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One-sided vs two-sided tests

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Hypothesis Testing - The Core Logic

  • Foundation: A formal procedure to accept or reject a statistical hypothesis.
  • Null Hypothesis ($H_0$): Assumes no effect, no association, or no difference between groups (e.g., new drug = placebo).
  • Alternative Hypothesis ($H_A$): Contradicts the null; assumes an effect or difference exists. The goal of research is often to find evidence for $H_A$.

Two-sided T-distribution with 14 degrees of freedom

The Decision Rule: If the p-value is less than or equal to the pre-specified alpha ($oldsymbol{\alpha}$), typically 0.05, we reject the null hypothesis ($H_0$). This means the observed result is "statistically significant."

One-Sided vs. Two-Sided - The Main Event

The choice between a one-sided and two-sided test hinges on the research hypothesis and must be decided before data collection to maintain integrity.

FeatureTwo-Sided Test (Standard)One-Sided Test
Research QuestionIs there any difference?Is group A better/worse than B?
Alternative ($H_a$)Non-directional ($H_a: \mu_1 \neq \mu_2$)Directional ($H_a: \mu_1 > \mu_2$)
$\alpha$ RegionSplit between two tails (e.g., 0.025 each)Entire $\alpha$ in one tail (e.g., 0.05)
PowerLower (more conservative)Higher (to detect effect in one direction)
Use CaseDefault for most clinical trialsStrong a priori evidence for direction
  • A two-sided test is the rigorous standard, as it accounts for the possibility of an effect in the opposite direction of what is expected (e.g., a new drug causing harm instead of benefit).
  • ⚠️ Using a one-sided test can inflate the significance of findings; it's easier to get a smaller p-value.

⭐ If a two-sided test yields a p-value of 0.06, a one-sided test on the same data (assuming the effect is in the hypothesized direction) would yield a p-value of 0.03, crossing the threshold for significance.

P-Values & CIs - Reading the Results

  • Two-Sided Test (Standard Approach)

    • Tests for a difference in either direction (e.g., drug is better OR worse).
    • Alternative hypothesis: $H_A: \mu_1 \neq \mu_2$.
    • The $\alpha$ level (e.g., 0.05) is split between two tails of the distribution curve.
  • One-Sided Test

    • Tests for a difference in one pre-specified direction (e.g., drug is better).
    • Alternative hypothesis: $H_A: \mu_1 > \mu_2$.
    • Concentrates the entire $\alpha$ level in one tail, increasing statistical power for that direction.

Two-sided test critical regions (alpha = 0.05)

⭐ A one-sided p-value is roughly half the two-sided p-value. A result that is non-significant in a two-sided test may become significant in a one-sided test. This requires strong justification before the study begins.

High‑Yield Points - ⚡ Biggest Takeaways

  • Two-sided tests evaluate for a difference in either direction (e.g., A ≠ B) and are the most common type in clinical trials.
  • One-sided tests assess for a difference in one pre-specified direction only (e.g., A > B or A < B).
  • For the same dataset, the p-value of a one-sided test is half that of a two-sided test.
  • This gives one-sided tests greater statistical power to detect an effect, but only in the hypothesized direction.
  • Use a one-sided test only with a strong, pre-existing hypothesis about the direction of the effect.

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