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N3318a Fall 2009 Elementary Statistics  ONLINE Course Abe Oudshoorn, School of Nursing,  University of Western Ontario Lecture 1 Introduction and  Measurement Review
Who am I? Abe Oudshoorn RN, PhD(c) Office:  H142, Main office suite Phone:  x86042   e-mail:  aoudshoo@uwo.ca  Office Hours:  Tues 9:30-10:30 Wed 2:00-3:00
Today’s Class ,[object Object],[object Object],[object Object],[object Object],[object Object],First Reading Assignment is due Sept 21 st !
Text: Munro, B. H. (2003).  Statistical methods for health care research .  (5th Ed). Philadelphia:  Lippincott. 2003 Course syllabus: - Online on WebCT Course readings: - Online on WebCT Course Supplies
Course Description ,[object Object],[object Object],[object Object],[object Object]
Course Website-WebCT Vista http://webct.uwo.ca   ,[object Object],[object Object]
Lectures Available online 24/7: Read textbook before looking at lecture Content: 1.  Online notes intended to clarify what was read in text in preparation for class 2. Practice interpreting assigned readings
Research paper Due:  Monday, Dec 7, 2009 by 1600 hrs. The purpose of the 10 page paper is to critique the results and interpretation of results reported in one (1) research article.  The reference for the research article is in the course syllabus.  (25%) Please review the details in the ONLINE syllabus located under the Course Syllabus icon
Exams Mid-term Exam :   (ONLINE) October 26, 200 Time 2-5pm (20%) a 3-hour open-book exam includes true/false, multiple choice, matching and (possibly) short answer questions   Final Examination:   (ONLINE) Date: December 14, 2-5pm (25%)    a 3-hour, cumulative, open-book exam with true/false, multiple choice, matching and an abstracted article to interpret
Course Evaluation Summary Component Date Due Percent Full Grade Bi-weekly reading assignments Every other Monday by 4pm following unit discussion in previous weeks 30%   Scholarly Term Paper - Research Article Critique  Monday December 7 th , 2009, 4pm 25% Mid term Exam (3 hrs, open book) (individual) Final Exam (3 hrs , open book) (individual)   October 26 th , 2-5pm ONLINE December 14 th , 2-5pm ONLINE 20%   25%
enough with the boring stuff …
Do Nurses Need a Stats Course? ,[object Object],[object Object],[object Object],[object Object],Not trying to turn you into biostatisticians !!
[object Object],[object Object],A “Real-World” Example for the Use of Statistics in Nursing While viewing slides, be critical and ask yourself are these data convincing or not?
Ontario Nurse Survey ,[object Object],[object Object],[object Object],[object Object],[object Object],Mailed survey of registered nurses in acute care, non-specialty hospitals in Ontario (part of a 5-country study)
Siegrist’s Effort-Reward Imbalance (ERI) Model efforts demands pressures responsibilities rewards salary support respect e.g. prospective German cohort study found ERI a key factor for IHD rates in blue collar workers
Burnout ,[object Object],[object Object],38.1 20.4 13.2 0 10 20 30 40 Emotional Exhaustion Personal Accomplishment Depersonalization Percent
Back / Neck Pain in Last Week 30.8 25.3 43.9 0 10 20 30 40 50 Pain status None/Low Moderate High Percent Back and/or neck pain frequency in past week ,[object Object]
Percent ,[object Object],(Note: Percentages do not add to 100% since they are not cumulative.) Are Burnout and  ERI Scores Related? 13.2 31.7 65.7 0 10 20 30 40 50 60 70 None Moderate High Burnout status  % with ERI present (by burnout group) None Mod High % with ERI
29.1 40.3 55.8 0 10 20 30 40 50 60 % with ERI present (by MSK pain group) None/Low Moderate High MSK pain status  Percent ,[object Object],(Note: Percentages do not add to 100% since they are not cumulative.) Are MSK Pain and ERI Scores Related? None Mod High % with ERI
Main Conclusions ,[object Object],[object Object]
How easy was it to follow the presentation of these data?  The main aim of the course is to make this type of thing easier for you to understand and even be able to present on your own !! Data Summary
Lecture 1 :   Measurement Scales,  Types of Variables  and  Hypotheses
The Research Process (For Quantitative Studies) N3318 Statistics N3319 Research Methods Identify the Problem Develop a study protocol Collect the data Draw inferences Analyze the data Our focus  this term
Some Background Terms Descriptive  statistics:  –  for summarizing or  describing a sample   Inferential  statistics:  –  for making inferences (conclusions) or to generalize from a sample to a population  Sample:   –  part of population (what is used in most studies) Population: –  all members of a particular group of interest
[object Object],[object Object],[object Object],Statistics is about quantifying the probability of error when making a generalization from a study sample to a population A Few Key Points …
Measurement Scales Nominal data :  – distinct, unordered, qualitative  e.g. gender, race ( Can you think of some others ?) Ordinal data :  – ordered, distinct, qualitative categories  e.g. health status, SES, others? Interval data : –  ordered,  quantitative  categories, known intervals e.g. can be  continuous  (e.g. Celsius temp.) or  discrete  (e.g. parity), others? Ratio data : –  most precise metric due to useful zero value e.g. BP, weight, height, Kelvin temp., others?
Summarizing the Scales (N.O.I.R) Scale Mutually exclusive categories Categories have order Standard unit of measure Useful zero point on scale Nominal X Ordinal X X Interval X X X Ratio X X X X
Some Caveats on Scales ,[object Object],[object Object],[object Object],(threshold value?) (loss of information, restricts analysis) Why? What is the main problem with doing this?
Types of Variables Independent : (exposure) –  typically the variable(s) manipulated, controlled (or at least recorded) by the researcher e.g. dietary interventions, others? Dependent : (outcome) –  typically the main variable of interest being measured by the researcher e.g. weight loss, others? Study conducted comparing effect of two dietary interventions on weight loss in obese children Scenario
Types of Hypotheses - 1 Null hypothesis  (H 0 ):  - proposes no difference or relationship between variables of interest ( basis for statistical inference ) e.g. There is  no  difference in weight loss between the two dietary intervention groups. Research hypothesis  (H r ):  - opposite of the null hypothesis (i.e. states that there is a relationship between variables) - also called alternative hypothesis or H a e.g. There  is  a difference in weight loss between the two dietary intervention groups Two sides of the same coin !
Types of Hypotheses - 2 Directional hypothesis :  - proposes a specific direction for effect e.g. Intervention A will reduce weight more effectively than Intervention B Non-directional hypothesis :  - no specific direction but an effect is predicted e.g. Intervention A and B will differ in their ability to induce weight loss
Types of Hypotheses - 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Hypotheses - 4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summarizing Hypotheses ,[object Object],[object Object],[object Object],[object Object],The 4 categories are  not  mutually exclusive – i.e. hypotheses can be categorized using all 4 levels e.g. Dietary intervention A will induce more weight loss than dietary intervention B in obese children  Research Directional Causal Simple
Next Week - Lecture 2 : Data presentations and  data handling ,[object Object],[object Object],[object Object],[object Object],[object Object]
Don’t forget to do your first reading assignment!

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Class 1 Introduction, Levels Of Measurement, Hypotheses, Variables

  • 1. N3318a Fall 2009 Elementary Statistics ONLINE Course Abe Oudshoorn, School of Nursing, University of Western Ontario Lecture 1 Introduction and Measurement Review
  • 2. Who am I? Abe Oudshoorn RN, PhD(c) Office: H142, Main office suite Phone: x86042 e-mail: aoudshoo@uwo.ca Office Hours: Tues 9:30-10:30 Wed 2:00-3:00
  • 3.
  • 4. Text: Munro, B. H. (2003). Statistical methods for health care research . (5th Ed). Philadelphia: Lippincott. 2003 Course syllabus: - Online on WebCT Course readings: - Online on WebCT Course Supplies
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  • 7. Lectures Available online 24/7: Read textbook before looking at lecture Content: 1. Online notes intended to clarify what was read in text in preparation for class 2. Practice interpreting assigned readings
  • 8. Research paper Due: Monday, Dec 7, 2009 by 1600 hrs. The purpose of the 10 page paper is to critique the results and interpretation of results reported in one (1) research article. The reference for the research article is in the course syllabus. (25%) Please review the details in the ONLINE syllabus located under the Course Syllabus icon
  • 9. Exams Mid-term Exam : (ONLINE) October 26, 200 Time 2-5pm (20%) a 3-hour open-book exam includes true/false, multiple choice, matching and (possibly) short answer questions   Final Examination: (ONLINE) Date: December 14, 2-5pm (25%)   a 3-hour, cumulative, open-book exam with true/false, multiple choice, matching and an abstracted article to interpret
  • 10. Course Evaluation Summary Component Date Due Percent Full Grade Bi-weekly reading assignments Every other Monday by 4pm following unit discussion in previous weeks 30% Scholarly Term Paper - Research Article Critique Monday December 7 th , 2009, 4pm 25% Mid term Exam (3 hrs, open book) (individual) Final Exam (3 hrs , open book) (individual) October 26 th , 2-5pm ONLINE December 14 th , 2-5pm ONLINE 20%   25%
  • 11. enough with the boring stuff …
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  • 15. Siegrist’s Effort-Reward Imbalance (ERI) Model efforts demands pressures responsibilities rewards salary support respect e.g. prospective German cohort study found ERI a key factor for IHD rates in blue collar workers
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  • 21. How easy was it to follow the presentation of these data? The main aim of the course is to make this type of thing easier for you to understand and even be able to present on your own !! Data Summary
  • 22. Lecture 1 : Measurement Scales, Types of Variables and Hypotheses
  • 23. The Research Process (For Quantitative Studies) N3318 Statistics N3319 Research Methods Identify the Problem Develop a study protocol Collect the data Draw inferences Analyze the data Our focus this term
  • 24. Some Background Terms Descriptive statistics: – for summarizing or describing a sample Inferential statistics: – for making inferences (conclusions) or to generalize from a sample to a population Sample: – part of population (what is used in most studies) Population: – all members of a particular group of interest
  • 25.
  • 26. Measurement Scales Nominal data : – distinct, unordered, qualitative e.g. gender, race ( Can you think of some others ?) Ordinal data : – ordered, distinct, qualitative categories e.g. health status, SES, others? Interval data : – ordered, quantitative categories, known intervals e.g. can be continuous (e.g. Celsius temp.) or discrete (e.g. parity), others? Ratio data : – most precise metric due to useful zero value e.g. BP, weight, height, Kelvin temp., others?
  • 27. Summarizing the Scales (N.O.I.R) Scale Mutually exclusive categories Categories have order Standard unit of measure Useful zero point on scale Nominal X Ordinal X X Interval X X X Ratio X X X X
  • 28.
  • 29. Types of Variables Independent : (exposure) – typically the variable(s) manipulated, controlled (or at least recorded) by the researcher e.g. dietary interventions, others? Dependent : (outcome) – typically the main variable of interest being measured by the researcher e.g. weight loss, others? Study conducted comparing effect of two dietary interventions on weight loss in obese children Scenario
  • 30. Types of Hypotheses - 1 Null hypothesis (H 0 ): - proposes no difference or relationship between variables of interest ( basis for statistical inference ) e.g. There is no difference in weight loss between the two dietary intervention groups. Research hypothesis (H r ): - opposite of the null hypothesis (i.e. states that there is a relationship between variables) - also called alternative hypothesis or H a e.g. There is a difference in weight loss between the two dietary intervention groups Two sides of the same coin !
  • 31. Types of Hypotheses - 2 Directional hypothesis : - proposes a specific direction for effect e.g. Intervention A will reduce weight more effectively than Intervention B Non-directional hypothesis : - no specific direction but an effect is predicted e.g. Intervention A and B will differ in their ability to induce weight loss
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  • 36. Don’t forget to do your first reading assignment!