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Lecture Series on
    Statistics
                     No. Bio-Stat_2
                    Date – 27.07.2008


“THE   PRINCIPAL STEPS IN A
    STATISTICAL ENQUIRY"
                             By
                  Dr. Bijaya Bhusan Nanda,
             M. Sc (Gold Medalist) Ph. D. (Stat.)
     Topper Orissa Statistics & Economics Services, 1988
                 bijayabnanda@yahoo.com
CONTENTS
  Statistical Thinking in Empirical Analysis

  Principal Steps in a Statistical Enquiry


            OBJECTIVES
 The trainees will adopt Statistical Thinking to
                               .
  problem solving in Medical Research.

 They will be able to plan Research in a scientific
  way.
STATISTICAL THINKING
        DIMENSION – 1: Investigative Cycle (PPDAC Model)
   •Interpretation
   •Conclusion                                    •Grasping System dynamics
   •New Ideas                                     •Defining Problems
   •Communication    CONCLUSION         PROBLEM




•Data Exploration
•Planned Analysis ANALYSIS                   PLAN Planning
•Unplanned Analysis                               •Measurement System
•Hypothesis generation                            •Sampling design
                                                  •Data Management
                                                  •Piloting & Analysis
                                DATA

                         •Data Collection
                         •Data Cleaning
                         •Data Management         MacKay & Oldford, 1994
DIMENSION 2:Types of thinking
GENERAL TYPES
   Strategic
      Planning, anticipating problems
      Awareness of practical constraints
   Seeking Explanations
   Modeling
      Construction followed by use
   Applying Techniques
      following precedents
      recognition and use of archetypes
      Use of problem solving tools
TYPES FUNDAMENTALTO STATISTICAL
  THINKING
 Recognition of need for data
 Transnumeration
(Changing representation to engender understanding)
    capturing “measures” from real system
    Changing data representation
    Communicating messages in data
 Consideration of variation
    Noticing and acknowledging
    Measuring and modeling for the purpose of prediction,
     explanation, or control
    Explaining and dealing with
    Investigative strategies
 Reasoning with statistical model
 Integrating the statistical and contextual
    Information, knowledge, conceptions
DIMENSION – 3: The Interrogative Cycle

   Decide what to:
   •believe                                          Imagine possibilities for:
   •Continue to entertain                            •Plans of attack
   •discard               JUDGE             GENERATE •Explanations/ modes
                                                     •Information requirement




Check against
Reference points: CRITICISE                           SEEK Information and ideas
•Internal                                                  •internally
•external                                                  •externally


                                  INTERPRET
                              •Read/hear/see
                              •translate
                              •Internally summarise
                              •Compare
                              •Connect
DIMENSION 4: Disposition
  (Arrangement / Person’s natural
  Qualities of mind and Character)
 Scepticism
 Imagination
 Curiosity and awareness
  • Observant, noticing
 Openness
  • To ideas that challenge preconceptions
 A propensity to seek deeper meaning
 Being logical
 Engagement
 Perseverance
Pertinent methodological questions

1.   What are the objectives?
2.   What is the coverage?
3.   What type of information required?
4.   What are the methods to collect data?
5.   Whether census or sampling?
6.   If a sample survey- the design?
Some pertinent methodological
          questions
7. What are the potential sources of errors
   and possible precautions?
8. What are the steps to conduct the field
   work efficiently?
9. What are the methods to process and
   analyses the collected data?
10.What are the points to be kept in mind
   while writing the report and presenting
   the results of the survey?
11.What are the problems of accuracy,
   errors and approximations?
A STASTICAL ENQUIRY
 It is with a Predefined purpose and dealing with
  collection of data in a systematic manner.
 Data collected from such enquiry are called
  statistical data.
 It may be Descriptive Field Surveys or Analytical
  Experimental study under controlled conditions.
 Descriptive Field Survey:
    Cross Sectional Study/ Prevalence Study:
      Simplest form of an observational Study.
    Longitudinal study: Observations are repeated
      in the same population over a prolonged period
      of time by means of follow up examinations.
 Analytical studies: Case Control Study and Cohort
  Study
Planning a Statistical Enquiry
1. What are the objectives of the survey?
Objectives - clear and unambiguous.

Possible uses of final results to be
 expected and the desired degree of
 accuracy be discussed at the beginning.

Lack of clear cut objectives might
 undermine the value of the final results.

and the manipulation of data at the end
 would not solve the issue in questions
 and eradicate the inherent defects.
2. Population to be covered:

   What is the population to be studied?

    •   Target population
    •   Sampled population

   What are the units from which data is
    to be collected?
3. Data to be Collected

Should be decided keeping in view the
 objectives of the study.
Relevant data should not be omitted.
Irrelevant data should not be
 collected.
Primary & Secondary data
   Primary data: Data Collected by the investigator
    through direct observation, mailed
    questionnaire or interview method from the field
    or conducting experiments.

   Secondary data: Ready made data colleted from
    published or unpublished form in Hospital
    Records
   Involves less time and money
   It may not always be adequate and representative
    enough to serve the required purposes and may also
    be outdated.
   Further, secondary data may have unknown degree
    of accuracy
The primary data are usually in a raw and bulky
form and do not posses the simple look of the
secondary data, which are already in processed
form. This when processed and put in an appropriate
classified and tabulated form by a recognized body,
becomes secondary data for future users.

4. Designing questionnaire / schedule

       Questionnaire: To be filled in by
        the respondent.

       Schedule: - To be filled in by the
        interviewer
Designing questionnaire / schedule
   This requires:-
      Skill,
      special techniques,
      Familiarity with the subject matter
   Question content:
   Respondents are likely to have knowledge
    to answer them.
   Large number of questions to the
    respondents should be avoided.
   The questions should be such that one is
    able to extract brief answers.
   The questionnaire should have some cross-
    questions to check the authenticity of the
    information supplied
Question wording
   The question should be specific, simple and
    unambiguous. Vague, presuming and
    hypothetical questions should be avoided. If
    necessary, the questionnaire should contain some
    leading questions. The questions should be such
    that it is capable of being answered without
    prejudice.
Open and pre-coded questions
   In an open question the respondent has the
    freedom in choice of answers. But in case of pre-
    coded or multiple choice questions the
    respondent is asked to choose one from the
    limited number of given answers. Open questions
    are, often, found difficult to be coded. Pre-coded
    questions restrict the freedom of thought of the
    respondents.
Question order

   Ordering of the questions is an important
    part of the construction of questionnaire.
    The ordering systematizes the thought
    process of the interviewer and as a result
    reduces the refusal rate of the survey
    based on interviewing.

   Suitable instruction for filling-up the
    same is a must.
5. Approach to data collection

   Complete enumeration (Census)

   or Sample study?
6. Selection of a proper sampling
    design
 Sampling units
 Reference unit
 Sampling frame:-List of all the
    sampling units in the population
    under study?
 Minimum sample size required
 Sampling design
Minimum Sample size
   This will depend upon
    • Aim, nature, scope of the study,
      variability in the population and on the
      expected results.
   Standard procedure for different
    situations
    1. One sample situation
         Estimating a population proportion with
          specified absolute/relative precision
2. Two sample situation
     Estimating the difference between two
      population proportions
     Hypothesis tests for two population
      proportions Case-control studies
3. Case-control studies
     Estimating an odds ratio
     Hypothesis tests for an odds ratio
4. Cohort studies
     Estimating a relative risk
     Hypothesis test for a relative risk
5. Lot quality assurance sampling
    Accepting a population prevalence as
     not exceeding a specified value
    Decision rule for “rejecting a lot”



6. Incidence-rate studies
    Estimating an incidence rate

    Hypothesis tests for an incidence rate

    Hypothesis tests for two incidence
     rates in follow-up (cohort) studies
Sampling Design
   Sampling design will depend upon
    • Objectives, scope and coverage of the
      study, nature and size of the population,
      hypothesis to be tested
   Different scheme of sampling
    • Probability sampling
    • Non-probability sampling
7. Different methods of data
  collection
Personal observations,
Mailed questionnaires,
Interviewing,
Documental sources, etc.
A choice to be made depending
 upon: the type of data to be
 collected and type of population to
 be covered.
   Mailed Survey
    • Less costly
    • Non-response may be high
    • Practicable for educated respondents
   Interview Method
    • More cost
    • Less non-response
    • Practicable for educated and
      uneducated both
    • Concept and definition can be explained
      to the respondents.
   Observation Method

    • Specify the method of measurement

    • Specify unit of measurement

    • Provide measuring equipments and
      instruments
8. Dealing with non-response

   Due to non-availability of the respondent
   Respondent may fail to give the data
    when contacted.
   Respondent may refuse to give
    information.
   Non response tends to change the results.
   Procedure to be devised to deal with it.

    •   Call-back procedures,

    •   Substitution
9. Errors
   Any statistical survey is not free from
    errors:
   Errors may be on account of
    • Sampling: Which can be kept under
      control by following a suitable sampling
      design
          Faulty selection of the sample
          Substitution
          Faulty demarcation of the sampling unit
          Improper choice of statistics for estimating the
           population parameter.
9. Errors- Contd.
   Non-sampling errors
    • Faulty Planning or Definitions
    • Response Errors
         May be accidental, Prestige bias, Self-interest,
          Bias due to interview, Failure of respondent’s
          memory
    • Non-response bias: Full information not
      obtained of all sample units
    • Error in coverage: Objectives not clearly
      stated
    • Compiling Errors: Various operations in
      data processing
    • Publication errors: Committed during
      presentation and printing of tabulated
      results
9. Organisation of field work

   Reliable field work is a precondition
    for the success of the statistical
    enquiry.
   Organizational set-up
    • Selection of Team leader
    • Selection of Investigators
    • System of supervision
    • Logistic arrangements: Stay,
      Transport & Communication,
      printing of schedules, supply of
      appropriate stationeries
9. Organisation of field work

   Training
    • Orientation of the Investigators
      with the;
         instruments,
         Levelsand units of data collection
         concepts and definitions of the field of
          information
    •   How to deal with non-response
10. Pre-testing and Pilot survey

Pre-testing:
Trying out the questionnaire on a small
scale.

The pre-testing of a questionnaire
brings out the drawbacks of the
questionnaire as to question order,
content and wording and enables the
survey specialist to reach a decision
whether to add certain more questions
or delete some already incorporated. It
studies possible reactions and
difficulties of the respondents to
answer certain question and remodel
accordingly.
Pilot Survey
   Pilot survey is like theatrical dress
    rehearsal
   This is to try out the entire survey on a
    limited scale to know:-
    the nature of the population
     efficacy of the sampling design
     deficiency in the planning
   This enables the researchers to correct
    deficiency before the main survey
11. Processing of the Data
   Data Validation or Editing of data
   Coding-To put the results in
    quantitative form by assigning
    numeric codes
   Classification and tabulation of data
   Presentation of data
   Analysis of data
12. Reporting and Conclusions
   Finally, the analysis should be interpreted
    in the form of a report incorporating:-
   Detailed statement of the different stages
    of the survey,
   technical aspects of the design, viz., the
    types of the estimators used along with
    the amount of error to be expected in the
    most important estimates, and

   Presentation of the results.
13.Information gained for future surveys
    Any completed survey helps to understand the
     nature of the data in terms of means
     (average), standard deviations (variability),
     cost involved in obtaining the data.

    Any completed survey provides lesson for
     designing future surveys in recognizing and
     rectifying the mistakes committed in the
     execution of the survey.

    Thereby it is a learning point for improved
     planning and execution of the future surveys.
REFERENCES
   Biostatistics – A foundation for Analysis in the Health
    Sciences: Wayne W. Daniel, Seventh Edition, Wiley
    Students Analysis.

   A First Course in Statistics with Application: A.K. P. C
    Swain, Kalyani Publishers.

   Fundamentals of Applied Statistics, SC Gupta and V. K.
    Kapoor
   Sample Size determination in Health Studies: A Practical
    Manual, SK Lwanga and S Lemeshow, WHO,

   Parks Text book of Preventive and social medicines
THANK YOU

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Principal steps in a Statistical Enquiry

  • 1. Lecture Series on Statistics No. Bio-Stat_2 Date – 27.07.2008 “THE PRINCIPAL STEPS IN A STATISTICAL ENQUIRY" By Dr. Bijaya Bhusan Nanda, M. Sc (Gold Medalist) Ph. D. (Stat.) Topper Orissa Statistics & Economics Services, 1988 bijayabnanda@yahoo.com
  • 2. CONTENTS Statistical Thinking in Empirical Analysis Principal Steps in a Statistical Enquiry OBJECTIVES  The trainees will adopt Statistical Thinking to . problem solving in Medical Research.  They will be able to plan Research in a scientific way.
  • 3. STATISTICAL THINKING DIMENSION – 1: Investigative Cycle (PPDAC Model) •Interpretation •Conclusion •Grasping System dynamics •New Ideas •Defining Problems •Communication CONCLUSION PROBLEM •Data Exploration •Planned Analysis ANALYSIS PLAN Planning •Unplanned Analysis •Measurement System •Hypothesis generation •Sampling design •Data Management •Piloting & Analysis DATA •Data Collection •Data Cleaning •Data Management MacKay & Oldford, 1994
  • 4. DIMENSION 2:Types of thinking GENERAL TYPES  Strategic  Planning, anticipating problems  Awareness of practical constraints  Seeking Explanations  Modeling  Construction followed by use  Applying Techniques  following precedents  recognition and use of archetypes  Use of problem solving tools
  • 5. TYPES FUNDAMENTALTO STATISTICAL THINKING  Recognition of need for data  Transnumeration (Changing representation to engender understanding)  capturing “measures” from real system  Changing data representation  Communicating messages in data  Consideration of variation  Noticing and acknowledging  Measuring and modeling for the purpose of prediction, explanation, or control  Explaining and dealing with  Investigative strategies  Reasoning with statistical model  Integrating the statistical and contextual  Information, knowledge, conceptions
  • 6. DIMENSION – 3: The Interrogative Cycle Decide what to: •believe Imagine possibilities for: •Continue to entertain •Plans of attack •discard JUDGE GENERATE •Explanations/ modes •Information requirement Check against Reference points: CRITICISE SEEK Information and ideas •Internal •internally •external •externally INTERPRET •Read/hear/see •translate •Internally summarise •Compare •Connect
  • 7. DIMENSION 4: Disposition (Arrangement / Person’s natural Qualities of mind and Character)  Scepticism  Imagination  Curiosity and awareness • Observant, noticing  Openness • To ideas that challenge preconceptions  A propensity to seek deeper meaning  Being logical  Engagement  Perseverance
  • 8. Pertinent methodological questions 1. What are the objectives? 2. What is the coverage? 3. What type of information required? 4. What are the methods to collect data? 5. Whether census or sampling? 6. If a sample survey- the design?
  • 9. Some pertinent methodological questions 7. What are the potential sources of errors and possible precautions? 8. What are the steps to conduct the field work efficiently? 9. What are the methods to process and analyses the collected data? 10.What are the points to be kept in mind while writing the report and presenting the results of the survey? 11.What are the problems of accuracy, errors and approximations?
  • 10. A STASTICAL ENQUIRY  It is with a Predefined purpose and dealing with collection of data in a systematic manner.  Data collected from such enquiry are called statistical data.  It may be Descriptive Field Surveys or Analytical Experimental study under controlled conditions.  Descriptive Field Survey:  Cross Sectional Study/ Prevalence Study: Simplest form of an observational Study.  Longitudinal study: Observations are repeated in the same population over a prolonged period of time by means of follow up examinations.  Analytical studies: Case Control Study and Cohort Study
  • 11. Planning a Statistical Enquiry 1. What are the objectives of the survey? Objectives - clear and unambiguous. Possible uses of final results to be expected and the desired degree of accuracy be discussed at the beginning. Lack of clear cut objectives might undermine the value of the final results. and the manipulation of data at the end would not solve the issue in questions and eradicate the inherent defects.
  • 12. 2. Population to be covered:  What is the population to be studied? • Target population • Sampled population  What are the units from which data is to be collected?
  • 13. 3. Data to be Collected Should be decided keeping in view the objectives of the study. Relevant data should not be omitted. Irrelevant data should not be collected.
  • 14. Primary & Secondary data  Primary data: Data Collected by the investigator through direct observation, mailed questionnaire or interview method from the field or conducting experiments.  Secondary data: Ready made data colleted from published or unpublished form in Hospital Records  Involves less time and money  It may not always be adequate and representative enough to serve the required purposes and may also be outdated.  Further, secondary data may have unknown degree of accuracy
  • 15. The primary data are usually in a raw and bulky form and do not posses the simple look of the secondary data, which are already in processed form. This when processed and put in an appropriate classified and tabulated form by a recognized body, becomes secondary data for future users. 4. Designing questionnaire / schedule  Questionnaire: To be filled in by the respondent.  Schedule: - To be filled in by the interviewer
  • 16. Designing questionnaire / schedule  This requires:-  Skill,  special techniques,  Familiarity with the subject matter  Question content:  Respondents are likely to have knowledge to answer them.  Large number of questions to the respondents should be avoided.  The questions should be such that one is able to extract brief answers.  The questionnaire should have some cross- questions to check the authenticity of the information supplied
  • 17. Question wording  The question should be specific, simple and unambiguous. Vague, presuming and hypothetical questions should be avoided. If necessary, the questionnaire should contain some leading questions. The questions should be such that it is capable of being answered without prejudice. Open and pre-coded questions  In an open question the respondent has the freedom in choice of answers. But in case of pre- coded or multiple choice questions the respondent is asked to choose one from the limited number of given answers. Open questions are, often, found difficult to be coded. Pre-coded questions restrict the freedom of thought of the respondents.
  • 18. Question order  Ordering of the questions is an important part of the construction of questionnaire. The ordering systematizes the thought process of the interviewer and as a result reduces the refusal rate of the survey based on interviewing.  Suitable instruction for filling-up the same is a must.
  • 19. 5. Approach to data collection  Complete enumeration (Census)  or Sample study?
  • 20. 6. Selection of a proper sampling design  Sampling units  Reference unit  Sampling frame:-List of all the sampling units in the population under study?  Minimum sample size required  Sampling design
  • 21. Minimum Sample size  This will depend upon • Aim, nature, scope of the study, variability in the population and on the expected results.  Standard procedure for different situations 1. One sample situation  Estimating a population proportion with specified absolute/relative precision
  • 22. 2. Two sample situation  Estimating the difference between two population proportions  Hypothesis tests for two population proportions Case-control studies 3. Case-control studies  Estimating an odds ratio  Hypothesis tests for an odds ratio 4. Cohort studies  Estimating a relative risk  Hypothesis test for a relative risk
  • 23. 5. Lot quality assurance sampling  Accepting a population prevalence as not exceeding a specified value  Decision rule for “rejecting a lot” 6. Incidence-rate studies  Estimating an incidence rate  Hypothesis tests for an incidence rate  Hypothesis tests for two incidence rates in follow-up (cohort) studies
  • 24. Sampling Design  Sampling design will depend upon • Objectives, scope and coverage of the study, nature and size of the population, hypothesis to be tested  Different scheme of sampling • Probability sampling • Non-probability sampling
  • 25. 7. Different methods of data collection Personal observations, Mailed questionnaires, Interviewing, Documental sources, etc. A choice to be made depending upon: the type of data to be collected and type of population to be covered.
  • 26. Mailed Survey • Less costly • Non-response may be high • Practicable for educated respondents  Interview Method • More cost • Less non-response • Practicable for educated and uneducated both • Concept and definition can be explained to the respondents.
  • 27. Observation Method • Specify the method of measurement • Specify unit of measurement • Provide measuring equipments and instruments
  • 28. 8. Dealing with non-response  Due to non-availability of the respondent  Respondent may fail to give the data when contacted.  Respondent may refuse to give information.  Non response tends to change the results.  Procedure to be devised to deal with it. • Call-back procedures, • Substitution
  • 29. 9. Errors  Any statistical survey is not free from errors:  Errors may be on account of • Sampling: Which can be kept under control by following a suitable sampling design  Faulty selection of the sample  Substitution  Faulty demarcation of the sampling unit  Improper choice of statistics for estimating the population parameter.
  • 30. 9. Errors- Contd.  Non-sampling errors • Faulty Planning or Definitions • Response Errors  May be accidental, Prestige bias, Self-interest, Bias due to interview, Failure of respondent’s memory • Non-response bias: Full information not obtained of all sample units • Error in coverage: Objectives not clearly stated • Compiling Errors: Various operations in data processing • Publication errors: Committed during presentation and printing of tabulated results
  • 31. 9. Organisation of field work  Reliable field work is a precondition for the success of the statistical enquiry.  Organizational set-up • Selection of Team leader • Selection of Investigators • System of supervision • Logistic arrangements: Stay, Transport & Communication, printing of schedules, supply of appropriate stationeries
  • 32. 9. Organisation of field work  Training • Orientation of the Investigators with the;  instruments,  Levelsand units of data collection  concepts and definitions of the field of information • How to deal with non-response
  • 33. 10. Pre-testing and Pilot survey Pre-testing: Trying out the questionnaire on a small scale. The pre-testing of a questionnaire brings out the drawbacks of the questionnaire as to question order, content and wording and enables the survey specialist to reach a decision whether to add certain more questions or delete some already incorporated. It studies possible reactions and difficulties of the respondents to answer certain question and remodel accordingly.
  • 34. Pilot Survey  Pilot survey is like theatrical dress rehearsal  This is to try out the entire survey on a limited scale to know:- the nature of the population  efficacy of the sampling design  deficiency in the planning  This enables the researchers to correct deficiency before the main survey
  • 35. 11. Processing of the Data  Data Validation or Editing of data  Coding-To put the results in quantitative form by assigning numeric codes  Classification and tabulation of data  Presentation of data  Analysis of data
  • 36. 12. Reporting and Conclusions  Finally, the analysis should be interpreted in the form of a report incorporating:-  Detailed statement of the different stages of the survey,  technical aspects of the design, viz., the types of the estimators used along with the amount of error to be expected in the most important estimates, and  Presentation of the results.
  • 37. 13.Information gained for future surveys  Any completed survey helps to understand the nature of the data in terms of means (average), standard deviations (variability), cost involved in obtaining the data.  Any completed survey provides lesson for designing future surveys in recognizing and rectifying the mistakes committed in the execution of the survey.  Thereby it is a learning point for improved planning and execution of the future surveys.
  • 38. REFERENCES  Biostatistics – A foundation for Analysis in the Health Sciences: Wayne W. Daniel, Seventh Edition, Wiley Students Analysis.  A First Course in Statistics with Application: A.K. P. C Swain, Kalyani Publishers.  Fundamentals of Applied Statistics, SC Gupta and V. K. Kapoor  Sample Size determination in Health Studies: A Practical Manual, SK Lwanga and S Lemeshow, WHO,  Parks Text book of Preventive and social medicines