A note on ANOVA assumptions and robust analysis for a cross-over study
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Updated: Sep 29, 2026

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Published on: November 4, 2025
Xun Chen1, Peng-Liang Zhao, Ji Zhang
1Clinical Biostatistics, Merck Research Laboratories, RY34-A316, Rahway, NJ 07065, USA. Xun_Chen@Merck.Com
Abstract:
Analysis of variance (ANOVA) methods are usually applied to analyse continuous data from cross-over studies. The analysis, however, may not have appropriate type I error when certain assumptions are violated. In this paper, we first clarify a conventionally minimum set of assumptions that validate the F-tests of ANOVA models for cross-over studies. We then provide a practical verification/remedy procedure based upon the theoretical developments. By applying the verification/remedy procedure, more robust analysis results can be expected from the ANOVA models.
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