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DIDIK SETIAWAN Research Design Observational vs Experimental

04. Research Design

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DIDIK SETIAWAN

Research DesignObservational vs Experimental

Purpose of This Study

Student can analyze and determine which methods can be used for every research problems

Definition

A plan, structure, and strategy of investigation so conceived as to obtain answer to research question or problems•The plan is the complete scheme or program of the research•It include an outline of what the investigator will do from writing the hypotheses and their operational implications to the final analysis of data

Definition

A procedural plan that is adopted by the researcher to answer questions validly, objectively, accurately and economically

Function of Research Design

Identification and/or development of procedures and logical arrangements required to undertake a study

Emphasizes the importance of quality in these procedures to ensure their validity, objectivity, and accuracy

Type of Research

What’s the difference

s?

INTERVENTIO

N

ObservationalExperimental

Type of research

Obserational

Descriptive

Case ReportCase Series

Analytic

Case Control

Cross

Sectional

Cohort

Experimental

Pure Experimental

Quasi experimental

Research Design (Rancangan Penelitian)

Research Design

OBSERVATIONAL

Observational

observational

descriptive

Case report Case series

Cross Sectional

analytic

Case control

Cross sectional cohort

Observational Descriptive

•Describe the disease pattern and determinant based on population, geographic and time

Purpose

•Usually use secondary data•Results: prevalence, incidence, mortality, morbidity

characteristic

Case Report

Case Series

Incidence and Prevalence

• Number of new cases•--------------------------------------------------•Number of population at risk

Incidence

• Number of total cases•----------------------------------------------------• Number of population at risk

Prevalence

Jan Feb Mar Apr Mei Jun Jul Aug Sep Oct Nov Dec123456789101112

XX

X

X

XC

X

C

CD

D

DD

DD

D

Kejadian kanker di Manitoba, 1987

D=Diagnosed C=cured X=Died

D

----- = 0,0408 (40,8/1000)8

196----- = 0,0354 (35,4/1000)

7

198Prevalence, Juli =

Annual incidence =

PREVALENSI

1981 1982 1983

Onset

Durasi

100 orang

1 2 3 4

Insidens3 tahun?tiap tahun?

Studi prevalence vs incidence

INSIDENSI PREVALENSI

Numerator Semua kasus baru, 1periode waktu, tidaksakit pada awalnya

Semua kasus

DenominatorSemua orang yangdicurigai, pada awal

periode

Kasus + non kasus

Time Duration of the periodSingle point

Bagaimanamengukur?

Cohort Cross sectionalstudy

Studi prevalence vs incidence

Studi prevalence vs incidence

UmurAnnual

incidencePrevalence Duration

0-5

6-16

17-44

45-64

65+

6/1000

3/1000

2/1000

1/1000

2/1000

29/1000

32/1000

26/1000

33/1000

36/1000

4.8 years

10.7 years

13 years

33 years

18 years

PrevalenceDuration = --------------------- Annual incidence

Analytic

Outcome exposure

Case control

Odds Ratio

Outcome ~ exposure

Cross sectional

Relative Risk

Exposure outcome

Cohort

Relative risk

Case Control

Case Control Study Design

Exposure (+)

Exposure (-)Case (+)

Exposure (+)

Exposure (-)Control (-)

Past Present

A

B

C

D

What is Odds Ratio

Odds Ratio

OR : AD/BC

Outcome Total

Exposure

A C A+C

B D B+D

Total B+C C+D

ADOR = --------------

BC

How Interpret OR

How To Interpret The OR

OR = 2,45; 95% CI (1,85:2,92)OR = 1,85; 95% CI (0,95-2,25)

Cross Sectional

Continued

Cohort Study

Cohort Study Design

Risk Factor (+)Outcome (+)

Present Future

Outcome (-)

Risk Factor (-) / control

Outcome (+)

Outcome (-)

A

B

C

D

What is Risk Ratio

Risk Ratio

RR : ((A/A+B)/(C/C+D))

Outcome Total

Exposure

A B A+B

C D C+D

Total A+C B+D

A /(A+B)

RR = --------------

C /(C+D)How Interpret RR

How To Interpret The RR

RR = 2,45; 95% CI (1,85:2,92)RR = 1,85; 95% CI (0,95-2,25)

Any Question?

What Study Design Will u use to answer this question?

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Hubungan antara jenis pekerjaan dengan kepatuhan penggunaan antihipertensi

Bagaimana hubungan antara pre-eclampsia dengan angka kematian ibu di banyumas?

Bagaimana pengaruh penggunaan kemoterapi docetaxel terhadap kekambuhaan pada pasien kanker payudara stadium IIA

Tugas

Cari artikel hasil peneelitian yang menggunnakan metode penelitian

observasional (5 rancangan penelitian)

Buat Resume Seperti tugas searching

Dikumpulkan minggu depan

EXPERIMENTAL (INTERVENTIONAL)

Research Design

Experimental Study Design

Experimental Study

Randomization

Randomized Controlled Trial

No Randomization

Quasi Experimental

Randomized Controlled (Clinical) Trial

RCT Study Design

Population

sample

Randomization

Intervention

Effect

No intervention

effect