在干预研究中使用多个结果:在控制I型错误的同时提高功率
1Department of Experimental Psychology, University of Oxford, Oxford, Oxon, OX2 6GG, UK.
F1000Research
|November 9, 2023
概括
在临床试验中使用多个结果可以提高效率. 调整NVar方法控制了错误率,提供了更好的权力平衡和I型错误,而不是使用多个相关措施进行研究的单个结果.
科学领域:
- 生物统计学 生物统计学
- 临床试验设计 临床试验设计
- 统计学意义 统计学意义
背景情况:
- CONSORT的指导方针建议只有一个主要结果,以尽量减少假阳性.
- 如果控制了家族错误率,可以使用多个结果.
- 控制错误包括根据其数量和相关性为显著结果指定一个值 (N).
研究的目的:
- 探索干预研究中单个初级结果的替代方案.
- 开发一种方法来控制具有多个结果的家庭错误率.
- 评估使用多个相关结果与单个结果的效率.
主要方法:
- 模拟使用了零假设显著性测试,alpha = .05.05.
- 研究了2-12个结果指标,相关性从0到0.8,效果大小从0到0.7.
- 开发了调整NVar方法,计算最小显著结果 (MinNSig) 以控制5%的家族错误率.
主要成果:
- 调整NVar方法证明了统计能力和I型错误率之间的更有效的权衡.
- 当使用三个或更多适度相互关联的结果变量时,观察到这种效率.
- 与单项结果研究相比,调整NVar在特定条件下表现更好.
结论:
- 在干预研究中,使用一系列中度相关的结果测量可以比单个主要结果更有效.
- 这种方法在研究中提供了内部复制.
- 调整NVar方法也可以用于评估现有的干预研究.
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