Uji hipotesa dan interval kepercayaan.pdf

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    Dr. Pudji Lestari,dr,Mkes

    IKM-KP Kedokteran Unair

    Uji hipotesa dan interval kepercayaan

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    Apa ?? Hypo = lemah

    Thesis : dugaan

    Uji Hypotesis : menguji dugaan yg lemah

    An educated guess A claim or statement about a property of

    a population

    Tujuan : menganalisa suatu sample

    dalam upaya membedakan karakteristikpopulasi yang mungkin muncul dan ygmungkintidak muncul

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    Elements of a hypothesis test

    Null hypothesisHo Statement regarding the value(s) ofunknown parameter(s). Typically will imply no association

    between explanatory and response variables in our applications

    (will always contain an equality)

    Alternative hypothesisH1Statement contradictory to thenull hypothesis (will always contain an inequality)

    Test statistic - Quantity based on sample data and null

    hypothesis used to test between null and alternative hypotheses

    Rejection region -Values of the test statistic for which wereject the null in favor of the alternative hypothesis

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    Hypothesis Testing

    Test Result

    True State

    H0True H0False

    H0True Correct

    Decision

    Type I Error

    H0False Type II Error Correct

    Decision

    )()( ErrorIITypePErrorITypeP

    Tujuan : , keciilll

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    Power of a Test

    Power - Probability a test rejects H0 (depends on m1- m2) H0True: Power = P(Type I error) =

    H0False: Power = 1-P(Type II error) = 1-

    As sample sizes increase, power increases

    As population variances decrease, power increases

    As the true mean difference increases, power increases

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    Prosedur Uji hipotesa

    Tentukan Tujuan hipotesa:

    membandingkan (komparasi), melihat adakah hubungan

    (korelasi)--(dalam satu riset bisa lebih dari satu tujuan)

    Formulasikan hipotesis

    Ho = netral

    H1= alternative ,yang ingin dibuktikan

    searah (tendensius), dua arah (nontendensius)

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    One tail or two tail

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    Pilih uji statistik yang sesuai- Tergantung tujuan panelitian

    - Tergantung jenis datanya

    - Tergantung asumsi distribusinya (normal/menceng)

    - Ukuran sampel/besar sampelnya (n>30 at n

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    Pasang nya

    = tingkat kemaknaan = tingkat kesalahan yang ditoleransi

    =kemungkinan Ho ditolak padahal Ho benar

    Tergantung peneliti Besar bila penelitian sosial atau lapangan

    kecil bila penelitian klinik

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    Bandingkan p dengan

    P adalah probabilitas diterimanya Ho

    adalah level kesalahan yang toleransi

    Bila p> maka Ho di terimaBila p < maka H1 di terima

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    Contoh - Efficacy Test for New drug

    Pabrik Obat ingin membandingkan obat hipertensi baru

    dengan obat standar Untuk mendapatkan izin edar, harus ada fakta yang

    cukup untuk menunjukkan bahwa obat baru lebih baik.

    Dilakukan uji klinik , sekelompok penderita dengan obatbaru, dan sekelompok yang lain dengan obat standar

    Untuk melihat respon terhadap obat di lakukan

    pengukuran oleh tenaga terlatih dan instrumen

    terstandar. Parameter of interest: mNew- mStd

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    Contoh - Efficacy Test for New drug

    Type I errorH nol ditolak padahal Hnol benarmenyimpulkan bahwa obat baru lebih baik padahal sama

    dengan obat standar

    Traditionally = P(Type I error) = 0.05

    Type II errorH1 ditolak padahal H1 benar. Gagalmenunjukkan bahwa obat baru efektif seperti seharusnya.

    Traditionally a clinically important difference (D)is assigned and sample

    sizes chosen so that:

    = P(Type II error | m1-m2= D) .20

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    Elements of a Hypothesis Test

    Test Statisticperbedaan antara Sample means, diskalakanterhadap jumlah SD (standard errors) dari 0 Population means:

    2

    2

    2

    1

    2

    1

    21

    :..

    n

    s

    n

    s

    yy

    zST obs

    Rejection Region -Set of values of the test statistic that are consistent

    with HA, such that the probability it falls in this region when H0is true is (we will always set =0.05)

    645.105.0:.. zzzRR obs

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    P-value (aka Observed Significance Level)

    P-value - Measure of the strength of evidence the sample data

    provides against the null hypothesis:

    P(Evidence This strong or stronger against H0| H0is true)

    )(: obszZPpvalP

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    Power of a Test

    Distribution (H0

    ) Distribution (HA

    )

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    ESTIM TION

    Pudji lestari dr, MKes

    Public Health Dept School of Medicine AirlanggaUniversity

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    As taking sampleis takingsome risk,

    so statistics is deal with

    calculating the risk, then estimation is the

    way to express it

    x

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    Some possible samples = some sample means and samplestandard deviations

    These sample means the sampling distribution of the

    mean (Normal)

    mean of the sampling distribution =

    the standard deviation of the sampling distribution =

    Sampling Review

    x

    x

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    x

    once the sample size is 30 or more

    sampling distribution is normal

    distribution (Central Limit Theory)

    n/x

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    Point Estimates

    a singlenumber from sample used to estimate thecorresponding populationparameter(e.g., the sample

    mean).

    a newspaper state from sample that 65% of all adults inSurabaya think that the Hospital should be cleaner.

    The percentage of the sample who agree that e Hospital

    should be cleaner is the point estimate for the true

    population percentage who agree.

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    Confidence Intervals

    an intervalin which we are confident the population

    parameter will lie.

    rather than give a particular value as the estimate for a

    population parameter

    find the limits of the interval.

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    General Confidence Interval

    Calculation

    Point Estimate Critical

    Value) Standard Error)

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    Confidence Interval Estimate

    for (known) is given by

    n

    x z

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    Confidence Interval Estimate

    for (unknown)

    n

    s)(x2

    1 dkt

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    Example:

    As a consultant I have been employed to estimate the averageamount of comp time accumulated per week for nurse in thehospital.

    I randomly sample 18 nurse and measure the amount of extratime they work during a specific week and obtain the followingresults (in hours). Assume a 90% confidence interval.

    Hospital DATA

    6 21 17 20 7 0 8 16

    293 8 12 11 9 21 25 15 16

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    Solution:

    To construct a 90% confidence interval to estimate the averageamount of extra timeper week worked by anurse in the hospital ,Iassumethat comp time is normally distributedin thepopulation.

    The sample size is 18, so df = 17.

    A 90% level of confidence results in an / 2 = .05area in each tail.

    The table t-value is t .05,17= 1.740.

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    With a sample mean of 13.56 hours, and a sample standard

    deviation of 7.8 hours, the confidence interval is computed:

    X-bar +/- t/2, n-1S / n

    =13.56 +/- 1.740 ( 7.8 / 18) = 13.56 +/- 3.20= 10.36 16.76

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    Interpretation

    The point estimate for this problem is 13.56 hours,with an error of +/- 3.20 hours.

    I am 90% confident that the average amount of comp

    time accumulated by a Nurse per week in this

    hospital is between 10.36 and 16.76 hours.

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    Recommendations

    From these figures, the hospital could attempt tobuild a reward system for such extra work or

    evaluate the regular 40-hour week to determine

    how to use the normal work hours more effectively

    and thus reduce comp time.

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    Proportion Estimation

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    Proportion Estimation

    )(p2

    pSEz

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    Variance Estimation

    dkdk

    SS

    /

    2

    22

    /1

    2

    2

    2

    1

    2

    1

    Where 2 /dk is Chi Square distribution per degree of

    freedom. Tabel A-6b

    dk = n 1 which n is sample size

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    Example

    Ten students have monthly money variance 300 ribu rupiah ,as the confident interval 90% , estimate variance of all

    students !

    160 < 2< 813

    12,6 < < 28,5

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    Estimating Sample Size

    The amount ofsampling erroryou arewilling to accept and the

    level ofconfidence desired, determines the size of your sample.

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    Confident interval and p value

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    Clinical important and

    statistically important