GLOSSARY OF TERMS

T

Therapeutic trial
See
clinical trial.

Trend

  1. Used loosely to refer to an association or possible effect that is not statistically significant.
  2. A consistent movement across ordered categories; e.g. a change in the effect observed  in studies grouped according to, for instance, intensity of treatment.

Trials register
In the Cochrane Collaboration, this is a database of bibliographic references to  randomized controlled trials and controlled clinical trials relevant to a Collaborative Review Group or Field, that is maintained at the editorial base. Software such as ProCite or Reference Manager is used to manage the database. Once a relevant report of a trial is identified, it is photocopied, coded and entered onto the register. Wherever possible,  relevant trial reports are downloaded directly into the register from an electronic database such as MEDLINE. Information about unpublished and ongoing trials is also  included in trials registers.

Triple blind (synonym: triple  masked)
An expression that is sometimes used to indicate that knowledge of which study participants are in which comparison group is kept secret from the statistician doing the analysis as well as from the study participants and investigators (outcome assessors). See also
blinding, single blind, double blind.

U

Unit of allocation
The entity that is assigned to different comparison groups in a trial. Most commonly, individuals are allocated, but in some trials people are assigned to the intervention and control groups in groups to avoid contamination or for convenience; for example, practices, hospitals or communities can be allocated. See unit of analysis error.

Unit of analysis error
In some studies people are allocated in groups instead of individually (e.g. by practice, by hospital or by community). Often when this is done the unit of allocation is different from the unit of analysis, i.e. people are allocated by groups and analyzed as though they had been allocated individually. This is sometimes called a unit of analysis error. Effectively, using individuals as the unit of analysis when groups of people are allocated increases the power of the studies by increasing the degrees of freedom. This can result in overly narrow
confidence intervals and false positive conclusions that the intervention had an effect when in truth there is greater uncertainty than what is reflected by the P-value. In the context of a review, it can result in studies having narrower confidence intervals and receiving more weight than is appropriate.

V

Validity (synonym: internal validity)
Validity is the degree to which a result (of a measurement or study) is likely to be true and free of
bias (systematic errors). Validity has several other  meanings, usually accompanied by a qualifying word or phrase; for example, in the context  of measurement, expressions such as "construct validity", "content validity" and "criterion validity" are used. The expression "internal validity" is sometimes used to distinguish validity (the extent to which the observed effects are true for the people in a study) from external validity or generalisability  (the extent to which the effects observed in a study truly reflect what can be expected in a target population beyond the people included in the study). See also methodological quality, random error.

Variable
Any quantity that varies. A factor that can have different values.

Variance
A measure of the variation shown by a set of observations defined by the sum of the squares of deviations from the mean, divided by the number of degrees of freedom in the set of observations.

Venn diagram
A pictorial presentation of the extent to which two or more quantities or concepts are  mutually inclusive and mutually exclusive.

W

Washout period
The stage in a crossover trial when treatment is withdrawn before the second treatment is given. Washout periods are usually necessary because of the possibility that the intervention administered first can affect the outcome variable for  some time after treatment ceases. A run-in period before a trial starts is sometimes called a washout period if treatments that participants were using before entering the  trial are discontinued.

World Wide Web (WWW)
A part of the Internet with a graphical interface. "Web pages" or "home pages" are hypertext Markup Language (HTML) documents on the WWW. Hypertext allows users to jump from one place in a document to another, from one  document to another, and from one computer on the WWW to another. A connection through a cable or over the telephone and a Web browser (software program), such as Netscape or  Internet Explorer, are needed to access and view WWW documents.

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

Last updated:
09-Feb-2006

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