ArticlePloS one2019
Robustness of statistical methods when measure is affected by ceiling and/or floor effect.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
63 citing papers in PubMed, 2 syntheses or guidelines pooled it.
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- Estimates of the mean difference in orthopaedic randomized trials: obligatory yet obscure.BMC medical research methodology · 2021Pooled it
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- The Effect of a Brief, Web-Based Animated Video for Improving Comprehension and Implementation Feasibility for Reducing Anterior Cruciate Ligament Injury: A Three-Arm Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Reducing Problematic Parenting Behaviors, Child Neglect, and Internalizing and Externalizing Problems in Multisystemic Therapy for Child Abuse and Neglect.Child maltreatment · 2026Article
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- Beyond technology usefulness: Health system reliability, and socio-demographic and professional factors as shapers of technostress in physicians.PLOS digital health · 2026Article
- Oral function tests in spinal muscular atrophy: closing the diagnostic gap in severely affected adult patients : A prospective observational study.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026Observational
- Key Mediators Reducing Socioeconomic Inequality in Early Childhood Caries.JDR clinical and translational research · 2026Article
- Comparing the Weighted Gain Score and a Rasch-Based Approach for Estimating Learning Outcomes in Medical Education: Quantitative Study.JMIR medical education · 2026Article
- Adaptive and Maladaptive Networks Using Ecological Momentary Assessment.Clinical psychology in Europe · 2026Article
- Conducting Evaluations in the Context of Tertiary Prevention of Youth Crime: Reflections from the Youth Endowment Fund.Behavioral sciences (Basel, Switzerland) · 2026Review
- Psychometric Validation of the Caregiver Preparedness Scale in a Population-Based Sample.Nursing reports (Pavia, Italy) · 2026Article
- Commitment to Self-Tracking Among Wearable-Device Users: Validation of the C2ST Scale and Known-Groups Evidence.European journal of investigation in health, psychology and education · 2026Article
- Hemispheric transfer and dyslexia: testing the deficit hypothesis for word and symmetry recognition using visual half-field tasks.Journal of neurodevelopmental disorders · 2026Article
- The Effect of Educational Intervention on Legal Anti-Doping Knowledge and Doping Tendency in Elite Athletes.Sports (Basel, Switzerland) · 2026Article
- Decomposing Juggling Skill into Sequencing, Prediction, and Accuracy: A Computational Model with Low-Gravity VR Training.Sensors (Basel, Switzerland) · 2026Article
- Assessing Ageist Attitudes: Psychometric Properties of the Fraboni Scale of Ageism in a Population-Based Sample.Geriatrics (Basel, Switzerland) · 2025Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
GOALS AND
methodsA simulation study investigated how ceiling and floor effect (CFE) affect the performance of Welch's t-test, F-test, Mann-Whitney test, Kruskal-Wallis test, Scheirer-Ray-Hare-test, trimmed t-test, Bayesian t-test, and the "two one-sided tests" equivalence testing procedure. The effect of CFE on the estimate of group difference and on its confidence interval, and on Cohen's d and on its confidence interval was also evaluated. In addition, the parametric methods were applied to data transformed with log or logit function and the performance was evaluated. The notion of essential maximum from abstract measurement theory is used to formally define CFE and the principle of maximum entropy was used to derive probability distributions with essential maximum/minimum. These distributions allow the manipulation of the magnitude of CFE through a parameter. Beta, Gamma, Beta prime and Beta-binomial distributions were obtained in this way with the CFE parameter corresponding to the logarithm of the geometric mean. Wald distribution and ordered logistic regression were also included in the study due to their measure-theoretic connection to CFE, even though these models lack essential minimum/maximum. Performance in two-group, three-group and 2 × 2 factor design scenarios was investigated by fixing the group differences in terms of CFE parameter and by adjusting the base level of CFE. RESULTS AND
conclusionsIn general, bias and uncertainty increased with CFE. Most problematic were occasional instances of biased inference which became more certain and more biased as the magnitude of CFE increased. The bias affected the estimate of group difference, the estimate of Cohen's d and the decisions of the equivalence testing methods. Statistical methods worked best with transformed data, albeit this depended on the match between the choice of transformation and the type of CFE. Log transform worked well with Gamma and Beta prime distribution while logit transform worked well with Beta distribution. Rank-based tests showed best performance with discrete data, but it was demonstrated that even there a model derived with measurement-theoretic principles may show superior performance. Trimmed t-test showed poor performance. In the factor design, CFE prevented the detection of main effects as well as the detection of interaction. Irrespective of CFE, F-test misidentified main effects and interactions on multiple occasions. Five different constellations of main effect and interactions were investigated for each probability distribution, and weaknesses of each statistical method were identified and reported. As part of the discussion, the use of generalized linear models based on abstract measurement theory is recommended to counter CFE. Furthermore, the necessity of measure validation/calibration studies to obtain the necessary knowledge of CFE to design and select an appropriate statistical tool, is stressed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.