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skills/scientific-critical-thinking/references/common_biases.md
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skills/scientific-critical-thinking/references/common_biases.md
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# Common Biases in Scientific Research
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## Cognitive Biases Affecting Researchers
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### 1. Confirmation Bias
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**Description:** Tendency to search for, interpret, and recall information that confirms preexisting beliefs.
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**Manifestations:**
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- Designing studies that can only support the hypothesis
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- Interpreting ambiguous results as supportive
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- Remembering hits and forgetting misses
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- Selectively citing literature that agrees
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**Mitigation:**
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- Preregister hypotheses and analysis plans
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- Actively seek disconfirming evidence
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- Use blinded data analysis
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- Consider alternative hypotheses
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### 2. Hindsight Bias (I-Knew-It-All-Along Effect)
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**Description:** After an event, people perceive it as having been more predictable than it actually was.
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**Manifestations:**
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- HARKing (Hypothesizing After Results are Known)
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- Claiming predictions that weren't made
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- Underestimating surprise at results
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**Mitigation:**
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- Document predictions before data collection
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- Preregister studies
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- Distinguish exploratory from confirmatory analyses
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### 3. Publication Bias (File Drawer Problem)
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**Description:** Positive/significant results are more likely to be published than negative/null results.
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**Manifestations:**
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- Literature appears to support effects that don't exist
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- Overestimation of effect sizes
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- Inability to estimate true effects from published literature
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**Mitigation:**
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- Publish null results
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- Use preregistration and registered reports
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- Conduct systematic reviews with grey literature
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- Check for funnel plot asymmetry in meta-analyses
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### 4. Anchoring Bias
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**Description:** Over-reliance on the first piece of information encountered.
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**Manifestations:**
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- Initial hypotheses unduly influence interpretation
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- First studies in a field set expectations
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- Pilot data biases main study interpretation
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**Mitigation:**
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- Consider multiple initial hypotheses
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- Evaluate evidence independently
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- Use structured decision-making
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### 5. Availability Heuristic
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**Description:** Overestimating likelihood of events based on how easily examples come to mind.
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**Manifestations:**
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- Overemphasizing recent or dramatic findings
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- Neglecting base rates
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- Anecdotal evidence overshadowing statistics
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**Mitigation:**
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- Consult systematic reviews, not memorable papers
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- Consider base rates explicitly
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- Use statistical thinking, not intuition
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### 6. Bandwagon Effect
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**Description:** Adopting beliefs because many others hold them.
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**Manifestations:**
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- Following research trends without critical evaluation
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- Citing widely-cited papers without reading
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- Accepting "textbook knowledge" uncritically
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**Mitigation:**
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- Evaluate evidence independently
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- Read original sources
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- Question assumptions
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### 7. Belief Perseverance
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**Description:** Maintaining beliefs even after evidence disproving them.
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**Manifestations:**
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- Defending theories despite contradictory evidence
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- Finding ad hoc explanations for discrepant results
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- Dismissing replication failures
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**Mitigation:**
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- Explicitly consider what evidence would change your mind
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- Update beliefs based on evidence
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- Distinguish between theories and ego
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### 8. Outcome Bias
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**Description:** Judging decisions based on outcomes rather than the quality of the decision at the time.
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**Manifestations:**
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- Valuing lucky guesses over sound methodology
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- Dismissing good studies with null results
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- Rewarding sensational findings over rigorous methods
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**Mitigation:**
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- Evaluate methodology independently of results
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- Value rigor and transparency
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- Recognize role of chance
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## Experimental and Methodological Biases
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### 9. Selection Bias
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**Description:** Systematic differences between those selected for study and those not selected.
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**Types:**
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- **Sampling bias:** Non-random sample
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- **Attrition bias:** Systematic dropout
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- **Volunteer bias:** Self-selected participants differ
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- **Berkson's bias:** Hospital patients differ from general population
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- **Survivorship bias:** Only examining "survivors"
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**Detection:**
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- Compare characteristics of participants vs. target population
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- Analyze dropout patterns
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- Consider who is missing from the sample
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**Mitigation:**
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- Random sampling
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- Track and analyze non-responders
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- Use strategies to minimize dropout
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- Report participant flow diagrams
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### 10. Observer Bias (Detection Bias)
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**Description:** Researchers' expectations influence observations or measurements.
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**Manifestations:**
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- Measuring outcomes differently across groups
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- Interpreting ambiguous results based on group assignment
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- Unconsciously cueing participants
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**Mitigation:**
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- Blinding of observers/assessors
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- Objective, automated measurements
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- Standardized protocols
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- Inter-rater reliability checks
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### 11. Performance Bias
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**Description:** Systematic differences in care provided to comparison groups.
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**Manifestations:**
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- Treating experimental group differently
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- Providing additional attention to one group
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- Differential adherence to protocols
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**Mitigation:**
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- Standardize all procedures
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- Blind participants and providers
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- Use placebo controls
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- Monitor protocol adherence
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### 12. Measurement Bias (Information Bias)
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**Description:** Systematic errors in how variables are measured.
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**Types:**
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- **Recall bias:** Systematic differences in accuracy of recall
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- **Social desirability bias:** Responding in socially acceptable ways
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- **Interviewer bias:** Interviewer's characteristics affect responses
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- **Instrument bias:** Measurement tools systematically err
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**Mitigation:**
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- Use validated, objective measures
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- Standardize data collection
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- Blind participants to hypotheses
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- Verify self-reports with objective data
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### 13. Confounding Bias
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**Description:** Effect of extraneous variable mixed with the variable of interest.
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**Examples:**
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- Age confounding relationship between exercise and health
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- Socioeconomic status confounding education and outcomes
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- Indication bias in treatment studies
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**Mitigation:**
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- Randomization
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- Matching
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- Statistical adjustment
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- Stratification
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- Restriction
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### 14. Reporting Bias
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**Description:** Selective reporting of results.
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**Types:**
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- **Outcome reporting bias:** Selectively reporting outcomes
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- **Time-lag bias:** Delayed publication of negative results
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- **Language bias:** Publishing positive results in English
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- **Citation bias:** Preferentially citing positive studies
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**Mitigation:**
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- Preregister all outcomes
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- Report all planned analyses
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- Distinguish primary from secondary outcomes
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- Use study registries
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### 15. Spectrum Bias
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**Description:** Test performance varies depending on the spectrum of disease severity in the sample.
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**Manifestations:**
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- Diagnostic tests appearing more accurate in extreme cases
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- Treatment effects differing by severity
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**Mitigation:**
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- Test in representative samples
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- Report performance across disease spectrum
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- Avoid case-control designs for diagnostic studies
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### 16. Lead-Time Bias
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**Description:** Apparent survival benefit due to earlier detection, not improved outcomes.
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**Example:**
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- Screening detecting disease earlier makes survival seem longer, even if death occurs at same age
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**Mitigation:**
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- Measure mortality, not just survival from diagnosis
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- Use randomized screening trials
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- Consider length-time and overdiagnosis bias
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### 17. Length-Time Bias
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**Description:** Screening disproportionately detects slower-growing, less aggressive cases.
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**Example:**
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- Slow-growing cancers detected more often than fast-growing ones, making screening appear beneficial
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**Mitigation:**
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- Randomized trials with mortality endpoints
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- Consider disease natural history
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### 18. Response Bias
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**Description:** Systematic pattern in how participants respond.
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**Types:**
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- **Acquiescence bias:** Tendency to agree
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- **Extreme responding:** Always choosing extreme options
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- **Neutral responding:** Avoiding extreme responses
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- **Demand characteristics:** Responding based on perceived expectations
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**Mitigation:**
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- Mix positive and negative items
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- Use multiple response formats
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- Blind participants to hypotheses
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- Use behavioral measures
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## Statistical and Analysis Biases
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### 19. P-Hacking (Data Dredging)
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**Description:** Manipulating data or analyses until significant results emerge.
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**Manifestations:**
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- Collecting data until significance reached
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- Testing multiple outcomes, reporting only significant ones
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- Trying multiple analysis methods
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- Excluding "outliers" to reach significance
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- Subgroup analyses until finding significance
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**Detection:**
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- Suspiciously perfect p-values (just below .05)
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- Many researcher degrees of freedom
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- Undisclosed analyses
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- Fishing expeditions
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**Mitigation:**
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- Preregister analysis plans
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- Report all analyses conducted
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- Correct for multiple comparisons
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- Distinguish exploratory from confirmatory
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### 20. HARKing (Hypothesizing After Results are Known)
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**Description:** Presenting post hoc hypotheses as if they were predicted a priori.
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**Why problematic:**
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- Inflates apparent evidence
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- Conflates exploration with confirmation
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- Misrepresents the scientific process
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**Mitigation:**
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- Preregister hypotheses
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- Clearly label exploratory analyses
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- Require replication of unexpected findings
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### 21. Base Rate Neglect
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**Description:** Ignoring prior probability when evaluating evidence.
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**Example:**
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- Test with 95% accuracy in rare disease (1% prevalence): positive result only 16% likely to indicate disease
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**Mitigation:**
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- Always consider base rates/prior probability
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- Use Bayesian reasoning
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- Report positive and negative predictive values
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### 22. Regression to the Mean
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**Description:** Extreme measurements tend to be followed by less extreme ones.
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**Manifestations:**
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- Treatment effects in extreme groups may be regression artifacts
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- "Sophomore slump" in high performers
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**Mitigation:**
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- Use control groups
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- Consider natural variation
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- Don't select based on extreme baseline values without controls
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### 23. Texas Sharpshooter Fallacy
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**Description:** Selecting data after seeing patterns, like shooting arrows then drawing targets around clusters.
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**Manifestations:**
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- Finding patterns in random data
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- Subgroup analyses selected post hoc
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- Geographic clustering studies without correction
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**Mitigation:**
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- Prespecify hypotheses
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- Correct for multiple comparisons
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- Replicate findings in independent data
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## Reducing Bias: Best Practices
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### Study Design
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1. Randomization
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2. Blinding (single, double, triple)
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3. Control groups
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4. Adequate sample size
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5. Preregistration
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### Data Collection
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1. Standardized protocols
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2. Validated instruments
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3. Objective measures when possible
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4. Multiple observers/raters
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5. Complete data collection
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### Analysis
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1. Intention-to-treat analysis
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2. Prespecified analyses
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3. Appropriate statistical tests
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4. Multiple comparison corrections
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5. Sensitivity analyses
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### Reporting
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1. Complete transparency
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2. CONSORT, PRISMA, or similar guidelines
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3. Report all outcomes
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4. Distinguish exploratory from confirmatory
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5. Share data and code
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### Meta-Level
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1. Adversarial collaboration
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2. Replication studies
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3. Open science practices
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4. Peer review
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5. Systematic reviews
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