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==Single-blind trials==
 
==Single-blind trials==
Blinding is a basic tool to prevent conscious and unconscious bias in research. For example, in open taste tests comparing different product brands, consumers usually choose their regular brand. However, in blind taste tests, where the brand identities are concealed, consumers are more likely to choose a different brand. The is the basis of the [[Pepsi Challenge]], for example.
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Blinding is a basic tool to prevent conscious and unconscious bias in research. For example, in open taste tests comparing different product brands, consumers usually choose their regular brand. However, in blind taste tests, where the brand identities are concealed, consumers are more likely to choose a different brand.
 
 
In a '''[[Single blind|single-blind]]''' experiment the individual subjects do not know whether they are so-called "test" subjects or members of an "[[Randomized controlled trial|experimental control]]" group. Single-blind experimental design is used where the experimenters either must know the full facts (for example, when comparing sham to real surgery) or where the experimenter will not introduce further bias. However, there is a risk that subjects are influenced by interaction with the researchers - known as the [[experimenter effect]]. Single-blind trials are especially risky in psychology and social science research, where the experimenter has an [[observer bias|expectation]] of what the outcome should be, and may consciously or unconsciously influence the behavior of the subject.
 
In a '''[[Single blind|single-blind]]''' experiment the individual subjects do not know whether they are so-called "test" subjects or members of an "[[Randomized controlled trial|experimental control]]" group. Single-blind experimental design is used where the experimenters either must know the full facts (for example, when comparing sham to real surgery) or where the experimenter will not introduce further bias. However, there is a risk that subjects are influenced by interaction with the researchers - known as the [[experimenter effect]]. Single-blind trials are especially risky in psychology and social science research, where the experimenter has an [[observer bias|expectation]] of what the outcome should be, and may consciously or unconsciously influence the behavior of the subject.
   

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The Double blind method is an important part of the scientific method, used to prevent research outcomes from being influenced by the placebo effect or observer bias. Blinded research is an important tool in many fields of research, from medicine, to psychology and the social sciences, to forensics.

Single-blind trials

Blinding is a basic tool to prevent conscious and unconscious bias in research. For example, in open taste tests comparing different product brands, consumers usually choose their regular brand. However, in blind taste tests, where the brand identities are concealed, consumers are more likely to choose a different brand. In a single-blind experiment the individual subjects do not know whether they are so-called "test" subjects or members of an "experimental control" group. Single-blind experimental design is used where the experimenters either must know the full facts (for example, when comparing sham to real surgery) or where the experimenter will not introduce further bias. However, there is a risk that subjects are influenced by interaction with the researchers - known as the experimenter effect. Single-blind trials are especially risky in psychology and social science research, where the experimenter has an expectation of what the outcome should be, and may consciously or unconsciously influence the behavior of the subject.

Double-blind trials

Double-blind describes an especially stringent way of conducting an experiment, usually on human subjects, in an attempt to eliminate subjective bias on the part of both experimental subjects and the experimenters. In most cases, double-blind experiments are held to achieve a higher standard of scientific rigour.

In a double-blind experiment, neither the individuals nor the researchers know who belongs to the control group and the experimental group. Only after all the data are recorded (and in some cases, analyzed) do the researchers learn which individuals are which. Performing an experiment in double-blind fashion is a way to lessen the influence of the, prejudices and unintentional physical cues on the results (the placebo effect, observer bias, and experimenter effect). Random assignment of the subject to the experimental or control group is a critical part of double-blind research design. The key that identifies the subjects and which group they belonged to is kept by a third party and not given to the researchers until the study is over.

Medical Applications

Double-blinding is relatively easy to achieve in drug studies, by formulating the investigational drug and the control (either a placebo or an established drug]] to have identical appearance (color, taste, etc.). Patients are randomly assigned to the control or experimental group and given random numbers by a study coordinator, who also encodes the drugs with matching random numbers. Neither the patients nor the researchers monitoring the outcome know which patient is receiving which treatment, until the study is over and the random code is broken.

Effective blinding can be difficult to achieve where the treatment is notably effective, or where the treatment is very distinctive in taste or has unusual side-effects that allow the researcher and/or the subject to guess which group they were assigned to. It is also difficult to use the double blind method to compare surgical and non-surgical interventions (although sham surgery, involving a simple incision, might be ethically permitted). A good clinical protocol will forsee these potential problems to ensure blinding is as effective as possible.

Triple-blind trials are double-blind trials in which the statistician interpreting the results also does not know which intervention has been given. Sometimes triple-blinded is used to mean that multiple investigators are all blinded to the protocol (such as the clinician giving the treatment and a radiologist or pathologist who interprets the results.

Evidence-based medicine practitioners prefer blinded randomised controlled trials (RCTs), where that is a possible experimental design. These are high on the hierarchy of evidence; only a meta analysis of several well designed RCTs is considered more reliable.

Applications Beyond Medicine

  • Forensics In a police photo lineup, an officer shows a group of photos to a witness or crime victim and asks her to pick out the suspect. This is really a single-blind test of the witness' memory, and is subject to subtle or overt influence by the officer. There is a growing movement in law enforcement to move to a double blind procedure in which the officer who shows the photos to the witness does not know which photo is of the suspect.


External links

fr:Étude randomisée en double aveugle nl:Dubbelblind no:Dobbel blindtest ru:Слепой метод

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