Everything about Double Blind Studies totally explained
The
blind method is a part of the
scientific method, used to prevent research outcomes from being influenced by either the
placebo effect or the
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 as well as subconscious 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 may favor a different brand.
Single blind describes
experiments wherein information that could introduce bias or otherwise skew the result is withheld from the participants. Unlike in a double blind experiment, the experimenter will be in full possession of the facts. A trivial example of a single-blind experiment would be the
Pepsi Challenge.
In a single blind experiment, the individual subjects don't know whether they're 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) and so the experimenters
cannot themselves be blind, or where the experimenters won't introduce further bias and so the experimenters
need not be blind. However, there's a risk that subjects are influenced by interaction with the researchers — known as the
experimenter's bias. 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 subconsciously 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 has been 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's bias).
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.
Double-blind methods can be applied to any experimental situation where there's the possibility that the results will be affected by conscious or unconscious
bias on the part of the experimenter.
Computer-controlled experiments are sometimes also referred to as double-blind experiments, since software shouldn't cause any bias. In analogy to the above, the part of the software that provides interaction with the human is the blinded researcher, while the part of the software that defines the key is the third party. An example is the
ABX test, where the human subject has to identify an unknown stimulus X as being either A or B.
"Triple-blind" trials
Triple-blind trials are double-blind trials in which the statistician interpreting the results also doesn't know which intervention has been given. Sometimes triple-blind 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.) The use of the term triple-blind experiments is disputed.
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 (indeed, studies have been suspended in cases where the tested drug combinations were so effective that it was deemed unethical to continue withholding the findings from the control group, and the general population), 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 foresee these potential problems to ensure blinding is as effective as possible.
Evidence-based medicine practitioners prefer blinded
randomised controlled trials (RCTs), where that's 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.
Nuclear and particle physics
Modern
nuclear physics and
particle physics experiments often involve large numbers of data-analysts working together to extract quantitative data from complex datasets. In particular, the analysts want to report accurate
systematic error estimates for all of their measurements; this is difficult or impossible if one of the errors is
observer bias. To remove this bias, the experimenters devise blind analysis techniques, where the experimental result is hidden from the analysts until they've agreed—based on properties of the data set
other than the final value—that the analysis techniques are fixed.
One example of a blind analysis occurs in
neutrino experiments, like the
Sudbury Neutrino Observatory, where the experimenters wish to report the total number
N of neutrinos seen. The experimenters have preexisting expectations about what this number should be, and these expectations must not be allowed to bias the analysis. Therefore, the experimenters are allowed to see an unknown fraction
f of the dataset. They use this data to understand the backgrounds, signal-detection efficiencies, detector resolutions, etc.. However, since no one knows the "blinding fraction"
f, no one has preexisting expectations about the meaningless neutrino count
N' = N x f in the visible data; therefore, the analysis doesn't introduce any bias into the final number
N which is reported. Another blinding scheme is used in
B meson analyses in experiments like
BaBar and
CDF; here, the crucial experimental parameter is a correlation between certain particle energies and decay times—which require an extremely complex and painstaking analysis—and particle charge signs, which are fairly trivial to measure. Analysts are allowed to work with all of the energy and decay data, but are forbidden from seeing the sign of the charge, and thus are unable to see the correlation (if any). At the end of the experiment, the correct charge signs are revealed; the analysis software is run once (with no subjective human intervention), and the resulting numbers are published. Searches for rare events, like electron neutrinos in
MiniBooNE or proton decay in
Super-Kamiokande, require a different class of blinding schemes.
The "hidden" part of the experiment—the fraction
f for SNO, the charge-sign database for CDF—is usually called the "blindness box". At the end of the analysis period, one is allowed to "unblind the data" and "open the box".
Forensic application
In a police photo lineup, an officer shows a group of photos to a witness or crime victim and asks him to pick out the suspect. This is basically a single-blind test of the witness' memory, and may be 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 doesn't know which photo is of the suspect.
Further Information
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