Experimentation Without Randomised Controls

IF 4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2025-04-04 DOI:10.1111/joor.13960
Stephen D. Simon
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Abstract

Background

In an experimental study, researchers often have the ability to assign different treatments. This is often done with randomisation. There are many settings; however, where it is not desirable to use randomisation. It is unclear how to best design an experimental study without randomisation while still providing persuasive evidence.

Objectives

The aim of this study was to outline several approaches, broadly classified as quasiexperimental studies, where researchers can use methodologically sound alternatives to randomisation.

Results

The interrupted time series, phased inventions, withdrawal design, waiting list control group, stepped wedge design and regression discontinuity all represent approaches where careful nonrandom allocation to treatment groups can produce high-quality research findings.

Conclusion

Quasiexperimental studies can produce rigorous research findings. The allocation to treatment groups and the times of evaluation need to be carefully designed. Proper use of these quasiexperimental approaches can enhance research options in settings where the research team has control of allocation but finds randomisation to be problematic.

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没有随机控制的实验。
背景:在实验研究中,研究人员通常能够分配不同的治疗方法。这通常是通过随机化来实现的。然而,在许多情况下,使用随机方法并不可取。目前还不清楚如何在不采用随机方法的情况下最好地设计实验研究,同时还能提供有说服力的证据:本研究的目的是概述几种方法,大致分为准实验研究,研究人员可以在这些研究中使用方法上合理的随机化替代方法:结果:中断时间序列、分阶段发明、退出设计、等待名单对照组、阶梯楔形设计和回归不连续都代表了谨慎的非随机分配治疗组可以产生高质量研究结果的方法:结论:准实验研究可以产生严谨的研究结果。治疗组的分配和评估时间需要精心设计。在研究小组可以控制分配但发现随机分配存在问题的情况下,适当使用这些准实验方法可以提高研究的可选性。
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来源期刊
Journal of oral rehabilitation
Journal of oral rehabilitation 医学-牙科与口腔外科
CiteScore
5.60
自引率
10.30%
发文量
116
审稿时长
4-8 weeks
期刊介绍: Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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