The first type of QED highlighted in this review is perhaps the most straightforward type of intervention design: the pre-post comparison study with a non-equivalent control group. In this design, the intervention is introduced at a single point in time to one or more sites, for which there is also a pre-test and post-test evaluation period, The pre-post differences between these two sites is then compared. In practice, interventions using this design are often delivered at a higher level, such as to entire communities or organizations 1 [ Figure 1 here]. In this design the investigators identify additional site(s) that are similar to the intervention site to serve as a comparison/control group. However, these control sites are different in some way than the intervention site(s) and thus the term “non-equivalent” is important, and clarifies that there are inherent differences in the treatment and control groups ( 15 ).
Illustration of the Pre-Post Non-Equivalent Control Group Design
The strengths of pre-post designs are mainly based in their simplicity, such as data collection is usually only at a few points (although sometimes more). However, pre-post designs can be affected by several of the threats to internal validity of QEDs presented here. The largest challenges are related to 1) ‘history bias’ in which events unrelated to the intervention occur (also referred to as secular trends) before or during the intervention period and have an effect on the outcome (either positive or negative) that are not related to the intervention ( 39 ); and 2) differences between the intervention and control sites because the non-equivalent control groups are likely to differ from the intervention sites in a number of meaningful ways that impact the outcome of interest and can bias results (selection bias).
At this design stage, the first step at improving internal validity would be focused on selection of a non-equivalent control group(s) for which some balance in the distribution of known risk factors is established. This can be challenging as there may not be adequate information available to determine how ‘equivalent’ the comparison group is regarding relevant covariates.
It can be useful to obtain pre-test data or baseline characteristics to improve the comparability of the two groups. In the most controlled situations within this design, the investigators might include elements of randomization or matching for individuals in the intervention or comparison site, to attempt to balance the covariate distribution. Implicit in this approach is the assumption that the greater the similarity between groups, the smaller the likelihood that confounding will threaten inferences of causality of effect for the intervention ( 33 , 47 ). Thus, it is important to select this group or multiple groups with as much specificity as possible.
In order to enhance the causal inference for pre-post designs with non-equivalent control groups, the best strategies improve the comparability of the control group with regards to potential covariates related to the outcome of interest but are not under investigation. One strategy involves creating a cohort, and then using targeted sampling to inform matching of individuals within the cohort. Matching can be based on demographic and other important factors (e.g. measures of health care access or time-period). This design in essence creates a matched, nested case-control design.
Collection of additional data once sites are selected cannot in itself reduce bias, but can inform the examination of the association of interest, and provide data supporting interpretation consistent with the reduced likelihood of bias. These data collection strategies include: 1) extra data collection points at additional pre- or post- time points (to get closer to an interrupted time series design in effect and examine potential threats of maturation and history bias), and 2) collection of data on other dependent variables with a priori assessment of how they will ‘react’ with time dependent variables. A detailed analysis can then provide information on the potential affects on the outcome of interest (to understand potential underlying threats due to history bias).
Additionally, there are analytic strategies that can improve the interpretation of this design, such as: 1) analysis for multiple non-equivalent control groups, to determine if the intervention effects are robust across different conditions or settings (.e.g. using sensitivity analysis), 2) examination within a smaller critical window of the study in which the intervention would be plausibly expected to make the most impact, and 3) identification of subgroups of individuals within the intervention community who are known to have received high vs. low exposure to the intervention, to be able to investigate a potential “dose-response” effect. Table 2 provides examples of studies using the pre-post non-equivalent control group designs that have employed one or more of these improvement approaches to improve the internal study’s validity.
Improving Quasi-Experimental Designs-Internal and External Validity Considerations
Study/General Design | Intervention | Design Strategy to Improve Internal Validity | Design Strategy to Improve External Validity |
Pre-Post Designs with Non-Equivalent Control Group | |||
Cousins et al 2016 | Campus Watch program targeting problem drinking and violence at 1 university campus with 5 control campuses in New Zealand | • Standardization of independent repeat sampling, survey and follow-up methods across all sites (5 control and 1 intervention site) • 5 sites as controls studies aggregate and individually as controls • Consumption and harms data from national surveys to compare data trends over time | Over-sampling of indigenous groups to extend interpretation of findings |
Chronic disease management program with pharmacist-based patient coaching within a health care insurance plan in Cincinnati, US | • Matching of participants with non-participants on demographic and health care access measures (using propensity score matching) | ||
Distribution of bed nets to prevent malaria and reduce malaria mortality in Gambia 41 sites receiving intervention compared to external villages (which differed by size and ethnic distribution) | • Examination of data trends during the highest infection times of the year (i.e., rainy season vs dry season) to see if rates were higher then. • Detailed study of those using bed nets within intervention villages (i.e., guaranteed exposure “dose”, to examine dose-response in intervention arm | ||
Interrupted Time Series | |||
Study/General Design | Intervention | Design Strategy to Improve Internal Validity | Design Strategy to Improve External Validity |
Pellegrin 2016 Interrupted time series with comparison group | Formal transfer of high-risk patients being discharged from hospital to a community-based pharmacist follow-up program for up to 1 year post-hospitalization (6 intervention and 5 control sites) | • Long baseline period (12 pre-intervention data points) • Intervention roll-out staggered based on staff availability (site 1 had eight post-intervention data points while site 8 had two) | Detailed implementation-related process measures monitored (and provided to individual community-based pharmacists regarding their performance) over entire study period |
Robinson 2015 Interrupted time series without control group | New hospital discharge program to support high-risk patients with nurse telephone follow-up and referral to specific services (such as pharmacists for medication reconciliation and review) | • Additionally examined regression discontinuity during the intervention period to determine if the risk score used to determine eligibility for the program influenced the outcome | Measured implementation outcomes of whether the intervention was delivered with high fidelity to the protocols |
Interrupted time series with comparison group | Removal of direct payment at point of health care services for children under 5, very low income individuals and pregnant women re: consultations, medications and hospitalizations | Built into a pilot to collect control data, and then extend this work to include additional districts, one intervention and one non-intervention district, along with 6 additional years of observation. | Examined sustainability over 72 months of follow-up, and associations with clinic characteristics, such as density of workforce. |
Stepped Wedge Design | |||
Study/General Design | Intervention | Design Strategy to Improve Internal Validity | Design Strategy to Improve External Validity |
Non-randomized stepped wedge cluster trial | Site-level roll out of integrated antiretroviral treatment (ART) intervention in 8 public sector clinics, to achieve more rapid treatment initiation among women with HIV in Zambia, than the existing referral method used for initiation of treatment. | • The 8 sites were matched into four pairs based on the number of HIV-infected pregnant women expected in each site. • The intervention roll out was done for one member of the least busy pair, one member of the second busiest pair, one member of the third busiest pair, and one member of the busiest pair. Rollout to the remaining pairs proceeded in reverse order. • A transition cohort was established that was later excluded from the analysis. It included women who were identified as eligible in the control period of time close to the time the intervention was starting. | |
See also: Randomized stepped wedge cluster trial | Multi-faceted quality improvement intervention with a passive and an active phase among 6 regional emergency medical services systems and 32 academic and community hospitals in Ontario, Canada. The intervention focused on comparing interventions to improve the implementation of targeted temperature management following out-of-hospital cardiac arrest through passive (education, generic protocol, order set, local champions) versus additional active quality improvement interventions (nurse specialist providing site-specific interven- tions, monthly audit-feedback, network educational events, inter- net blog) versus no intervention (baseline standard of care). | : • Randomization at the level of the hospital, rather than the patient to minimize contamination, since the intervention targeted groups of clinicians. • Hospitals were stratified by number of Intensive Care Unit beds ((< 10 beds vs ≥ 10 beds as a proxy for hospital size). Randomization was done within strata. • Formalized a transition cohort for which a more passive intervention strategy was tested. This also allowed more time for sites to adopt all elements of the complex intervention before crossing over to the active intervention group. | Characterization of system and organizational factors that might affect adoption: Collection of longitudinal data relevant to implementation processes that could impact interpretation of findings such as academic vs community affiliation, urban vs rural (bed size) |
Randomized stepped wedge cluster trial | Seasonal malaria prophylaxis for children up to age 10 in central Senegal given to households monthly through health system staff led home visits during the malaria season. The first two phases of implementation focused on children under age 5 years and the last phase included children up to age 10 years, and maintained a control only group of sites during this period. | : • Constrained randomization of program roll-out across 54 health posts catchment areas and center-covered regions, • More sites received the intervention later stages (n=18) than in beginning (n=9). • To achieve balance within settings for potential confounders (since they did not have data on malaria incidence), such as distance from river, distance from health center, population size and number of villages, assessment of ability to implement. • Included nine clinics as control sites throughout the study period. | Characterization of factors that might affect usage and adherence made with longitudinal data: Independent evaluations of malaria prophylaxis usage, adherence, and acceptance were included prospectively, using routine health cards at family level and with external assessments from community surveys. In-depth interviews conducted across community levels to understand acceptability and other responses to the intervention Included an embedded study broadening inclusion criteria, to focus on a wider age group of at risk children |
Wait-list randomized stepped wedge design | Enrollment of 1,655 male mine employees with HIV infection randomized over a short period of time into an intervention to prevent TB infection (use of isoniazid preventive therapy), among individuals with HIV. Treatment was self-administered for 6 months or for 12 months and results were based on cohort analyses. | • Employees were invited in random sequence to attend a workplace HIV clinic. | Enumeration of at risk cohort and estimation of spill-over effect beyond those enrolled: Since they used an enrollment list, they were able to estimate the effect of the intervention (the provision of clinic services) among the entire eligible population, not just those enrolled in the intervention over the study period. |
Ratanawongsa et al; Handley et al 2011 Wait-list randomized stepped wedge design | Enrollment of 362 patients with diabetes into a health-IT enabled self-management support telephone coaching program, using a wait-list generated from a regional health plan, delivered in 3 languages. | • Patients were identified from an actively maintained diabetes registry covering 4 safety net health clinics in the United States, and randomized to receive the coaching intervention immediately or after 6 moths. • Patients were randomized to balance enrolment for English, Cantonese, and Spanish, over the study period. | External validity-related measures for acceptability among patients as well as fidelity measures, for the health IT-enabled health coaching intervention were assessed using a fidelity framework. |
Bailet et al 2011 | Literacy intervention for pre-kindergarten children at risk for reading failure in a southern US city administered in child care and pre-school sites, delivered twice a week for 9 weeks. For large sites, did not randomize at site level, but split the schools, so all children could be taught in the intervention period, either fall or spring. At-risk children in these “split” schools received intervention at only one of the two time points (as did their “non-split school” peers); however, the randomization to treatment group occurred at the child level. | • Random assignment of clusters (schools). • Matched pairs of child care centers by zip code and percentage of children receiving a state-sponsored financial subsidy. Within these groups random assignment to receive either immediate or deferred enrolment into the intervention. | External validity was enhanced in years 2–3 with a focus on teacher training for ensuring measures fidelity, completion of each week of the curriculum to enhance assessment of a potential dose-response. Refined intervention applied in years 2–3, based on initial data. |
Mexican Government randomly chose 320 early intervention and 186 late (approximately one year later) intervention communities in seven states for Oportunidades, which provided cash transfers to families conditional on children attending school and family members obtaining preventive medical care and attending —education talks on health-related topics. | : • More communities randomized to an early intervention period |
Cousins et al utilized a non-equivalent control selection strategy to leverage a recent cross-sectional survey among six universities in New Zealand regarding drinking among college-age students ( 16 ). In the original survey, there were six sites, and for the control group, five were selected to provide non-equivalent control group data for the one intervention campus. The campus intervention targeted young adult drinking-related problems and other outcomes, such as aggressive behavior, using an environmental intervention with a community liaison and a campus security program (also know as a Campus Watch program). The original cross-sectional survey was administered nationally to students using a web-based format, and was repeated in the years soon after the Campus Watch intervention was implemented in one site. Benefits of the design include: a consistent sampling frame at each control sites, such that sites could be combined as well as evaluated separately and collection of additional data on alcohol sales and consumption over the study period, to support inference. In a study by Wertz et al ( 48 ), a non-equivalent control group was created using matching for those who were eligible for a health coaching program and opted out of the program (to be compared with those who opted in) among insured patients with diabetes and/or hypertension. Matching was based on propensity scores among those patients using demographic and socioeconomic factors and medical center location and a longitudinal cohort was created prior to the intervention (see Basu et al 2017 for more on this approach).
In the pre-post malaria-prevention intervention example from Gambia, the investigators were studying the introduction of bed nets treated with insecticide on malaria rates in Gambia, and collected additional data to evaluate the internal validity assumptions within their design ( 1 ). In this study, the investigators introduced bed nets at the village level, using communities not receiving the bed nets as control sites. To strengthen the internal validity they collected additional data that enabled them to: 1) determine whether the reduction in malaria rates were most pronounced during the rainy season within the intervention communities, as this was a biologically plausible exposure period in which they could expect the largest effect size difference between intervention and control sites, and 2) examine use patterns for the bed nets, based on how much insecticide was present in the bed nets over time (after regular washing occurred), which aided in calculating a “dose-response” effect of exposure to the bed net among a subsample of individuals in the intervention community.
An interrupted time series (ITS) design involves collection of outcome data at multiple time points before and after an intervention is introduced at a given point in time at one or more sites ( 6 , 13 ). The pre-intervention outcome data is used to establish an underlying trend that is assumed to continue unchanged in the absence of the intervention under study ( i.e., the counterfactual scenario). Any change in outcome level or trend from the counter-factual scenario in the post-intervention period is then attributed to the impact of the intervention. The most basic ITS design utilizes a regression model that includes only three time-based covariates to estimate the pre-intervention slope (outcome trend before the intervention), a “step” or change in level (difference between observed and predicted outcome level at the first post-intervention time point), and a change in slope (difference between post- and pre-intervention outcome trend) ( 13 , 32 ) [ Figure 2 here].
Interrupted Time Series Design
Whether used for evaluating a natural experiment or, as is the focus here, for prospective evaluation of an intervention, the appropriateness of an ITS design depends on the nature of the intervention and outcome, and the type of data available. An ITS design requires the pre- and post-intervention periods to be clearly differentiated. When used prospectively, the investigator therefore needs to have control over the timing of the intervention. ITS analyses typically involve outcomes that are expected to change soon after an intervention is introduced or after a well-defined lag period. For example, for outcomes such as cancer or incident tuberculosis that develop long after an intervention is introduced and at a variable rate, it is difficult to clearly separate the pre- and post-intervention periods. Last, an ITS analysis requires at least three time points in the pre- and post-intervention periods to assess trends. In general, a larger number of time points is recommended, particularly when the expected effect size is smaller, data are more similar at closer together time points ( i.e., auto-correlation), or confounding effects ( e.g., seasonality) are present. It is also important for investigators to consider any changes to data collection or recording over time, particularly if such changes are associated with introduction of the intervention.
In comparison to simple pre-post designs in which the average outcome level is compared between the pre- and post-intervention periods, the key advantage of ITS designs is that they evaluate for intervention effect while accounting for pre-intervention trends. Such trends are common due to factors such as changes in the quality of care, data collection and recording, and population characteristics over time. In addition, ITS designs can increase power by making full use of longitudinal data instead of collapsing all data to single pre- and post-intervention time points. The use of longitudinal data can also be helpful for assessing whether intervention effects are short-lived or sustained over time.
While the basic ITS design has important strengths, the key threat to internal validity is the possibility that factors other than the intervention are affecting the observed changes in outcome level or trend. Changes over time in factors such as the quality of care, data collection and recording, and population characteristics may not be fully accounted for by the pre-intervention trend. Similarly, the pre-intervention time period, particularly when short, may not capture seasonal changes in an outcome.
Detailed reviews have been published of variations on the basic ITS design that can be used to enhance causal inference. In particular, the addition of a control group can be particularly useful for assessing for the presence of seasonal trends and other potential time-varying confounders ( 52 ). Zombre et al ( 52 ) maintained a large number of control number of sites during the extended study period and were able to look at variations in seasonal trends as well as clinic-level characteristics, such as workforce density and sustainability. In addition to including a control group, several analysis phase strategies can be employed to strengthen causal inference including adjustment for time varying confounders and accounting for auto correlation.
Stepped wedge designs (SWDs) involve a sequential roll-out of an intervention to participants (individuals or clusters) over several distinct time periods ( 5 , 7 , 22 , 24 , 29 , 30 , 38 ). SWDs can include cohort designs (with the same individuals in each cluster in the pre and post intervention steps), and repeated cross-sectional designs (with different individuals in each cluster in the pre and post intervention steps) ( 7 ). In the SWD, there is a unidirectional, sequential roll- out of an intervention to clusters (or individuals) that occurs over different time periods. Initially all clusters (or individuals) are unexposed to the intervention, and then at regular intervals, selected clusters cross over (or ‘step’) into a time period where they receive the intervention [ Figure 3 here]. All clusters receive the intervention by the last time interval (although not all individuals within clusters necessarily receive the intervention). Data is collected on all clusters such that they each contribute data during both control and intervention time periods. The order in which clusters receive the intervention can be assigned randomly or using some other approach when randomization is not possible. For example, in settings with geographically remote or difficult-to-access populations, a non-random order can maximize efficiency with respect to logistical considerations.
Illustration of the stepped wedge study design-Intervention Roll-Out Over Time*
* Adapted from Turner et al 2017
The practical and social benefits of the stepped wedge design have been summarized in recent reviews ( 5 , 22 , 24 , 27 , 29 , 36 , 38 , 41 , 42 , 45 , 46 , 51 ). In addition to addressing general concerns with RCTs discussed earlier, advantages of SWDs include the logistical convenience of staggered roll-out of the intervention, which enables a.smaller staff to be distributed across different implementation start times and allows for multi-level interventions to be integrated into practice or ‘real world’ settings (referred to as the feasibility benefit). This benefit also applies to studies of de-implementation, prior to a new approach being introduced. For example, with a staggered roll-out it is possible to build in a transition cohort, such that sites can adjust to the integration of the new intervention, and also allow for a switching over in sites to de-implementing a prior practice. For a specified time period there may be ‘mixed’ or incomplete data, which can be excluded from the data analysis. However, associated with a longer duration of roll-out for practical reasons such as this switching, are associated costs in threats to internal validity, discussed below.
There are several limitations to the SWD. These generally involve consequences of the trade-offs related to having design control for the intervention roll-out, often due to logistical reasons on the one hand, but then having ‘down the road’ threats to internal validity. These roll-out related threats include potential lagged intervention effects for non-acute outcomes; possible fatigue and associated higher drop-out rates of waiting for the cross-over among clusters assigned to receive the intervention later; fidelity losses for key intervention components over time; and potential contamination of later clusters ( 22 ). Another drawback of the SWD is that it involves data assessment at each point when a new cluster receives the intervention, substantially increasing the burden of data collection and costs unless data collection can be automated or uses existing data sources. Because the SWD often has more clusters receiving the intervention towards the end of the intervention period than in previous time periods, there is a potential concern that there can be temporal confounding at this stage. The SWD is also not as suited for evaluating intervention effects on delayed health outcomes (such as chronic disease incidence), and is most appropriate when outcomes that occur relatively soon after each cluster starts receiving the intervention. Finally, as logistical necessity often dictates selecting a design with smaller numbers of clusters, there are relatedly challenges in the statistical analysis. To use standard software, the common recommendation is to have at least 20 to 30 clusters ( 35 ).
Stepped wedge designs can embed improvements that can enhance internal validity, mimicking the strength of RCTs. These generally focus on efforts to either reduce bias or achieve balance in covariates across sites and over time; and/or compensate as much as possible for practical decisions made at the implementation stage, which affect the distribution of the intervention over time and by sites. The most widely used approaches are discussed in order of benefit to internal validity: 1) partial randomization; 2) stratification and matching; 3) embedding data collection at critical points in time, such as with a phasing-in of intervention components, and 4) creating a transition cohort or wash-out period. The most important of these SWD elements is random assignment of clusters as to when they will cross over into the intervention period. As well, utilizing data regarding time-varying covariates/confounders, either to stratify clusters and then randomize within strata (partial randomization) or to match clusters on known covariates in the absence of randomization, are techniques often employed to minimize bias and reduce confounding. Finally, maintaining control over the number and timing of data collection points over the study period can be beneficial in several ways. First, it can allow for data analysis strategies that can incorporate cyclical temporal trends (such as seasonality-mediated risk for the outcome, such as with flu or malaria) or other underlying temporal trends. Second, it can enable phased interventions to be studied for the contribution of different components included in the phases (e.g. passive then active intervention components), or can enable ‘pausing’ time, as when there is a structured wash out or transition cohort created for practical reasons (e.g. one intervention or practice is stopped/de-implemented, and a new one is introduced) (see Figure 4 ).
Illustration of the stepped wedge study design- Summary of Exposed and Unexposed Cluster Time*
Adapted from Hemming 2015
Table 2 provides examples of studies using SWD that have used one or more of the design approaches described above to improve the internal validity of the study. In the study by Killam et al 2010 ( 31 ), a non-randomized SWD was used to evaluate a complex clinic-based intervention for integrating anti-retro viral (ART) treatment into routine antenatal care in Zambia for post-partum women. The design involved matching clinics by size and an inverse roll-out, to balance out the sizes across the four groups. The inverse roll-out involved four strata of clinics, grouped by size with two clinics in each strata. The roll-out was sequenced across these eight clinics, such that one smaller clinics began earlier, with three clinics of increasing size getting the intervention afterwards. This was then followed by a descending order of clinics by size for the remaining roll-out, ending with the smallest clinic. This inverse roll-out enabled the investigators to start with a smaller clinic, to work out the logistical considerations, but then influence the roll-out such as to avoid clustering of smaller or larger clinics in any one step of the intervention.
A second design feature of this study involved the use of a transition cohort or wash-out period (see Figure 4 ) (also used in the Morrison et al 2015 study)( 19 , 37 ). This approach can be used when an existing practice is being replaced with the new intervention, but there is ambiguity as to which group an individual would be assigned to while integration efforts were underway. In the Killam study, the concern was regarding women who might be identified as ART-eligible in the control period but actually enroll into and initiate ART at an antenatal clinic during the intervention period. To account for the ambiguity of this transition period, patients with an initial antenatal visit more than 60 days prior to the date of implementing the ART in the intervention sites were excluded. For analysis of the primary outcome, patients were categorized into three mutually exclusive categories: a referral to ART cohort, an integrated ART in the antenatal clinics cohort, and a transition cohort. It is important to note that the time period for a transition cohort can add considerable time to an intervention roll-out, especially when there is to be a de-implementation of an existing practice that involves a wide range or staff or activities. As well, the exclusion of the data during this phase can reduce the study’s power if not built into the sample size considerations at the design phase.
Morrison et al 2015 ( 37 ) used a randomized cluster design, with additional stratification and randomization within relevant sub-groups to examine a two-part quality improvement intervention focusing on clinician uptake of patient cooling procedures for post-cardiac care in hospital settings (referred to as Targeted Temperature Management). In this study, 32 hospitals were stratified into two groups based on intensive care unit size (< 10 beds vs ≥ 10 beds), and then randomly assigned into four different time periods to receive the intervention. The phased intervention implementation included both passive (generic didactic training components regarding the intervention) and an active (tailored support to site-specific barriers identified in passive phase) components. This study exemplifies some of the best uses of SWD in the context of QI interventions that have either multiple components of for which there may be a passive and active phase, as is often the case with interventions that are layered onto systems change requirements (e.g. electronic records improvements/customization) or relate to sequenced guidelines implementation (as in this example).
Studies using a wait-list partial randomization design are also included in Table 2 ( 24 , 27 , 42 ). These types of studies are well-suited to settings where there is routine enumeration of a cohort based on a specific eligibility criteria, such as enrolment in a health plan or employment group, or from a disease-based registry, such as for diabetes ( 27 , 42 ). It has also been reported that this design can increase efficiency and statistical power in contrast to cluster-based trials, a crucial consideration when the number of participating individuals or groups is small ( 22 ).
The study by Grant et al et al uses a variant of the SWD for which individuals within a setting are enumerated and then randomized to get the intervention. In this example, employees who had previously screened positive for HIV at the company clinic as part of mandatory testing, were invited in random sequence to attend a workplace HIV clinic at a large mining facility in South Africa to initiate a preventive treatment for TB during the years prior to the time when ARTs were more widely available. Individuals contributed follow-up time to the “pre-clinic” phase from the baseline date established for the cohort until the actual date of their first clinic visit, and also to the “post- clinic” phase thereafter. Clinic visits every 6 months were used to identify incident TB events. Because they were looking at reduction in TB incidence among the workers at the mine and not just those in the study, the effect of the intervention (the provision of clinic services) was estimated for the entire study population (incidence rate ratio), irrespective of whether they actually received isoniazid.
We present a decision ‘map’ approach based on a Figure 5 to assist in considering decisions in selecting among QEDs and for which features you can pay particular attention to in the design [ Figure 5 here].
Quasi-Experimental Design Decision-Making Map
First, at the top of the flow diagram ( 1 ), consider if you can have multiple time points you can collect data for in the pre and post intervention periods. Ideally, you will be able to select more than two time points. If you cannot, then multiple sites would allow for a non-equivalent pre-post design. If you can have more than the two time points for the study assessments, you next need to determine if you can include multiple sites ( 2 ). If not, then you can consider a single site point ITS. If you can have multiple sites, you can choose between a SWD and a multiple site ITS based on whether or not you observe the roll-out over multiple time points, (SWD) or if you have only one intervention time point (controlled multiple site ITS)
In a recent article in this journal ( 26 ), the following observation was made that there is an unavoidable trade-off between these two forms of validity such that with a higher control of a study, there is stronger evidence for internal validity but that control may jeopardize some of the external validity of that stronger evidence. Nonetheless, there are design strategies for non-experimental studies that can be undertaken to improve the internal validity while not eliminating considerations of external validity. These are described below across all three study designs.
One of the strengths of QEDs is that they are often employed to examine intervention effects in real world settings and often, for more diverse populations and settings. Consequently, if there is adequate examination of characteristics of participants and setting-related factors it can be possible to interpret findings among critical groups for which there may be no existing evidence of an intervention effect for. For example in the Campus Watch intervention ( 16 ), the investigator over-sampled the Maori indigenous population in order to be able to stratify the results and investigate whether the program was effective for this under-studied group. In the study by Zombré et al ( 52 ) on health care access in Burkina Faso, the authors examined clinic density characteristics to determine its impact on sustainability.
Some of the most important outcomes for examination in these QED studies include whether the intervention was delivered as intended (i.e., fidelity), maintained over the entire study period (i.e., sustainability), and if the outcomes could be specifically examined by this level of fidelity within or across sites. As well, when a complex intervention is related to a policy or guideline shift and implementation requires logistical adjustments (such as phased roll-outs to embed the intervention or to train staff), QEDs more truly mimic real world constraints. As a result, capturing processes of implementation are critical as they can describe important variation in uptake, informing interpretation of the findings for external validity. As described by Prost et al ( 41 ), for example, it is essential to capture what occurs during such phased intervention roll-outs, as with following established guidelines for the development of complex interventions including efforts to define and protocolize activities before their implementation ( 17 , 18 , 28 ). However, QEDs are often conducted by teams with strong interests in adapting the intervention or ‘learning by doing’, which can limit interpretation of findings if not planned into the design. As done in the study by Bailet et al ( 3 ), the investigators refined intervention, based on year 1 data, and then applied in years 2–3, at this later time collecting additional data on training and measurement fidelity. This phasing aspect of implementation generates a tension between protocolizing interventions and adapting them as they go along. When this is the case, additional designs for the intervention roll-out, such as adaptive or hybrid designs can also be considered.
External validity can be improved when the intervention is applied to entire communities, as with some of the community-randomized studies described in Table 2 ( 12 , 21 ). In these cases, the results are closer to the conditions that would apply if the interventions were conducted ‘at scale’, with a large proportion of a population receiving the intervention. In some cases QEDs also afford greater access for some intervention research to be conducted in remote or difficult to reach communities, where the cost and logistical requirements of an RCT may become prohibitive or may require alteration of the intervention or staffing support to levels that would never be feasible in real world application.
Frameworks can be helpful to enhances interpretability of many kinds of studies, including QEDs and can help ensure that information on essential implementation strategies are included in the results ( 44 ). Although several of the case studies summarized in this article included measures that can improve external validity (such as sub-group analysis of which participants were most impacted, process and contextual measures that can affect variation in uptake), none formally employ an implementation framework. Green and Glasgow (2006) ( 25 ) have outlined several useful criteria for gaging the extent to which an evaluation study also provides measures that enhance interpretation of external validity, for which those employing QEDs could identify relevant components and frameworks to include in reported findings.
It has been observed that it is more difficult to conduct a good quasi-experiment than to conduct a good randomized trial ( 43 ). Although QEDs are increasingly used, it is important to note that randomized designs are still preferred over quasi-experiments except where randomization is not possible. In this paper we present three important QEDs and variants nested within them that can increase internal validity while also improving external validity considerations, and present case studies employing these techniques.
1 It is important to note that if such randomization would be possible at the site level based on similar sites, a cluster randomized control trial would be an option.
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Chapter 3. Psychological Science
Learning objectives.
Psychologists agree that if their ideas and theories about human behaviour are to be taken seriously, they must be backed up by data. However, the research of different psychologists is designed with different goals in mind, and the different goals require different approaches. These varying approaches, summarized in Table 3.2, are known as research designs . A research design is the specific method a researcher uses to collect, analyze, and interpret data . Psychologists use three major types of research designs in their research, and each provides an essential avenue for scientific investigation. Descriptive research is research designed to provide a snapshot of the current state of affairs . Correlational research is research designed to discover relationships among variables and to allow the prediction of future events from present knowledge . Experimental research is research in which initial equivalence among research participants in more than one group is created, followed by a manipulation of a given experience for these groups and a measurement of the influence of the manipulation . Each of the three research designs varies according to its strengths and limitations, and it is important to understand how each differs.
Research design | Goal | Advantages | Disadvantages |
---|---|---|---|
Descriptive | To create a snapshot of the current state of affairs | Provides a relatively complete picture of what is occurring at a given time. Allows the development of questions for further study. | Does not assess relationships among variables. May be unethical if participants do not know they are being observed. |
Correlational | To assess the relationships between and among two or more variables | Allows testing of expected relationships between and among variables and the making of predictions. Can assess these relationships in everyday life events. | Cannot be used to draw inferences about the causal relationships between and among the variables. |
Experimental | To assess the causal impact of one or more experimental manipulations on a dependent variable | Allows drawing of conclusions about the causal relationships among variables. | Cannot experimentally manipulate many important variables. May be expensive and time consuming. |
Source: Stangor, 2011. |
Descriptive research is designed to create a snapshot of the current thoughts, feelings, or behaviour of individuals. This section reviews three types of descriptive research : case studies , surveys , and naturalistic observation (Figure 3.4).
Sometimes the data in a descriptive research project are based on only a small set of individuals, often only one person or a single small group. These research designs are known as case studies — descriptive records of one or more individual’s experiences and behaviour . Sometimes case studies involve ordinary individuals, as when developmental psychologist Jean Piaget used his observation of his own children to develop his stage theory of cognitive development. More frequently, case studies are conducted on individuals who have unusual or abnormal experiences or characteristics or who find themselves in particularly difficult or stressful situations. The assumption is that by carefully studying individuals who are socially marginal, who are experiencing unusual situations, or who are going through a difficult phase in their lives, we can learn something about human nature.
Sigmund Freud was a master of using the psychological difficulties of individuals to draw conclusions about basic psychological processes. Freud wrote case studies of some of his most interesting patients and used these careful examinations to develop his important theories of personality. One classic example is Freud’s description of “Little Hans,” a child whose fear of horses the psychoanalyst interpreted in terms of repressed sexual impulses and the Oedipus complex (Freud, 1909/1964).
Another well-known case study is Phineas Gage, a man whose thoughts and emotions were extensively studied by cognitive psychologists after a railroad spike was blasted through his skull in an accident. Although there are questions about the interpretation of this case study (Kotowicz, 2007), it did provide early evidence that the brain’s frontal lobe is involved in emotion and morality (Damasio et al., 2005). An interesting example of a case study in clinical psychology is described by Rokeach (1964), who investigated in detail the beliefs of and interactions among three patients with schizophrenia, all of whom were convinced they were Jesus Christ.
In other cases the data from descriptive research projects come in the form of a survey — a measure administered through either an interview or a written questionnaire to get a picture of the beliefs or behaviours of a sample of people of interest . The people chosen to participate in the research (known as the sample) are selected to be representative of all the people that the researcher wishes to know about (the population). In election polls, for instance, a sample is taken from the population of all “likely voters” in the upcoming elections.
The results of surveys may sometimes be rather mundane, such as “Nine out of 10 doctors prefer Tymenocin” or “The median income in the city of Hamilton is $46,712.” Yet other times (particularly in discussions of social behaviour), the results can be shocking: “More than 40,000 people are killed by gunfire in the United States every year” or “More than 60% of women between the ages of 50 and 60 suffer from depression.” Descriptive research is frequently used by psychologists to get an estimate of the prevalence (or incidence ) of psychological disorders.
A final type of descriptive research — known as naturalistic observation — is research based on the observation of everyday events . For instance, a developmental psychologist who watches children on a playground and describes what they say to each other while they play is conducting descriptive research, as is a biopsychologist who observes animals in their natural habitats. One example of observational research involves a systematic procedure known as the strange situation , used to get a picture of how adults and young children interact. The data that are collected in the strange situation are systematically coded in a coding sheet such as that shown in Table 3.3.
Coder name: | ||||
This table represents a sample coding sheet from an episode of the “strange situation,” in which an infant (usually about one year old) is observed playing in a room with two adults — the child’s mother and a stranger. Each of the four coding categories is scored by the coder from 1 (the baby makes no effort to engage in the behaviour) to 7 (the baby makes a significant effort to engage in the behaviour). More information about the meaning of the coding can be found in Ainsworth, Blehar, Waters, and Wall (1978). | ||||
Coding categories explained | ||||
Proximity | The baby moves toward, grasps, or climbs on the adult. | |||
Maintaining contact | The baby resists being put down by the adult by crying or trying to climb back up. | |||
Resistance | The baby pushes, hits, or squirms to be put down from the adult’s arms. | |||
Avoidance | The baby turns away or moves away from the adult. | |||
Episode | Coding categories | |||
---|---|---|---|---|
Proximity | Contact | Resistance | Avoidance | |
Mother and baby play alone | 1 | 1 | 1 | 1 |
Mother puts baby down | 4 | 1 | 1 | 1 |
Stranger enters room | 1 | 2 | 3 | 1 |
Mother leaves room; stranger plays with baby | 1 | 3 | 1 | 1 |
Mother re-enters, greets and may comfort baby, then leaves again | 4 | 2 | 1 | 2 |
Stranger tries to play with baby | 1 | 3 | 1 | 1 |
Mother re-enters and picks up baby | 6 | 6 | 1 | 2 |
Source: Stang0r, 2011. |
The results of descriptive research projects are analyzed using descriptive statistics — numbers that summarize the distribution of scores on a measured variable . Most variables have distributions similar to that shown in Figure 3.5 where most of the scores are located near the centre of the distribution, and the distribution is symmetrical and bell-shaped. A data distribution that is shaped like a bell is known as a normal distribution .
A distribution can be described in terms of its central tendency — that is, the point in the distribution around which the data are centred — and its dispersion, or spread . The arithmetic average, or arithmetic mean , symbolized by the letter M , is the most commonly used measure of central tendency . It is computed by calculating the sum of all the scores of the variable and dividing this sum by the number of participants in the distribution (denoted by the letter N ). In the data presented in Figure 3.5 the mean height of the students is 67.12 inches (170.5 cm). The sample mean is usually indicated by the letter M .
In some cases, however, the data distribution is not symmetrical. This occurs when there are one or more extreme scores (known as outliers ) at one end of the distribution. Consider, for instance, the variable of family income (see Figure 3.6), which includes an outlier (a value of $3,800,000). In this case the mean is not a good measure of central tendency. Although it appears from Figure 3.6 that the central tendency of the family income variable should be around $70,000, the mean family income is actually $223,960. The single very extreme income has a disproportionate impact on the mean, resulting in a value that does not well represent the central tendency.
The median is used as an alternative measure of central tendency when distributions are not symmetrical. The median is the score in the center of the distribution, meaning that 50% of the scores are greater than the median and 50% of the scores are less than the median . In our case, the median household income ($73,000) is a much better indication of central tendency than is the mean household income ($223,960).
A final measure of central tendency, known as the mode , represents the value that occurs most frequently in the distribution . You can see from Figure 3.6 that the mode for the family income variable is $93,000 (it occurs four times).
In addition to summarizing the central tendency of a distribution, descriptive statistics convey information about how the scores of the variable are spread around the central tendency. Dispersion refers to the extent to which the scores are all tightly clustered around the central tendency , as seen in Figure 3.7.
Or they may be more spread out away from it, as seen in Figure 3.8.
One simple measure of dispersion is to find the largest (the maximum ) and the smallest (the minimum ) observed values of the variable and to compute the range of the variable as the maximum observed score minus the minimum observed score. You can check that the range of the height variable in Figure 3.5 is 72 – 62 = 10. The standard deviation , symbolized as s , is the most commonly used measure of dispersion . Distributions with a larger standard deviation have more spread. The standard deviation of the height variable is s = 2.74, and the standard deviation of the family income variable is s = $745,337.
An advantage of descriptive research is that it attempts to capture the complexity of everyday behaviour. Case studies provide detailed information about a single person or a small group of people, surveys capture the thoughts or reported behaviours of a large population of people, and naturalistic observation objectively records the behaviour of people or animals as it occurs naturally. Thus descriptive research is used to provide a relatively complete understanding of what is currently happening.
Despite these advantages, descriptive research has a distinct disadvantage in that, although it allows us to get an idea of what is currently happening, it is usually limited to static pictures. Although descriptions of particular experiences may be interesting, they are not always transferable to other individuals in other situations, nor do they tell us exactly why specific behaviours or events occurred. For instance, descriptions of individuals who have suffered a stressful event, such as a war or an earthquake, can be used to understand the individuals’ reactions to the event but cannot tell us anything about the long-term effects of the stress. And because there is no comparison group that did not experience the stressful situation, we cannot know what these individuals would be like if they hadn’t had the stressful experience.
In contrast to descriptive research, which is designed primarily to provide static pictures, correlational research involves the measurement of two or more relevant variables and an assessment of the relationship between or among those variables. For instance, the variables of height and weight are systematically related (correlated) because taller people generally weigh more than shorter people. In the same way, study time and memory errors are also related, because the more time a person is given to study a list of words, the fewer errors he or she will make. When there are two variables in the research design, one of them is called the predictor variable and the other the outcome variable . The research design can be visualized as shown in Figure 3.9, where the curved arrow represents the expected correlation between these two variables.
One way of organizing the data from a correlational study with two variables is to graph the values of each of the measured variables using a scatter plot . As you can see in Figure 3.10 a scatter plot is a visual image of the relationship between two variables . A point is plotted for each individual at the intersection of his or her scores for the two variables. When the association between the variables on the scatter plot can be easily approximated with a straight line , as in parts (a) and (b) of Figure 3.10 the variables are said to have a linear relationship .
When the straight line indicates that individuals who have above-average values for one variable also tend to have above-average values for the other variable , as in part (a), the relationship is said to be positive linear . Examples of positive linear relationships include those between height and weight, between education and income, and between age and mathematical abilities in children. In each case, people who score higher on one of the variables also tend to score higher on the other variable. Negative linear relationships , in contrast, as shown in part (b), occur when above-average values for one variable tend to be associated with below-average values for the other variable. Examples of negative linear relationships include those between the age of a child and the number of diapers the child uses, and between practice on and errors made on a learning task. In these cases, people who score higher on one of the variables tend to score lower on the other variable.
Relationships between variables that cannot be described with a straight line are known as nonlinear relationships . Part (c) of Figure 3.10 shows a common pattern in which the distribution of the points is essentially random. In this case there is no relationship at all between the two variables, and they are said to be independent . Parts (d) and (e) of Figure 3.10 show patterns of association in which, although there is an association, the points are not well described by a single straight line. For instance, part (d) shows the type of relationship that frequently occurs between anxiety and performance. Increases in anxiety from low to moderate levels are associated with performance increases, whereas increases in anxiety from moderate to high levels are associated with decreases in performance. Relationships that change in direction and thus are not described by a single straight line are called curvilinear relationships .
The most common statistical measure of the strength of linear relationships among variables is the Pearson correlation coefficient , which is symbolized by the letter r . The value of the correlation coefficient ranges from r = –1.00 to r = +1.00. The direction of the linear relationship is indicated by the sign of the correlation coefficient. Positive values of r (such as r = .54 or r = .67) indicate that the relationship is positive linear (i.e., the pattern of the dots on the scatter plot runs from the lower left to the upper right), whereas negative values of r (such as r = –.30 or r = –.72) indicate negative linear relationships (i.e., the dots run from the upper left to the lower right). The strength of the linear relationship is indexed by the distance of the correlation coefficient from zero (its absolute value). For instance, r = –.54 is a stronger relationship than r = .30, and r = .72 is a stronger relationship than r = –.57. Because the Pearson correlation coefficient only measures linear relationships, variables that have curvilinear relationships are not well described by r , and the observed correlation will be close to zero.
It is also possible to study relationships among more than two measures at the same time. A research design in which more than one predictor variable is used to predict a single outcome variable is analyzed through multiple regression (Aiken & West, 1991). Multiple regression is a statistical technique, based on correlation coefficients among variables, that allows predicting a single outcome variable from more than one predictor variable . For instance, Figure 3.11 shows a multiple regression analysis in which three predictor variables (Salary, job satisfaction, and years employed) are used to predict a single outcome (job performance). The use of multiple regression analysis shows an important advantage of correlational research designs — they can be used to make predictions about a person’s likely score on an outcome variable (e.g., job performance) based on knowledge of other variables.
An important limitation of correlational research designs is that they cannot be used to draw conclusions about the causal relationships among the measured variables. Consider, for instance, a researcher who has hypothesized that viewing violent behaviour will cause increased aggressive play in children. He has collected, from a sample of Grade 4 children, a measure of how many violent television shows each child views during the week, as well as a measure of how aggressively each child plays on the school playground. From his collected data, the researcher discovers a positive correlation between the two measured variables.
Although this positive correlation appears to support the researcher’s hypothesis, it cannot be taken to indicate that viewing violent television causes aggressive behaviour. Although the researcher is tempted to assume that viewing violent television causes aggressive play, there are other possibilities. One alternative possibility is that the causal direction is exactly opposite from what has been hypothesized. Perhaps children who have behaved aggressively at school develop residual excitement that leads them to want to watch violent television shows at home (Figure 3.13):
Although this possibility may seem less likely, there is no way to rule out the possibility of such reverse causation on the basis of this observed correlation. It is also possible that both causal directions are operating and that the two variables cause each other (Figure 3.14).
Still another possible explanation for the observed correlation is that it has been produced by the presence of a common-causal variable (also known as a third variable ). A common-causal variable is a variable that is not part of the research hypothesis but that causes both the predictor and the outcome variable and thus produces the observed correlation between them . In our example, a potential common-causal variable is the discipline style of the children’s parents. Parents who use a harsh and punitive discipline style may produce children who like to watch violent television and who also behave aggressively in comparison to children whose parents use less harsh discipline (Figure 3.15)
In this case, television viewing and aggressive play would be positively correlated (as indicated by the curved arrow between them), even though neither one caused the other but they were both caused by the discipline style of the parents (the straight arrows). When the predictor and outcome variables are both caused by a common-causal variable, the observed relationship between them is said to be spurious . A spurious relationship is a relationship between two variables in which a common-causal variable produces and “explains away” the relationship . If effects of the common-causal variable were taken away, or controlled for, the relationship between the predictor and outcome variables would disappear. In the example, the relationship between aggression and television viewing might be spurious because by controlling for the effect of the parents’ disciplining style, the relationship between television viewing and aggressive behaviour might go away.
Common-causal variables in correlational research designs can be thought of as mystery variables because, as they have not been measured, their presence and identity are usually unknown to the researcher. Since it is not possible to measure every variable that could cause both the predictor and outcome variables, the existence of an unknown common-causal variable is always a possibility. For this reason, we are left with the basic limitation of correlational research: correlation does not demonstrate causation. It is important that when you read about correlational research projects, you keep in mind the possibility of spurious relationships, and be sure to interpret the findings appropriately. Although correlational research is sometimes reported as demonstrating causality without any mention being made of the possibility of reverse causation or common-causal variables, informed consumers of research, like you, are aware of these interpretational problems.
In sum, correlational research designs have both strengths and limitations. One strength is that they can be used when experimental research is not possible because the predictor variables cannot be manipulated. Correlational designs also have the advantage of allowing the researcher to study behaviour as it occurs in everyday life. And we can also use correlational designs to make predictions — for instance, to predict from the scores on their battery of tests the success of job trainees during a training session. But we cannot use such correlational information to determine whether the training caused better job performance. For that, researchers rely on experiments.
The goal of experimental research design is to provide more definitive conclusions about the causal relationships among the variables in the research hypothesis than is available from correlational designs. In an experimental research design, the variables of interest are called the independent variable (or variables ) and the dependent variable . The independent variable in an experiment is the causing variable that is created (manipulated) by the experimenter . The dependent variable in an experiment is a measured variable that is expected to be influenced by the experimental manipulation . The research hypothesis suggests that the manipulated independent variable or variables will cause changes in the measured dependent variables. We can diagram the research hypothesis by using an arrow that points in one direction. This demonstrates the expected direction of causality (Figure 3.16):
Consider an experiment conducted by Anderson and Dill (2000). The study was designed to test the hypothesis that viewing violent video games would increase aggressive behaviour. In this research, male and female undergraduates from Iowa State University were given a chance to play with either a violent video game (Wolfenstein 3D) or a nonviolent video game (Myst). During the experimental session, the participants played their assigned video games for 15 minutes. Then, after the play, each participant played a competitive game with an opponent in which the participant could deliver blasts of white noise through the earphones of the opponent. The operational definition of the dependent variable (aggressive behaviour) was the level and duration of noise delivered to the opponent. The design of the experiment is shown in Figure 3.17
Two advantages of the experimental research design are (a) the assurance that the independent variable (also known as the experimental manipulation ) occurs prior to the measured dependent variable, and (b) the creation of initial equivalence between the conditions of the experiment (in this case by using random assignment to conditions).
Experimental designs have two very nice features. For one, they guarantee that the independent variable occurs prior to the measurement of the dependent variable. This eliminates the possibility of reverse causation. Second, the influence of common-causal variables is controlled, and thus eliminated, by creating initial equivalence among the participants in each of the experimental conditions before the manipulation occurs.
The most common method of creating equivalence among the experimental conditions is through random assignment to conditions, a procedure in which the condition that each participant is assigned to is determined through a random process, such as drawing numbers out of an envelope or using a random number table . Anderson and Dill first randomly assigned about 100 participants to each of their two groups (Group A and Group B). Because they used random assignment to conditions, they could be confident that, before the experimental manipulation occurred, the students in Group A were, on average, equivalent to the students in Group B on every possible variable, including variables that are likely to be related to aggression, such as parental discipline style, peer relationships, hormone levels, diet — and in fact everything else.
Then, after they had created initial equivalence, Anderson and Dill created the experimental manipulation — they had the participants in Group A play the violent game and the participants in Group B play the nonviolent game. Then they compared the dependent variable (the white noise blasts) between the two groups, finding that the students who had viewed the violent video game gave significantly longer noise blasts than did the students who had played the nonviolent game.
Anderson and Dill had from the outset created initial equivalence between the groups. This initial equivalence allowed them to observe differences in the white noise levels between the two groups after the experimental manipulation, leading to the conclusion that it was the independent variable (and not some other variable) that caused these differences. The idea is that the only thing that was different between the students in the two groups was the video game they had played.
Despite the advantage of determining causation, experiments do have limitations. One is that they are often conducted in laboratory situations rather than in the everyday lives of people. Therefore, we do not know whether results that we find in a laboratory setting will necessarily hold up in everyday life. Second, and more important, is that some of the most interesting and key social variables cannot be experimentally manipulated. If we want to study the influence of the size of a mob on the destructiveness of its behaviour, or to compare the personality characteristics of people who join suicide cults with those of people who do not join such cults, these relationships must be assessed using correlational designs, because it is simply not possible to experimentally manipulate these variables.
Figure 3.4: “ Reading newspaper ” by Alaskan Dude (http://commons.wikimedia.org/wiki/File:Reading_newspaper.jpg) is licensed under CC BY 2.0
Aiken, L., & West, S. (1991). Multiple regression: Testing and interpreting interactions . Newbury Park, CA: Sage.
Ainsworth, M. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation . Hillsdale, NJ: Lawrence Erlbaum Associates.
Anderson, C. A., & Dill, K. E. (2000). Video games and aggressive thoughts, feelings, and behavior in the laboratory and in life. Journal of Personality and Social Psychology, 78 (4), 772–790.
Damasio, H., Grabowski, T., Frank, R., Galaburda, A. M., Damasio, A. R., Cacioppo, J. T., & Berntson, G. G. (2005). The return of Phineas Gage: Clues about the brain from the skull of a famous patient. In Social neuroscience: Key readings. (pp. 21–28). New York, NY: Psychology Press.
Freud, S. (1909/1964). Analysis of phobia in a five-year-old boy. In E. A. Southwell & M. Merbaum (Eds.), Personality: Readings in theory and research (pp. 3–32). Belmont, CA: Wadsworth. (Original work published 1909).
Kotowicz, Z. (2007). The strange case of Phineas Gage. History of the Human Sciences, 20 (1), 115–131.
Rokeach, M. (1964). The three Christs of Ypsilanti: A psychological study . New York, NY: Knopf.
Stangor, C. (2011). Research methods for the behavioural sciences (4th ed.). Mountain View, CA: Cengage.
Figure 3.6 long description: There are 25 families. 24 families have an income between $44,000 and $111,000 and one family has an income of $3,800,000. The mean income is $223,960 while the median income is $73,000. [Return to Figure 3.6]
Figure 3.10 long description: Types of scatter plots.
[Return to Figure 3.10]
Introduction to Psychology - 1st Canadian Edition Copyright © 2014 by Jennifer Walinga and Charles Stangor is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , except where otherwise noted.
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Quasi-Experimental Design | Definition, Types & Examples
What's the difference between correlational and ...
7.3 Quasi-Experimental Research
Types of Research Designs Compared | Guide & Examples
Quasi Experimental Design Overview & Examples
Experimental vs Quasi-Experimental Design
Experimental and Quasi-Experimental Research
Quasi-experimental means that the research will include features of a true experiment but some elements may be missing. The most common experimental element to be missing is a random sample.
Quasi-experimental design is a research method that seeks to evaluate the causal relationships between variables, but without the full control over the independent variable (s) that is available in a true experimental design. In a quasi-experimental design, the researcher uses an existing group of participants that is not randomly assigned to ...
Experimental and Quasi-Experimental Designs in ...
Quasi-Experimental Designs page 4 change from time 1 to time 2, it might not be due to your intervention. It could be due to any of the potential threats to validity from a within-subjects design: history effects, maturation effects, testing effects, instrument decay, regression to the mean, etc. Perhaps the person would have
Correlational, or non-experimental, ... Quasi-Experimental Research is research where an independent variable is manipulated, ... An example of an experimental design would be randomly selecting all of the schools participating in the hand washing poster campaign. The schools would then randomly be assigned to either the poster-group or the ...
2.2 Psychologists Use Descriptive, Correlational, and ...
Correlational Research | Guide, Design & Examples - Scribbr
Introduction. Research types on this page are modeled after those listed in the Introduction to Measurement and Statistics website created by Dr. Linda M. Woolf, Professor of Psychology at Webster University. The definitions are based on Dr. Woolf's explanations. Go to Dr. Woolf's website for much more information as well as practice pages.
perty, characteristic, or quality that is set by the experimenter. An SV is a stable differenc. between people that is difficult or even impossible to manipulate. A DV is probably best thought of as a resp. ct or a behavior observed by the experimenter.Experimental FactorsA factor is an IV that is be.
Quasi-Experimental Research
ations we can use quasi-experimental designs. Using quasi-experiments in clinical and field situations to draw cautious causal inferences is preferable to not experimenting at all. Quasi-experimental designs resemble experiments but are weak on some of the characteristics. Quasi-experiments include a comparison of at least two
The Use and Interpretation of Quasi-Experimental Studies ...
Selecting and Improving Quasi-Experimental Designs in ...
Use of Quasi-Experimental Research Designs in Education ...
Quasi-Experimental Quantitative Research Design. In a quasi-experimental quantitative research design, the researcher attempts to establish a cause-effect relationship from one variable to another. For example, a researcher may determine that high school students who study for an hour every day are more likely to earn high grades on their tests.
3.2 Psychologists Use Descriptive, Correlational, and ...
The quasi-static tension specimens of epoxy were designed as dog-bone samples with gauge length of 50 mm, thickness of 3 mm and width 13 mm as shown in Fig. 2.1 (a). Cylindrical epoxy samples with length-to-diameter (l/d) ratio of 2 ( l = 25 mm, d =12.5 mm) were prepared for quasi-static compression experiments as shown in Fig. 2.1 (b).