Sample-size estimation based on the traditional method of statistical significance is not appropriate for a study designed to make an inference about realworld significance, which requires interpretation of magnitude of an outcome. I present here a spreadsheet using two new methods for estimating sample size for such studies, based on acceptable uncertainty defined either by the width of the confidence interval or by error rates for a clinical or practical decision arising from the study. The new methods require sample sizes approximately onethird those of the traditional method, which is included in the spreadsheet. The following issues are also addressed in this article: choice of smallest effect, sample size with various designs, sample size "on the fly", dealing with suboptimal sample size, effect of validity and reliability of dependent and predictor variables, sample size for comparison of subgroups, sample size for individual differences and responses, sample size when adjusting for subgroups of unequal size, sample size for more than one important effect, the number of repeated observations in single-subject studies, sample sizes for measurement studies and case series, and estimation of sample size by simulation.
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