In a study of remedies for lower back pain, volunteer patients at a back clinic were randomly assigned to one of seven treatment conditions:
- OxyContin: A pain pill in the opiate family.
- Ibuprofin: A non-steroidal anti-inflammatory drug (Advil, Motrin)
- Acupuncture: The insertion and manipulation of thin needles into specific points on the body to relieve pain or for therapeutic purposes.
- Chiropractic: A form of therapy that includes manipulation of the spine, other joints and soft tissue.
- Stress management training based on thinking positive thoughts, a treatment that theoretically should not be effective. This is the non-drug control condition.
- Placebo: A sugar pill; patients were told that it was a pain killer with few side effects. This is the drug control condition.
- Waiting list control group: Patients were told that the clinic was overcrowded (true), and that they would be placed on a waiting list. This group received no treatment at all, not even a pretend treatment --- until the study was over, at which point they received the most effective treatment based on the results of the study. We'll call this the "No treatment" group.
The idea is that the effectiveness of the drug treatments could be measured relative to the drug control (placebo), while the effectiveness of the non-drug treatments could be measured relative to the non-drug control (stress reduction training). Placebo effects from both control condition can be can be assessed relative to no treatment at all (wait list control).
Degree of reported pain was measured by a questionnaire before treatment began, and again after six weeks. The response variable was Before-minus-After difference in reported pain, which will be called "improvement," or "effectiveness." Expected improvement refers to the true or "population" treatment means μ1 through μ7.
The following questions can be answered by testing whether one or more contrasts of treatment means are different from zero. For each question below, first state the null hypothesis in terms of μ1 through μ7, and then give the weights of the contrast or contrasts. For null hypotheses involving more than one contrast, make a table. There is one column in your table for each treatment mean, and one row for each contrast. See the lecture slides and Chapter 3 of the text for examples of this format.
Note that some of these questions ask whether certain treatments are better than others, while other questions just ask about a difference in effectiveness. In some courses, this would be a signal to choose between a one-tailed and a two-tailed test. But here, we will always use non-directional tests.
- Does OxyContin work better than the placebo?
- Does Ibuprofin work better than the placebo?
- Do Chiropractic treatment and Stress reduction training differ in their effectiveness?
- Which results in more mean improvement, Acupuncture or Stress reduction training?
- Is the average expected improvement from the two drug therapies different from the expected improvement from the placebo?
- Does either drug therapy differ from the placebo in its effectiveness? (This involves 2 contrasts.)
- Does either non-drug therapy differ in effectiveness from Stress reduction training?
- Is the Placebo better than no treatment at all?
- Is Stress reduction training better than no treatment at all?
- Is the average expected effectiveness of the drug therapies different from the average expected effectiveness of the non-drug therapies?
- Do Stress reduction training and the Placebo differ in their effectiveness?
- Does either control condition (Drug or Non-Drug) differ from no treatment at all? This is a single test.
- Is treatment condition (the full explanatory variable) related to improvement?