The Designs
The
Threats
Name that HPM 423 Reading
What threat is this?
Notations
100

This category of designs provide almost no control over threats to internal validity

What are pre-experimental designs? 

100

This threat refers to the ability to generalize the results from your study to a larger population

What is selection and X?

100

This paper concluded that a "simple educational module" produced a 50% improvement in the primary outcome and saved the organization up to 4 million dollars

What is the Zack (ventilator associated pneumonia evaluation) paper?

100

Surgeons at USC enrolled in a multi-site research study decide to implement their own quality improvement after finding out that they were assigned to the control condition (and UCLA to the intervention)

What is compensatory rivalry?


100

0 0 0 X 0 0 0

What is an interrupted time series design?

200

The value of this design is conferred by the multiple pre-tests it includes

What is a time series design?

200

This threat refers to the influence of being observed or tracked on participant behavior

What is the Hawthorn effect (Reactive Arrangements)?

200

This reading illustrated the potential bias introduced by simple imputation with differential drop out between the intervention and control condition

What is the Schwartz (tobacco Quitline evaluation) paper?

200

Older adults participating in a one-group fall prevention study show increases in falls over the study period due to aging

What is maturation?

200

R O X O  O

R O    O  O

What is a pre-test post-test control group design (true experiment) with two follow-up assessments?

300

The biggest threat to this quasi-experimental design is selection

What is a nonequivalent control group design? 

300

HPV vaccine increases over time, effect of COVID-19 on inappropriate days of inpatient care

What is a secular trend? What is a history threat?


300

This paper presented the results of a pragmatic evaluation but saved the good stuff (evidence of internal validity threat) for the discussion

What is the Dowding et al paper (effect of EHR on nursing sensitive outcomes)?

300

Due to COVID-19, researchers decide to measure participant weight (primary outcome) at follow-up by allowing patients to weigh themselves at home, unlike at baseline when all measures were taken in the clinic by trained personnel

What is instrumentation?

300

X  O

What is a one-shot case study?

400

This design controls for pre-test sensitization, but doesn't allow investigators to have a proper Table 1

What is a post-test only control group design?

400

Concluding the intervention had no effect when in reality your study only had 40% power to detect a significant effect

What is low statistical power (statistical conclusion validity threat)?

400

This paper underscores the importance of carefully understanding both the numerator and denominator when the primary outcome is a rate

What is the Simons-Morton (teenage risky driving intervention) paper?

400

Your helpful research nurse decides to spend extra time assisting the participant she just randomized to the control group

What is compensatory equalization?


400

X      0

        0

What is a static-group comparison?

500

The equivalence of this study design to a true experiment depends heavily on how many units are randomized

What is a cluster randomized trial?

500

This threat may occur when pre-existing differences such as mean age between the intervention and control group leads to differential outcomes at follow-up that are not due to the intervention itself

What is interaction of selection and maturation?

500

These two papers highlight the potential for politicization of evaluations of high profile public programs

What are the Kotelchuck (WIC) and Baicker (Medicaid) papers? 

500

In the context of a genetic testing promotion study, clinic A participants (Brad Pitt fans) react differently than clinic B participants (Angelina Jolie fans) to Angelina Jolie's announcement about her positive gene test and prophylactic bilateral mastectomy

What is interaction of selection and history? 

500

R  0  (X)

   R       X  0

What is a separate-sample pretest-posttest design?