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10.5 200 patients who suffered from major depression were studied for 12 months.

ID: 3155658 • Letter: 1

Question

10.5 200 patients who suffered from major depression were studied for 12 months. The first group of n1 = 98 patients received treatment A and at the end of the study 14 were in remission. The second group of n2 =102 patients received treatment B, a placebo and at the end of the study, 6 were in remission. Let p1 be the proportion of all patients suffering from major depression who are given treatment A and are in remission after 12 months and let p2 be the proportion of all patients suffering from major depression who are given treatment B and are in remission after 12 months.

(a) Give the value of an unbiased estimator of p1 p2.
(b) Calculate a 90% confidence interval for p1 p2.
(c) It is desired to test if treatment A is better than the placebo. State the null and alternative hypothesis in terms of p1 and p2.
(d) With = .05, what conclusion is reached when the hypotheses in part (c) are tested? State your conclusion in the terminology of this example; not just reject some hypothesis or do not reject a hypothesis.
(e) What is the p-value of the test in part (d)?
(f) Using your answer in part (e), what conclusion would be reached if = .01?

Explanation / Answer

A)

Getting p1^ and p2^,          
          
p1^ = x1/n1 =    0.142857143      
p2^ = x2/n2 =    0.058823529      

Hence,

p1^-p2^ = 0.084033613 [ANSWER]

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b)

Getting p1^ and p2^,          
          
p1^ = x1/n1 =    0.142857143      
p2 = x2/n2 =    0.058823529      
          
Also, the standard error of the difference is          
          
sd = sqrt[ p1 (1 - p1) / n1 + p2 (1 - p2) / n2] =    0.042335057      
          
For the   90%   confidence level, then  
          
alpha/2 = (1 - confidence level)/2 =    0.05      
z(alpha/2) =    1.644853627      
Margin of error = z(alpha/2)*sd =    0.069634972      
lower bound = p1^ - p2^ - z(alpha/2) * sd =    0.014398641      
upper bound = p1^ - p2^ + z(alpha/2) * sd =    0.153668585      
          
Thus, the confidence interval is          
          
(   0.014398641   ,   0.153668585 ) [ANSWER]

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c)

Formulating the hypotheses          
Ho: p1 - p2   <=   0  
Ha: p1 - p2   >   0   [ANSWER]

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d)


Here, we see that pdo =    0   , the hypothesized population proportion difference.  
          
Getting p1^ and p2^,          
          
p1^ = x1/n1 =    0.142857143      
p2 = x2/n2 =    0.058823529      
          
Also, the standard error of the difference is          
          
sd = sqrt[ p1 (1 - p1) / n1 + p2 (1 - p2) / n2] =    0.042335057      
          
Thus,          
          
z = [p1 - p2 - pdo]/sd =    1.984965168      

As alpha = 0.05, right tailed,

zcrit = 1.645
          
Also, the p value is, as this is right tailed,      
          
P =    0.023574174      
          
As z > 1.645, P < 0.05, then we    REJECT THE NULL HYPOTHESIS.  

Hence, there is significant evidence that treatment A is better than the placebo interms of the proportion of those in remission at 0.05 level. [CONCLUSION]

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e)  

As said above,

Pvalue = 0.023574174 [ANSWER]

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f)

We do not reject Ho as P > 0.01.

Hence, there is no significant evidence that treatment A is better than the placebo interms of the proportion of those in remission at 0.01 level. [CONCLUSION]

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