GLOSSARY OF TERMS

F

Factorial design
Most trials only consider a single factor, where an intervention is compared with one or more alternatives, or a placebo. In a trial using a 2x2 factorial design, participants are allocated to one of four possible combinations. For example in a 2x2 factorial, RCT of  nicotine replacement and counseling, participants would be allocated to (a) nicotine  replacement alone, (b) counseling alone, (c) both, or (d) neither. In this way it is possible to test the independent effect of each intervention on smoking cessation and the combined effect of (interaction between) the two interventions.

Fixed effect model
A statistical model that stipulates that the units under analysis (e.g. people in a trial  or study in a meta-analysis) are the ones of interest, and thus constitute the entire population of units. Only within-study variation is taken to influence the uncertainty of results (as reflected in the confidence interval) of a meta-analysis using a fixed effect  model. Variation between the estimates of effect from each study (heterogeneity) does not effect the confidence interval in a fixed effect model. See random effects model.

FTP (File Transfer Protocol) Server
Enables users to open a connection to a host computer and log in (often anonymously, by using 'anonymous' as the user's name). Once logged in, files can be transferred between the host computer and the remote computer (the computer to which the host has been connected).

G

Generalizability (synonyms: applicability, external validity, relevance, and transferability)
Generalizability is the degree to which the results of a study or systematic review can be extrapolated to other circumstances, in particular to routine health care situations.

Gold standard
The method, procedure or measurement that is widely accepted as being the best available against which new interventions should be compared. It is particularly important in  studies of the accuracy of diagnostic tests. For example, handsearching is sometimes used as the gold standard for identifying trials against which electronic searches of  databases, such as MEDLINE are compared.

H

Heterogeneity
In systematic reviews heterogeneity refers to variability or differences between studies  in the estimates of effects. A distinction is sometimes made between "statistical  heterogeneity" (differences in the reported effects), "methodological heterogeneity" (differences in study design) and "clinical heterogeneity" (differences between studies in key characteristics of the participants, interventions or outcome measures). Statistical tests of heterogeneity are used to assess whether the observed variability in study results (effect sizes) is greater than that expected to occur by chance. However, these tests have low statistical power.  See also homogeneity.

Historical control
A person, or group of persons, for whom data were collected earlier than for the group being studied. Because of changes over time in risks, prognosis, healthcare, etc. there is a large risk of bias (in studies that use historical controls) due to systematic differences between the comparison groups.

Homogeneity
In systematic reviews homogeneity refers to the degree to which the results of studies included in a review are similar. "Clinical homogeneity" means that, in trials included in a review, the participants, interventions and outcome measures are similar or comparable. Studies are considered "statistically homogeneous" if their results vary no more than might be expected by the play of chance. See heterogeneity.

Module managing team:
Prof Jimmy Volmink
E-mail: jvolmink@
cormack.uct.ac.za;

Last updated:
09-Feb-2006

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