/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 58 The San Luis Obispo Tribune (May... [FREE SOLUTION] | 91Ó°ÊÓ

91Ó°ÊÓ

The San Luis Obispo Tribune (May 7, 2002) reported that "a new analysis has found that in the majority of trials conducted by drug companies in recent decades, sugar pills have done as well as-or better than-antidepressants." What effect is being described here? What does this imply about the design of experiments with a goal of evaluating the effectiveness of a new medication?

Short Answer

Expert verified
The effect being described in the exercise is the 'placebo effect'. It underscores the importance of including a control group treated with placebo in trials aiming to assess a new drug's effectiveness. The drug should demonstrate superior efficacy than the placebo to be considered effective.

Step by step solution

01

Identifying the effect described

The effect described in the given text is known as the 'placebo effect'. It's a phenomenon where a patient experiences a perceived improvement in their condition due to their belief in the treatment's efficacy, even though the treatment has no therapeutic effect. In this case, the fact that sugar pills (which serve as placebos) are doing as well as, or better than, antidepressants indicates a strong placebo effect.
02

Implications on experimental designs

The reported effect has crucial implications for designing new experiments to evaluate a new medication's effectiveness. This phenomenon suggests that it is not enough to compare the effects of a new medication with a lack of treatment. It's necessary to use a control group receiving a placebo. This is because the placebo effect can cause patients to report improvements even without any real therapeutic intervention. Therefore, to truly determine a new medication's effectiveness, researchers need to be sure it works better than a placebo.
03

Consideration for future trials

Another implication is that to observe a significant effect of the new medication, it must demonstrate an efficacy rate that surpasses the placebo effect. This could suggest designing trials with larger samples or more precise measurements to detect any significant differences between the medication and its placebo.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91Ó°ÊÓ!

Key Concepts

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

Understanding the Placebo Effect
The placebo effect is a fascinating and often misunderstood aspect of medical research. It refers to the phenomenon where people experience an improvement in their health solely because they believe they are receiving treatment, even if that 'treatment' has no therapeutic properties. The San Luis Obispo Tribune article mentions that sugar pills, which are placebos, sometimes work as well as antidepressants. This doesn't necessarily mean that the medications are ineffective, but rather that the mind's expectations can powerfully influence the body's response.

In clinical studies, the placebo effect can complicate the interpretation of results. It can make a useless treatment seem helpful, or it can mask the benefits of a real medication. For example, if a new drug is being tested, and participants taking it improve just as much as those taking a placebo, it's difficult to argue that the drug is effective. Determining whether improvements are due to the medication's action or patients' expectations is a key challenge in experimental design. Researchers must carefully consider this effect when planning their studies to ensure credible results.
Assessing Medication Effectiveness
When researchers set out to evaluate medication effectiveness, they must establish rigorous protocols to isolate the drug's true impact. One of the main concerns in any trial is distinguishing between actual medicinal effects and improvements due to psychological factors like the placebo effect described earlier.

To accurately measure medication effectiveness, clinical trials often employ randomization, blinding, and the use of a control group. Randomization helps to ensure that the study participants are equivalent across treatment groups, minimizing potential biases. Blinding, where participants do not know if they are receiving the actual medication or a placebo, helps to prevent their expectations from affecting the results. By comparing the medication to a placebo, researchers can observe the drug's effect over and above the psychological impact of simply taking a pill. It's essential for the medication to demonstrate a statistically significant improvement over the placebo to be considered effective, which requires well-planned experimental design and appropriate statistical analysis.
The Role of a Control Group
A control group is a critical component of a well-designed experiment, especially in the context of pharmaceutical research. It provides a benchmark against which the effects of the new medication can be measured. When the control group receives a placebo, any psychological influences on health – such as expectations or the experience of being monitored – are accounted for. Without a control group, it's virtually impossible to determine whether a medication's effects are due to its active ingredients or other unrelated factors.

For researchers to conclude that a medication is effective, the improvement in patients receiving the medication must exceed that of the control group. The necessity of a control group receiving a placebo was underscored by the San Luis Obispo Tribune article, illustrating that even a sugar pill can lead to an improvement in conditions like depression. Therefore, having a control group helps ensure the validity and reliability of clinical trial results, distinguishing genuine therapeutic outcomes from the placebo effect.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

The article "Americans are 'Getting the Wrong Idea' on Alcohol and Health" (Associated Press, April 19,2005 ) reported that observational studies in recent years that have concluded that moderate drinking is associated with a reduction in the risk of heart disease may be misleading. The article refers to a study conducted by the Centers for Disease Control and Prevention that showed that moderate drinkers, as a group, tended to be better educated, wealthier, and more active than nondrinkers. Explain why the existence of these potentially confounding variables prevents drawing the conclusion that moderate drinking is the cause of reduced risk of heart disease.

The article “Placebos Are Getting More Effective. Drug Makers Are Desperate to Know Why." (Wired Magazine, August 8,2009 ) states that "according to research, the color of a tablet can boost the effectiveness even of genuine meds - or help convince a patient that a placebo is a potent remedy." Describe how you would design an experiment to investigate if adding color to Tylenol tablets would result in greater perceived pain relief. Be sure to address how you would select subjects, how you would measure pain relief, what colors you would use, and whether or not you would include a control group in your experiment.

Suppose that you were asked to help design a survey of adult city residents in order to estimate the proportion that would support a sales tax increase. The plan is to use a stratified random sample, and three stratification schemes have been proposed. Scheme 1: Stratify adult residents into four strata based on the first letter of their last name \((\mathrm{A}-\mathrm{G},\) \(\mathrm{H}-\mathrm{N}, \mathrm{O}-\mathrm{T}, \mathrm{U}-\mathrm{Z})\) Scheme 2: Stratify adult residents into three strata: college students, nonstudents who work full time, nonstudents who do not work full time. Scheme 3: Stratify adult residents into five strata by randomly assigning residents into one of the five strata. Which of the three stratification schemes would be best in this situation? Explain.

Do ethnic group and gender influence the type of care that a heart patient receives? The following passage is from the article "Heart Care Reflects Race and Sex, Not Symptoms" (USA Today, February 25,1999 , reprinted with permission): Previous research suggested blacks and women were less likely than whites and men to get cardiac catheterization or coronary bypass surgery for chest pain or a heart attack. Scientists blamed differences in illness severity, insurance coverage, patient preference, and health care access. The researchers eliminated those differences by videotaping actors - two black men, two black women, two white men, and two white women - describing chest pain from identical scripts. They wore identical gowns, used identical gestures, and were taped from the same position. Researchers asked 720 primary care doctors at meetings of the American College of Physicians or the American Academy of Family Physicians to watch a tape and recommend care. The doctors thought the study focused on clinical decision making. Evaluate this experimental design. Do you think this is a good design or a poor design, and why? If you were designing such a study, what, if anything, would you propose to do differently?

An article in the San Luis Obispo Tribune (September \(7,\) 1999) described an experiment designed to investigate the effect of creatine supplements on the development of muscle fibers. The article states that the researchers "looked at 19 men, all about 25 years of age and similar in weight, lean body mass, and capacity to lift weights. Ten were given creatine -25 grams a day for the first week, followed by 5 grams a day for the rest of the study. The rest were given a fake preparation. No one was told what he was getting. All the men worked out under the guidance of the same trainer. The response variable measured was gain in fat-free mass (in percent)." a. What extraneous variables are identified in the given statement, and what strategy did the researchers use to deal with them? b. Do you think it was important that the men participating in the experiment were not told whether they were receiving creatine or the placebo? Explain. c. This experiment was not conducted in a double-blind manner. Do you think it would have been a good idea to make this a double-blind experiment? Explain.

See all solutions

Recommended explanations on Math Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.