Study Designs in reasearch

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    Study DesignsStudy DesignsAA

    PresentationPresentation

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    Types of Study designsTypes of Study designs

    Non Intervention StudiesNon Intervention StudiesDescriptive studiesDescriptive studies

    Comparative (analytical) studiesComparative (analytical) studies

    Exploratory studiesExploratory studies

    Intervention StudiesIntervention Studies

    The two categories of intervention studiesThe two categories of intervention studies

    are:are:

    Experimental studiesExperimental studies

    Quasi-experimental studies.Quasi-experimental studies.

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    E P I D E M I O L O G I C A L S

    1 . C a s e

    2 . C a s e

    3 . C o r r e l a t

    4 . C r o s s S e

    D E S C R I

    C O H

    C A S E

    O B S E R V

    3 . T r i

    2 . D o u

    1 . S i n

    E X P E R I M

    A N A L Y T

    CurrentCurrent

    ClassificationClassification

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    Descriptive StudiesDescriptive Studies

    Descriptive studies involve theDescriptive studies involve the

    systematic collection andsystematic collection and

    presentation of data to give apresentation of data to give a

    clear picture of a particularclear picture of a particular

    situation and can be carried outsituation and can be carried out

    on a small or large scale.on a small or large scale.

    Case studiesCase studies

    Case seriesCase series

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    Comparative or AnalyticalComparative or Analytical

    StudiesStudies

    An ANALYTICAL STUDY attempts toAn ANALYTICAL STUDY attempts toestablish causes or risk factors forestablish causes or risk factors for

    certain problems. This is done bycertain problems. This is done by

    comparing two or more groups,comparing two or more groups,

    some of which have or develop thesome of which have or develop the

    problem and some of which haveproblem and some of which have

    notnot..

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    Quantify the distribution of certain variables in aQuantify the distribution of certain variables in astudy population at a point of time. They maystudy population at a point of time. They may

    cover, for example:cover, for example:

    Physical characteristics of people, materials, or thePhysical characteristics of people, materials, or theenvironment,etcenvironment,etc

    The behavior of people and the knowledge, attitudes,The behavior of people and the knowledge, attitudes,beliefs, and opinions that may help to explain thatbeliefs, and opinions that may help to explain that

    behaviour (KAP studies), or events that occurred inbehaviour (KAP studies), or events that occurred in

    the population.the population.

    Cross-sectional surveys cover a sample of theCross-sectional surveys cover a sample of thepopulation. If a cross-sectional study covers the totalpopulation. If a cross-sectional study covers the totalpopulation it is called a census.population it is called a census.

    Cross SectionalSurveys

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    Case Control StudiesCase Control Studies

    In a CASE-CONTROL STUDY, theIn a CASE-CONTROL STUDY, theinvestigator compares one groupinvestigator compares one group

    among whom a problem is (e.g.,among whom a problem is (e.g.,

    malnutrition) with anothermalnutrition) with another

    group, called a control orgroup, called a control or

    comparison group, where thecomparison group, where the

    problem is absent to find outproblem is absent to find outwhat factors have contributed towhat factors have contributed to

    the problem.the problem.

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    Cohort StudiesCohort Studies

    In a COHORT STUDY, a group of individuals thatIn a COHORT STUDY, a group of individuals thatis exposed to a risk factor (study group) isis exposed to a risk factor (study group) is

    compared with a group of individuals notcompared with a group of individuals not

    exposed to the risk factor (control group).exposed to the risk factor (control group).

    The researcher follows both groups over time andThe researcher follows both groups over time andcompares the occurrence of the problem that he or shecompares the occurrence of the problem that he or she

    expects to be related to the risk factor in the two groupsexpects to be related to the risk factor in the two groups

    to determine whether a greater proportion of those withto determine whether a greater proportion of those with

    the risk factor are indeed affected.the risk factor are indeed affected.

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    Relative Ratio (RR)Relative Ratio (RR)

    Ratio of incidence of the disease (orRatio of incidence of the disease (ordeath)among exposed and thedeath)among exposed and the

    incidence among non-exposed.incidence among non-exposed.

    It is a direct measure (or index) ofIt is a direct measure (or index) of

    the strength of the associationthe strength of the association

    between suspected cause and effectbetween suspected cause and effect

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    Exploratory StudiesExploratory Studies

    An Exploratory study is a small-scaleAn Exploratory study is a small-scale

    study of relatively short duration,study of relatively short duration,

    which is carried out when little elsewhich is carried out when little elseis known about a situation or ais known about a situation or a

    problem.problem.

    I i

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    InterventionIntervention

    StudiesStudies

    In intervention studies, the researcherIn intervention studies, the researchermanipulates a situation and measuresmanipulates a situation and measures

    the effects of the manipulation. Usuallythe effects of the manipulation. Usually

    (but not always) two groups are(but not always) two groups are

    compared, one in which the interventioncompared, one in which the intervention

    takes place (e.g.. treatment with atakes place (e.g.. treatment with a

    certain drug) and another group thatcertain drug) and another group that

    remains "untouched" (e.g., treatmentremains "untouched" (e.g., treatment

    with a placebo) .with a placebo) .

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    Experimental StudiesExperimental Studies

    Experimental design is the only type ofExperimental design is the only type ofstudy design that can actually provestudy design that can actually prove

    causation.causation.

    In an EXPERIMENTAL STUDY, individuals areIn an EXPERIMENTAL STUDY, individuals are

    randomly allocated to at least two groups.randomly allocated to at least two groups.

    One group is subjected to an intervention orOne group is subjected to an intervention or

    experiment, while the other group(s) is not.experiment, while the other group(s) is not.

    The outcome of the intervention - effect of theThe outcome of the intervention - effect of theintervention on the dependentintervention on the dependent

    (variable/problem) is obtained by(variable/problem) is obtained by

    comparing the two groups.comparing the two groups.

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    The classical experimental studyThe classical experimental study

    design has threedesign has three

    characteristics:characteristics:

    ManipulationManipulation

    ControlControlRandomizationRandomization

    Classical ExperimentalStudy Design

    Q i i lQ i E i t l

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    Quasi ExperimentalQuasi Experimental

    StudiesStudies

    In a QUASI-EXPERIMENTAL STUDY,In a QUASI-EXPERIMENTAL STUDY,at least one characteristic of a trueat least one characteristic of a true

    experiment is missing.experiment is missing.

    One of the most common quasi-One of the most common quasi-experimental designs uses two (or more)experimental designs uses two (or more)

    groups, one of, which serves a controlgroups, one of, which serves a control

    group in which no intervention takesgroup in which no intervention takes

    place.place.

    Both groups are observed before as wellBoth groups are observed before as wellas after the intervention, to test if theas after the intervention, to test if the

    intervention has made any difference.intervention has made any difference.