Risks and Statistics in Alcohol Consumption

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Questions and Answers

What does the 95% CI of −1.2 to 0.1 mm for corn size at nine months indicate?

  • Statistically significant and potentially clinically important.
  • Statistically significant and clinically important.
  • Statistically significant and not clinically important.
  • Not statistically significant but potentially clinically important. (correct)

At twelve months, a 95% CI of −1.7 to −0.2 mm suggests what about the difference in corn size?

  • Statistically significant and not clinically important.
  • Statistically significant and clinically important. (correct)
  • Statistically significant and potentially clinically important.
  • Not statistically significant and not clinically important.

What is the implication of a 95% CI of −1.5 to −0.5 mm at three months?

  • Statistically significant and potentially clinically important.
  • Not statistically significant and potentially clinically important.
  • Not statistically significant and not clinically important.
  • Statistically significant and clinically important. (correct)

Which aspect is highlighted by a 95% CI that includes zero?

<p>There is no statistically significant difference. (A)</p> Signup and view all the answers

How does a CI that ranges from −1.2 to 0.1 mm impact your interpretation of the effectiveness of a treatment?

<p>It suggests no reliable effect of the treatment. (B)</p> Signup and view all the answers

What conclusion can be drawn if the CI for a treatment effect is consistently below 0 mm?

<p>The treatment shows negative effects. (B)</p> Signup and view all the answers

What does the null hypothesis (H0) typically state in hypothesis testing?

<p>There is no change in the measured outcome. (B)</p> Signup and view all the answers

If the P-value from a trial is greater than the significance level α, what is the appropriate conclusion?

<p>The null hypothesis is accepted. (D)</p> Signup and view all the answers

If a CI reports an interval of −1.7 to −0.2 mm, which statement is accurate?

<p>The results are statistically significant and clinically important. (A)</p> Signup and view all the answers

What significance level is commonly chosen for testing hypotheses?

<p>0.05 or 5% (B)</p> Signup and view all the answers

What does it mean if the CI shows values that are very close to zero?

<p>The treatment results are not clinically significant. (B)</p> Signup and view all the answers

Which of the following is a necessary step to obtain a P-value during hypothesis testing?

<p>Calculate a test statistic from the data. (A)</p> Signup and view all the answers

What does a statistically significant result imply?

<p>The data supports the alternative hypothesis. (D)</p> Signup and view all the answers

What is the relationship between the null hypothesis and the research hypothesis?

<p>The null hypothesis is assumed to be true until evidence suggests otherwise. (D)</p> Signup and view all the answers

What is the purpose of setting a significance level in hypothesis testing?

<p>To establish a threshold for rejecting the null hypothesis. (B)</p> Signup and view all the answers

When is a result considered unlikely if the null hypothesis is true?

<p>When the P-value is less than or equal to the significance level α. (D)</p> Signup and view all the answers

What does it indicate if the 95% confidence interval (CI) includes zero?

<p>The hypothesis test will return a non-significant result. (C)</p> Signup and view all the answers

What is the relationship between confidence intervals and p-values in hypothesis testing?

<p>Confidence intervals indicate the magnitude and precision of the results. (C)</p> Signup and view all the answers

How is the Z value calculated in a large sample Z-test for comparing two independent means?

<p>Z = d / SE_Pooled(d) (A)</p> Signup and view all the answers

What does a low risk of death from drinking one alcoholic drink per day imply?

<p>It represents a very low health risk. (C)</p> Signup and view all the answers

What is one reason why confidence intervals (CIs) are considered useful in medical research?

<p>CIs help estimate the magnitude and consistency of treatment effects. (B)</p> Signup and view all the answers

What should be included when presenting results of a hypothesis test?

<p>Both the P-value and the confidence interval. (D)</p> Signup and view all the answers

Which of the following is true about the selection of statistical methods in research?

<p>Confidence intervals must be reported where appropriate. (B)</p> Signup and view all the answers

What is indicated by a p-value that is small in hypothesis testing?

<p>Results are unlikely if the null hypothesis is true. (A)</p> Signup and view all the answers

What is the null hypothesis (H0) regarding the mean distance walked in patients with COPD?

<p>There is no difference in the mean distance walked. (B)</p> Signup and view all the answers

What significance level is commonly chosen for hypothesis testing?

<p>0.05 (A)</p> Signup and view all the answers

What does a P-value represent in hypothesis testing?

<p>The likelihood of observing the results if the null hypothesis is true. (C)</p> Signup and view all the answers

What does a large P-value indicate about the null hypothesis?

<p>The results are likely to occur if the null hypothesis is true. (A)</p> Signup and view all the answers

If the P-value is 0.05, what does this indicate about the null hypothesis?

<p>There is insufficient evidence to reject it. (C)</p> Signup and view all the answers

What is a Type I error in hypothesis testing?

<p>Rejecting a true null hypothesis. (D)</p> Signup and view all the answers

What is the correct definition of a Type I error?

<p>Rejecting the null hypothesis when it is true. (C)</p> Signup and view all the answers

Which statement correctly describes P-values in hypothesis testing?

<p>The P-value assesses the probability of observing the data if the null hypothesis is true. (A)</p> Signup and view all the answers

What does the power of a study measure?

<p>The likelihood of correctly rejecting a false null hypothesis. (C)</p> Signup and view all the answers

What can be concluded from a P-value of 0.010 in a hypothesis test?

<p>The result is statistically significant at a 0.05 level. (B)</p> Signup and view all the answers

In hypothesis testing, a result can be statistically significant but not clinically significant. What does this mean?

<p>The statistical result is irrelevant to clinical practice. (C)</p> Signup and view all the answers

What does the term 'statistically significant' imply?

<p>The results are unlikely to have occurred by random chance. (B)</p> Signup and view all the answers

How can the risk of a Type I error be affected by changing the significance level?

<p>Increasing the significance level from 1% to 5% raises the risk of Type I error. (C)</p> Signup and view all the answers

What can be inferred if a hypothesis test yields a P-value less than the significance level?

<p>There is sufficient evidence to reject the null hypothesis. (D)</p> Signup and view all the answers

Why might a small sample size affect the P-value in hypothesis testing?

<p>A small sample size can lead to less reliable P-values due to variability. (D)</p> Signup and view all the answers

Which statement is true regarding the relationship between statistical significance and clinical significance?

<p>Clinical significance must be determined separately from statistical significance. (A)</p> Signup and view all the answers

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Study Notes

Risks of Alcohol Consumption

  • Drinking one alcoholic drink per day results in a low risk of death, affecting about 4 out of 100,000 individuals annually.
  • This risk is significantly lower than other risks such as driving a car.

Confidence Intervals and Statistical Significance

  • A 95% confidence interval (CI) that does not include zero, or the value specified in the null hypothesis, indicates a statistically significant result in a hypothesis test.
  • A 95% CI including zero, or the null hypothesis value, suggests a non-significant result.
  • CIs provide information on the magnitude and uncertainty of the effect being estimated, offering more comprehensive insights than solely relying on p-values.
  • Combining both p-value and CI is recommended to understand the significance and effect size, aiding clinical decision-making.

Hypothesis Testing

  • The null hypothesis assumes no difference between groups, while the alternative hypothesis proposes a difference.
  • The significance level (alpha, α) determines the threshold for rejecting the null hypothesis. Typically, α is set at 0.05 (5%).
  • The p-value represents the probability of observing the observed results or more extreme results if the null hypothesis were true.
  • If the p-value is less than α, the results are considered statistically significant, rejecting the null hypothesis.
  • If the p-value is greater than α, the null hypothesis is not rejected.
  • Statistical significance does not automatically imply clinical significance or practical importance.

Power of a Study

  • The power of a study is defined as 1 minus the probability of a Type II error (β).
  • Type II error occurs when failing to reject the null hypothesis when it is false.
  • High power indicates a reduced risk of a Type II error, increasing the likelihood of detecting a true effect.

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