Random versus nonrandom assignment in controlled experiments: do you get the same answer?

: Psychotherapy meta-analyses commonly combine results from controlled experiments that use random and nonrandom assignment without examining whether the 2 methods give the same answer. Results from this article call this practice into question. With the use of outcome studies of marital and family therapy, 64 experiments using random assignment yielded consistently higher mean post-test effects and less variable posttest effects than 36 studies using nonrandom assignment. This difference was reduced by about half by taking into account various covariates, especially pretest effect size levels and various characteristics of control groups. The importance of this finding depends on (a) whether one is discussing meta-analysis or primary experiments, (b) how precise an answer is desired, and (c) whether some adjustment to the data from studies using nonrandom assignment is possible. It is concluded that studies using nonrandom assignment may produce acceptable approximations to results from randomized experiments under some circumstances but that reliance on results from randomized experiments as the gold standard is still well founded.

[1]  H. Hartley,et al.  The maximum F-ratio as a short-cut test for heterogeneity of variance. , 1950, Biometrika.

[2]  A. W. Bean,et al.  The effect of time-out release contingencies on changes in child noncompliance , 1981, Journal of abnormal child psychology.

[3]  M. Schaffer An Evaluation of the Minnesota Couple Communication Program Upon Communication of Married Couples , 1980 .

[4]  Lloyd W. West,et al.  Human Relations Training for Families: A Comparative Strategy. , 1979 .

[5]  Clinical significance of psychotherapy for unipolar depression: a meta-analytic approach to social comparison. , 1987 .

[6]  P. Massman,et al.  Cognitive therapy versus systematic desensitization: is one treatment superior? , 1985, Psychological bulletin.

[7]  R. Diekstra,et al.  Efficacy of rational-emotive therapy: a quantitative analysis. , 1993, Journal of consulting and clinical psychology.

[8]  Cuthbert Daniel,et al.  Fitting Equations to Data: Computer Analysis of Multifactor Data , 1980 .

[9]  L. Cronbach,et al.  Designing evaluations of educational and social programs , 1983 .

[10]  D. Hadzi-Pavlovic,et al.  Behavior therapy and tricyclic medication in the treatment of obsessive-compulsive disorder: a quantitative review. , 1987, Journal of consulting and clinical psychology.

[11]  Rory A. Fisher,et al.  The Arrangement of Field Experiments , 1992 .

[12]  S. Maxwell,et al.  A meta-analysis of psychotherapy and drug therapy in the treatment of unipolar depression with adults. , 1983, Journal of consulting and clinical psychology.

[13]  D. Baucom,et al.  Effectiveness of cotherapists versus single therapists and immediate versus delayed treatment in behavioral marital therapy. , 1983, Journal of consulting and clinical psychology.

[14]  T. Tripodi,et al.  An experiment in social engineering in serving the families of predelinquents , 1976, Journal of abnormal child psychology.

[15]  Suspended judgment. Ethics, evidence, and uncertainty. , 1990, Controlled clinical trials.

[16]  R. Bornstein,et al.  A meta-analysis of antidepressant outcome under "blinder" conditions. , 1992, Journal of consulting and clinical psychology.

[17]  P. Kilmann,et al.  Mothers As Family Change Agents. , 1975 .

[18]  N. Jacobson A component analysis of behavioral marital therapy: the relative effectiveness of behavior exchange and communication/problem-solving training. , 1984, Journal of consulting and clinical psychology.

[19]  A. W. Avery,et al.  Training marital couples in problem-solving skills: An evaluation of a weekend training format. , 1980 .

[20]  I. Manion,et al.  Early intervention for parents at risk of child abuse and neglect: a preliminary investigation. , 1988, Journal of consulting and clinical psychology.

[21]  Larry V. Hedges,et al.  A random effects model for effect sizes , 1983 .

[22]  F. Mosteller,et al.  Understanding robust and exploratory data analysis , 1985 .

[23]  M. J. Norušis,et al.  SPSS for UNIX: Base system user's guide, release 5.0 , 1993 .

[24]  Jay Magidson,et al.  Adjusting for Confounding Factors in Quasi-experiments: Another Reanalysis of the Westinghouse Head Start Evaluation , 1982 .

[25]  G. Keppel Design and analysis: A researcher's handbook, 3rd ed. , 1991 .

[26]  Gene V. Glass,et al.  The benefits of psychotherapy , 1980 .

[27]  W. Shadish,et al.  Mediators and moderators in meta-analysis: there's a reason we don't let dodo birds tell us which psychotherapies should have prizes. , 1991, Journal of consulting and clinical psychology.

[28]  R. Orwin A fail-safe N for effect size in meta-analysis. , 1983 .

[29]  G. Patterson,et al.  An Evaluation of Parent Training Procedures Designed to Alter Inappropriate Aggressive Behavior of Boys. , 1974 .

[30]  William R. Shadish,et al.  Combining estimates of effect size. , 1994 .

[31]  Paul W. Holland,et al.  Comment: It's Very Clear , 1989 .

[32]  F. Floyd,et al.  Evaluating behavioral marital therapy for male alcoholics: Effects on marital adjustment and communication from before to after treatment , 1985 .

[33]  R. McMahon,et al.  The effect of parental instruction-giving on child compliance , 1978 .

[34]  J. Szapocznik,et al.  Conjoint versus one-person family therapy: some evidence for the effectiveness of conducting family therapy through one person. , 1983, Journal of consulting and clinical psychology.

[35]  J. Garrigan,et al.  Short Term Family Therapy with Emotionally Disturbed Children , 1975 .

[36]  J. Berman,et al.  The efficacy of cognitive behavior therapies: a quantitative review of the research evidence. , 1983, Psychological bulletin.

[37]  H. Schroeder,et al.  Social skills training with schizophrenics: a meta-analytic evaluation. , 1990, Journal of consulting and clinical psychology.

[38]  K. Dobson A meta-analysis of the efficacy of cognitive therapy for depression. , 1989, Journal of consulting and clinical psychology.

[39]  K. O’leary,et al.  Impact of Problem-Solving Communication Training and Generalization Procedures on Family Conflict. , 1983 .

[40]  G. Colletti,et al.  Evaluation of behavioral group counseling for parents of learning-disabled children , 1978, Journal of abnormal child psychology.

[41]  S. Beach,et al.  The treatment of depression occurring in the context of marital discord , 1986 .

[42]  L. Hedges,et al.  Meta-analysis of screening and diagnostic tests. , 1995, Psychological bulletin.

[43]  H. Schroeder,et al.  Self-statement modification in the treatment of child behavior disorders: a meta-analysis. , 1989, Psychological bulletin.

[44]  J. Berman,et al.  The outcome of psychotherapy with children. , 1985, Psychological bulletin.

[45]  G. L. Wilson,et al.  Treatment of relationship dysfunction: an empirical evaluation of group and conjoint behavioral marital therapy. , 1988, Journal of consulting and clinical psychology.

[46]  I. Glick,et al.  The effects of family presence and brief family intervention on global outcome for hospitalized schizophrenic patients. , 1977, Family process.

[47]  A. Cepeda-Benito,et al.  Meta-analytical review of the efficacy of nicotine chewing gum in smoking treatment programs. , 1993, Journal of consulting and clinical psychology.

[48]  C. Webster-Stratton American Psychological Association, Inc. Randomized Trial of Two Parent-Training Programs for Families With Conduct-Disordered , 2022 .

[49]  Evaluating the effectiveness of family therapies: an integrative review and analysis. , 1987 .

[50]  J. Berman,et al.  Does professional training make a therapist more effective? , 1985, Psychological bulletin.

[51]  D. Olson,et al.  Circumplex Model of Marital Systems: An Empirical Study of Clinic and Non‐clinic Couples , 1978 .

[52]  K. Wells,et al.  Generality of treatment effects from treated to untreated behaviors resulting from a parent training program , 1980 .

[53]  E. Mash,et al.  Behavior Change: Methodology, Concepts and Practice , 1973 .

[54]  G. Keppel,et al.  Design and Analysis: A Researcher's Handbook , 1976 .

[55]  R. Coursey,et al.  Impact of an educational support group on family participants who take care of their schizophrenic relatives. , 1989, Journal of consulting and clinical psychology.

[56]  Susan M. Johnson,et al.  Differential effects of experiential and problem-solving interventions in resolving marital conflict. , 1985, Journal of consulting and clinical psychology.

[57]  S. Haynes,et al.  The effects of participant monitoring and feedback on marital interaction and satisfaction , 1980 .

[58]  N. Jacobson,et al.  Specific and nonspecific factors in the effectiveness of a behavioral approach to the treatment of marital discord. , 1978, Journal of consulting and clinical psychology.

[59]  S. Spence,et al.  Group versus individual applications of reciprocity training for parent-youth conflict. , 1985, Behaviour research and therapy.

[60]  L. Hedges,et al.  The Handbook of Research Synthesis , 1995 .

[61]  Max-Planck-Gesellschaft zur Förderung der Wissenschaften,et al.  Marital interaction : analysis and modification , 1984 .

[62]  B. Guerney,et al.  Relationship enhancement versus a traditional approach to therapeutic/preventative/enrichment parent-adolescent programs. , 1981, Journal of consulting and clinical psychology.

[63]  D. Campbell Factors relevant to the validity of experiments in social settings. , 1957, Psychological bulletin.

[64]  J. Szapocznik,et al.  Structural family versus psychodynamic child therapy for problematic Hispanic boys. , 1989, Journal of consulting and clinical psychology.

[65]  William M. Zangwill An Evaluation of a Parent Training Program. , 1984 .

[66]  L. Tsoi-Hoshmand Marital Therapy: An Integrative Behavioral-Learning Model* , 1976 .

[67]  S. Weisberg,et al.  An Introduction to Regression Graphics , 1994 .

[68]  A. Graziano,et al.  Family self-control instruction for children's nighttime fear reduction. , 1980, Journal of consulting and clinical psychology.

[69]  S. Weisberg,et al.  Residuals and Influence in Regression , 1982 .

[70]  J. Fleiss Statistical methods for rates and proportions , 1974 .

[71]  Roger E. Kirk,et al.  Experimental design: Procedures for the behavioral sciences (3rd ed.). , 1995 .

[72]  D. Baucom,et al.  Supplementing behavioral marital therapy with cognitive restructuring and emotional expressiveness training: an outcome investigation. , 1990, Journal of consulting and clinical psychology.

[73]  P. Emmelkamp,et al.  A CLINICAL-EVALUATION OF MARITAL TREATMENT - RECIPROCITY COUNSELING VS SYSTEM-THEORETIC COUNSELING , 1980 .

[74]  V. Miké Philosophers assess randomized clinical trials: the need for dialogue. , 1989, Controlled clinical trials.

[75]  Anthony R D'elio AN INVESTIGATION OF THE EFFECTIVENESS OF INTERVENTION STRATEGIES ON JUVENILE ANTI-SOCIAL BEHAVIORS , 1982 .

[76]  G. Clum,et al.  Relative contribution of specific and nonspecific treatment effects: meta-analysis of placebo-controlled behavior therapy research. , 1988, Psychological bulletin.

[77]  H. Walter,et al.  Placebo versus social learning effects in parent training procedures designed to alter the behavior of aggressive boys. , 1973 .

[78]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[79]  S. Stanley Family Education to Enhance the Moral Atmosphere of the Family and the Moral Development of Adolescents. , 1978 .

[80]  S. Sauber International Journal of Family Counseling , 1978 .

[81]  B. M. Hill Group Intervention with Parents of Psychiatrically Hospitalized Children. , 1982 .

[82]  M. Waldo,et al.  The Effects of Assertiveness Training on Couples' Relationships. , 1984 .

[83]  D. Shapiro,et al.  Meta-analysis of comparative therapy outcome studies: a replication and refinement. , 1982, Psychological bulletin.

[84]  M. L. Klotz,et al.  Effectiveness of psychotherapy with children and adolescents: a meta-analysis for clinicians. , 1987, Journal of consulting and clinical psychology.

[85]  R. Rosenthal,et al.  Paradoxical interventions: a meta-analysis. , 1987, Journal of consulting and clinical psychology.

[86]  R. Neimeyer,et al.  Psychotherapy for the treatment of depression: a comprehensive review of controlled outcome research. , 1990, Psychological bulletin.

[87]  A. C. Israel,et al.  The effects of training parents in general child management skills on a behavioral weight loss program for children , 1985 .

[88]  W. Shadish,et al.  Effects of family and marital psychotherapies: a meta-analysis. , 1993, Journal of consulting and clinical psychology.

[89]  G. Clum,et al.  A meta-analysis of treatments for panic disorder. , 1993, Journal of consulting and clinical psychology.

[90]  R. Hoyle,et al.  Efficacy of abbreviated progressive muscle relaxation training: a quantitative review of behavioral medicine research. , 1993, Journal of consulting and clinical psychology.

[91]  A. Goldman,et al.  Comparison of integrated systemic and emotionally focused approaches to couples therapy. , 1992, Journal of consulting and clinical psychology.

[92]  Robert Guzzetta Acquisition and Transfer of Empathy by the Parents of Early Adolescents Through Structured Learning Training. , 1976 .

[93]  D. Revenstorf,et al.  Treatment of marital distress: Comparing formats and modalities , 1982 .

[94]  The Effect on Marital Adjustment of Teaching Basic Marital Communication in a Conjoint Couples' Group Using Videotape Feedback , 1979 .

[95]  J. Durlak,et al.  Effectiveness of cognitive-behavior therapy for maladapting children: a meta-analysis. , 1991, Psychological bulletin.

[96]  D. Christensen Postmastectomy couple counseling: an outcome study of a structured treatment protocol. , 1983, Journal of sex & marital therapy.

[97]  W. Grove Statistical Methods for Rates and Proportions, 2nd ed , 1981 .

[98]  M. Kelley,et al.  Managing sibling aggression: Overcorrection as an alternative to time-out , 1992 .

[99]  C. H. Huber,et al.  Cognitive restructuring and a collaborative set in couples' work , 1985 .

[100]  R. Kirk Experimental Design: Procedures for the Behavioral Sciences , 1970 .

[101]  James M. Anderson,et al.  Adlerian family counseling: An evaluation , 1978 .

[102]  S. Henggeler,et al.  Family preservation using multisystemic therapy: an effective alternative to incarcerating serious juvenile offenders. , 1992, Journal of consulting and clinical psychology.

[103]  Thomas A. Louis,et al.  Meta-Analysis for Explanation: A Casebook. , 1992 .

[104]  Peter M. Bentler,et al.  EQS : structural equations program manual , 1989 .

[105]  S. Regas A COMPARISON OF FUNCTIONAL FAMILY THERAPY AND PEER GROUP THERAPY IN THE TREATMENT OF HYPERACTIVE ADOLESCENTS , 1983 .

[106]  H. Markman,et al.  Effectiveness of behavioral marital therapy: empirical status of behavioral techniques in preventing and alleviating marital distress. , 1988, Journal of consulting and clinical psychology.

[107]  M. Lipsey,et al.  The efficacy of psychological, educational, and behavioral treatment. Confirmation from meta-analysis. , 1993, American Psychologist.

[108]  P. McGrath,et al.  Outcome of parent-mediated treatment of preschoolers with attention deficit disorder with hyperactivity. , 1989, Journal of consulting and clinical psychology.

[109]  J. Druckman A Family-Oriented Policy and Treatment Program for Female Juvenile Status Offenders. , 1979 .