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P value and its 
significance 
DR.RENJU.S.RAVI 
1
INTRODUCTION 
 Statistics involves collecting, organizing 
and interpreting the data 
Descriptive statistics : 
Describe what is there in our data. 
Inferential statistics : 
Make inferences from our data to more 
general conditions.
Inferential statistics 
 Data taken from a sample is used to estimate a 
population parameter. 
 Explain the relationship between the observed 
state of affairs to a hypothetical true state of 
affairs. 
 Hypothesis testing (P-values) 
 Point estimation (Confidence intervals)
Definition 
p-value is defined as the probability of obtaining a result equal to or 
more extreme than what was actually observed. 
The p-value was first introduced by Karl Pearson in his Pearson's chi-squared 
test . 
The smaller the p-value, the larger the significance because it tells the 
investigator that the hypothesis under consideration may not 
adequately explain the observation.
The vertical coordinate is the probability density of each outcome, computed under 
the null hypothesis. The p-value is the area under the curve past the observed data 
point.
steps in significance testing 
 Stating the research question 
 Determine probability of erroneous conclusions 
 Choice of statistical test / to calculate test statistic 
 Getting the ‘p’ value 
 Inference 
 Forming conclusions
Stating Research Question 
 Research question. 
 Idea is to assume the state of affairs in 
the two treatment populations. Eg: Is 
mean Hb in urban and rural children the 
same?
Null and Alternate Hypothesis 
 Ho(Null Hypothesis): Assumes that the two population being 
compared are not different. 
 HA/H1 (Alternative Hypothesis): Assumes that 
the two groups are different. 
 Two competing Hypothesis are not treated on an equal basis 
 Special consideration is given to the null hypothesis. 
 We test the null hypothesis and if there is enough evidence to 
say that the null hypothesis is wrong ,we reject the null hypothesis 
in favour of the alternative hypothesis. 
 Rejecting null hypothesis suggests that the alternative hypothesis 
may be true.
Determine probability of erroneous 
conclusions 
Truth 
H0(no 
difference) 
H1(difference 
exists) 
Decision Accept 
H0 
Right 
Decision 
Type II 
Error 
Reject 
H0 
Type I 
Error 
Right 
Decision
Type I error/ False positive 
conclusion 
 stating difference when there is no difference 
 Probability (Type I Error) =  
 Usually set at 1/20 or 0.05. never 0 and it should 
be below the value of ‘α’ for concluding 
statistical significance. 
 The probability of a type I error is distributed at 
the tails of the normal curve i.e. 0.025 on either 
tail.
Type II Error/ false negative 
conclusion 
 Stating no difference when actually there 
is i.e. missing a true difference 
 Occurs when sample size is too small. 
 Probability (Type II Error) =  
 Conventionally accepted to be 0.1 – 0.2 
 Power of a study =(1- ) 
 Researchers consider a power 0.8 – 0.9 (80- 
90%) as satisfactory.
Cut off for p value 
 Arbitrary cut-off 0.05 (5% chance of a false 
+ve conclusion. 
 If p<0.05 statistically significant- Reject H0, 
Accept H1 
 If p>0.05 statistically not-significant- Accept 
H0, Reject H1 
 Testing potential harmful interventions ‘α’ 
value is set below 0.05
Low p value 
• If p is very small (<0.001), then the null hypothesis 
appears not realistic because the difference could 
hardly ever arise due to chance, when the null 
hypothesis is true.
Test Statistic 
• In order to arrive at the p value we need to 
compute the test statistic which is 
Observed  Hypothesized 
SE(Observed)
Step 4. Getting the ‘p’ value 
 Each test statistic has a sampling distribution from which ‘p’ values for the 
corresponding value of the ‘statistic’ can be noted from available tables.
Step 5. Inference 
 If the obtained ‘p’ value is smaller than the level of ‘α’ - statistically 
significant , null hypothesis is rejected 
 ‘p’ value more than the level of ‘α’ – not significant, null hypothesis 
cannot be rejected
Step 6. Conclusion 
 If the results are statistically significant, decide whether the observed 
differences are clinically important. 
 If not significant, see if the sample size was adequate enough not to 
have missed a clinically important difference 
 ‘The power of the study ‘ tells us the strength which we can 
conclude that there is no difference between the two groups.
 Statistical significance does not necessarily 
mean real significance 
• If sample size is large, even very small 
differences can have a low p-value. 
• Lack of significance does not necessarily 
mean that the null hypothesis is true. 
• If sample size is small, there could be a real 
difference, but we are not able to detect 
it
One/Two sided p values 
 If we are interested only to find out whether the test drug is better 
than the control drug, we put the α of 0.05 under only one tail of 
hypothesis - called one tailed test. 
 To know whether one drug performs better or worse than the 
other, we would distribute the of 0.05 to both tails under the 
hypothesis i.e. 0.025 to each tail – two tailed test.
P-Value 
0 
0 
0 
Upper/Right- 
Tailed 
Lower/Left- 
Tailed 
Two- 
Tailed
‘p’ value- 
Points to remember… 
 The P-value is the smallest level of significance at which H0 would be 
rejected when a specified test procedure is used on a given data 
set. 
 0.05 is arbitrary cut off value 
 Type 1 error (α)- false positive conclusion 
 Type 2 error (β)- false negative conclusion
THANK YOU

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P value

  • 1. P value and its significance DR.RENJU.S.RAVI 1
  • 2. INTRODUCTION  Statistics involves collecting, organizing and interpreting the data Descriptive statistics : Describe what is there in our data. Inferential statistics : Make inferences from our data to more general conditions.
  • 3. Inferential statistics  Data taken from a sample is used to estimate a population parameter.  Explain the relationship between the observed state of affairs to a hypothetical true state of affairs.  Hypothesis testing (P-values)  Point estimation (Confidence intervals)
  • 4. Definition p-value is defined as the probability of obtaining a result equal to or more extreme than what was actually observed. The p-value was first introduced by Karl Pearson in his Pearson's chi-squared test . The smaller the p-value, the larger the significance because it tells the investigator that the hypothesis under consideration may not adequately explain the observation.
  • 5. The vertical coordinate is the probability density of each outcome, computed under the null hypothesis. The p-value is the area under the curve past the observed data point.
  • 6. steps in significance testing  Stating the research question  Determine probability of erroneous conclusions  Choice of statistical test / to calculate test statistic  Getting the ‘p’ value  Inference  Forming conclusions
  • 7. Stating Research Question  Research question.  Idea is to assume the state of affairs in the two treatment populations. Eg: Is mean Hb in urban and rural children the same?
  • 8. Null and Alternate Hypothesis  Ho(Null Hypothesis): Assumes that the two population being compared are not different.  HA/H1 (Alternative Hypothesis): Assumes that the two groups are different.  Two competing Hypothesis are not treated on an equal basis  Special consideration is given to the null hypothesis.  We test the null hypothesis and if there is enough evidence to say that the null hypothesis is wrong ,we reject the null hypothesis in favour of the alternative hypothesis.  Rejecting null hypothesis suggests that the alternative hypothesis may be true.
  • 9. Determine probability of erroneous conclusions Truth H0(no difference) H1(difference exists) Decision Accept H0 Right Decision Type II Error Reject H0 Type I Error Right Decision
  • 10. Type I error/ False positive conclusion  stating difference when there is no difference  Probability (Type I Error) =   Usually set at 1/20 or 0.05. never 0 and it should be below the value of ‘α’ for concluding statistical significance.  The probability of a type I error is distributed at the tails of the normal curve i.e. 0.025 on either tail.
  • 11. Type II Error/ false negative conclusion  Stating no difference when actually there is i.e. missing a true difference  Occurs when sample size is too small.  Probability (Type II Error) =   Conventionally accepted to be 0.1 – 0.2  Power of a study =(1- )  Researchers consider a power 0.8 – 0.9 (80- 90%) as satisfactory.
  • 12. Cut off for p value  Arbitrary cut-off 0.05 (5% chance of a false +ve conclusion.  If p<0.05 statistically significant- Reject H0, Accept H1  If p>0.05 statistically not-significant- Accept H0, Reject H1  Testing potential harmful interventions ‘α’ value is set below 0.05
  • 13. Low p value • If p is very small (<0.001), then the null hypothesis appears not realistic because the difference could hardly ever arise due to chance, when the null hypothesis is true.
  • 14. Test Statistic • In order to arrive at the p value we need to compute the test statistic which is Observed  Hypothesized SE(Observed)
  • 15. Step 4. Getting the ‘p’ value  Each test statistic has a sampling distribution from which ‘p’ values for the corresponding value of the ‘statistic’ can be noted from available tables.
  • 16. Step 5. Inference  If the obtained ‘p’ value is smaller than the level of ‘α’ - statistically significant , null hypothesis is rejected  ‘p’ value more than the level of ‘α’ – not significant, null hypothesis cannot be rejected
  • 17. Step 6. Conclusion  If the results are statistically significant, decide whether the observed differences are clinically important.  If not significant, see if the sample size was adequate enough not to have missed a clinically important difference  ‘The power of the study ‘ tells us the strength which we can conclude that there is no difference between the two groups.
  • 18.  Statistical significance does not necessarily mean real significance • If sample size is large, even very small differences can have a low p-value. • Lack of significance does not necessarily mean that the null hypothesis is true. • If sample size is small, there could be a real difference, but we are not able to detect it
  • 19. One/Two sided p values  If we are interested only to find out whether the test drug is better than the control drug, we put the α of 0.05 under only one tail of hypothesis - called one tailed test.  To know whether one drug performs better or worse than the other, we would distribute the of 0.05 to both tails under the hypothesis i.e. 0.025 to each tail – two tailed test.
  • 20. P-Value 0 0 0 Upper/Right- Tailed Lower/Left- Tailed Two- Tailed
  • 21. ‘p’ value- Points to remember…  The P-value is the smallest level of significance at which H0 would be rejected when a specified test procedure is used on a given data set.  0.05 is arbitrary cut off value  Type 1 error (α)- false positive conclusion  Type 2 error (β)- false negative conclusion