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Stress and heart attack You read a newspaper article that describes a study of whether stress management can help reduce heart attacks. The 107subjects all had reduced blood flow to the heart and so were at risk of a heart attack. They were assigned at random to three groups. The article goes on to say: One group took a four-month stress management program, another underwent a four-month exercise program, and the third received usual heart care from their personal physicians. In the next three years, only three of the 33people in the stress management group suffered 鈥渃ardiac events,鈥 defined as a fatal or non-fatal heart attack or a surgical procedure such as a bypass or angioplasty. In the same period, seven of the 34people in the exercise group and 12out of the 40 patients in usual care suffered such events.36

(a) Use the information in the news article to make a two-way table that describes the study results.

(b) What are the success rates of the three treatments in preventing cardiac events?

(c) Is there a significant difference in the success rates for the three treatments? Give appropriate statistical evidence to support your answer.

Short Answer

Expert verified

a). The table is

b). Stress management =0.9091,

Exercise program =0.7941,

Usual care =0.70.

c). There is no significant difference among the success rates for the three treatments.

Step by step solution

01

Part (a) Step 1: Given Information

Total number of people =107.

Number of people in stress management program =33.

Number of people suffered cardiac events in stress management program =3.

Number of people in the exercise group =34.

Number of people suffered cardiac events in the exercise group =7.

Number of people in usual care =40.

Number of people suffered cardiac events in usual care =12.

02

Part (a) Step 2: Explanation

The two-way table will be

03

Part (b) Step 3: Given Information

In the same period, seven of the 34people in the exercise group and 12out of the 40 patients in usual care suffered such events.

04

Part (b) Step 4: Explanation

Success rate=Number of people who did not suffered cardiac events in the grouptotal number of people in the group

Success rates

For stress management:

=3033

=0.9091

For exercise program:

=2734

=0.7941

For usual care:

=2840

=0.7

05

Part (c) Step 5: Given Information

In the same period, seven of the 34people in the exercise group and 12out of the 40 patients in usual care suffered such events.

06

Part (c) Step 6: Explanation

The expected count of the number of people can be calculated as follows

07

Part (c) Step 7: Explanation

The null and alternate hypotheses are

H0: There is no difference in the actual success rates for the three treatments.

H1: There is a difference in the actual success rates for the three treatments.

Test statistic x2=(0-E)2E

Here,0ObservedFrequency

EExpectedfrequency

Under null hypothesis

(3-6.79)26.79+(7-6.99)26.99+(12-8.22)28.22+(30-26.21)226.21+(27-27.01)227.01+(28-31.78)231.78~2

The test value is 4.8514.

P value is taken from Chi square table.

P value:

P2>4.8514=0.0884

Conclusion:

As p value is greater than 0.05(level of significance), so there is insufficient evidence to reject null hypothesis at 5%level of significance and thus conclude that there is no difference in the actual success rates for the treatments.

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