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Independent Studies
Exam 2
67
Other
Graduate
02/24/2012

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Term
Allows comparison of multiple groups. 2 or more.
Definition
ANOVA
Term
What is the significance of variance due to treatment and variance due to error.
Definition
Tx - Large
Error - Small
Term
Would you rather have a large or small sample size?
Definition
Large
Term
Name 4 ways in which you might have variance due to error.
Definition
-Small sample size (you want large)
-Diff btw subjects in same group (you want them to be similar)
-Diff in accuracy of measurement
-Diff in tx of subjects (treating them the same is best)
Term
An ANOVA that has 1 IV and 2 or more levels
Definition
One-Way Anova
Term
When performing an ANOVA, if the probability obtained in less than an alpha level is that significant or not?
Definition
Significant
Term
If ANOVA indicates significant different, but you do not know where, then what do you do?
Definition
Perform a post hoc test
Term
This will tell you which differences are significant
Definition
Post Hoc Test
Term
When is post hoc test appropriate?
Definition
When you are doing more than 2 groups
Term
Name the 2 most common post hoc tests
Definition
Tukey
Scheffe
Term
DV = MS 1 grade
IV = Sex
Levels = Male, Female

Is a post hoc test needed?
Definition
No because there are only 2 levels
Term
An ANOVA that has 2 IV, multiple levels, and interaction
Definition
Two-Way ANOVA
Term
An ANOVA that has 3 IV, multiple levels, and interactions
Definition
Three-Way ANOVA
Term
What is it called when you have more than 1 DV?
Definition
MANOVA (Multiple Analysis of Variance)
Term
Measurements are repeated on same individual
Definition
Repeated Measures ANOVA
Term
Different groups such as male/female
Definition
Independent t-test
Term
Same groups such as pre/post test
Definition
Dependent t-tests
Term
A test or instrument is reliable if it consistently measures similar values upon repeated application under the same conditions
Definition
Reliability
Term
Repeat test under same circumstances. High correlation = Reliable Test. This is the most common way to test reliability.
Definition
Test-Retest Method
Term
Reasons why you might have poor reliability is called sources of inconsistencies. Name 4
Definition
Intra-subject
Intra-rater
Inter-rater
Instrument
Term
Consisency of subject performance. May be based on pain, swelling, fatigue, or motivation.
Definition
Intra-Subject
Term
Consistency of one rater to assign same score under the same condition
Definition
Intra-rater
Term
Consistency of assignment of score by different examiners under the same conditions
Definition
Inter-Rater
Term
Precision of the device
Definition
Instrument
Term
Name 2 types of quantifying reliability
Definition
Relative
Absolute
Term
Scores may fluctuate from one measurement to another, but remains in realtively the same order. So if you had the most ER in the class the first time, you should also have the most the second time.
Definition
Relative Reliability
Term
Quantified by correlation. PT measures - r>.8
Definition
Relative Reliability
Term
This is how the 2 scores agree. Consistency, agreement, similarity
Definition
Absolute Reliability
Term
T-test (dependent) or ANOVA; Should be no significant difference. If 2 scores agree then there is no significant difference
Definition
Absolute Reliability
Term
r>.8
No significant difference.
Definition
Ideal Reliability
Term
R<.8 (relative)
p<.05 (absolute)
or BOTH
Definition
Poor Reliability
Term
This tells about both relative and absolute reliability. Single index. Calculated using variance (ANOVA). Provides a correlation. +1.0 to -1.0
Definition
Intra-Class Correlation
Term
Name 3 advantages of ICC over Pearsons
Definition
-Allows correlation of multiple measurements.
-One index that takes into account absolute and relative reliability
-Corrects for systematic error
Term
That is an interpretation of ICC
Definition
Let ICC stand alone. If sig diff exists then the correlation will be lowered
Term
The extent to which a test measures what it is supposed to measure. If a test is valid then it must be reliable. If a test is reliable, it does not have to be valid.
Definition
Measurement Validity
Term
Radial Pulse - Cardiac Cath
Definition
Valid
Term
Impedence - Underwater Weighing
Definition
Reliable but not valid
Term
The extent to which the conclusions of research are believeable and useful. "Threats" to internal validity. "Threats" to external validity
Definition
Research Validity
Term
Name 3 categoris of measurement validity
Definition
Face
Content
Criterion-Related
Term
When an instrument appears to test what it is supposed to measure. The lowest form of validity. "Scientifically weak"
Definition
Face Validity
Term
The extent to which a measure is a complete representation of the concept of interest. Is the content of the test appropriate for measuring that skill
Definition
Content Validity
Term
Useful for questionnaires and surveys. Usually involves panel of experts. Subjective quantification of validity
Definition
Content Validity
Term
Target test (new) can be substituted for "gold standard". Quantified with statistics (correlation).
Definition
Criterion-Related Validity
Term
Reflects the patient's presence or absence of a condition. May be: a concurrent test or obtaines as an outcome measure
Definition
The Reference Standard
Term
Tests ability to obtain a positive test when condition is present
Definition
Sensitivity
Term
Test is positive and the dz is present
Definition
True Positive
Term
Test is negative and there is no dz
Definition
True Negative
Term
Saying the pt has a dz when they do not
Definition
False Positive
Term
Test's ability to obtain a negative test when the condition is absent
Definition
Specificity
Term
Saying the pt does not have a dz when they do not
Definition
Specificity
Term
Another term for a likelihood ratio
Definition
Odds ratio
Term
Used to report diagnostic test results in a uniform way
Definition
STARD Statement
Term
What are the clinical prediction rules
Definition
Diagnosis
Prognosis and Risk
Response to intervention
Term
The anatomic, biochemical, physiologic, or psychologic derangement
Definition
Medical Dx
Term
Names the primary dysfunction toward which the PT directs the tx
Definition
PT Dx
Term
Name 3 strategies of clinical dx
Definition
1. Pattern Recognition
2. Complete history and physical exam
3. Hypothetico-deductive strategy
Term
Instantaneous realization that the pt conforms to a previously learned pattern of dz. Usually reflexive, not reflective. Usually cannot be explained to others. Argued to be "learned" on pts and not "taught" in lecture halls
Definition
Pattern Recognition
Term
The pain-staking search for (but paying no immediate attention to) all the facts about a patient. The method of a novice.
Definition
Complete hisotry and physical (Exhaustion)
Term
The formulation, from the earliest clues of a "short list" of potential diagnoses. Subsequent tests are performed which will most likely reduce the length of the list. Requires an understanding of probability.
Definition
Hypothetico-deductive method
Term
Name 4 ways in which you can gather diagnostic data for a hypothesis-driven approach
Definition
-Complete vs exhaustive data gathering
-Must know what is good data
-The importance of confirmatory and disconfirmatory data
-Rarely is one test sufficient
Term
Name 2 ways to appraise the literature regarding diagnostic tests
Definition
-The effectiveness of a hypothesis-driven approach hinges on appropriate selection and interpretation of diagnostic tests.
-The clinician must be able to appraise the literature regarding diagnostic tests
Term
-Increase the odds favoring the diagnosis given a + test. Helpful for ruling in the condition. True Positive
Definition
Large +LR (>5.0:1)
Term
Reduce the odds favoring the diagnosis given a - test. Helpful for ruling out the condition. True negative
Definition
Small -LR (<.3:1)
Term
If you rule a diagnosis with a test, you want the LR to be __ that you are right and __ that you are wrong
Definition
Large
Small
Term
When integrating diagnostic info into practice what 4 things do you need to do?
Definition
-Decide what you are diagnosing
-List all possible variables
-Decide on the gold standard
-Measure everyone
Term
More valuable than sensitivity and specificity
Definition
Predictive value
Term
Expressed as a percentage (proportion). + value is the likelihood that a person who tests positive actually has the dx. - value is the likelihood that a person who tests negative actually does not have the dx
Definition
Predictive Value
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