Social Medicine and Medical Ethics · MU Plovdiv

24. Null, alternative and working hypothesis. P-value. Level of significance. Power. Type I and II errors

Inside: 8 sections · 1 table · 16 flashcards · 5 min

Topic 24 of 80 in the MU Plovdiv syllabus for Social Medicine and Medical Ethics (Medicine, Years 2 and 3). The free AceMed note covers it in 8 sections, about 731 words (5 min of reading), with 16 flashcards.

In this note

  1. Introduction
  2. Hypotheses
  3. The p-value
  4. Level of significance
  5. Type I and type II errors
  6. Statistical power
  7. Carrying out a hypothesis test
  8. Common pitfalls

Introduction

This topic covers the logic of statistical hypothesis testing: how a research question is turned into testable hypotheses, how the p-value and the level of significance are used to decide between them, what statistical power means, and the two kinds of error a decision can produce. It is the foundation for the tests in topics 25 to 27.

Hypotheses

Every study starts with a question that is first written as a clear scientific claim and then translated into two statistical statements that can be tested against data.

  • Working hypothesis: the research question expressed as a claim, for example that a new drug lowers systolic pressure more than placebo. It is formulated before data are analysed.
  • Null hypothesis (H0): the statement of no difference, no association or no effect. It is the hypothesis that is tested directly.
  • Alternative hypothesis (H1): the claim that there is a difference or an effect. It can be two-sided (the groups differ, in either direction) or one-sided (one group is greater or smaller). A one-sided alternative must be justified before the data are collected.

A test never proves the alternative hypothesis. It only leads either to rejecting H0 or to failing to reject it. Failing to reject H0 does not show that H0 is true.

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