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Statistical Methods in Medical Research 4ed

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104 Analys<strong>in</strong>g means and proportions<br />

Table 4.2 Anxiety scores recorded for 10 patients receiv<strong>in</strong>g<br />

a new drug and a placebo <strong>in</strong> random order.<br />

Anxiety score Difference<br />

di<br />

Patient Drug Placebo (drug placebo)<br />

1 19 22 3<br />

2 11 18 7<br />

3 14 17 3<br />

4 17 19 2<br />

5 23 22 1<br />

6 11 12 1<br />

7 15 14 1<br />

8 19 11 8<br />

9 11 19 8<br />

10 8 7 1<br />

basis of which he or she was given an `anxiety score' (with possible values from 0 to 30),<br />

high scores correspond<strong>in</strong>g to states of anxiety. The results are shown <strong>in</strong> Table 4.2.<br />

The last column of Table 4.2 shows the difference, di, between the anxiety score for the<br />

ith subject on the drug and on the placebo. A t test on the 10 values of di gives<br />

P<br />

di ˆ 13,<br />

P 2<br />

di ˆ 203,<br />

P<br />

…di d† 2 ˆ 186 1:<br />

Therefore,<br />

d ˆ 1 30:<br />

s 2 ˆ 186 1=9 ˆ 20 68,<br />

…s2 p p<br />

=n† ˆ …20 68=10† ˆ 2<br />

p 068 ˆ 1 438,<br />

and, to test the null hypothesis that E…di† ˆ0,<br />

1 30<br />

t ˆ ˆ 0 90 on 9DF:<br />

1 438<br />

The difference is clearly not significant …P ˆ 0 39†.<br />

The 95% confidence limits for the mean difference are<br />

1 30 …2 262†…1 438†<br />

ˆ 4 55 and 1 95:<br />

To conclude, this trial provided no conv<strong>in</strong>c<strong>in</strong>g evidence that the new tranquillizer<br />

reduced anxiety when compared with a placebo …P ˆ 0 39†. The 95% confidence <strong>in</strong>terval<br />

13

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