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Contains research methodology contents might be useful to medical and paramedical students pursuing research
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Sampling Design
D.A. Asir John Samuel, BSc (Psy), MPT (Neuro Paed), MAc, DYScEd,
C/BLS, FAGE
Basic definitions
• Population
- Collection of all the units that are of interest
to the investigator
• Sample
- Representative part of population
• Sampling
- Technique of selecting a representative group
from a population Dr. Asir John Samuel (PT), Lecturer, ACP 2
Why ?
• Only feasible method for collecting information
• Reduces demands on resources (time, finance,.)
• Results obtained more quickly
• Better accuracy of collected data
• Ethically acceptable
Dr. Asir John Samuel (PT), Lecturer, ACP 3
Steps in sampling design
Target population
Study population
Sample
Study participation Dr. Asir John Samuel (PT), Lecturer, ACP 4
Characteristic of good sample design
• True representation of population
• May result in small sampling error
• Each member in population should get an
opportunity of being selected
• Systematic bias can be controlled in a better way
• Results should be capable of being extrapolated Dr. Asir John Samuel (PT), Lecturer, ACP 5
Types of sample design
• Probability/Random sampling
- Selection of subjects are according to any
predicted chance of probability
• Non-probability/non-random sampling
- Does not depend on any chance of predecided
probability
Dr. Asir John Samuel (PT), Lecturer, ACP 6
Types of sample design
Sample design
Random sampling
Simple Stratified Systematic Cluster Multistage
Non-random sampling
convenience Quota Judgment
Dr. Asir John Samuel (PT), Lecturer, ACP 7
Simple random sampling
• Equal and independent chance or probability
of drawing each unit
• Take sampling population
• Need listing of all sampling units (sampling
frame)
• Number all units
• Randomly draw units Dr. Asir John Samuel (PT), Lecturer, ACP 8
How to ensure randomness?
• Lottery method
• Table of random numbers
- e.g. Tippett’s series
- Fisher and Yates series
- Kendall and Smith series
- Rand corporation series Dr. Asir John Samuel (PT), Lecturer, ACP 9
SRS - Merits
• No personal bias
• Easy to assess the accuracy
Dr. Asir John Samuel (PT), Lecturer, ACP 10
SRS - Demerits
• Need a complete catalogue of universe
• Large size sample
• Widely dispersed
Dr. Asir John Samuel (PT), Lecturer, ACP 11
Stratified Random Sampling
• Used for heterogeneous population
• Population is divided into homogeneous
groups (strata), according to a characteristic of
interest (e.g. sex, religion, location)
• Then a simple random sample is selected from
each stratum
Dr. Asir John Samuel (PT), Lecturer, ACP 12
SRs - Merits
• More representative
• Greater accuracy
• Can acquire information about whole
population and individual strata
Dr. Asir John Samuel (PT), Lecturer, ACP 13
SRs - Demerits
• Careful stratification
• Random selection in each stratum
• Time consuming
Dr. Asir John Samuel (PT), Lecturer, ACP 14
Systematic Sampling
• Sampling units are selected in a systematic
way, that is, every Kth unit in the population is
selected
• First divide the population size by the,
required sample size (sampling fraction). Let
the sampling fraction be K
Dr. Asir John Samuel (PT), Lecturer, ACP 15
Systematic Sampling
• Select a unit at random from the first K units
and thereafter every Kth unit is selected
• If, N=1200
• And n=60
• Then, SF=20
Dr. Asir John Samuel (PT), Lecturer, ACP 16
SS - Merits
• Simple and convenient
• Less time and work
Dr. Asir John Samuel (PT), Lecturer, ACP 17
SS - Demerits
• Need complete list of units
• Periodicity
• Less representation
Dr. Asir John Samuel (PT), Lecturer, ACP 18
Cluster Sampling
• The sampling units are groups or clusters
• The population is divided into clusters, and a
sample of clusters are selected randomly
• All the units in the selected clusters are then
examined or studied
Dr. Asir John Samuel (PT), Lecturer, ACP 19
Cluster Sampling
• It is always assumed that the individual items
within each cluster are representation of
population
• E.g. District, wards, schools, industries
Dr. Asir John Samuel (PT), Lecturer, ACP 20
CS - Merits
• Saving of travelling time and consequent
reduction in cost
• Cuts down on the cost of preparing the
sampling frame
Dr. Asir John Samuel (PT), Lecturer, ACP 21
CS - Demerits
• Units close to each other may be very similar
and so, less likely to represent the whole
population
• Larger sampling error than simple random
sampling
Dr. Asir John Samuel (PT), Lecturer, ACP 22
Multistage Sampling
• Selection is done in stages until final sampling
units are arrived
• At first stage, Random sampling of large sized
sampling units are selected, from the selected
1st stage sampling units another sampling
units of smaller sampling units are selected,
randomly Dr. Asir John Samuel (PT), Lecturer, ACP 23
Multistage Sampling
• Continue until the final sampling units are
selected
• E.g. Few states – District – Taulk
Dr. Asir John Samuel (PT), Lecturer, ACP 24
MS - Merits
• Cut down the cost of preparing the sampling
frame
Dr. Asir John Samuel (PT), Lecturer, ACP 25
MS - Demerits
• Sampling error is increased compared to
simple random sampling
Dr. Asir John Samuel (PT), Lecturer, ACP 26
Quota Sampling
• Interviewers are requested to find cases with
particular types of people to interview
Dr. Asir John Samuel (PT), Lecturer, ACP 27
Judgment (Purposive Sampling)
• Researcher attempts to obtain sample that
appear to be representative of the population
selected by the researcher subjectively
Dr. Asir John Samuel (PT), Lecturer, ACP 28
Convenience Sampling
• Sampling comprises subject who are simply
avail in a convenient way to the researcher
• No randomness and likelihood of bias is high
Dr. Asir John Samuel (PT), Lecturer, ACP 29
Snowball Sampling
• Investigators start with a few subjects and
then recruit more via word of mouth from the
original participants
Dr. Asir John Samuel (PT), Lecturer, ACP 30
Merits
• Easy
• Low cost
• Limited time
• Total list population
Dr. Asir John Samuel (PT), Lecturer, ACP 31
Demerits
• Selection bias
• Sample is not representation of population
• doesn’t allow generalization
Dr. Asir John Samuel (PT), Lecturer, ACP 32
Sample Size
Determination
p-value
• Probability of getting a minimal difference of
what has observed is due to chance
• Probability that the difference of at least as
large as those found in the data would have
occurred by chance
Dr. Asir John Samuel (PT), Lecturer, ACP 34
Hypothesis
• Alternate hypothesis (HA)
- Statement predict that a difference or
relationship b/w groups will be demonstrated
• Null hypothesis (H0)
- Researcher anticipate “no difference” or “no
relationship”
Dr. Asir John Samuel (PT), Lecturer, ACP 35
Decision for 5% LOS
• If p-value <0.05, then data is against null
hypothesis
• If p-value ≥0.05, then data favours null
hypothesis
Dr. Asir John Samuel (PT), Lecturer, ACP 36
Type I & II errors
Possible states of Null Hypothesis
Possible actions on
Null Hypothesis
True False
Accept Correct Action
Type II error
Reject Type I error
Correct Action
Prob (Type I error) – α (LoS) Prob (Type II error) – β 1-β – power of test
Dr. Asir John Samuel (PT), Lecturer, ACP 37
Z values
Z 0.05 – 1.96 – 95%
Z 0.10 – 1.282 – 90%
Z 0.20 – 0.84 – 80%
Dr. Asir John Samuel (PT), Lecturer, ACP 38
Comparison of 2 means
n= 2 [(Zα+Zβ)s/d]²
Zα – LoS
Zβ – power of study
s – pooled SD of the two sample
d – clinically significant difference
Dr. Asir John Samuel (PT), Lecturer, ACP 39
Eg. for Comparison of 2 means
• A RCT to study the effect of BP reduction. One group received a control diet and other-test diet. What would be the sample size in order to provide the study with power of 90% to detect a difference in sys. BP of 2 mm Hg b/w two groups at 5% LoS? The SD of sys. BP is observed to be 6 mmHg.
Dr. Asir John Samuel (PT), Lecturer, ACP 40
Estimating proportion
n = Z α² P (1-P) / d²
P – proportion of event in population
d – acceptable margin of error in estimating the true population proportion
Dr. Asir John Samuel (PT), Lecturer, ACP 41
Eg. Estimating proportion
• To determine the prevalence of navicular drop in ACL injured population by anticipating of 15% with acceptable margin of error is 3%
= (1.96)²(0.15)(0.85) / (0.03)²
= 544.2
Dr. Asir John Samuel (PT), Lecturer, ACP 42
Estimating mean
n = (Zα σ / d)²
σ – anticipated SD of population
d – acceptable margin of error in estimating true population mean
Dr. Asir John Samuel (PT), Lecturer, ACP 43
Eg. Estimating mean
• To determine the mean no. of days to ambulate pt undergoing stroke rehabilation among stroke pts. Where anticipated SD of days are 60 and acceptable margin of error is 20 days
n = (1.96 x 60/20)²
n = (5.88)² = 34.6
Dr. Asir John Samuel (PT), Lecturer, ACP 44
Comparison of 2 proportions
n = (Zα √2PQ + Zβ√P1Q1+P2Q2)²/(P1-P2)²
P = P1+P2/2 Q = 1-P
Dr. Asir John Samuel (PT), Lecturer, ACP 45
Eg. Comparison of 2 proportions
• To see whether there is any sig. difference in percentage of strength increase after 4 wks of intervention b/w a new technique and standard one
• Standard one – 70% (P1)
• New technique – 75% (P2)
Dr. Asir John Samuel (PT), Lecturer, ACP 46