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Date:         Wed, 21 May 2008 11:00:07 -0500
Reply-To:     "Swank, Paul R" <Paul.R.Swank@uth.tmc.edu>
Sender:       "SPSSX(r) Discussion" <SPSSX-L@LISTSERV.UGA.EDU>
From:         "Swank, Paul R" <Paul.R.Swank@uth.tmc.edu>
Subject:      Re: comparing groups before and after treatment
Comments: To: Angshu Bhowmik <angshub@hotmail.com>
In-Reply-To:  <007901c8bad1$1b277100$c0f4fea9@abhome>
Content-Type: text/plain; charset="us-ascii"

Two points. First, a multivariate test would be appropriate if there is a strong relation among the measured variables but you need to be prepared to interpret a composite. Secondly, while this test will tell you whether or not there was significant change over time, it cannot tell you it was due to what you did. Without random assignment to treatment or control conditions, you cannot infer causality.

Paul R. Swank, Ph.D. Professor and Director of Research Children's Learning Institute University of Texas Health Science Center - Houston

-----Original Message----- From: SPSSX(r) Discussion [mailto:SPSSX-L@LISTSERV.UGA.EDU] On Behalf Of Angshu Bhowmik Sent: Tuesday, May 20, 2008 6:28 PM To: SPSSX-L@LISTSERV.UGA.EDU Subject: comparing groups before and after treatment

Hello everyone,

I wonder if anyone could advise me (a clinical doctor with no statistical training) about the correct way to test whether people have improved in 8 variables (e.g. how far they can walk, blood oxygen levels, spirometry, etc) after an exercise program. I think they have, and the patients love it, but I need to formally confirm it in order to keep the service running.

If I understand correctly, simply doing paired t-tests or Wilcoxon's tests on each variable is not correct because multiple comparisons make it more likely that something will show up. Is doing multiple t-tests and changing the desired p value to 0.05 / 8 i.e. 0.00625 the only way to do this?

Many thanks for your kind help

Angshu

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