Views of the role of hypothesis falsification in statistical testing do not divide as cleanly between frequentist and Bayesian views as is commonly supposed. This can be shown by considering the two major variants of the Bayesian approach to statistical inference and the two major variants of the frequentist one.
A good case can be made that the Bayesian, de Finetti, just like Popper, was a falsificationist. A thumbnail view, which is not just a caricature, of de Finetti’s theory of learning, is that your subjective probabilities are modified through experience by noticing which of your predictions are wrong, striking out the sequences that involved them and renormalising.
On the other hand, in the formal frequentist Neyman-Pearson approach to hypothesis testing, you can, if you wish, shift conventional null and alternative hypotheses, making the latter the strawman and by ‘disproving’ it, assert the former.
The frequentist, Fisher, however, at least in his approach to testing of hypotheses, seems to have taken a strong view that the null hypothesis was quite different from any other and there was a strong asymmetry on inferences that followed from the application of significance tests.
Finally, to complete a quartet, the Bayesian geophysicist Jeffreys, inspired by Broad, specifically developed his approach to significance testing in order to be able to ‘prove’ scientific laws.
By considering the controversial case of equivalence testing in clinical trials, where the object is to prove that ‘treatments’ do not differ from each other, I shall show that there are fundamental differences between ‘proving’ and falsifying a hypothesis and that this distinction does not disappear by adopting a Bayesian philosophy. I conclude that falsificationism is important for Bayesians also, although it is an open question as to whether it is enough for frequentists.
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De Finetti meets Popper
1. De Finetti meets Popper
or Should Bayesians care about falsificationism?
Stephen Senn, Edinburgh
(C) Stephen Senn 2019
Lecture at the Popper Symposium on 7 August 2019 at the
16th International Congress on Logic, Methodology & Philosophy of Science, Prague
2. Basic thesis Outline
The distinction between refuting and
‘corroborating’ a hypothesis is fundamental.
It does not become irrelevant by adopting a
Bayesian approach to inference.
It has no direct bearing on choice of meaning
for probability: subjective, relative frequency,
propensity, logical etc
Various practical problems in analysing clinical
trials illustrate this
Basic background
• De Finetti’s falsificationism
• Simple illustration
• Jeffreys’s alternative approach
• Inspired by Broad’s challenge
Falsificationist issues in clinical trials
• Bioequivalance
• Equivalence and falsificationism
• Blinding
• Competence
• Causal analysis versus prediction in clinical
trials
Conclusions
(C) Stephen Senn 2019
3. A puzzle to keep you thinking
(C) Stephen Senn 2019
Suppose we are to have 1 million independent trials with a binary outcome.
We wish to decide, in advance of beginning the trials, which of the following
is more likely
A: 1 million successes and no failures
B: 500,000 successes and 500,000 failures in any order
We use a Bayesian approach with a uninform prior for the binary outcome
(such as would have been employed by Laplace)
What is the correct answer?
5. “The acquisition of a further piece of information, H - in other words
experience, since experience is nothing more than the acquisition of
further information - acts always and only in the way we have just
described: suppressing the alternatives that turn out to be no longer
possible..”
Popper?
No, de Finetti
(C) Stephen Senn 2019
6. Example
• A man has a CD of popular music with 12 tracks on it
• He can play tracks in random order (Shuffle) or in sequential order
(Play)
• On a particular occasion he thinks he has pressed Shuffle (that was his
intention) but the first track played is the first track, F, on the CD
• What is the probability that he did, in fact, press Shuffle as intended’
(C) Stephen Senn 2019
7. We can put this together as follows
“Hypothesis” Prior
Probability
P
Evidence Likelihood P x L
Shuffle 9/10 F 1/12 9/120
Shuffle 9/10 X 11/12 99/120
Play 1/10 F 1 12/120
Play 1/10 X 0 0
TOTAL 120/120 = 1
(C) Stephen Senn 2019
Note that in de Fineti’s theory the relevant historical process is that of the individual’s thought process not
“real world” events
8. After seeing (hearing) the evidence, however, only two rows remain
“Hypothesis” Prior
Probability
P
Evidence Likelihood P x L
Shuffle 9/10 F 1/12 9/120
Shuffle 9/10 X 11/12 99/120
Play 1/10 F 1 12/120
Play 1/10 X 0 0
TOTAL 21/120
(C) Stephen Senn 2019
9. So we rescale by dividing by the total probability
“Hypothesis” Prior
Probability
P
Evidence Likelihood P x L Posterior Probability
Shuffle 9/10 F 1/12 9/120 (9/120)/(21/120)
=9/21
Shuffle 9/10 X 11/12 99/120
Play 1/10 F 1 12/120 (12/120)/(21/120)
=12/21
Play 1/10 X 0 0
TOTAL 21/120 21/21=1
(C) Stephen Senn 2019
10. Returning to De Finetti’s general approach
• Suppose we declare all possible sequences of some binary outcome (say S=
success and F = failure) equally likely
• Then no learning is possible
• This is because for any sequences consisting of a number of S and F
outcomes, then every possible forward sequence of S and F is also equally
likely
• Thus, observing which sequences have not occurred and renormalising
changes nothing
• Caution is required!
• This is one reason why De Finetti was sceptical about any automatic
approaches to Bayesian inference
(C) Stephen Senn 2019
12. CD Broad, 1918
(C) Stephen Senn 2019
P393
p394
As m goes to
infinity the first
approaches 1
If n is much greater
than m the latter is
small
13. The Economist gets it wrong
(C) Stephen Senn 2019
The canonical example is to imagine that a precocious newborn observes
his first sunset, and wonders whether the sun will rise again or not. He
assigns equal prior probabilities to both possible outcomes, and
represents this by placing one white and one black marble into a bag. The
following day, when the sun rises, the child places another white marble
in the bag. The probability that a marble plucked randomly from the bag
will be white (ie, the child’s degree of belief in future sunrises) has thus
gone from a half to two-thirds. After sunrise the next day, the child adds
another white marble, and the probability (and thus the degree of belief)
goes from two-thirds to three-quarters. And so on. Gradually, the initial
belief that the sun is just as likely as not to rise each morning is modified
to become a near-certainty that the sun will always rise.
The Economist, ‘In praise of Bayes’, September 2000
14. Jeffreys’s solution
• The fact that ‘laws’ cannot be proved using Bayes theorem if the
Laplacian approach to choosing prior distributions is adopted means
that the choice of prior distribution is wrong
• His solution is to place a mass of probability on the hypothesis being
true
• This gives simpler representations of the world more prior weight
than more complex ones
• In his view this is necessary to permit induction to work
• Prior probability replaces (or reflects) parsimony as a principle
(C) Stephen Senn 2019
15. Falsificationist issues in clinical
trials
Rather more technical – again please accept my apologies
(C) Stephen Senn 2019
16. Equivalence studies
(including bioequivalence)
• Studies in which one tries to prove that treatments do not differ
• The most extreme example is so-called bioequivalence studies
• The molecule is the same but the formulation differs
• The same manufacturer may wish to replace one route of administration by
another
• For example a suppository by a pill
• Or a single-dose inhaler with a multi-dose one
• Or a different so-called generic manufacture may wish to supply the market
with its version of a now off-patent brand-name product
• Or a manufacturer may wish for labelling reasons to prove that a drug does
not differ whether given with or without food
(C) Stephen Senn 2019
17. But surely, a drug is a drug?
• In fact, no, changing the formulation can have dramatic effects on
potency of a drug
• Here is an example I was involved with
• Bronchodilator in asthma
• Seven treatments compared over twelve hours using forced expiratory
volume in one second (FEV1)
• Placebo
• 6,12 and 24 g of new formulation (MTA)
• 6,12 and 24 g of old formulation (ISF)
• Other details omitted for the sake of brevity
• The results follow (high values of FEV1 are good)
(C) Stephen Senn 2019
Senn, S.J., et al., An incomplete
blocks cross-over in asthma: a
case study in collaboration, in
Cross-over Clinical Trials, J.
Vollmar and L.A. Hothorn, Editors.
1997, Fischer: Stuttgart. p. 3-26.
18. (C) Stephen Senn 2019
Treatment Placebo MT&A 6 MT&A 12 MT&A 24
FEV1 (L)
2.0
2.5
Minute
0 180 360 720
Placebo and the 3 doses of the new formulation
19. (C) Stephen Senn 2019
Treatment Placebo MT&A 6 MT&A 12 MT&A 24
ISF 6 ISF 12 ISF 24
FEV1 (L)
2.0
2.5
Minute
0 180 360 540 720
With the 3 doses of reference formulation added
20. Bioequivalence in terms of confidence
intervals
What is considered ‘proven’
A: neither equivalence nor difference proven
B: exact equivalence rejected
C: inconclusive
D & E: practical equivalence proven
F: practical equivalence proven but exact equivalence
rejected
G: exact and practical equivalence rejected
(C) Stephen Senn 2019
21. (C) Stephen Senn 2019
First issue: Blinding and Equivalence
• Running a double blind trial does not protect you against a conclusion
of equivalence
• You do not need to know the treatment code to bias results towards
equivalence
• Consider a particular simple (and very common) form of trial in which
two oral formulations of a molecule are compared by looking at the
concentration time profile in a cross-over trial
• Equivalence of these profiles is taken to mean equivalence of the
formulations
• “The blood is a gate through which the drug must pass”
22. (C) Stephen Senn 2019
The Unscrupulous Pharmacokineticist
• Take the 12 test tubes for day one for a given
volunteer
• hour 1,2…12
• Take the 12 test tubes for day two for the same
volunteer
• hour 1,2…12
• Mix each pair (by hour) together
• Divide them into two
• Et voila
• Perfect equivalence without having to unblind
23. (C) Stephen Senn 2019
Fanciful?
• In fact blinding does not protect against false conclusions of
equivalence
• Pharmaceutical companies commonly prosecute cheating doctors
• Reason
• Trial fails to show any effect whereas others do
• Explanation
• The trial never took place
• The data have been invented
• This will produce a conclusion of equivalence
24. (C) Stephen Senn 2019
Second issue: Competence
• Experiment is fair if treatments are handled equivalently
• in all aspects except those that form the essence (definition) of the treatment
• cannot be determined by looking at outcomes
• Competence is the ability to detect differences
• can only partly be determined on external grounds
• can be established if difference is detected
• It is a matter of “assay sensitivity”
25. (C) Stephen Senn 2019
A Model for Competence
competent, not competent
equivalent, inequivalent
observed difference, no difference
Likelihoods
( ) ( ) 1
( ) ( ) 1
( ) ( ) 1
( ) ( ) 1
1 0
"Priors" (
C C
E E
D D
P D E C P D E C
P D E C P D E C
P D EC P D EC
P D EC P D EC
P E
) , ( )P C E
See Senn, S.J., Inherent difficulties
with active control equivalence
studies. Statistics in Medicine, 1993.
12(24): p. 2367-75.
26. (C) Stephen Senn 2019
Interpretation of These Parameters
• 1- and reflect the ‘precision’ of ‘competent’ experiments
• Their converses and 1- are analogous to type I and II error rates
• and 1-, can be reduced by more and more precise experiments
• represents the probability that where a difference between
treatments really does exist a poor (not competent) experiment will
indicate it exists
• Joint effect of and represents factors beyond our control
• is the probability that ‘Nature’ has decided the two treatments are
equivalent
• is the probability that the trial is competent given that the treatments are
not equivalent
27. (C) Stephen Senn 2019
Notes
Under this formulation of the likelihoods it is irrelevant as to whether
the trial is competent if the treatments are equivalent.
We could require the combination EC as impossible.
We require > , but this is a linguistic convention.
28. (C) Stephen Senn 2019
For those who like formulae
1 (1 )
( )
(1 ) (1 )
(1 )
( )
(1 )(1 ) (1 )(1 )(1 ) (1 )
as 1 and 0
( ) 1
( )
(1 )(1 )(1 )
P E D
P E D
P E D
P E D
32. Consequences
• Asymmetry between concluding equivalence and difference
• The former is more problematic
• Not just a matter of reformulating the problem
• Conditional on an assumption of competence we can conclude
equivalence
• However, if we have any doubts about competence, these doubts increase by
finding a difference
• Speculation: this is a concrete instance of the more general point
made by Popper and Miller 1987
(C) Stephen Senn 2019
33. Hunt the thimble
• You are looking for a thimble in a room
• Consider two cases
• You find the thimble
• You search but don’t find the thimble
• Inferences about whether the thimble is in the room or not are
fundamentally different in the two cases
• In the first case, you conclude it is, and your competence as a searcher for
thimbles is irrelevant to this conclusion
• In the second case, you may believe that the thimble is not in the room but
this belief depends on your competence as a thimble-searcher, about
which you may come to have doubts
(C) Stephen Senn 2019
34. Third issue: causal versus predictive inference
• Clinical trials can be used to try and answer a number of very
different questions
• Two examples are
• Did the treatment have an effect in these patients?
• A causal purpose
• What will the effect be in future patients?
• A predictive purpose
• Unfortunately, in practice, an answer is produced without stating
what the question was
• Given certain assumptions these questions can be answered using the
same analysis but the assumptions are strong and rarely stated
(C) Stephen Senn 2019
35. Two models
Predictive
• The population is taken to be ‘patients in
general’
• Of course this really means future patients
• They are the ones to whom the treatment
will be applied
• We treat the patients in the trial as an
appropriate selection from this
population
• This does not require them to be typical
but it does require additivity of the
treatment effect
Causal
• We take the patients as fixed
• We want to know what the effect
was for them
• Unfortunately there are missing
counterfactuals
• What would have happened to
control patients given intervention
and vice-versa
• The population is the population of
all possible allocations to the
patients studied
(C) Stephen Senn 2019
36. Coverage probabilities for two questions
Average treatment effect in population is 300ml FEV1
Predictive Causal
Horizontal dashed line is population average effect (LHS & RHS). Blue horizontal bar is true
trial effect (RHS). Black Cis cover true effect, red don’t).
37. Conclusion
• There is a fundamental difference between
• Demonstrating that things are different
• Demonstrating they are the same
• There is a fundamental difference between
• Concluding something had an effect
• Concluding it must always have this effect
• Many features of clinical trials reflect this
• The value of blinding
• Competence (assay sensitivity)
• Causal versus predictive inference
• These are not a consequence of being frequentist
• They are not vanquished by becoming Bayesian
• The choice of a Bayesian or frequentist framework does not depend on this
(C) Stephen Senn 2019
39. The answer to the puzzle
(C) Stephen Senn 2019
Both are equally likely
The prior distribution is uniform.
By the time we completed the trials the relative frequency will be the probability
But the prior distribution says every probability is equally likely
Therefore it is hardly surprising that every relative frequency will be equally likely
Senn, S.J., Dicing with Death. 2003,
Cambridge: Cambridge University Press.
Notas del editor
Views of the role of hypothesis falsification in statistical testing do not divide as cleanly between frequentist and Bayesian views as is commonly supposed. This can be shown by considering the two major variants of the Bayesian approach to statistical inference and the two major variants of the frequentist one.
A good case can be made that the Bayesian, de Finetti, just like Popper, was a falsificationist. A thumbnail view, which is not just a caricature, of de Finetti’s theory of learning, is that your subjective probabilities are modified through experience by noticing which of your predictions are wrong, striking out the sequences that involved them and renormalising.
On the other hand, in the formal frequentist Neyman-Pearson approach to hypothesis testing, you can, if you wish, shift conventional null and alternative hypotheses, making the latter the strawman and by ‘disproving’ it, assert the former.
The frequentist, Fisher, however, at least in his approach to testing of hypotheses, seems to have taken a strong view that the null hypothesis was quite different from any other and there was a strong asymmetry on inferences that followed from the application of significance tests.
Finally, to complete a quartet, the Bayesian geophysicist Jeffreys, inspired by Broad, specifically developed his approach to significance testing in order to be able to ‘prove’ scientific laws.
By considering the controversial case of equivalence testing in clinical trials, where the object is to prove that ‘treatments’ do not differ from each other, I shall show that there are fundamental differences between ‘proving’ and falsifying a hypothesis and that this distinction does not disappear by adopting a Bayesian philosophy. I conclude that falsificationism is important for Bayesians also, although it is an open question as to whether it is enough for frequentists.
In other words, falsificationism is a valuable perspective for Bayesians and Frequentist statisticians alike
See Dicing with Death, Cambridge, 2003, chapter 4
Some general discussion of what it means to be a Bayesian (and also a frequentist) will be found in
Senn, S.J., You may believe you are a Bayesian but you are probably wrong. Rationality, Markets and Morals, 2011. 2: p. 48-66.
See
http://www.frankfurt-school-verlag.de/rmm/downloads/Article_Senn.pdf
de Finetti, B.D., Theory of Probability (Volume 1). Vol. 1. 1974, Chichester: Wiley. 300. p141
This is based on a real example. I was playing the CD Hysteria by Def Leppard when this happened. The example is discussed in more detail in chapter 4 of Statistical Issues in Drug Development.
The four rows give the two combinations of hypothesis and evidence
The P column gives the marginal prior probability of the “hypothesis”
The evidence column has two sorts of evidence indicated. F for first track on CD and X for any other track.
The Likelihood column gives the conditional probability of the evidence given the hypothesis
The column headed P x L gives the joint probability of a given hypothesis and evidence combination
Strictly speaking, in the de Finetti view, P x L exists directly
The probabilities of the two cases which remain do not add up to 1.
However, since these two cases cover all the possibilities which remain, their combined probability must be 1.
Therefore, we rescale the individual probabilities to make them add to 1.
We can do this without changing their relative value by dividing by their total, 21/120.
This has been done in the table below.
This completes the Bayesian solution and the posterior probability is given in the extra final column
“In an article entitled, "In praise of Bayes", that appeared in The Economist in September 2000, the unnamed author tried to show how a newborn baby could, through successively observed sunrises and the application of Laplace's Law of succession, acquire increasing certainty that the sun would always rise. As The Economist put it, "Gradually, the initial belief that the sun is just as likely as not to rise each morning is modified to become a near-certainty that the sun will always rise". This is false: not so much praise as hype. The Economist had confused the probability that the sun will rise tomorrow with the probability that it will always rise. One can only hope this astronomical confusion at that journal does not also attach to beliefs about share prices.
In praise of Bayes. September 2000.”
Dicing with Death, 2003 p77
See
https://errorstatistics.com/2015/05/09/stephen-senn-double-jeopardy-judge-jeffreys-upholds-the-law-guest-post/
and also
http://www.senns.demon.co.uk/Papers/Comment%20on%20Robert.pdf
See also
http://www.senns.demon.co.uk/Papers/Falsificationism.pdf
There has been a surprising amount of disagreement amongst frequentists as well as amongst Bayesians and of course between the two major camps as to how to analyses such studies. There is no time here to go over all this. However, see http://www.senns.demon.co.uk/Papers/Bioequivalence%20SiM.pdf
for an overview
Also this blog
https://errorstatistics.com/2014/06/05/stephen-senn-blood-simple-the-complicated-and-controversial-world-of-bioequivalence-guest-post/
gives an overview
In fact this was a so-called incomplete blocks cross-over design in which each patient received five of the seven treatments on a total of five days (one day for each treatment) separated by a suitable wash-out. Twenty-one sequences were chosen so that each treatments was used equally often, each of the 21 pairs of treatments were studied in the same number of patients and each treatment appeared equally often I each period. The trial was double blind and a six fold replication was targeted (6 x 21 patients were planned to be recruited). Many different centre were employed and in the event more patients were recruited than planned.
The model to analyse the treatment effect used “patient” and “period” (that is to say day 1,2,3,4 or 5) in addition to treatment as factor.
Rather than presenting the confidence intervals for the difference here I shall just show the time curves for FEV1 (appropriately adjusted for other effects), since these are sufficient to make the point.
A full description of the trials will be found in
Senn, S.J., et al., An incomplete blocks cross-over in asthma: a case study in collaboration, in Cross-over Clinical Trials, J. Vollmar and L.A. Hothorn, Editors. 1997, Fischer: Stuttgart. p. 3-26.
http://www.senns.demon.co.uk/Papers/SELIPATI.pdf
This is the time course in which patient and period effects have been eliminated (in other words it is a fair comparison). Only placebo and the three doses of the new treatment (MTA) are shown. The efficacy of MTA is clearly shown and there is a gratifying does response.
Unfortunately the highest dose of MTA has an observed effect that is lower than the lowest does of ISF. The conclusion was, much to everyone’s surprise and dismay, that the formulations differed in potency by a factor of 4 to 1.
“In the case of trial A, the treatment estimate lies outside the region of equivalence. However, the confidence intervals are so wide that exact equality of the treatments is not ruled out. In case B exact equality is ruled out (if the conventions of hypothesis testing are accepted), since there is a significant difference, but the possibility that the true treatment difference lies within the region of equivalence is not. In case C, no treatment difference is observed, but the confidence intervals are so wide that values outside the regions of equivalence are still plausible. In cases D, E and F, practical equivalence is ‘demonstrated’. However, in case E it corresponds to no observed difference at all, whereas in case F the treatments are significantly different (confidence interval does not straddle zero) even though practical equivalence appears to have been demonstrated (confidence interval lies within region of equivalence). In case G there is a significant difference and equivalence may be rejected. ”
Statistical Issues in Drug Development (2nd edition, 2007), Chapter 15
This concrete illustration first proposed to me by Joachim Roehmel.
See also http://www.senns.demon.co.uk/Papers/Fisher%27s%20game%20with%20the%20Devil.pdf
In other words, to fake results to produce a conclusion that two treatments are different, you would have to know which treatment was which.
To fake results that two treatments are equivalent you do not need to know which treatment is which.
The difference is that in the first case you wish to assert that two distributions are necessary. Thus assignment to the correct distribution is crucial.
In the second case you wish to assert that only one distribution is needed.
“The value of blinding in clinical trials, is essentially this: despite making sure that there are no superficial and nonpharmacological differences which enable us to distinguish one treatment from another (the trial is double-blind), the labels ‘experimental’ and ‘control’ do have an importance for prognosis. Thus, for a conventional trial where such a difference between groups is observed, because the trial has been run double-blind, we are able to assert that the difference between the groups cannot be due to prejudice and must therefore be due either to pharmacology or to chance. The whole purpose of ACES, however, is to be able to assert that there is no difference between treatment and clearly, therefore, blinding does not protect us against the prejudice that all patients ought to have similar outcomes. The point can be illustrated quite simply by considering the task of a statistician who has been ordered to fake equivalence by simulating suitable data. It is clear that he does not even need to know what the treatment codes are. All he needs to do is simulate data from a single Normal distribution with a suitable standard deviation (Senn, 1994). Whatever the allocation of patients, he is almost bound to demonstrate equivalence. If he is required to prove that one treatment is superior to another, however, such a strategy will not work. He needs to know the treatment codes.” Statistical Issues in Drug Development (2nd edition, 2007), Chapter 15
“There is a paradox of competence associated with equivalence trials and that is that the more we tend to provide proof within a trial of the equivalence of the two treatments, the more we ought to suspect that we have not been looking at the issue in the correct way: that the trial is incapable of finding a difference where it exists. In other words, there is more to a proof of equivalence than the matter of reversing the usual roles of null and alternative hypotheses. Even if in a given trial the test results indicated that the effects of the treatments being compared were very similar (as, say, in case D) the possibility could not be ruled out that a trial with different patients, or alternative measurements or some different approach altogether would have succeeded in finding a difference. No probabilistic calculation on the data in hand has anything to say about this possibility: it is essentially a matter of data not collected. There is a difference in kind between ‘proving’ that drugs are similar and proving that they are not similar. This difference is analogous to the difference which exists in principle between a proof of marital infidelity and fidelity. The first may be provided simply enough (in principle) by evidence; the second, if at all, only by a repeated failure to find the evidence which the first demands.”
Statistical Issues in Drug Development (2nd edition, 2007), Chapter 15
See Senn, S.J., Inherent difficulties with active control equivalence studies. Statistics in Medicine, 1993. 12(24): p. 2367-75.
http://www.senns.demon.co.uk/Papers/ACES%20SiM%201993.pdf
In the paper the symbol was used instead of , and was used instead of but the change has been made here to avoid confusion, since and are often used for type I and type II error rates.
One could argue that it is the joint effect of , and that reflects matters beyond our control.
On the other hand, our knowledge of statistics (and experimental design) enables us to fix and
This will probably be skipped over in the lecture
Reminder: is the prior probability of equivalence, is the probability of competence given non-equivalence
It is assumed that a ‘difference’ has been observed
The horizontal axis gives the probability, 𝑃(𝐷 𝐸 ′ 𝐶)=𝜋 of observing a ‘difference’ given that the trial is competent (C) and that non-Equivalence (E’) obtains. OTBE, we expect that the more precise the experiment, the bigger this value will be
The vertical axis gives the posterior probability of non-equivalence
A limit is reached as approaches 1 but this is because does not increase
Note to self. The program is “ACES Bayesian.gen” and the location is C:\Users\Stephen\Documents\Genstat\GenStat Files\Research\Equivalence
Now that the value of has been reduced, the limit for the posterior probability is much higher. In principle, simply by designing better experiments, we can make better and better inferences regarding differences.
However, this slide shows that the same is not true of equivalence. There is a limit to what we can conclude unless we can make a judgement of competence that relies on external matters.
This may seem puzzling, since what is equivalence but that which applies when non-equivalence does not but the real reason is that three alternatives are involved ‘equivalent’ ‘not competent’ ‘different’. It is distinguishing between the first two that is the problem.
Popper, K. and Miller, D. ‘Why probabilistic support is not inductive’,Philosophical Transactions ofthe
Royal Society of London, Series A, 321, 569-591 (1987).
See also The Jealous Husband’s dilemma , Dicing With Death, chapter 4.
Example of a trial in asthma comparing a bronchodilator to placebo using forced expiratory volume in one second (FEV1) in mL
This is a simulation to illustrate the issues. In the simulation a population of patients for whom the treatment effect is not identical has been considered. Each clinical trial has a different average treatment effect because involving different (possible unidentifiable) sub-populations of patients. This is done by drawing from a random distribution a common patient effect for the trial from an overall distribution.
Sixty trials are simulated
Once this value has been established for the trial, then individual patient values are simulated from the distribution for the trial.
The point estimates (diamonds) and 95% confidence intervals (whiskers) are calculated.
On the LHS the confidence intervals are judged according to whether they cover the population value (given by the horizontal line at 300 mL). Black, yes, red, no. It can be seen that the claimed 95% coverage does not apply.
On the RHS coverage is judged by whether they cover the ‘true’ local effect (which is given by the small blue horizontal bar, which varies from trial to trial). The theory holds up well and in fact, 3 out of 60, that is to say 5%, of the true values are not within the intervals.
Of course formal proofs using either calculus (integrating out) or proof by mathematical induction are possible. To understand what your choice of prior distribution commits you to you have to see the answer. This is an example of what Popper once wrote about scientists liking ‘weak’ proofs because they often bring more understanding.
The example is discussed an a proof by induction is given in chapter 4 of Dicing with Death.