When you shop in a natural foods or general nutrition store, you might see claims that vitamins can improve your health and cognitive function. Scientists don't always test such claims in randomized trials, so it's best to be skeptical until you read research. But a recent study did test whether taking a multivitamin can improve people's memory. In this blog post, we'll check out how an NPR journalist summarized the study.
Before reading on, think about this: How would you design a study to test this question? What would be your independent and dependent variables? What kind of study would you use--specifically, what type of experiment (Posttest only? Pretest/posttest? Concurrent measures? Repeated measures?)
Here's the journalist's summary of the study:
A team of researchers wanted to assess how a daily multivitamin may influence cognitive aging and memory. They tracked about 3,500 older adults who were enrolled in a randomized controlled trial. One group of participants took a placebo, and another group took a Silver Centrum multivitamin, for three years. The participants also took tests, administered online, to evaluate memory.
At the end of the first year, people taking a multivitamin showed improvements in the ability to recall words. Participants were given lists of words — some related, some not — and asked to remember as many as possible. (List-learning tests assess a person's ability to store and retrieve information.)
People taking the multivitamin were able to recall about a quarter more words, which translates into remembering just a few more words, compared to the placebo group.
a) Make a table of the variables in this study:
Variable name | What are the variable's possible levels? |
Is this manipulated or measured? | Is this an IV or a DV? | For IVs: is it within groups or independent groups? |
b) This was an experiment. How do you know--what are some key words used in the journalist's description?
c) Which kind of experiment is this? Posttest only? Pretest/posttest? Concurrent measures? Repeated measures?
d) Sketch a graph of the study's results. Here's a hint: You should put time (or pretest/posttest) on the x-axis).
Next we'll apply the four big validities to this study.
Construct validity
e) Ask a question about the construct validity of the dependent variable. What do you need to know in order to assess construct validity of the DV?
Statistical validity
f) One of the questions to ask is about effect size: How much better was the memory in the multivitamin group? The NPR report offered two quotes related to effect size. One is from the study's own authors: "'We estimate that the effect of the multivitamin intervention improved memory performance above placebo by the equivalent of 3.1 years of age-related memory change,' the authors write in their paper"
The other is from an independent researcher, who "says the overall effect found in the study was quite small. 'It seems like a pretty modest difference'"
Do these two people disagree about the study's effect size?
g) Another aspect of statistical validity is precision. The sample size of the study is relevant here--why? What effect would a large sample (of over 3,000 participants) have on the confidence interval of the estimate?
h) A third aspect of statistical validity is replication, or what else is known? Here's a relevant quote: "Study author Dr. JoAnn Manson...says this is not the first study to show benefits from multivitamins. She points to a study published last year in Alzheimer's & Dementia that showed participants who took a daily multivitamin performed better, overall, on global cognitive function on tests measuring story recall, verbal fluency, digit ordering, as well as executive function."
External validity
i) What do you need to know to evaluate whether the results of this study can generalize to, say, older adults in North America? (check your answer--you did not talk about sample size, did you?)
Internal validity
j) This study is described as a "double-blind, randomized, placebo-controlled" design. Knowing this, you can rule out many internal validity threats. Briefly explain why the study allows you to rule out:
- Selection effects
- Placebo effects
- Testing threat
- Maturation
- History
- Observer bias
At the end of the article, NPR reported
The study was funded, in part, by the National Institutes of Health and other grants. The vitamins were provided by Pfizer Inc. and Haleon, the makers of Centrum, the brand of multivitamins taken by participants in the study. The study authors say the funders had "no role" in the study design, analysis or interpretation.
Why is this statement important for observer bias?