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Null hypothesis testing (often described just as '''hypothesis testing''' is very commonly used in epidemiological investigations, and may be used in both analytic studies (for example, assessing whether disease experience differs between different exposure groups), and in descriptive studies (for example, if assessing whether disease experience differs from some suspected value). However, despite its widespread use, the results of hypothesis tests are often misinterpreted.
Null hypothesis testing (often described just as '''hypothesis testing''' is very commonly used in epidemiological investigations, and may be used in both analytic studies (for example, assessing whether disease experience differs between different exposure groups), and in descriptive studies (for example, if assessing whether disease experience differs from some suspected value). As in most studies, only a sample of individuals is taken, it is not possible to definitively state whether or not there is a difference between the two exposure groups. Hypothesis tests provide a method of assessing the '''strength of evidence''' in favour or against a true difference in the underlying population. However, despite their widespread use, the results of hypothesis tests are often misinterpreted.<br>
==Concept of null hypothesis tests==
Hypothesis tests provide a systematic, objective method of data analysis, but do not actually answer the main question of interest (which is commonly along the lines of 'is there a difference in the disease experience between individuals with this exposure and individuals without this exposure?'). Rather, hypothesis tests answer the question 'if there is no difference in disease experience between individuals with or without this exposure, what is the probability of obtaining the current data (or data more 'extreme' than this)?
==Hypothesis testing and study power==
==Hypothesis testing and study power==
===Approach to hypothesis testing===
===Approach to hypothesis testing===
The approach to hypothesis testing first requires making the assumption that there is ''no difference'' between the two groups (which is known as the '''null hypothesis'''). Statistical methods are then employed in order to evaluate the probability that the observed data would be seen if the null hypothesis was correct (known as the '''p-value'''). Based on the resultant p-value, a decision can be made as to whether the support for the null hypothesis is sufficiently low so as to give evidence against it being correct. It is important to note, however, that the null hypothesis can never be completely disproved based on a sample - only evidence can be gained in support or against it. However, based on this evidence, investigators will often come to a conclusion that the null hypothesis is either 'accepted' or 'rejected'.<br>
The approach to hypothesis testing first requires making the assumption that there is ''no difference'' between the two groups (which is known as the '''null hypothesis'''). Statistical methods are then employed in order to evaluate the probability that the observed data would be seen if the null hypothesis was correct (known as the '''p-value'''). Based on the resultant p-value, a decision can be made as to whether the support for the null hypothesis is sufficiently low so as to give evidence against it being correct. It is important to note, however, that the null hypothesis can never be completely disproved based on a sample - only evidence can be gained in support or against it. However, based on this evidence, investigators will often come to a conclusion that the null hypothesis is either 'accepted' or 'rejected'.<br>