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SuperiorAntigorite4686

Uploaded by SuperiorAntigorite4686

LMU College of Dental Medicine

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research study types epidemiology research methods clinical research

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This document provides an overview of different research study types. It details cohort studies, cross-sectional studies, randomized controlled trials (RCTs), case-control studies, and case series/reports. Each approach is described in terms of their objectives and methodology.

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Research Study Types Cohort Follows a group of individuals overtime to observe the development of a particular outcome Provide crucial evidence for understanding the natural history of diseases, identifying risk factors, and informing public health interventions and policies o Longitudinal Design §...

Research Study Types Cohort Follows a group of individuals overtime to observe the development of a particular outcome Provide crucial evidence for understanding the natural history of diseases, identifying risk factors, and informing public health interventions and policies o Longitudinal Design § Follow a group of individuals over a period of time o Defined Population § Researchers select a group of individuals who share a common characteristic or experience Ex. being born in the same year, having a certain occupation, or being exposed to a particular risk factor o Comparison Groups § Include comparison groups, allowing researchers to compare outcomes between exposed and unexposed individuals or between different levels of exposure Cross Sectional Study A type of observational research design commonly used in epidemiology, social sciences, and public health research Gathers data from a population at a single point in time to assess prevalence and assc among variables o Snapshot in Time § Provide a snapshot of data collected at a single point in time § Researchers collect information from a sample of the population at one specific moment o No follow-up § Do not involve follow-up assessments § They are relatively quick and cost-effective compared to longitudinal studies in cohort studies o Prevalence v incidence § Provide prevalence estimates, which reflect the proportion of individuals with a particular condition or characteristic at a specific point in time. Randomized Control Trials (RCT) Experimental study design widely used in various fields, including medicine, psychology, education, and social sciences Participants randomly allocated to different interventions, then followed and outcomes assessed Assesses the effectiveness of interventions Gold standard: randomly assigns participants to treatment and control groups to evaluate the effectiveness or efficacy of interventions Randomization o Key feature of RCTs o Participants assigned to treatment groups in a random manner o Helps ensure that any potential confounding variables are evenly distributed among the groups o Makes the groups comparable at baseline Controlled Conditions o Minimize bias and maximize the validity of the findings o Researchers carefully control factors such as: § participant selection, intervention delivery, outcome assessment, and data analysis Comparison Groups o Typically include at least two groups: the treatment group(s) receiving the intervention(s) being tested and the control group(s) receiving either a placebo, standard treatment, or no treatment o Allows researchers to compare outcomes between the groups Blinding o To reduce bias o Participants, researchers, and/or outcome assessors may be blinded to the treatment assignment to prevent conscious or subconscious influences on the study results Case-Control Type of observational research design used in epidemiology to investigate the association between exposures or risk factors and outcomes. Ppl with a disease are matched to those without it and earlier exposure to different environmental factors compared Valuable for exploring associations between exposures or risk factors and outcomes o Particularly for rare diseases or outcomes o Provide important evidence for understanding disease causation and informing public health interventions Compares individuals with a certain outcome (cases) to those without the outcome (controls) to identify potential causes or risk factors o Retrospective Design § Retrospective § Identifies individuals w the outcome of interest (cases) and individuals without the outcome (controls) § Looks back in time to compare their past exposures or characteristics o Selection of Cases and Controls § Researchers select cases, individuals who have developed the outcome of interest (e.g., a disease), and controls, individuals who have not developed the outcome but are similar to the cases in other characteristics (e.g., age, gender, location). o Efficiency § Efficient for studying rare outcomes or diseases § Researchers can specifically select cases with the condition of interest, which may be more practical than following a large cohort over time. o Limitations § Susceptible to recall bias: Participants may have difficulty accurately recalling past exposures § Selection bias: Selection of cases and controls may not be representative of the population. Case-Series/Report Observational research design commonly used in medical and clinical research Describes and characterizes a series of patients with similar characteristics or experiences o Involves a detailed description of a group of patients with a particular condition, often lacking a comparison group o Description of Cases § Describes a series of individual cases with similar characteristics, such as a particular disease, exposure, treatment, or outcome. § The cases may be consecutive (occurring one after another) or non-consecutive (selected based on specific criteria) o Retrospective or Prospective § Can be either retrospective or prospective § Researchers review existing medical records or databases to identify cases that meet the inclusion criteria § Researchers prospectively follow patients over time to collect data on their characteristics and outcomes. o Descriptive Analysis § Primary goal: to provide a detailed description of the cases, including demographic information, clinical features, diagnostic tests, treatments received, and outcomes observed. § Descriptive statistics such as frequencies, means, and ranges are often used to summarize the data. Provides a descriptive summary of a series of cases with similar characteristics or experiences o Limited in their ability to establish causality or make comparisons with a control group o Helps in generating hypotheses, describing rare conditions, and informing clinical practice Controlled Trials Uncontrolled Incorporates both controlled and uncontrolled elements. “controlled" aspect of the study typically refers to the presence of a control group or condition Study design where participants are allocated to different treatment groups but WITHOUT randomization o Controlled Elements § The "controlled" aspect of the study typically refers to the presence of a control group or condition. § Control group can be used for comparison purposes, helping researchers evaluate the effects of the intervention being studied. § The control group may receive a placebo, standard treatment, or no treatment. o Randomization § In controlled trials, randomization is often employed to allocate participants to either the treatment group or the control group § Random assignment helps ensure that potential confounding variables are evenly distributed between the groups, enhancing the validity of the study. o Uncontrolled Elements § Despite the controlled aspects of the study, there may be certain elements that remain uncontrolled. Ex. in some cases, participants may not be blinded to their treatment status, or the intervention may not be administered in a standardized manner across all participants. o Common in Clinical Research § Controlled trials uncontrolled studies are common in clinical research, particularly in fields where it may be difficult to implement fully controlled experimental designs. § While they may not provide as strong evidence as fully controlled trials, they still offer valuable insights into the effects of interventions in real-world settings A controlled trials uncontrolled study incorporates both controlled and uncontrolled elements in its design. While the presence of a control group adds rigor to the study, uncontrolled factors may still influence the outcomes, requiring careful consideration during the interpretation of results

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