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Review Question - QID 103896

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QID 103896 (Type "103896" in App Search)
A new study is investigating the effects of an experimental drug, Exerzisin, on the duration and intensity of exercise. In the treatment group participants are given daily Exerzisin at the main treatment facility and instructed to exercise as much as they would like on the facility's exercise equipment. Due to an insufficient number of exercise units at the main treatment center, the control subjects are given free access to an outside, private gym. The duration and intensity of exercise in both groups is measured with a pedometer. The perspicacious undergraduate, hired to input all the data, points out that the treatment group may be more motivated to exercise harder and longer because their exercising can be observed by the investigators. To which form of bias is he alluding?

Selection bias

5%

9/180

Hawthorne effect

69%

125/180

Recall bias

2%

4/180

Pygmalion effect

8%

15/180

Lead time bias

1%

2/180

Select Answer to see Preferred Response

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The phenomenon in which study participants change their behavior when they are aware that they are being observed is called the Hawthorne effect.

The Hawthorne effect is also called the observer-expectancy effect. More generally it refers to the tendency of people to adjust their behavior towards what they believe is expected of them when they are aware that they are being studied. It is named after the Hawthorne Works, an electric factory outside Chicago where occupational psychological studies investigated the effects of changing lighting on worker productivity. It was noticed that even negligible changes in lighting produced short term gains in productivity, a finding which was eventually chalked up to the fact that workers were responding both to being studied and to the interest being shown in them. Such a bias can alter the results of the study, leading to an incorrect conclusion about the effect of an intervention, such as either exaggerating an actual effect or making an effect appear to be present when it would not otherwise (type I error).

Incorrect Answers:
Answer 1: Selection bias most commonly causes concern when the likelihood of having the outcome affects the probability of a patient being sampled for the study.
Answer 3: Recall bias most commonly affects retrospective studies in which the likelihood that a patient will remember their exposure status is altered by their disease status.
Answer 4: The Pygmalion effect occurs when an investigator inadvertently conveys his desired result to the participant, who then alters his behavior accordingly. This is also known as the expectancy effect.
Answer 5: Lead time bias spuriously increases disease survival with earlier detection of disease during the asymptomatic period.

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