Participant non-compliance: How to include data in analysis

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Discussion Overview

The discussion revolves around the challenges of including data from participants who did not comply with the intended treatment options in a study analyzing test grades through one-way ANOVA. The focus is on whether to include or exclude data from participants who engaged in multiple treatment options rather than a single one, and the implications of such decisions on the analysis.

Discussion Character

  • Debate/contested

Main Points Raised

  • Carmen raises the issue of participants misreading instructions and engaging in multiple treatment options, questioning how to handle their data in the analysis.
  • One participant suggests excluding those who did multiple treatments from the analysis, arguing they did not participate in the intended experiment.
  • Another participant argues that the presence of different combinations of treatment options is typical in factorial experiments and suggests that the unplanned treatments should not be discarded, advocating for an analysis of the results using ANOVA.
  • A later reply cautions that including the data from non-compliant participants would shift the study from a prospective controlled experiment to a retrospective observational study, which may introduce statistical challenges and credibility issues.

Areas of Agreement / Disagreement

Participants express differing views on whether to include or exclude data from participants who did not follow the treatment protocol. There is no consensus on the best approach to handle this situation.

Contextual Notes

Participants highlight potential statistical pitfalls associated with retrospective observational studies, including issues related to credibility and the risk of "p-value hacking." The discussion reflects uncertainty regarding the implications of including non-compliant data in the analysis.

Carmen_41
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Hello,

I hope this is the appropriate section to post this question:

I conducted a study in which participants were to do one of three treatment options and then write a test. The intention was to separate the participants based on the option they selected and using a one-way ANOVA, analyze whether these groups were statistically different from one another by comparing test grades.

The number of participants that did one of three treatment options were as follows:
Option 1, n = 27
Option 2, n = 98
Option 3, n = 69

The issue I ran into is that several participants misread the instructions and did all three options, or some combination of two of the three options.

The number of participants that did more than one treatment option:
Options 1, 2 and 3, n = 13
Options 1 and 2, n = 17
Options 1 and 3, n = 10
Options 2 and 3, n = 20

Is there a way to use the test data from this group of people (those that did more than one treatment option) in the statistical analysis? For example, can I somehow compare these groups’ test grades to those of the single option groups? Or should they be excluded from the analysis (i.e. per-protocol analysis)?

I looked into complier-average causal effect (CACE) analysis, however in this case I don’t have a control group and there’s no way to determine which of the treatment options (for those that did more than one) had the effect, if any, on the test grade.

Any guidance you can provide is greatly appreciated. Thank you!
-Carmen
 
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Carmen_41 said:
Or should they be excluded from the analysis (i.e. per-protocol analysis)?
I think they should be excluded. They did show up, but they didn't actually participate in the experiment. They participated in a different experiment that is not the one you planned.
 
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You have a typical factorial experiment. Experiments where different combinations of factors are present in the data are the norm, not the exception. (And now you know why that is true even in planned, "controlled" experiments.) Instead of being a problem, those experiments can be more efficient than "one factor at a time" experiments. Even though you didn't plan it this way, I think that you should not throw out the unplanned treatments. I think you should see what ANOVA says about the results.

See https://en.wikipedia.org/wiki/Factorial_experiment
 
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If you do that then you no longer have a prospective controlled experiment. You now have a retrospective observational study.

Such studies are certainly possible to analyze, but they are usually considered less credible and there are a number of statistical pitfalls that open up. They are particularly vulnerable to "p-value hacking" and multiple comparisons in general.
 
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