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Simple linear regression is used to estimate the relationship between two quantitative variables.
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Try for free Simple Linear Regression | An Easy Introduction & Examples BMC Medical Research Methodology 2013, 13:119.Eliminate grammar errors and improve your writing with our free AI-powered grammar checker. January 2004.Īssessing regression to the mean effects in health care initiatives. Talk first presented to the Commission for Health Improvement. Regression towards the mean or Why was Terminator III such a disappointment? Martin Bland. January 2015 Volume 5 1574.Ĭorrecting for Regression to the Mean in Behavior and Ecology.

The need to control for regression to the mean in social psychology studies. International Journal of Epidemiology 2005 34:215–220. Adrian G Barnett, Jolieke C van der Pols and Annette J Dobson.
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Regression to the mean: what it is and how to deal with it. And even when we can detect RTM and understand the theory, seeing how it affects our own research may still be tricky. I focused on health-related data here, but regression to the mean is not limited to biological data – it can occur in any setting. The goal of all this, of course, is to become aware of RTM so we know how it can affect results. (There are other formulas for correcting for RTM using the within-subject and between-subject variance, but this only applies to normally distributed data.) In this phase, some authors suggest using analysis of covariance as the best method rather than difference scores (the post-pre values).įor a sub-group analysis (i.e., subgroup based on extreme values), if the total population mean and the correlation for pre- and post- measurements are known, there are formulas for correcting for RTM.

Once you get into the analysis phase, graphs are a helpful way of detecting RTM (for example, a scatter plot of post-pre values plotted against baseline). (Alternatively, using the mean of several baseline measurements for the pre-value will be closer to the true mean than a single measurement). In the design phase, another approach to minimizing RTM would be to take 2 sets of baseline measurements at 2 different times - one baseline measurement to select groups, and the other baseline measure as a covariate. (It’s important to note, however, that using a control group may not be a complete solution when extreme values are chosen). Without the appropriate control group for comparison, it would be difficult to conclude the decline was not just due to regression to the mean. However, the treatment group experiences a much greater improvement. In both groups, as you can see, the more extreme the initial diastolic blood pressure (DBP), the greater the decline. The following two tables show the baseline and follow-up values for the treatment and control groups: Subjects were classified into 3 groups based on their screening values and randomized to treatment or control.
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The best solution, say most authors, is an appropriately designated control group.Ī classic example is Reader, et al.’s trial in mild hypertensive patients (1980). Luckily, there are corrections you can make at the design phase and/or analysis phase to minimize the risk of RTM.
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This phenomenon, known as regression to the mean, has been used to explain everything from patterns in hereditary stature (as Galton first did in 1886) to why movie sequels or sophomore albums so often flop. Have you ever heard that “2 tall parents will have shorter children”?
