Lab 8

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Health Science

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Dec 6, 2023

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ReMA | Quantitative Foundations | Fall 2023 Lab 8 11/17/2023 1. A group of researchers is interested in seeing if participation in a nutritional program is likely to improve outcomes for expecting mothers who are at high risk of giving birth to a low birthweight baby. They plan a cohort study that will enroll low-income pregnant women living in Mumbai, India, where some pregnant women have signed up for a nutritional program and others have not. This study design gives the researchers flexibility to assess several outcomes of interest. Help the researchers determine the appropriate statistical test for each of the following questions. For each scenario, state the appropriate test and explain why it is the appropriate test. a. Is there a difference in mean birthweight (in grams) between babies born to mothers who sign up for the nutritional program and babies born to mothers who do not sign up for the nutritional program? b. Is there an association between participation in the nutritional program and giving birth to a normal birthweight baby (2,500 g or more)? c. Does the average birthweight among women in Mumbai who participate in nutrition programs during pregnancy differ from the Indian national mean birthweight of 2,552 g? d. Some mothers are signed up for a personalized nutritional program, some are signed up for a group nutritional program, and some are signed up for a control program about how to care for a newborn baby. Is there a difference in birthweight (in grams) between babies born to mothers in in either of these groups? e. Among those attending the nutritional program, Is there an association between the amount of time a pregnant woman in Mumbai spends attending a nutritional program (in minutes) and a baby’s birthweight? 1
2. You are asked to assess whether “chance” is a reasonable explanation for any association between type of nutritional program (none, individual nutritional program, or group nutritional program) and mean birthweight. You are given the following data, where the birthweight variable is measured continuously in grams and the program variable is coded as 0 = no nutritional program, 1 = individual nutritional program, and 2 = group nutritional program. a) Conduct the appropriate hypothesis using the steps outlined below. Assume α = 0.05 . i. State the null and alternative hypotheses. ii. Convert the data to the appropriate test statistic. iii. Compare the test statistic to the critical value of the appropriate known distribution and calculate the corresponding p-value range. b) Your colleague says this result means that babies born to mothers in Mumbai who enroll in a group nutritional program during pregnancy have significantly different birthweights than those in an individual or control program. Do you agree? Why or why not? 2
c) You decide to conduct an additional test and produce the following output. What question can be answered using this output? d) Assuming α = 0.05 , what is the answer to the question from part c)? Explain your reasoning. 3. Researchers at the WHO are interested in studying the effects of antibiotic use on obesity among adult men. Previous research suggests that the mean BMI for adult men is 30.0 kg/m 2 with a standard deviation of 4.73 kg/m 2 . Pilot data suggest that the true mean difference in BMI between adult men who have taken antibiotics in the past 5 years compared to those who have not taken antibiotics in the past 5 years is about 5 kg/m 2 . a) Assuming an alpha level of 0.05, if the researchers plan to recruit 25 adult men who have taken antibiotics in the past 5 years and 25 adult men who have not taken antibiotics in the past 5 years, what is their power to reject the null hypothesis that there is no association between antibiotic use and BMI under the design alternative hypothesis specified in the STATA output? Use the STATA output below to answer your question. power twomeans 30 35, sd(4.73) n(50) Estimated power for a two-sample means test t test assuming sd1 = sd2 = sd Ho: m2 = m1 versus Ha: m2 != m1 Study parameters: 3
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alpha = 0.0500 N = 50 N per group = 25 delta = 5.0000 m1 = 30.0000 m2 = 35.0000 sd = 4.7300 Estimated power: power = 0.9556 b) How would we expect the power to change from part a) if a new pilot study suggests that the true mean difference in BMI between adult men who have taken antibiotics in the past 5 years compared to those who have not taken antibiotics in the past 5 years is about 2.5 kg/m 2 , holding all else constant? c) How would we expect the power to change from part a) if the WHO received additional funds that allow them to recruit a larger sample of 40 adult men who have taken antibiotics and 40 adults who have not taken antibiotics, holding all else constant? d) How would we expect the power to change from part a) if the WHO decides to raise the alpha level to 0.10, holding all else constant? e) Assuming alpha it set to 0.05, the standard deviation is 4.73, and the true mean difference between the groups is 5 kg/m 2 , how many participants would you need per group to achieve a power of 90%? Use hand calculations to answer this question. 4