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Introduction
Research Methodology
Nouran Hamza, MSc
Freelance biostatistician
The Process of Research
Identify the
Research Problem
Review the
Literature
Report
and
Disseminate Research
Specify a
Research
Purpose
Collect Data
Interpret
the Research
Analyze Data
Identify research problem
Identify research problem
Cross-sectional studies
• An “observational” design that surveys
exposures and disease status at a single point
in time (a cross-section of the population)
time
Study only exists at this point in time
Cross-sectional Design
time
Study only exists at this point in time
Study
population
No Disease
Disease
factor present
factor absent
factor present
factor absent
Cross-sectional Studies
• Often used to study conditions that are relatively
frequent with long duration of expression (nonfatal,
chronic conditions)
• It measures prevalence, not incidence of disease
• Example: community surveys
• Not suitable for studying rare or highly fatal diseases
or a disease with short duration of expression
Cross-sectional studies
• Disadvantages
• Weakest observational design,
(it measures prevalence, not incidence of
disease). Prevalent cases are survivors
• The temporal sequence of exposure and effect
may be difficult or impossible to determine
• Usually don’t know when disease occurred
• Rare events a problem. Quickly emerging
diseases a problem
Epidemiologic Study Designs
• Case-Control Studies
–an “observational” design comparing
exposures in disease cases vs. healthy
controls from same population
–exposure data collected retrospectively
–most feasible design where disease
outcomes are rare
Case-Control Studies
Cases: Disease
Controls: No disease
Study
population
Cases
(disease)
Controls
(no disease)
factor present
factor absent
factor present
factor absent
present
past
time
Study begins here
Case-Control Study
• Strengths
– Less expensive and time consuming
– Efficient for studying rare diseases
• Limitations
– Inappropriate when disease outcome for a specific exposure
not known at start of study
– Exposure measurements taken after disease occurrence
– Disease status can influence selection of subjects
Hypothesis Testing: Case-Crossover Studies
• Study of “triggers” within an individual
• ”Case" and "control" component, but information
of both components will come from the same
individual
• ”Case component" = hazard period which is the
time period right before the disease or event
onset
• ”Control component" = control period which is a
specified time interval other than the hazard
period
Epidemiologic Study Designs
• Cohort Studies
– an “observational” design comparing
individuals with a known risk factor or
exposure with others without the risk factor or
exposure
– looking for a difference in the risk (incidence)
of a disease over time
– best observational design
– data usually collected prospectively (some
retrospective)
time
Study begins here
Study
population
free of
disease
Factor
present
Factor
absent
disease
no disease
disease
no disease
present
future
Timeframe of Studies
• Prospective Study - looks forward,
looks to the future, examines future
events, follows a condition, concern or
disease into the future
time
Study begins here
Prospective Cohort study
Measure exposure
and confounder
variables
Exposed
Non-exposed
Outcome
OutcomeBaseline
time
Study begins here
Timeframe of Studies
• Retrospective Study - “to look back”,
looks back in time to study events that
have already occurred
time
Study begins here
Retrospective Cohort study
Measure exposure
and confounder
variables
Exposed
Non-exposed
Outcome
OutcomeBaseline
time
Study begins here
Cohort Study
• Strengths
– Exposure status determined before disease detection
– Subjects selected before disease detection
– Can study several outcomes for each exposure
• Limitations
– Expensive and time-consuming
– Inefficient for rare diseases or diseases with long
latency
– Loss to follow-up
Identify research problem
Identify research problem
Literature review
• Definition:
• A literature review is an assessment of a body of
research that addresses a research question.
• Purpose:
• A literature review:
• Identifies what is already known about an area of study
• It may also:
• Identify questions a body of research does not
answer
• Make a case for why further study of research
questions is important to a field
Literature review
Literature review
Process:
• It is a research journey with several steps:
• Framing a research question
• Searching relevant bodies of literature
• Managing search results
• Synthesizing the research literature
• Writing an assessment of the literature
• The process is iterative—as you gain
understanding, you’ll return to earlier steps to
rethink, refine, and rework your literature review.
Specify a research purpose
To be effective, a statement of purpose should
be:
• Specific and precise - not general, broad or
obscure
• Concise - one or two sentences
• Clear - not vague, ambiguous or confusing
• Goal-oriented - stated in terms of desired
outcomes
Data collection
Data collection
Data collection
Data collection
types of variables
Data presentation and analysis
tabular presentation: simple
Data presentation and analysis
tabular presentation: complex
Data presentation and analysis
graphical
Bar chart
histogram
Pie chart
Line graph
Scattered
Research Methods Overview

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Research Methods Overview

  • 1. Introduction Research Methodology Nouran Hamza, MSc Freelance biostatistician
  • 2. The Process of Research Identify the Research Problem Review the Literature Report and Disseminate Research Specify a Research Purpose Collect Data Interpret the Research Analyze Data
  • 5.
  • 6. Cross-sectional studies • An “observational” design that surveys exposures and disease status at a single point in time (a cross-section of the population) time Study only exists at this point in time
  • 7. Cross-sectional Design time Study only exists at this point in time Study population No Disease Disease factor present factor absent factor present factor absent
  • 8. Cross-sectional Studies • Often used to study conditions that are relatively frequent with long duration of expression (nonfatal, chronic conditions) • It measures prevalence, not incidence of disease • Example: community surveys • Not suitable for studying rare or highly fatal diseases or a disease with short duration of expression
  • 9. Cross-sectional studies • Disadvantages • Weakest observational design, (it measures prevalence, not incidence of disease). Prevalent cases are survivors • The temporal sequence of exposure and effect may be difficult or impossible to determine • Usually don’t know when disease occurred • Rare events a problem. Quickly emerging diseases a problem
  • 10. Epidemiologic Study Designs • Case-Control Studies –an “observational” design comparing exposures in disease cases vs. healthy controls from same population –exposure data collected retrospectively –most feasible design where disease outcomes are rare
  • 12. Study population Cases (disease) Controls (no disease) factor present factor absent factor present factor absent present past time Study begins here
  • 13. Case-Control Study • Strengths – Less expensive and time consuming – Efficient for studying rare diseases • Limitations – Inappropriate when disease outcome for a specific exposure not known at start of study – Exposure measurements taken after disease occurrence – Disease status can influence selection of subjects
  • 14. Hypothesis Testing: Case-Crossover Studies • Study of “triggers” within an individual • ”Case" and "control" component, but information of both components will come from the same individual • ”Case component" = hazard period which is the time period right before the disease or event onset • ”Control component" = control period which is a specified time interval other than the hazard period
  • 15. Epidemiologic Study Designs • Cohort Studies – an “observational” design comparing individuals with a known risk factor or exposure with others without the risk factor or exposure – looking for a difference in the risk (incidence) of a disease over time – best observational design – data usually collected prospectively (some retrospective)
  • 16. time Study begins here Study population free of disease Factor present Factor absent disease no disease disease no disease present future
  • 17. Timeframe of Studies • Prospective Study - looks forward, looks to the future, examines future events, follows a condition, concern or disease into the future time Study begins here
  • 18. Prospective Cohort study Measure exposure and confounder variables Exposed Non-exposed Outcome OutcomeBaseline time Study begins here
  • 19. Timeframe of Studies • Retrospective Study - “to look back”, looks back in time to study events that have already occurred time Study begins here
  • 20. Retrospective Cohort study Measure exposure and confounder variables Exposed Non-exposed Outcome OutcomeBaseline time Study begins here
  • 21. Cohort Study • Strengths – Exposure status determined before disease detection – Subjects selected before disease detection – Can study several outcomes for each exposure • Limitations – Expensive and time-consuming – Inefficient for rare diseases or diseases with long latency – Loss to follow-up
  • 24. Literature review • Definition: • A literature review is an assessment of a body of research that addresses a research question. • Purpose: • A literature review: • Identifies what is already known about an area of study • It may also: • Identify questions a body of research does not answer • Make a case for why further study of research questions is important to a field
  • 26. Literature review Process: • It is a research journey with several steps: • Framing a research question • Searching relevant bodies of literature • Managing search results • Synthesizing the research literature • Writing an assessment of the literature • The process is iterative—as you gain understanding, you’ll return to earlier steps to rethink, refine, and rework your literature review.
  • 27. Specify a research purpose To be effective, a statement of purpose should be: • Specific and precise - not general, broad or obscure • Concise - one or two sentences • Clear - not vague, ambiguous or confusing • Goal-oriented - stated in terms of desired outcomes
  • 32. Data presentation and analysis tabular presentation: simple
  • 33. Data presentation and analysis tabular presentation: complex
  • 34. Data presentation and analysis graphical