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 randomization simulation gives a tail proportion of \(0.020\), and a \(95\%\) confidence interval for the 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 result.
e) Write a conclusion supported by the study.
Hints
- Evaluate random assignment, sampling, missing outcomes, and uncertainty separately.
- Distinguish a sample average from a population effect and from every individual's response.
- A strong conclusion should state both the supported effect and the study's scope limitations.
Solution
1. Random assignment initially supports causal inference, and the small tail proportion indicates that the observed completer difference is unusual under the no-effect randomization model. However, differential attrition weakens the randomized comparison, so the completer-only result is not a clean causal estimate.
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 plausible mean effects from \(0.5\) to \(7.5\). An average effect also does not imply the same change for every individual.
4. The much higher dropout in the drink group can make completers systematically different and weaken the comparability created by random assignment.
5. A supported conclusion is that the study found a higher mean heart rate among drink-group completers and statistical evidence inconsistent with a no-effect model, but the effect size is uncertain, differential attrition weakens causal interpretation, and the result cannot be generalized 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 with interval \((0.5, 7.5)\), and a mean effect is not an identical individual effect.
d) Unequal dropout can make the remaining randomized groups systematically different.
e) The drink-group completers had a higher mean heart rate, but the effect size is uncertain, differential attrition weakens causal interpretation, and generalization to all adults is unsupported.