exercise has an effect on cognitive decline. Half of the participants engaged in regular exercise while the other half did not.
      What is a limitation of conducting a cohort study in this scenario?

      Your Answer: They are not suitable when exposure to risk factors is rare

      Correct Answer: When the outcome of interest is rare a very large sample size is needed

      Explanation:

      Cohort studies involve following a group of individuals over a period of time to investigate whether exposure to a particular factor affects disease incidence. Although they are costly and time-consuming, they offer several benefits. For instance, they can examine rare exposure factors and are less prone to recall bias than case-control studies. Additionally, they can measure disease incidence and risk. Results are typically presented as the relative risk of developing the disease due to exposure to the factor.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      75.7
      Seconds
  • Question 4 - Which statistical test is best suited for analyzing the difference in blood pressure...

    Incorrect

    • Which statistical test is best suited for analyzing the difference in blood pressure between the two groups of patients who were given either the established of new anti-hypertensive medication in a randomized controlled trial with a crossover design?

      Your Answer: Unpaired t-test

      Correct Answer: Paired t-test

      Explanation:

      The appropriate statistical test to analyze the research question of the difference between two related groups with a dependent variable of change in BP (ratio) and parametric data is a paired t-test.

      Choosing the right statistical test can be challenging, but understanding the basic principles can help. Different tests have different assumptions, and using the wrong one can lead to inaccurate results. To identify the appropriate test, a flow chart can be used based on three main factors: the type of dependent variable, the type of data, and whether the groups/samples are independent of dependent. It is important to know which tests are parametric and non-parametric, as well as their alternatives. For example, the chi-squared test is used to assess differences in categorical variables and is non-parametric, while Pearson’s correlation coefficient measures linear correlation between two variables and is parametric. T-tests are used to compare means between two groups, and ANOVA is used to compare means between more than two groups. Non-parametric equivalents to ANOVA include the Kruskal-Wallis analysis of ranks, the Median test, Friedman’s two-way analysis of variance, and Cochran Q test. Understanding these tests and their assumptions can help researchers choose the appropriate statistical test for their data.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      44.8
      Seconds
  • Question 5 - What is the term used to describe how a person's age affects their...

    Correct

    • What is the term used to describe how a person's age affects their likelihood of reporting past exposure to a certain risk factor?

      Your Answer: Recall bias

      Explanation:

      Recall bias pertains to how a person’s illness status can influence their tendency to report past exposure to a risk factor. Confounding arises when an additional variable is associated with both an independent and dependent variable. Observer bias refers to the possibility that researchers’ cognitive biases may unconsciously impact the results of a study. Publication bias refers to the tendency for studies with positive results to be more likely to be published. Selection bias occurs when certain individuals of groups are overrepresented, leading to inadequate randomization.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      14.2
      Seconds
  • Question 6 - What statistical test would be appropriate to compare the mean blood pressure measurements...

    Correct

    • What statistical test would be appropriate to compare the mean blood pressure measurements of a group of individuals before and after exercise?

      Your Answer: Paired t-test

      Explanation:

      Choosing the right statistical test can be challenging, but understanding the basic principles can help. Different tests have different assumptions, and using the wrong one can lead to inaccurate results. To identify the appropriate test, a flow chart can be used based on three main factors: the type of dependent variable, the type of data, and whether the groups/samples are independent of dependent. It is important to know which tests are parametric and non-parametric, as well as their alternatives. For example, the chi-squared test is used to assess differences in categorical variables and is non-parametric, while Pearson’s correlation coefficient measures linear correlation between two variables and is parametric. T-tests are used to compare means between two groups, and ANOVA is used to compare means between more than two groups. Non-parametric equivalents to ANOVA include the Kruskal-Wallis analysis of ranks, the Median test, Friedman’s two-way analysis of variance, and Cochran Q test. Understanding these tests and their assumptions can help researchers choose the appropriate statistical test for their data.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      6.4
      Seconds
  • Question 7 - The average survival time for people diagnosed with Alzheimer's at age 65 is...

    Correct

    • The average survival time for people diagnosed with Alzheimer's at age 65 is reported to be 8 years. A new pilot scheme consisting of early screening and the provision of high dose fish oils is offered to a designated subgroup of the population. The screening test enables the early detection of Alzheimer's before symptoms arise. A study is conducted on the scheme and reports an increase in survival time and attributes this to the use of fish oils.

      What type of bias could be responsible for the observed increase in survival time?

      Your Answer: Lead Time bias

      Explanation:

      It is possible that the longer survival time is a result of detecting the condition earlier rather than an actual extension of life.

      Types of Bias in Statistics

      Bias is a systematic error that can lead to incorrect conclusions. Confounding factors are variables that are associated with both the outcome and the exposure but have no causative role. Confounding can be addressed in the design and analysis stage of a study. The main method of controlling confounding in the analysis phase is stratification analysis. The main methods used in the design stage are matching, randomization, and restriction of participants.

      There are two main types of bias: selection bias and information bias. Selection bias occurs when the selected sample is not a representative sample of the reference population. Disease spectrum bias, self-selection bias, participation bias, incidence-prevalence bias, exclusion bias, publication of dissemination bias, citation bias, and Berkson’s bias are all subtypes of selection bias. Information bias occurs when gathered information about exposure, outcome, of both is not correct and there was an error in measurement. Detection bias, recall bias, lead time bias, interviewer/observer bias, verification and work-up bias, Hawthorne effect, and ecological fallacy are all subtypes of information bias.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      13
      Seconds
  • Question 8 - What statement accurately describes dependent variables? ...

    Correct

    • What statement accurately describes dependent variables?

      Your Answer: They are affected by changes of independent variables

      Explanation:

      Understanding Stats Variables

      Variables are characteristics, numbers, of quantities that can be measured of counted. They are also known as data items. Examples of variables include age, sex, business income and expenses, country of birth, capital expenditure, class grades, eye colour, and vehicle type. The value of a variable may vary between data units in a population. In a typical study, there are three main variables: independent, dependent, and controlled variables.

      The independent variable is something that the researcher purposely changes during the investigation. The dependent variable is the one that is observed and changes in response to the independent variable. Controlled variables are those that are not changed during the experiment. Dependent variables are affected by independent variables but not by controlled variables, as these do not vary throughout the study.

      For instance, a researcher wants to test the effectiveness of a new weight loss medication. Participants are divided into three groups, with the first group receiving a placebo (0mg dosage), the second group a 10 mg dose, and the third group a 40 mg dose. After six months, the participants’ weights are measured. In this case, the independent variable is the dosage of the medication, as that is what is being manipulated. The dependent variable is the weight, as that is what is being measured.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      19.5
      Seconds
  • Question 9 - Which of the following is an example of secondary evidence? ...

    Correct

    • Which of the following is an example of secondary evidence?

      Your Answer: A Cochrane review on the evidence of exercise for reducing the duration of depression relapses

      Explanation:

      Scientific literature can be classified into two main types: primary and secondary sources. Primary sources are original research studies that present data and analysis without any external evaluation of interpretation. Examples of primary sources include randomized controlled trials, cohort studies, case-control studies, case-series, and conference papers. Secondary sources, on the other hand, provide an interpretation and analysis of primary sources. These sources are typically removed by one of more steps from the original event. Examples of secondary sources include evidence-based guidelines and textbooks, meta-analyses, and systematic reviews.

      Evidence-based medicine involves four basic steps: developing a focused clinical question, searching for the best evidence, critically appraising the evidence, and applying the evidence and evaluating the outcome. When developing a question, it is important to understand the difference between background and foreground questions. Background questions are general questions about conditions, illnesses, syndromes, and pathophysiology, while foreground questions are more often about issues of care. The PICO system is often used to define the components of a foreground question: patient group of interest, intervention of interest, comparison, and primary outcome.

      When searching for evidence, it is important to have a basic understanding of the types of evidence and sources of information. Scientific literature is divided into two basic categories: primary (empirical research) and secondary (interpretation and analysis of primary sources). Unfiltered sources are large databases of articles that have not been pre-screened for quality, while filtered resources summarize and appraise evidence from several studies.

      There are several databases and search engines that can be used to search for evidence, including Medline and PubMed, Embase, the Cochrane Library, PsycINFO, CINAHL, and OpenGrey. Boolean logic can be used to combine search terms in PubMed, and phrase searching and truncation can also be used. Medical Subject Headings (MeSH) are used by indexers to describe articles for MEDLINE records, and the MeSH Database is like a thesaurus that enables exploration of this vocabulary.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      8
      Seconds
  • Question 10 - What statement accurately describes the mean? ...

    Correct

    • What statement accurately describes the mean?

      Your Answer: Is sensitive to a change in any value in the data set

      Explanation:

      Measures of Central Tendency

      Measures of central tendency are used in descriptive statistics to summarize the middle of typical value of a data set. There are three common measures of central tendency: the mean, median, and mode.

      The median is the middle value in a data set that has been arranged in numerical order. It is not affected by outliers and is used for ordinal data. The mode is the most frequent value in a data set and is used for categorical data. The mean is calculated by adding all the values in a data set and dividing by the number of values. It is sensitive to outliers and is used for interval and ratio data.

      The appropriate measure of central tendency depends on the measurement scale of the data. For nominal and categorical data, the mode is used. For ordinal data, the median of mode is used. For interval data with a normal distribution, the mean is preferable, but the median of mode can also be used. For interval data with skewed distribution, the median is used. For ratio data, the mean is preferable, but the median of mode can also be used for skewed data.

      In addition to measures of central tendency, the range is also used to describe the spread of a data set. It is calculated by subtracting the smallest value from the largest value.

    • This question is part of the following fields:

      • Research Methods, Statistics, Critical Review And Evidence-Based Practice
      16.2
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Research Methods, Statistics, Critical Review And Evidence-Based Practice (7/10) 70%
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