A study recruits \(300\) volunteers from one fitness center and randomly assigns them to an energy drink or a placebo. Fifteen people leave the drink group and two leave the placebo group. Among completers, the drink group has a mean heart rate \(4.0\) beats per minute higher. A label-shuffling simulation applied only to the completers gives a tail proportion of \(0.020\), and a \(95\%\) confidence interval for the completer mean difference is \((0.5,7.5)\) beats per minute. A headline says, “The drink raises every adult's heart rate by exactly \(4\) beats per minute.”
a) Evaluate the evidence for a causal effect.
b) Evaluate generalization to all adults.
c) Explain two problems with the word “exactly” and the claim about every adult.
d) Explain how differential dropout affects the interpretation of the label-shuffling result and confidence interval.
e) Write a conclusion supported by the study.
Hints
- Evaluate random assignment, sampling, missing outcomes, and uncertainty as separate parts of the design.
- Ask whether the set of completers can still be treated as if it arose solely from the original random assignment.
- Distinguish a sample average from a population effect and from every individual's response.
- A defensible conclusion should preserve both the observed completer difference and the study's design limitations.
Solution
1. Random assignment initially creates comparable treatment groups and supports causal inference if outcomes are retained. The much larger dropout in the drink group can destroy that comparability among completers, so the completer-only difference is not a clean randomized estimate of the causal effect.
2. Volunteers from one fitness center are not a random sample of all adults, so broad population generalization is unsupported.
3. The \(4.0\) value is a sample mean difference, not an exact population effect; the confidence interval shows uncertainty about the completer mean difference. Also, an average difference does not imply that every individual changes by the same amount.
4. Shuffling treatment labels only among the observed completers does not reproduce the original random-assignment mechanism if treatment assignment affected who remained in the study. Therefore, the \(0.020\) tail proportion cannot by itself be treated as a clean randomization-test probability for the original experiment. The confidence interval likewise describes uncertainty for the analyzed completers and does not repair attrition bias.
5. A supported conclusion is that drink-group completers had a higher mean heart rate than placebo completers, with an estimated difference of \(4.0\) beats per minute and completer interval \((0.5,7.5)\), but differential attrition weakens causal interpretation and the volunteer sample does not support generalization to all adults.
Answer
a) Random assignment initially supports causation, but differential attrition means the completer-only comparison is not a clean causal estimate.
b) The volunteer sample from one fitness center does not support generalization to all adults.
c) \(4.0\) is an estimate rather than an exact population effect, and a mean effect is not an identical effect for every individual.
d) Because dropout differs after assignment, shuffling labels only among completers need not represent the original randomization; the \(0.020\) tail proportion and completer confidence interval do not remove attrition bias.
e) Drink-group completers had a higher mean heart rate, but differential attrition weakens causal interpretation and generalization to all adults is unsupported.