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Smoking Cessation In a 2018 study reported in The New England Journal of Medicine, Halpern et al. randomly assigned smokers to one of five groups, including four smoking cessation interventions and usual care. Usual care consisted of access to information regarding the benefits of smoking cessation and to a motivational text-messaging service. The four interventions consisted of usual care plus one of the following: free cessation aids such as nicotine- replacement therapy or pharmacotherapy, free e-cigarettes, free cessation aids plus \(\$ 600\) in rewards for sustained abstinence, or free cessation aids plus \(\$ 600\) in redeemable funds deposited in an account for each participant, with money removed from the account if cessation milestones were not met. Researchers measured the percentage in each group who sustained smoking abstinence for six months. Results indicate that financial incentives added to free cessation aids resulted in a higher rate of sustained smoking abstinence than free cessation aids alone. Is this study an observational study or a controlled experiment? Explain. a. Is this study an observational study or a controlled experiment? Explain. b. Identify the treatment and response variables. c. Can a cause-and-effect conclusion be drawn from this study? Why or why not?

Short Answer

Expert verified
This study is a controlled experiment because participants were randomly assigned to one of the five groups. The treatment variable is the method of smoking cessation, and the response variable is the percentage who sustained abstinence from smoking for six months. A cause-and-effect conclusion can be drawn from this study because of its controlled experiment design and the random assignment of participants to treatment groups.

Step by step solution

01

Observational Study or Controlled Experiment?

In this study, the smokers were randomly assigned to one of the five groups, where four groups underwent different interventions and one group received the usual care. This situation suggests an experiment rather than an observational study. The key is the random assignment of the individuals. In an observational study, individuals decide which variables and conditions apply to them, whereas in a controlled experiment, the researcher intentionally assigns individuals to different conditions.
02

Identifying Treatment and Response Variables

The treatment variable is the method of smoking cessation provided to the group, i.e., whether they received the usual care, the cessation aids such as nicotine replacement therapy or pharmacotherapy, e-cigarettes, cessation aids with cash rewards for sustained abstinence, or cessation aids with deposited funds that would be removed if cessation objectives were not met. The response variable is the percentage of individuals in each group who sustained their smoking abstinence over six months.
03

Causal Relation Analysis

A cause-and-effect conclusion can be made. The different methods of smoking cessation constitute the cause, and the sustained abstinence from smoking is the effect. In a controlled experiment, any difference in response can be attributed to the treatments applied, especially when random assignment is used, as it was here. The randomness of the assignment reduces the influence of confounding variables, making it possible to infer cause-and-effect.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Controlled Experiment
Understanding the design of a controlled experiment is crucial in deciphering how researchers test their hypotheses. In the context of the smoking cessation study described, the researchers wanted to determine the effectiveness of different smoking cessation interventions. A controlled experiment is characterized by the deliberate manipulation of one or more factors—known as treatments—to observe the effect on another factor—the response variable.

The power of a controlled experiment lies in its ability to hold other potential factors constant. This means that researchers systematically change one aspect of the environment to measure its impact while keeping all other conditions the same. In this case, different groups were given specific interventions or treatments, while factors that could influence the study's outcome, like demographics or smoking history, were held constant as much as possible.

Random assignment plays a pivotal role here. By randomly assigning participants to different intervention groups, the researchers ensure that each group is approximately equal in all respects except for the treatment they receive. This method helps in minimizing potential confounding variables—other factors that could influence the study’s results.

Thus, a controlled experiment is not merely about observing what happens; it’s a carefully crafted study where the researcher controls one or more variables to determine their effect on a response variable.
Treatment and Response Variables
In any experiment, it is essential to identify the treatment and response variables as these components define the nature of the study's investigation and conclusions. In the smoking cessation study, multiple treatment variables were introduced: the usual care, free cessation aids, free e-cigarettes, cessation aids with monetary rewards, and cessation aids with a financial deposit scheme. These treatments are factors that the researchers manipulated to observe the effect on the participants' smoking habits.

Conversely, the response variable is the outcome that researchers measure to determine the effect of the treatment—for instance, the percentage of participants who were able to sustain smoking abstinence for six months. It's the observed result that may change when the treatment is varied. By closely examining these variables, the researchers can understand which treatment was most effective.

The distinction between treatment and response variables also aids in distinguishing between different types of variables in an experiment. Treatment variables are under the control of the researcher, while response variables are what get measured and are expected to change as a result of the manipulation of the treatment variables.
Cause-and-Effect Conclusion
In scientific research, establishing a cause-and-effect relationship is a significant achievement. When researchers are able to conclude that one event is the result of another, they can influence practices and policies effectively. The smoking cessation study went to great lengths to determine whether specific interventions caused an increase in sustained smoking abstinence.

Because the study used a controlled experimental design with random assignment, researchers can confidently draw cause-and-effect conclusions. This means they can state with some certainty that the differences in the abstinence rates across the groups were due to the treatments applied and not other variables.

Such a conclusion is more difficult to reach in observational studies where researchers simply collect data without intervening. These studies are prone to confounding variables that could skew the results. For instance, in the context of smoking cessation, an observational study might find that individuals using e-cigarettes are more likely to quit smoking. However, without controlling variables, it could be that those individuals are also more health-conscious and would have quit smoking regardless of e-cigarette use.

In summary, the experimental design used in the study—specifically, the controlled manipulation of treatments and random assignment—allows researchers to ascertain that the interventions caused the observed increase in smoking cessation rates.

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