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Parametric Tests
Dr Heena Sharma
1
Contents
• Introduction to statistical tests
• System for statistical analysis
• Parametric tests
o t test
o ANOVA
o Pearson’s coefficient of correlation
o Z test
• Conclusion
• References
2
Statistical Test
• These are intended to decide whether a
hypothesis about distribution of one or more
populations should be rejected or accepted.
• These may be:
3
Statistical
Test
Parametric
Test
Non
Parametric
Test
These tests the statistical significance of the:-
1) Difference in sample and population means.
2) Difference in two sample means
3) Several population means
4) Difference in proportions between sample and
population
5) Difference in proportions between two
independent populations
6) Significance of association between two
variables
4
System for statistical Analysis
 State the Research Hypothesis
State the Level of Significance
Calculate the test statistic
Compare the calculated test statistic
with the tabulated values
 Decision
 Statement of Result
5
Parametric Tests
• Used for Quantitative Data
• Used for continuous variables
• Used when data are measured on approximate
interval or ratio scales of measurement.
• Data should follow normal distribution
6
Parametric Tests
1. t test (n<30)
7
t test
t test for one
sample
t test for two
samples
Unpaired
two samples
Paired two
samples
2. ANOVA (Analysis of Variance)
3. Pearson’s r Correlation
4. Z test for large samples (n>30)
8
ANOVA
ONE
WAY
TWO
WAY
9
10
11
Parametric tests
STUDENT’S T-TEST
Developed by Prof W.S Gossett in 1908, who
published statistical papers under the pen name
of ‘Student’. Thus the test is known as Student’s
‘t’ test.
Indications for the test:-
1. When samples are small
2. Population variance are not known.
12
Uses
1. Two means of small independent samples
2. Sample mean and population mean
3. Two proportions of small independent samples
13
Assumptions made in the use of ‘t’ test
1. Samples are randomly selected
2. Data utilised is Quantitative
3. Variable follow normal distribution
4. Sample variances are mostly same in both the
groups under the study
5. Samples are small, mostly lower than 30
14
A t-test compares the difference between two
means of different groups to determine whether
that difference is statistically significant.
Student’s ‘t’ test for different purposes
‘t’ test for one sample
‘t’ test for unpaired two samples
‘t’ test for paired two samples
15
ONE SAMPLE T-TEST
 When compare the mean of a single group of
observations with a specified value
 In one sample t-test, we know the population
mean. We draw a random sample from the
population and then compare the sample
mean with the population mean and make a
statistical decision as to whether or not the
sample mean is different from the population.
16
Calculation
17
• Now we compare calculated value with table
value at certain level of significance
(generally 5% or 1%)
• If absolute value of ‘t’ obtained is greater than
table value then reject the null hypothesis and if
it is less than table value, the null hypothesis
may be accepted.
18
EXAMPLE
Research Problem : Comparison of mean dietary intake of a
particular group of individuals with the recommended daily
intake.
DATA: Average daily energy intake (ADEI) over 10 days of 11
healthy women
Mean ADEI value = 6753.6
SD ADEI value = 1142.1
When can we say about the energy intake of these women in
relation to a recommended daily intake of 7725 KJ ?
19
sub 1 2 3 4 5 6 7 8 9 10 11
ADEI
(KJ)
5260 5470 5640 6180 6390 6515 6805 7515 7515 8230 8770
20
State null hypothesis and alternative hypothesis:
H0 = there is no difference between population
mean and sample mean
OR
H0 : µ = 7725 KJ
H1 = there is a difference between population
mean and sample mean
OR
H1 : µ ≠ 7725 KJ
Research Hypothesis
• Set the level of significance
α = .05, .01 or .001
• Calculate the value of proper statistic
• t = sample mean – hypothesized mean
standard error of sample mean
• 6753.6 – 7725
1142.1 11 = - 0.2564
21
State the rule for rejecting the null hypothesis:
22
Reject H0 if t ≥ +ve Tabulated value
OR
Reject H0 if t ≤ - ve Tabulated value
Or we can say that p<.05
In the above example we have seen
t=- .2564 which is less then 2.23
P value suggests that the dietary intake of these
women was significantly less than the
recommended level (7725 KJ)
Two Sample ‘t’ test
A. Unpaired Two sample ‘t’- test
 Unpaired t- test is used when we wish to
compare two means
 Used when the two independent random samples
come from the normal populations having
unknown or same variance
 We test the null hypothesis, that the two
population means are same i.e µ1= µ2 against an
appropriate one sided or two sided alternative
hypothesis
23
Assumptions
 The samples are random & independent
of each other
The distribution of dependent variable is
normal.
 The variances are equal in both the
groups
24
FORMULA
Where S1
2 and S2
2 are respectively called SD’s of
first and second group
25
SE (Mean1 –mean2)
t =
Mean1 – Mean2
(n1-1)S1
2 + (n2-1)S2
2
S= -------------------------------
(n1+n2-2)
SE(Mean1 –mean2) = S [1/n1+1/n2]
Test statistic is given by
Research Problem
A study was conducted to compare the birth
weights of children born to 15 non-smoking with
those of children born to 14 heavy smoking
mothers.
26
27
Non-smoking
mothers (n=15)
Heavy smoking
mothers (n=14)
3.99 3.18
3.79 2.84
3.60 2.90
3.73 3.27
3.21 3.85
3.60 3.52
4.08 3.23
3.61 2.76
3.83 3.60
3.31 3.75
4.13 3.59
3.26 3.63
3.54 2.38
3.51 2.34
2.71
• Research Hypothesis : State null hypothesis and
alternative hypothesis
• H
0 = there is no difference between the birth
weights of children born to non-smoking and
smoking mothers
• H
1 = there is a difference between the birth weights
of children born to non-smoking and smoking
mothers
• Set the level of significance
α = .05, .01 or .001
28
• Calculate the value of proper statistic
• State the rule for rejecting the null hypothesis
• If tcal > ttab we can say that P <.05 then we reject the
null hypothesis and accept the Alternative hypothesis.
Decision
• If we reject the null hypothesis so we can say that
children born to non-smokers are heavier than
children born to heavy smokers.
29
PAIRED TWO-SAMPLES T-TEST
 Used when we have paired data of observations from
one sample only, when each individual gives a pair of
observations.
 Same individuals are studied more than once in
different circumstances- measurements made on the same
people before and after interventions
30
Assumptions
The outcome variable should be continuous
The difference between pre-post measurements
should be normally distributed
31
FORMULA
Where,
n = sample size
SD = Std. deviation for the difference
d = difference between x1 and x2
SD/
t =
d
32
d = Average of d
√n
A study was carried to evaluate the effect of the new diet
on weight loss. The study population consist of 12 people
have used the diet for 2 months; their weights before and
after the diet are given
33
Research Problem
34
Patient no. Weight (Kgs)
Before Diet After Diet
1 75 70
2 60 54
3 68 58
4 98 93
5 83 78
6 89 84
7 65 60
8 78 77
9 95 90
10 80 76
11 100 94
12 108 100
Research Hypothesis
• State null hypothesis and alternative hypothesis
• H0 = There is no reduction in weight after Diet
• H1= There is reduction in weight after Diet
• Further Analysis through Statistical software SPSS as
same as previous example
Decision
• If we reject the null hypothesis then there is a
statistically significant reduction in weight
35
How do we compare more than two groups
means ??
Example :
Treatments : A, B, C & D
Response : BP level
How does t-test concept work here ?
A versus B B versus C
A versus C B versus D
A versus D C versus D
36
so the chance of getting the wrong result would be:
1 - (0.95 x 0.95 x 0.95 x0.95) = 26%
• Instead of using a series of individual comparisons
we examine the differences among the groups
through an analysis that considers the variation
among all groups at once.
• i.e. ANALYSIS OF VARIANCE
37
Analysis of Variance(ANOVA)
• Given by Sir Ronald Fisher
• The principle aim of statistical models is to
explain the variation in measurements.
• The statistical model involving a test of
significance of the difference in mean values of
the variable between two groups is the
student’s,’t’ test. If there are more than two
groups, the appropriate statistical model is
Analysis of Variance (ANOVA) 38
Assumptions for ANOVA
1. Sample population can be easily approximated
to normal distribution.
2. All populations have same Standard Deviation.
3. Individuals in population are selected randomly.
4. Independent samples
39
• ANOVA compares variance by means of a
simple ratio, called F-Ratio
F= Variance between groups
Variance within groups
• The resulting F statistics is then compared with
critical value of F (critic), obtained from F tables
in much the same way as was done with ‘t’
• If the calculated value exceeds the critical value
for the appropriate level of α, the null hypothesis
will be rejected.
40
• A F test is therefore a test of the Ratio of
Variances F Tests can also be used on their
own, independently of the ANOVA technique, to
test hypothesis about variances.
• In ANOVA, the F test is used to establish
whether a statistically significant difference
exists in the data being tested.
• ANOVA can be
41
ANOVA
ONEWAY
TWO
WAY
 One Way ANOVA
 If the various experimental groups differ in
terms of only one factor at a time- a one way
ANOVA is used
e.g. A study to assess the effectiveness of four
different antibiotics on S Sanguis
42
Two Way ANOVA
 If the various groups differ in terms of two or
more factors at a time, then a Two Way
ANOVA is performed
e.g. A study to assess the effectiveness of four
different antibiotics on S Sanguis in three
different age groups
43
Pearson’s Correlation Coefficient
• Correlation is a technique for investigating the
relationship between two quantitative,
continuous variables
• Pearson’s Correlation Coefficient(r) is a measure
of the strength of the association between the
two variables.
44
Assumptions Made in Calculation of ‘r’
1. Subjects selected for study with pair of values
of X & Y are chosen with random sampling
procedure.
2. Both X & Y variables are continuous
3. Both variables X & Y are assumed to follow
normal distribution
45
Steps
 The first step in studying the relationship
between two continuous variables is to draw a
scatter plot of the variables to check for linearity.
 The correlation coefficient should not be
calculated of the relationship is not linear
 For correlation only purposes, it does not matter
on which axis the variables are plotted
46
 However, conventionally, the independent
variable is plotted on X axis and dependent
variable on Y-axis
 The nearer the scatter of points is to a straight
line, the higher the strength of association
between the variables.
47
Types of Correlation
 Perfect Positive Correlation r=+1
 Partial Positive Correlation 0<r<+1
 Perfect negative correlation r=-1
 Partial negative correlation 0>r>-1
 No Correlation
48
49
Z Test
• This test is used for testing significance
difference between two means (n>30).
• Assumptions to apply Z test
The sample must be randomly selected
Data must be quantitative
Samples should be larger than 30
Data should follow normal distribution
Sample variances should be almost the
same in both the groups of study
50
• If the SD of the populations is known, a Z test
can be applied even if the sample is smaller
than 30
51
Indications for Z Test
 To compare sample mean with population mean
 To compare two sample means
 To compare sample proportion with population
proportion
 To compare two sample proportions
52
Steps
1. Define the problem
2. State the null hypothesis (H0) & alternate
hypothesis (H1)
3. Find Z value
Z= Observed mean-Mean
Standard Error
53
4. Fix the level of significance
5. Compare calculated Z value with the value in Z
table at corresponding degree significance
level.
 If the observed Z value is greater than
theoritical Z value, Z is significant, reject null
hypothesis and accept alternate hypothesis
54
55
 Used for testing the significant difference between
two proportions,
Where, SE (P1 - P2) is defined SE of difference
P2 = Prop. rate for IInd population
Where, P1 = Prop. rate for Ist population
SE( P1 - P2)
z =
P1 - P2
Z-PROPORTIONALITY TEST
One tailed and Two tailed Z tests
• Z values on each side of mean are calculated as
+Z or as -Z.
• A result larger than difference between sample
mean will give +Z and result smaller than the
difference between mean will give -Z
56
• E.g. for two tailed:
o In a test of significance, when one wants to determine
whether the mean IQ of malnourished children is
different from that of well nourished and does not
specify higher or lower, the P value of an experiment
group includes both sides of extreme results at both
ends of scale, and the test is called two tailed test.
• E.g. for single tailed:
o In a test of significance when one wants to know
specifically whether a result is larger or smaller than
what occur by chance, the significant level or P value
will apply to relative end only e.g. if we want to know if
the malnourished have lesser mean IQ than the well
nourished, the result will lie at one end ( tail )of the
distribution, and the test is called single tailed test 57
Conclusion
 Tests of significance play an important role in
conveying the results of any research & thus the
choice of an appropriate statistical test is very
important as it decides the fate of outcome of the
study.
 Hence the emphasis placed on tests of
significance in clinical research must be tempered
with an understanding that they are tools for
analyzing data & should never be used as a
substitute for knowledgeable interpretation of
outcomes.
58
References
• Sundaram KR, Dewivedi SN, Sreenivas V. Medical
statistics, Principles and methods;BI Publications
New Delhi.
• Glaser AN. High Yeild Biostatistics 2nd Edition.
Jaypee Brothers Medical Publisher Ltd.
• Dixit JV. Principles and practice of Biostatistics 3rd
Edition Bhanot Publications.
• Rao KV. Biostatistics, A manual of statistical
method for use in Health, Nutrition and
Anthropology. Jaypee Publications
• Mahajan BK. Methods in biostatistics. 7 th edition.
Jaypee publications
59
60

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Parametric Tests Overview

  • 2. Contents • Introduction to statistical tests • System for statistical analysis • Parametric tests o t test o ANOVA o Pearson’s coefficient of correlation o Z test • Conclusion • References 2
  • 3. Statistical Test • These are intended to decide whether a hypothesis about distribution of one or more populations should be rejected or accepted. • These may be: 3 Statistical Test Parametric Test Non Parametric Test
  • 4. These tests the statistical significance of the:- 1) Difference in sample and population means. 2) Difference in two sample means 3) Several population means 4) Difference in proportions between sample and population 5) Difference in proportions between two independent populations 6) Significance of association between two variables 4
  • 5. System for statistical Analysis  State the Research Hypothesis State the Level of Significance Calculate the test statistic Compare the calculated test statistic with the tabulated values  Decision  Statement of Result 5
  • 6. Parametric Tests • Used for Quantitative Data • Used for continuous variables • Used when data are measured on approximate interval or ratio scales of measurement. • Data should follow normal distribution 6
  • 7. Parametric Tests 1. t test (n<30) 7 t test t test for one sample t test for two samples Unpaired two samples Paired two samples
  • 8. 2. ANOVA (Analysis of Variance) 3. Pearson’s r Correlation 4. Z test for large samples (n>30) 8 ANOVA ONE WAY TWO WAY
  • 9. 9
  • 10. 10
  • 12. STUDENT’S T-TEST Developed by Prof W.S Gossett in 1908, who published statistical papers under the pen name of ‘Student’. Thus the test is known as Student’s ‘t’ test. Indications for the test:- 1. When samples are small 2. Population variance are not known. 12
  • 13. Uses 1. Two means of small independent samples 2. Sample mean and population mean 3. Two proportions of small independent samples 13
  • 14. Assumptions made in the use of ‘t’ test 1. Samples are randomly selected 2. Data utilised is Quantitative 3. Variable follow normal distribution 4. Sample variances are mostly same in both the groups under the study 5. Samples are small, mostly lower than 30 14
  • 15. A t-test compares the difference between two means of different groups to determine whether that difference is statistically significant. Student’s ‘t’ test for different purposes ‘t’ test for one sample ‘t’ test for unpaired two samples ‘t’ test for paired two samples 15
  • 16. ONE SAMPLE T-TEST  When compare the mean of a single group of observations with a specified value  In one sample t-test, we know the population mean. We draw a random sample from the population and then compare the sample mean with the population mean and make a statistical decision as to whether or not the sample mean is different from the population. 16
  • 18. • Now we compare calculated value with table value at certain level of significance (generally 5% or 1%) • If absolute value of ‘t’ obtained is greater than table value then reject the null hypothesis and if it is less than table value, the null hypothesis may be accepted. 18
  • 19. EXAMPLE Research Problem : Comparison of mean dietary intake of a particular group of individuals with the recommended daily intake. DATA: Average daily energy intake (ADEI) over 10 days of 11 healthy women Mean ADEI value = 6753.6 SD ADEI value = 1142.1 When can we say about the energy intake of these women in relation to a recommended daily intake of 7725 KJ ? 19 sub 1 2 3 4 5 6 7 8 9 10 11 ADEI (KJ) 5260 5470 5640 6180 6390 6515 6805 7515 7515 8230 8770
  • 20. 20 State null hypothesis and alternative hypothesis: H0 = there is no difference between population mean and sample mean OR H0 : µ = 7725 KJ H1 = there is a difference between population mean and sample mean OR H1 : µ ≠ 7725 KJ Research Hypothesis
  • 21. • Set the level of significance α = .05, .01 or .001 • Calculate the value of proper statistic • t = sample mean – hypothesized mean standard error of sample mean • 6753.6 – 7725 1142.1 11 = - 0.2564 21
  • 22. State the rule for rejecting the null hypothesis: 22 Reject H0 if t ≥ +ve Tabulated value OR Reject H0 if t ≤ - ve Tabulated value Or we can say that p<.05 In the above example we have seen t=- .2564 which is less then 2.23 P value suggests that the dietary intake of these women was significantly less than the recommended level (7725 KJ)
  • 23. Two Sample ‘t’ test A. Unpaired Two sample ‘t’- test  Unpaired t- test is used when we wish to compare two means  Used when the two independent random samples come from the normal populations having unknown or same variance  We test the null hypothesis, that the two population means are same i.e µ1= µ2 against an appropriate one sided or two sided alternative hypothesis 23
  • 24. Assumptions  The samples are random & independent of each other The distribution of dependent variable is normal.  The variances are equal in both the groups 24
  • 25. FORMULA Where S1 2 and S2 2 are respectively called SD’s of first and second group 25 SE (Mean1 –mean2) t = Mean1 – Mean2 (n1-1)S1 2 + (n2-1)S2 2 S= ------------------------------- (n1+n2-2) SE(Mean1 –mean2) = S [1/n1+1/n2] Test statistic is given by
  • 26. Research Problem A study was conducted to compare the birth weights of children born to 15 non-smoking with those of children born to 14 heavy smoking mothers. 26
  • 27. 27 Non-smoking mothers (n=15) Heavy smoking mothers (n=14) 3.99 3.18 3.79 2.84 3.60 2.90 3.73 3.27 3.21 3.85 3.60 3.52 4.08 3.23 3.61 2.76 3.83 3.60 3.31 3.75 4.13 3.59 3.26 3.63 3.54 2.38 3.51 2.34 2.71
  • 28. • Research Hypothesis : State null hypothesis and alternative hypothesis • H 0 = there is no difference between the birth weights of children born to non-smoking and smoking mothers • H 1 = there is a difference between the birth weights of children born to non-smoking and smoking mothers • Set the level of significance α = .05, .01 or .001 28
  • 29. • Calculate the value of proper statistic • State the rule for rejecting the null hypothesis • If tcal > ttab we can say that P <.05 then we reject the null hypothesis and accept the Alternative hypothesis. Decision • If we reject the null hypothesis so we can say that children born to non-smokers are heavier than children born to heavy smokers. 29
  • 30. PAIRED TWO-SAMPLES T-TEST  Used when we have paired data of observations from one sample only, when each individual gives a pair of observations.  Same individuals are studied more than once in different circumstances- measurements made on the same people before and after interventions 30
  • 31. Assumptions The outcome variable should be continuous The difference between pre-post measurements should be normally distributed 31
  • 32. FORMULA Where, n = sample size SD = Std. deviation for the difference d = difference between x1 and x2 SD/ t = d 32 d = Average of d √n
  • 33. A study was carried to evaluate the effect of the new diet on weight loss. The study population consist of 12 people have used the diet for 2 months; their weights before and after the diet are given 33 Research Problem
  • 34. 34 Patient no. Weight (Kgs) Before Diet After Diet 1 75 70 2 60 54 3 68 58 4 98 93 5 83 78 6 89 84 7 65 60 8 78 77 9 95 90 10 80 76 11 100 94 12 108 100
  • 35. Research Hypothesis • State null hypothesis and alternative hypothesis • H0 = There is no reduction in weight after Diet • H1= There is reduction in weight after Diet • Further Analysis through Statistical software SPSS as same as previous example Decision • If we reject the null hypothesis then there is a statistically significant reduction in weight 35
  • 36. How do we compare more than two groups means ?? Example : Treatments : A, B, C & D Response : BP level How does t-test concept work here ? A versus B B versus C A versus C B versus D A versus D C versus D 36 so the chance of getting the wrong result would be: 1 - (0.95 x 0.95 x 0.95 x0.95) = 26%
  • 37. • Instead of using a series of individual comparisons we examine the differences among the groups through an analysis that considers the variation among all groups at once. • i.e. ANALYSIS OF VARIANCE 37
  • 38. Analysis of Variance(ANOVA) • Given by Sir Ronald Fisher • The principle aim of statistical models is to explain the variation in measurements. • The statistical model involving a test of significance of the difference in mean values of the variable between two groups is the student’s,’t’ test. If there are more than two groups, the appropriate statistical model is Analysis of Variance (ANOVA) 38
  • 39. Assumptions for ANOVA 1. Sample population can be easily approximated to normal distribution. 2. All populations have same Standard Deviation. 3. Individuals in population are selected randomly. 4. Independent samples 39
  • 40. • ANOVA compares variance by means of a simple ratio, called F-Ratio F= Variance between groups Variance within groups • The resulting F statistics is then compared with critical value of F (critic), obtained from F tables in much the same way as was done with ‘t’ • If the calculated value exceeds the critical value for the appropriate level of α, the null hypothesis will be rejected. 40
  • 41. • A F test is therefore a test of the Ratio of Variances F Tests can also be used on their own, independently of the ANOVA technique, to test hypothesis about variances. • In ANOVA, the F test is used to establish whether a statistically significant difference exists in the data being tested. • ANOVA can be 41 ANOVA ONEWAY TWO WAY
  • 42.  One Way ANOVA  If the various experimental groups differ in terms of only one factor at a time- a one way ANOVA is used e.g. A study to assess the effectiveness of four different antibiotics on S Sanguis 42
  • 43. Two Way ANOVA  If the various groups differ in terms of two or more factors at a time, then a Two Way ANOVA is performed e.g. A study to assess the effectiveness of four different antibiotics on S Sanguis in three different age groups 43
  • 44. Pearson’s Correlation Coefficient • Correlation is a technique for investigating the relationship between two quantitative, continuous variables • Pearson’s Correlation Coefficient(r) is a measure of the strength of the association between the two variables. 44
  • 45. Assumptions Made in Calculation of ‘r’ 1. Subjects selected for study with pair of values of X & Y are chosen with random sampling procedure. 2. Both X & Y variables are continuous 3. Both variables X & Y are assumed to follow normal distribution 45
  • 46. Steps  The first step in studying the relationship between two continuous variables is to draw a scatter plot of the variables to check for linearity.  The correlation coefficient should not be calculated of the relationship is not linear  For correlation only purposes, it does not matter on which axis the variables are plotted 46
  • 47.  However, conventionally, the independent variable is plotted on X axis and dependent variable on Y-axis  The nearer the scatter of points is to a straight line, the higher the strength of association between the variables. 47
  • 48. Types of Correlation  Perfect Positive Correlation r=+1  Partial Positive Correlation 0<r<+1  Perfect negative correlation r=-1  Partial negative correlation 0>r>-1  No Correlation 48
  • 49. 49
  • 50. Z Test • This test is used for testing significance difference between two means (n>30). • Assumptions to apply Z test The sample must be randomly selected Data must be quantitative Samples should be larger than 30 Data should follow normal distribution Sample variances should be almost the same in both the groups of study 50
  • 51. • If the SD of the populations is known, a Z test can be applied even if the sample is smaller than 30 51
  • 52. Indications for Z Test  To compare sample mean with population mean  To compare two sample means  To compare sample proportion with population proportion  To compare two sample proportions 52
  • 53. Steps 1. Define the problem 2. State the null hypothesis (H0) & alternate hypothesis (H1) 3. Find Z value Z= Observed mean-Mean Standard Error 53
  • 54. 4. Fix the level of significance 5. Compare calculated Z value with the value in Z table at corresponding degree significance level.  If the observed Z value is greater than theoritical Z value, Z is significant, reject null hypothesis and accept alternate hypothesis 54
  • 55. 55  Used for testing the significant difference between two proportions, Where, SE (P1 - P2) is defined SE of difference P2 = Prop. rate for IInd population Where, P1 = Prop. rate for Ist population SE( P1 - P2) z = P1 - P2 Z-PROPORTIONALITY TEST
  • 56. One tailed and Two tailed Z tests • Z values on each side of mean are calculated as +Z or as -Z. • A result larger than difference between sample mean will give +Z and result smaller than the difference between mean will give -Z 56
  • 57. • E.g. for two tailed: o In a test of significance, when one wants to determine whether the mean IQ of malnourished children is different from that of well nourished and does not specify higher or lower, the P value of an experiment group includes both sides of extreme results at both ends of scale, and the test is called two tailed test. • E.g. for single tailed: o In a test of significance when one wants to know specifically whether a result is larger or smaller than what occur by chance, the significant level or P value will apply to relative end only e.g. if we want to know if the malnourished have lesser mean IQ than the well nourished, the result will lie at one end ( tail )of the distribution, and the test is called single tailed test 57
  • 58. Conclusion  Tests of significance play an important role in conveying the results of any research & thus the choice of an appropriate statistical test is very important as it decides the fate of outcome of the study.  Hence the emphasis placed on tests of significance in clinical research must be tempered with an understanding that they are tools for analyzing data & should never be used as a substitute for knowledgeable interpretation of outcomes. 58
  • 59. References • Sundaram KR, Dewivedi SN, Sreenivas V. Medical statistics, Principles and methods;BI Publications New Delhi. • Glaser AN. High Yeild Biostatistics 2nd Edition. Jaypee Brothers Medical Publisher Ltd. • Dixit JV. Principles and practice of Biostatistics 3rd Edition Bhanot Publications. • Rao KV. Biostatistics, A manual of statistical method for use in Health, Nutrition and Anthropology. Jaypee Publications • Mahajan BK. Methods in biostatistics. 7 th edition. Jaypee publications 59
  • 60. 60