Identifying Variables Lecture Bwl

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    Identifying variables

    Bony Wiem LestariEpidemiology and BiostatisticsDepartment

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    Why it is important to assess our

    variables of interest?

    Research design issue Measurement issue Statistical testing

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    Research Design

    Independent variable/ risk factor(s)/predictor(s)/ exposure(s)

    Dependent variable/ disease(s)/

    outcome(s) Choosing appropriate research design

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    Epidemiologic Study DesignThe plan of an empirical investigation to

    assess an E D relationship.Exposure Alcohol

    consumption Raw hamburger Smoking

    Outcome Breast Cancer E. Coli Lung Cancer

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    Type of Epidemiologic Studies

    The investigatorthroughrandomizationallocatessubjects to

    differentcategories ofexposure.

    Investigatorobserves theexposure andoutcome statusof each

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    Observational Studies

    Descriptive Studies Analytic Studies

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    Observational Studies

    Descriptive StudiesTo organize and summarize data accordingto time, place, and person. Why? Describe natural history of disease Extent of public health problem Identify populations at greatest risk Allocation of health care resources Suggest hypothesis about causation

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    Observational Studies

    Analytic StudiesUsed to quantify the association between anexposure (E) and a health outcome (D), and

    to test hypotheses about causalrelationships. Provides a control group (baseline)

    Test hypotheses about determinants Causation

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    Measurement issue

    How to operationalise the way ameasurement is carried out? When should measurements be taken? How many measurements should be taken on

    each variable and how should severalmeasurements be combined?

    Standardized informationCost and time efficient

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    Measurement issue

    Variables Definition: something that is likely to vary;

    something that can be changed, such as a

    characteristic or value. In clinical research: a quantity whose

    value may vary from patient to patient

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    Measurement issue

    Independent variable: the variable that iscontrolled and manipulated by theexperimenter to see how it affects thedependent variable.

    Dependent variable: the variable that ismeasured by the experimenter; what isactually being measured in the

    experiment? e.g: impact ofsleep deprivation on testperformance

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    Measurement issue

    Confounding variable: the variable thatmay have an impact on the relationshipbetween the independent and dependent

    variables e.g: age, gender and education level

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    Operationally Defining aVariable

    Before conducting a study, it is essentialto create firm operational definitions forboth the independent variable and

    dependent variable. An operational definition describes how

    the variables are measured and defined

    within the study.

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    Operationally Defining aVariable

    e.g: impact ofsleep deprivation on testperformance sleep deprivation = IV test performance = DV (scores) Hypothesis: students who are sleep

    deprived will score significantly lower on a

    test

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    Operationally Defining aVariable

    sleep deprivation refers to thoseparticipants who have had less than fivehours of sleep the night before the test.

    test performance : a students score on achapter exam

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    Statistical testing

    Choice of methods is largely determinedby the type and character of variables

    Qualitative : variable for which the

    numerical value is not meaningful, alsocalled categorical variable. e.g: gender,race, social status.

    Quantitative: the value of variable shouldbe interpreted as a number, also callednumerical variable. e.g: counts, age, bloodpressure

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    Types of variables

    CATEGORICAL (or qualitative)1. Nominal: no natural ordering of categoriesE.g: sex, smoker/non-smoker (dichotomous)blood group, married/single/divorced/widowed

    (polytomous)2. Ordinal: natural orderingE.g: result of treatment (worsened/nochange/improved)level of education: primary/secondary/highstage of breast cancer: I, II, III, IV

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    Types of variables

    NUMERICAL (or quantitative)1.Discrete: a variable which can take ononly a countable number of values

    e.g: no. of persons in a household, no. of whiteblood cells in blood sample2. Continuous: a variable that can get anyvalue along some line intervale.g: height, age, blood pressure, BMI

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    Some well known statistical testsNormal Distribution DichotomousSamples distrib. free data2 T-test Mann-Whitney -square>2 ANOVA Kruskal-Wallis -square>2 ordered Linear Spearmans rho Logisticregres. regression1 (paired) Paired t-test Wilcoxon (signed rank) McNemar>=2 (survi-AFT models Kaplan-Meier curves/val data)Logrank-tests/Cox-regres.

    Analysis of count data: Poisson regression

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    Thank you