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Chasing Tail Ends: A Statistician's Journey Through ADHD Interventions"

Writer's picture: The StatisticianThe Statistician

Updated: Jul 8, 2023


Hello, fellow number enthusiasts! It's your favorite statistical storyteller, here to regale you with a new adventure. But before we dive into this frolicsome tale of ADHD interventions, we might want to clarify what ADHD is. Attention Deficit Hyperactivity Disorder, or ADHD, is a neuro-developmental condition characterized by persistent inattention, impulsivity, and hyperactivity patterns. It affects both children and adults and can influence academic performance, social interactions, and daily functioning. With that context in place, let's move on to our tale!



A child with ADHD seeking therapy with his parents


Our adventure starts in a children's hospital, where a group of dedicated researchers tested four strategies to tackle ADHD – biofeedback, parental guidance sans child, parental guidance with the child, and medication only. Our rollercoaster of a project was set in five thrilling waves: before, after, and three follow-ups. I was recruited to conduct a series of robust piecewise regressions, a task that seemed more daunting than navigating the Labyrinth of Minos. The goal? To estimate the effectiveness of each intervention over time and piece together a coherent storyline.


Before we move on, let's make sure everyone is aboard the piecewise regression train. In simple terms, piecewise regression, also known as segmented or broken-stick regression, is a method used when the relationship between the independent and dependent variable changes at different points - or 'breakpoints'. In our case, we have five waves of data, and the second wave serves as our breakdown point. This means that we estimate two regression lines: one for the observations before and including the second wave, and the other for the waves following it. This method helps us understand if and how the interventions' effects change over time.





So, with my statistical shield and coding sword, I leaped into the data. But the story that unraveled was more of a tragicomedy. Apparently, according to my first pass at the data, parental stress levels skyrocketed during treatment among other awkward findings. You'd think they were being asked to solve Fermat's Last Theorem, not just receiving guidance!


I presented this fascinating (read: peculiar) finding to the researchers who, after much head-scratching and squinting at the screen, made two jaw-dropping discoveries. The culprit behind our awkward results? Wave 2 had been accidentally reverse-coded for mothers. Oh, but the fun didn't stop there! We found that the data columns for fathers had been misplaced in all the waves. It was like an unplanned game of musical chairs!


I couldn’t help but chuckle at the chaos. The wonderful world of data analysis, am I right? We'd stumbled into an unexpected statistical pit of hell, all thanks to a couple of column mishaps and one tiny reversed code. Makes you wonder, what if the results had been semi-logical? We might've presented a groundbreaking paper headlined 'Parental Guidance: The Unexpected Stress Booster'.


All's well that ends well, though. This statistical sitcom reminded us all about the quintessential quality checks and data verification stages that we sometimes overlook in our hurry to unearth findings. So, dear friends, let’s toast to the chaos, the comedy, and the continuous learning journey that is statistical analysis. And remember, even when your data seems as comprehensible as a Dadaist painting, there's always a story (or a sitcom episode) waiting to be discovered!


Yours truly,

The Statistician

 
 
 

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