Thursday, November 15, 2018

Sampling


The findings of a research study should be applicable to the population of interest.  The population of interest is the larger group to which study results are generalized.  For example, a group of researchers that intend to study the effect of a treatment in the population of patients with type 2 diabetes should include a representative sample of research participants.  A representative sample is a sub-group of individuals who has similar characteristics of the population of interest.  The term "sampling" refers to the process of selecting a representative sample.  Below is a Venn diagram that illustrates that a representative sample is a subset of the population of interest (target population).


The key to appropriate sampling is selecting a sample that would respond in the study in the same manner as if the entire population was included in the study.  The process of sampling can be challenging for multiple reasons.  In human studies, populations are heterogeneous, meaning variations in different variables exist between  individuals.  As an example, previous research studies have investigated the effect of exercise training on hemoglobin A1c (glycated hemoglobin) in patients with type 2 diabetes. (https://www.ncbi.nlm.nih.gov/pubmed/21098771) Participants in such a study should have a diagnosis of type 2 diabetes and not type 1 diabetes, since the target population of study is people with type 2 diabetes.

Sampling bias is defined as bias that occurs when individuals are selected to serve as a representative sample of the study population, however the selected individuals have different characteristics from the study population.  One type of sampling bias occurs when a researcher unknowing and unintentionally selects participants with different characteristics from the study population.  Another type of sampling bias occurs when a researcher knowing and intentionally selects participants with different characteristics from the study population.   Why might a researcher knowing and intentionally introduce sampling bias?  An investigator may select patients with knee osteoarthritis and consciously choose study participants who are most likely going to have a positive response to the treatment.  Certainly, intentional sampling bias is a concern.

A method for selecting a representative sample is using inclusion and exclusion criteria.  Inclusion criteria are a set of predefined characteristics used to identify participants who will be included in a research study.  Exclusion criteria are a set of predefined standards that is used to identify individuals who will not be included or will have to withdraw from a research study after being included.  Proper selection of inclusion and exclusion criteria will minimize sampling bias, improve external and internal validity of the study, minimize ethical concerns, help to ensure the homogeneity of the sample, and reduce confounding.  Click on the following link for an example of a study that describes inclusion and exclusion criteria.

Sampling procedures can be classified as either probability or non-probability methods.  Probability sampling methods are based on random selection.  Random selection means that every person who meets the criteria for being included in a study has an equal chance or probability of being chosen.  In statistical theory, random selection also means that every person who meets the criteria for study inclusion will have an equal probability of having the characteristics of the target population.  Thus, random selection should eliminate bias in sampling and the sample should be representative of the target population.  One should consider that random selection is based on probability and therefore does not guarantee that the sample will be a true representation of the target population due to the possibility that the sample and target population will have different characteristics.

For a description of sampling techniques, click on the following link.  https://towardsdatascience.com/sampling-techniques-a4e34111d808

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