using the 5 steps of hypothesis testing

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Introduction to Hypothesis Testing

A statistical hypothesis is an assumption about a population parameter .

For example, we may assume that the mean height of a male in the U.S. is 70 inches.

The assumption about the height is the statistical hypothesis and the true mean height of a male in the U.S. is the population parameter .

A hypothesis test is a formal statistical test we use to reject or fail to reject a statistical hypothesis.

The Two Types of Statistical Hypotheses

To test whether a statistical hypothesis about a population parameter is true, we obtain a random sample from the population and perform a hypothesis test on the sample data.

There are two types of statistical hypotheses:

The null hypothesis , denoted as H 0 , is the hypothesis that the sample data occurs purely from chance.

The alternative hypothesis , denoted as H 1 or H a , is the hypothesis that the sample data is influenced by some non-random cause.

Hypothesis Tests

A hypothesis test consists of five steps:

1. State the hypotheses. 

State the null and alternative hypotheses. These two hypotheses need to be mutually exclusive, so if one is true then the other must be false.

2. Determine a significance level to use for the hypothesis.

Decide on a significance level. Common choices are .01, .05, and .1. 

3. Find the test statistic.

Find the test statistic and the corresponding p-value. Often we are analyzing a population mean or proportion and the general formula to find the test statistic is: (sample statistic – population parameter) / (standard deviation of statistic)

4. Reject or fail to reject the null hypothesis.

Using the test statistic or the p-value, determine if you can reject or fail to reject the null hypothesis based on the significance level.

The p-value  tells us the strength of evidence in support of a null hypothesis. If the p-value is less than the significance level, we reject the null hypothesis.

5. Interpret the results. 

Interpret the results of the hypothesis test in the context of the question being asked. 

The Two Types of Decision Errors

There are two types of decision errors that one can make when doing a hypothesis test:

Type I error: You reject the null hypothesis when it is actually true. The probability of committing a Type I error is equal to the significance level, often called  alpha , and denoted as α.

Type II error: You fail to reject the null hypothesis when it is actually false. The probability of committing a Type II error is called the Power of the test or  Beta , denoted as β.

One-Tailed and Two-Tailed Tests

A statistical hypothesis can be one-tailed or two-tailed.

A one-tailed hypothesis involves making a “greater than” or “less than ” statement.

For example, suppose we assume the mean height of a male in the U.S. is greater than or equal to 70 inches. The null hypothesis would be H0: µ ≥ 70 inches and the alternative hypothesis would be Ha: µ < 70 inches.

A two-tailed hypothesis involves making an “equal to” or “not equal to” statement.

For example, suppose we assume the mean height of a male in the U.S. is equal to 70 inches. The null hypothesis would be H0: µ = 70 inches and the alternative hypothesis would be Ha: µ ≠ 70 inches.

Note: The “equal” sign is always included in the null hypothesis, whether it is =, ≥, or ≤.

Related:   What is a Directional Hypothesis?

Types of Hypothesis Tests

There are many different types of hypothesis tests you can perform depending on the type of data you’re working with and the goal of your analysis.

The following tutorials provide an explanation of the most common types of hypothesis tests:

Introduction to the One Sample t-test Introduction to the Two Sample t-test Introduction to the Paired Samples t-test Introduction to the One Proportion Z-Test Introduction to the Two Proportion Z-Test

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Hey there. My name is Zach Bobbitt. I have a Masters of Science degree in Applied Statistics and I’ve worked on machine learning algorithms for professional businesses in both healthcare and retail. I’m passionate about statistics, machine learning, and data visualization and I created Statology to be a resource for both students and teachers alike.  My goal with this site is to help you learn statistics through using simple terms, plenty of real-world examples, and helpful illustrations.

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Hypothesis Testing Framework

Now that we've seen an example and explored some of the themes for hypothesis testing, let's specify the procedure that we will follow.

Hypothesis Testing Steps

The formal framework and steps for hypothesis testing are as follows:

• Identify and define the parameter of interest
• Define the competing hypotheses to test
• Set the evidence threshold, formally called the significance level
• Generate or use theory to specify the sampling distribution and check conditions
• Calculate the test statistic and p-value
• Evaluate your results and write a conclusion in the context of the problem.

We'll discuss each of these steps below.

Identify Parameter of Interest

First, I like to specify and define the parameter of interest. What is the population that we are interested in? What characteristic are we measuring?

By defining our population of interest, we can confirm that we are truly using sample data. If we find that we actually have population data, our inference procedures are not needed. We could proceed by summarizing our population data.

By identifying and defining the parameter of interest, we can confirm that we use appropriate methods to summarize our variable of interest. We can also focus on the specific process needed for our parameter of interest.

In our example from the last page, the parameter of interest would be the population mean time that a host has been on Airbnb for the population of all Chicago listings on Airbnb in March 2023. We could represent this parameter with the symbol $\mu$. It is best practice to fully define $\mu$ both with words and symbol.

Define the Hypotheses

For hypothesis testing, we need to decide between two competing theories. These theories must be statements about the parameter. Although we won't have the population data to definitively select the correct theory, we will use our sample data to determine how reasonable our "skeptic's theory" is.

The first hypothesis is called the null hypothesis, $H_0$. This can be thought of as the "status quo", the "skeptic's theory", or that nothing is happening.

Examples of null hypotheses include that the population proportion is equal to 0.5 ($p = 0.5$), the population median is equal to 12 ($M = 12$), or the population mean is equal to 14.5 ($\mu = 14.5$).

The second hypothesis is called the alternative hypothesis, $H_a$ or $H_1$. This can be thought of as the "researcher's hypothesis" or that something is happening. This is what we'd like to convince the skeptic to believe. In most cases, the desired outcome of the researcher is to conclude that the alternative hypothesis is reasonable to use moving forward.

Examples of alternative hypotheses include that the population proportion is greater than 0.5 ($p > 0.5$), the population median is less than 12 ($M < 12$), or the population mean is not equal to 14.5 ($\mu \neq 14.5$).

There are a few requirements for the hypotheses:

• the hypotheses must be about the same population parameter,
• the hypotheses must have the same null value (provided number to compare to),
• the null hypothesis must have the equality (the equals sign must be in the null hypothesis),
• the alternative hypothesis must not have the equality (the equals sign cannot be in the alternative hypothesis),
• there must be no overlap between the null and alternative hypothesis.

You may have previously seen null hypotheses that include more than an equality (e.g. $p \le 0.5$). As long as there is an equality in the null hypothesis, this is allowed. For our purposes, we will simplify this statement to ($p = 0.5$).

To summarize from above, possible hypotheses statements are:

$H_0: p = 0.5$ vs. $H_a: p > 0.5$

$H_0: M = 12$ vs. $H_a: M < 12$

$H_0: \mu = 14.5$ vs. $H_a: \mu \neq 14.5$

In our second example about Airbnb hosts, our hypotheses would be:

$H_0: \mu = 2100$ vs. $H_a: \mu > 2100$.

Set Threshold (Significance Level)

There is one more step to complete before looking at the data. This is to set the threshold needed to convince the skeptic. This threshold is defined as an $\alpha$ significance level. We'll define exactly what the $\alpha$ significance level means later. For now, smaller $\alpha$s correspond to more evidence being required to convince the skeptic.

A few common $\alpha$ levels include 0.1, 0.05, and 0.01.

For our Airbnb hosts example, we'll set the threshold as 0.02.

Determine the Sampling Distribution of the Sample Statistic

The first step (as outlined above) is the identify the parameter of interest. What is the best estimate of the parameter of interest? Typically, it will be the sample statistic that corresponds to the parameter. This sample statistic, along with other features of the distribution will prove especially helpful as we continue the hypothesis testing procedure.

However, we do have a decision at this step. We can choose to use simulations with a resampling approach or we can choose to rely on theory if we are using proportions or means. We then also need to confirm that our results and conclusions will be valid based on the available data.

Required Condition

The one required assumption, regardless of approach (resampling or theory), is that the sample is random and representative of the population of interest. In other words, we need our sample to be a reasonable sample of data from the population.

Using Simulations and Resampling

If we'd like to use a resampling approach, we have no (or minimal) additional assumptions to check. This is because we are relying on the available data instead of assumptions.

We do need to adjust our data to be consistent with the null hypothesis (or skeptic's claim). We can then rely on our resampling approach to estimate a plausible sampling distribution for our sample statistic.

Recall that we took this approach on the last page. Before simulating our estimated sampling distribution, we adjusted the mean of the data so that it matched with our skeptic's claim, shown in the code below.

We'll see a few more examples on the next page.

Using Theory

On the other hand, we could rely on theory in order to estimate the sampling distribution of our desired statistic. Recall that we had a few different options to rely on:

• the CLT for the sampling distribution of a sample mean
• the binomial distribution for the sampling distribution of a proportion (or count)
• the Normal approximation of a binomial distribution (using the CLT) for the sampling distribution of a proportion

If relying on the CLT to specify the underlying sampling distribution, you also need to confirm:

• having a random sample and
• having a sample size that is less than 10% of the population size if the sampling is done without replacement
• having a Normally distributed population for a quantitative variable OR
• having a large enough sample size (usually at least 25) for a quantitative variable
• having a large enough sample size for a categorical variable (defined by $np$ and $n(1-p)$ being at least 10)

If relying on the binomial distribution to specify the underlying sampling distribution, you need to confirm:

• having a set number of trials, $n$
• having the same probability of success, $p$ for each observation

After determining the appropriate theory to use, we should check our conditions and then specify the sampling distribution for our statistic.

For the Airbnb hosts example, we have what we've assumed to be a random sample. It is not taken with replacement, so we also need to assume that our sample size (700) is less than 10% of our population size. In other words, we need to assume that the population of Chicago Airbnbs in March 2023 was at least 7000. Since we do have our (presumed) population data available, we can confirm that there were at least 7000 Chicago Airbnbs in the population in 2023.

Additionally, we can confirm that normality of the sampling distribution applies for the CLT to apply. Our sample size is more than 25 and the parameter of interest is a mean, so this meets our necessary criteria for the normality condition to be valid.

With the conditions now met, we can estimate our sampling distribution. From the CLT, we know that the distribution for the sample mean should be $\bar{X} \sim N(\mu, \frac{\sigma}{\sqrt{n}})$.

Now, we face our next challenge -- what to plug in as the mean and standard error for this distribution. Since we are adopting the skeptic's point of view for the purpose of this approach, we can plug in the value of $\mu_0 = 2100$. We also know that the sample size $n$ is 700. But what should we plug in for the population standard deviation $\sigma$?

When we don't know the value of a parameter, we will generally plug in our best estimate for the parameter. In this case, that corresponds to plugging in $\hat{\sigma}$, or our sample standard deviation.

Now, our estimated sampling distribution based on the CLT is: $\bar{X} \sim N(2100, 41.4045)$.

If we compare to our corresponding skeptic's sampling distribution on the last page, we can confirm that the theoretical sampling distribution is similar to the simulated sampling distribution based on resampling.

Assumptions not met

What do we do if the necessary conditions aren't met for the sampling distribution? Because the simulation-based resampling approach has minimal assumptions, we should be able to use this approach to produce valid results as long as the provided data is representative of the population.

The theory-based approach has more conditions, and we may not be able to meet all of the necessary conditions. For example, if our parameter is something other than a mean or proportion, we may not have appropriate theory. Additionally, we may not have a large enough sample size.

• First, we could consider changing approaches to the simulation-based one.
• Second, we might look at how we could meet the necessary conditions better. In some cases, we may be able to redefine groups or make adjustments so that the setup of the test is closer to what is needed.
• As a last resort, we may be able to continue following the hypothesis testing steps. In this case, your calculations may not be valid or exact; however, you might be able to use them as an estimate or an approximation. It would be crucial to specify the violation and approximation in any conclusions or discussion of the test.

Calculate the evidence with statistics and p-values

Now, it's time to calculate how much evidence the sample contains to convince the skeptic to change their mind. As we saw above, we can convince the skeptic to change their mind by demonstrating that our sample is unlikely to occur if their theory is correct.

How do we do this? We do this by calculating a probability associated with our observed value for the statistic.

For example, for our situation, we want to convince the skeptic that the population mean is actually greater than 2100 days. We do that by calculating the probability that a sample mean would be as large or larger than what we observed in our actual sample, which was 2188 days. Why do we need the larger portion? We use the larger portion because a sample mean of 2200 days also provides evidence that the population mean is larger than 2100 days; it isn't limited to exactly what we observed in our sample. We call this specific probability the p-value.

That is, the p-value is the probability of observing a test statistic as extreme or more extreme (as determined by the alternative hypothesis), assuming the null hypothesis is true.

Our observed p-value for the Airbnb host example demonstrates that the probability of getting a sample mean host time of 2188 days (the value from our sample) or more is 1.46%, assuming that the true population mean is 2100 days.

Test statistic

Notice that the formal definition of a p-value mentions a test statistic . In most cases, this word can be replaced with "statistic" or "sample" for an equivalent statement.

Oftentimes, we'll see that our sample statistic can be used directly as the test statistic, as it was above. We could equivalently adjust our statistic to calculate a test statistic. This test statistic is often calculated as:

$\text{test statistic} = \frac{\text{estimate} - \text{hypothesized value}}{\text{standard error of estimate}}$

P-value Calculation Options

Note also that the p-value definition includes a probability associated with a test statistic being as extreme or more extreme (as determined by the alternative hypothesis . How do we determine the area that we consider when calculating the probability. This decision is determined by the inequality in the alternative hypothesis.

For example, when we were trying to convince the skeptic that the population mean is greater than 2100 days, we only considered those sample means that we at least as large as what we observed -- 2188 days or more.

If instead we were trying to convince the skeptic that the population mean is less than 2100 days ($H_a: \mu < 2100$), we would consider all sample means that were at most what we observed - 2188 days or less. In this case, our p-value would be quite large; it would be around 99.5%. This large p-value demonstrates that our sample does not support the alternative hypothesis. In fact, our sample would encourage us to choose the null hypothesis instead of the alternative hypothesis of $\mu < 2100$, as our sample directly contradicts the statement in the alternative hypothesis.

If we wanted to convince the skeptic that they were wrong and that the population mean is anything other than 2100 days ($H_a: \mu \neq 2100$), then we would want to calculate the probability that a sample mean is at least 88 days away from 2100 days. That is, we would calculate the probability corresponding to 2188 days or more or 2012 days or less. In this case, our p-value would be roughly twice the previously calculated p-value.

We could calculate all of those probabilities using our sampling distributions, either simulated or theoretical, that we generated in the previous step. If we chose to calculate a test statistic as defined in the previous section, we could also rely on standard normal distributions to calculate our p-value.

Evaluate your results and write conclusion in context of problem

Once you've gathered your evidence, it's now time to make your final conclusions and determine how you might proceed.

In traditional hypothesis testing, you often make a decision. Recall that you have your threshold (significance level $\alpha$) and your level of evidence (p-value). We can compare the two to determine if your p-value is less than or equal to your threshold. If it is, you have enough evidence to persuade your skeptic to change their mind. If it is larger than the threshold, you don't have quite enough evidence to convince the skeptic.

Common formal conclusions (if given in context) would be:

• I have enough evidence to reject the null hypothesis (the skeptic's claim), and I have sufficient evidence to suggest that the alternative hypothesis is instead true.
• I do not have enough evidence to reject the null hypothesis (the skeptic's claim), and so I do not have sufficient evidence to suggest the alternative hypothesis is true.

The only decision that we can make is to either reject or fail to reject the null hypothesis (we cannot "accept" the null hypothesis). Because we aren't actively evaluating the alternative hypothesis, we don't want to make definitive decisions based on that hypothesis. However, when it comes to making our conclusion for what to use going forward, we frame this on whether we could successfully convince someone of the alternative hypothesis.

A less formal conclusion might look something like:

Based on our sample of Chicago Airbnb listings, it seems as if the mean time since a host has been on Airbnb (for all Chicago Airbnb listings) is more than 5.75 years.

Significance Level Interpretation

We've now seen how the significance level $\alpha$ is used as a threshold for hypothesis testing. What exactly is the significance level?

The significance level $\alpha$ has two primary definitions. One is that the significance level is the maximum probability required to reject the null hypothesis; this is based on how the significance level functions within the hypothesis testing framework. The second definition is that this is the probability of rejecting the null hypothesis when the null hypothesis is true; in other words, this is the probability of making a specific type of error called a Type I error.

Why do we have to be comfortable making a Type I error? There is always a chance that the skeptic was originally correct and we obtained a very unusual sample. We don't want to the skeptic to be so convinced of their theory that no evidence can convince them. In this case, we need the skeptic to be convinced as long as the evidence is strong enough . Typically, the probability threshold will be low, to reduce the number of errors made. This also means that a decent amount of evidence will be needed to convince the skeptic to abandon their position in favor of the alternative theory.

p-value Limitations and Misconceptions

In comparison to the $\alpha$ significance level, we also need to calculate the evidence against the null hypothesis with the p-value.

The p-value is the probability of getting a test statistic as extreme or more extreme (in the direction of the alternative hypothesis), assuming the null hypothesis is true.

Recently, p-values have gotten some bad press in terms of how they are used. However, that doesn't mean that p-values should be abandoned, as they still provide some helpful information. Below, we'll describe what p-values don't mean, and how they should or shouldn't be used to make decisions.

Factors that affect a p-value

What features affect the size of a p-value?

• the null value, or the value assumed under the null hypothesis
• the effect size (the difference between the null value under the null hypothesis and the true value of the parameter)
• the sample size

More evidence against the null hypothesis will be obtained if the effect size is larger and if the sample size is larger.

Misconceptions

We gave a definition for p-values above. What are some examples that p-values don't mean?

• A p-value is not the probability that the null hypothesis is correct
• A p-value is not the probability that the null hypothesis is incorrect
• A p-value is not the probability of getting your specific sample
• A p-value is not the probability that the alternative hypothesis is correct
• A p-value is not the probability that the alternative hypothesis is incorrect
• A p-value does not indicate the size of the effect

Our p-value is a way of measuring the evidence that your sample provides against the null hypothesis, assuming the null hypothesis is in fact correct.

Using the p-value to make a decision

Why is there bad press for a p-value? You may have heard about the standard $\alpha$ level of 0.05. That is, we would be comfortable with rejecting the null hypothesis once in 20 attempts when the null hypothesis is really true. Recall that we reject the null hypothesis when the p-value is less than or equal to the significance level.

Consider what would happen if you have two different p-values: 0.049 and 0.051.

In essence, these two p-values represent two very similar probabilities (4.9% vs. 5.1%) and very similar levels of evidence against the null hypothesis. However, when we make our decision based on our threshold, we would make two different decisions (reject and fail to reject, respectively). Should this decision really be so simplistic? I would argue that the difference shouldn't be so severe when the sample statistics are likely very similar. For this reason, I (and many other experts) strongly recommend using the p-value as a measure of evidence and including it with your conclusion.

Putting too much emphasis on the decision (and having a significant result) has created a culture of misusing p-values. For this reason, understanding your p-value itself is crucial.

Searching for p-values

The other concern with setting a definitive threshold of 0.05 is that some researchers will begin performing multiple tests until finding a p-value that is small enough. However, with a p-value of 0.05, we know that we will have a p-value less than 0.05 1 time out of every 20 times, even when the null hypothesis is true.

This means that if researchers start hunting for p-values that are small (sometimes called p-hacking), then they are likely to identify a small p-value every once in a while by chance alone. Researchers might then publish that result, even though the result is actually not informative. For this reason, it is recommended that researchers write a definitive analysis plan to prevent performing multiple tests in search of a result that occurs by chance alone.

Best Practices

With all of this in mind, what should we do when we have our p-value? How can we prevent or reduce misuse of a p-value?

• Report the p-value along with the conclusion
• Specify the effect size (the value of the statistic)
• Define an analysis plan before looking at the data
• Interpret the p-value clearly to specify what it indicates
• Consider using an alternate statistical approach, the confidence interval, discussed next, when appropriate

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Hypothesis Testing – A Deep Dive into Hypothesis Testing, The Backbone of Statistical Inference

• September 21, 2023

Explore the intricacies of hypothesis testing, a cornerstone of statistical analysis. Dive into methods, interpretations, and applications for making data-driven decisions.

In this Blog post we will learn:

• What is Hypothesis Testing?
• Steps in Hypothesis Testing 2.1. Set up Hypotheses: Null and Alternative 2.2. Choose a Significance Level (α) 2.3. Calculate a test statistic and P-Value 2.4. Make a Decision
• Example : Testing a new drug.
• Example in python

1. What is Hypothesis Testing?

In simple terms, hypothesis testing is a method used to make decisions or inferences about population parameters based on sample data. Imagine being handed a dice and asked if it’s biased. By rolling it a few times and analyzing the outcomes, you’d be engaging in the essence of hypothesis testing.

Think of hypothesis testing as the scientific method of the statistics world. Suppose you hear claims like “This new drug works wonders!” or “Our new website design boosts sales.” How do you know if these statements hold water? Enter hypothesis testing.

2. Steps in Hypothesis Testing

• Set up Hypotheses : Begin with a null hypothesis (H0) and an alternative hypothesis (Ha).
• Choose a Significance Level (α) : Typically 0.05, this is the probability of rejecting the null hypothesis when it’s actually true. Think of it as the chance of accusing an innocent person.
• Calculate Test statistic and P-Value : Gather evidence (data) and calculate a test statistic.
• p-value : This is the probability of observing the data, given that the null hypothesis is true. A small p-value (typically ≤ 0.05) suggests the data is inconsistent with the null hypothesis.
• Decision Rule : If the p-value is less than or equal to α, you reject the null hypothesis in favor of the alternative.

2.1. Set up Hypotheses: Null and Alternative

Before diving into testing, we must formulate hypotheses. The null hypothesis (H0) represents the default assumption, while the alternative hypothesis (H1) challenges it.

For instance, in drug testing, H0 : “The new drug is no better than the existing one,” H1 : “The new drug is superior .”

2.2. Choose a Significance Level (α)

When You collect and analyze data to test H0 and H1 hypotheses. Based on your analysis, you decide whether to reject the null hypothesis in favor of the alternative, or fail to reject / Accept the null hypothesis.

The significance level, often denoted by $α$, represents the probability of rejecting the null hypothesis when it is actually true.

In other words, it’s the risk you’re willing to take of making a Type I error (false positive).

Type I Error (False Positive) :

• Symbolized by the Greek letter alpha (α).
• Occurs when you incorrectly reject a true null hypothesis . In other words, you conclude that there is an effect or difference when, in reality, there isn’t.
• The probability of making a Type I error is denoted by the significance level of a test. Commonly, tests are conducted at the 0.05 significance level , which means there’s a 5% chance of making a Type I error .
• Commonly used significance levels are 0.01, 0.05, and 0.10, but the choice depends on the context of the study and the level of risk one is willing to accept.

Example : If a drug is not effective (truth), but a clinical trial incorrectly concludes that it is effective (based on the sample data), then a Type I error has occurred.

Type II Error (False Negative) :

• Symbolized by the Greek letter beta (β).
• Occurs when you accept a false null hypothesis . This means you conclude there is no effect or difference when, in reality, there is.
• The probability of making a Type II error is denoted by β. The power of a test (1 – β) represents the probability of correctly rejecting a false null hypothesis.

Example : If a drug is effective (truth), but a clinical trial incorrectly concludes that it is not effective (based on the sample data), then a Type II error has occurred.

Balancing the Errors :

In practice, there’s a trade-off between Type I and Type II errors. Reducing the risk of one typically increases the risk of the other. For example, if you want to decrease the probability of a Type I error (by setting a lower significance level), you might increase the probability of a Type II error unless you compensate by collecting more data or making other adjustments.

It’s essential to understand the consequences of both types of errors in any given context. In some situations, a Type I error might be more severe, while in others, a Type II error might be of greater concern. This understanding guides researchers in designing their experiments and choosing appropriate significance levels.

2.3. Calculate a test statistic and P-Value

Test statistic : A test statistic is a single number that helps us understand how far our sample data is from what we’d expect under a null hypothesis (a basic assumption we’re trying to test against). Generally, the larger the test statistic, the more evidence we have against our null hypothesis. It helps us decide whether the differences we observe in our data are due to random chance or if there’s an actual effect.

P-value : The P-value tells us how likely we would get our observed results (or something more extreme) if the null hypothesis were true. It’s a value between 0 and 1. – A smaller P-value (typically below 0.05) means that the observation is rare under the null hypothesis, so we might reject the null hypothesis. – A larger P-value suggests that what we observed could easily happen by random chance, so we might not reject the null hypothesis.

2.4. Make a Decision

Relationship between $α$ and P-Value

When conducting a hypothesis test:

We then calculate the p-value from our sample data and the test statistic.

Finally, we compare the p-value to our chosen $α$:

• If $p−value≤α$: We reject the null hypothesis in favor of the alternative hypothesis. The result is said to be statistically significant.
• If $p−value>α$: We fail to reject the null hypothesis. There isn’t enough statistical evidence to support the alternative hypothesis.

3. Example : Testing a new drug.

Imagine we are investigating whether a new drug is effective at treating headaches faster than drug B.

Setting Up the Experiment : You gather 100 people who suffer from headaches. Half of them (50 people) are given the new drug (let’s call this the ‘Drug Group’), and the other half are given a sugar pill, which doesn’t contain any medication.

• Set up Hypotheses : Before starting, you make a prediction:
• Null Hypothesis (H0): The new drug has no effect. Any difference in healing time between the two groups is just due to random chance.
• Alternative Hypothesis (H1): The new drug does have an effect. The difference in healing time between the two groups is significant and not just by chance.

Calculate Test statistic and P-Value : After the experiment, you analyze the data. The “test statistic” is a number that helps you understand the difference between the two groups in terms of standard units.

For instance, let’s say:

• The average healing time in the Drug Group is 2 hours.
• The average healing time in the Placebo Group is 3 hours.

The test statistic helps you understand how significant this 1-hour difference is. If the groups are large and the spread of healing times in each group is small, then this difference might be significant. But if there’s a huge variation in healing times, the 1-hour difference might not be so special.

Imagine the P-value as answering this question: “If the new drug had NO real effect, what’s the probability that I’d see a difference as extreme (or more extreme) as the one I found, just by random chance?”

For instance:

• P-value of 0.01 means there’s a 1% chance that the observed difference (or a more extreme difference) would occur if the drug had no effect. That’s pretty rare, so we might consider the drug effective.
• P-value of 0.5 means there’s a 50% chance you’d see this difference just by chance. That’s pretty high, so we might not be convinced the drug is doing much.
• If the P-value is less than ($α$) 0.05: the results are “statistically significant,” and they might reject the null hypothesis , believing the new drug has an effect.
• If the P-value is greater than ($α$) 0.05: the results are not statistically significant, and they don’t reject the null hypothesis , remaining unsure if the drug has a genuine effect.

4. Example in python

For simplicity, let’s say we’re using a t-test (common for comparing means). Let’s dive into Python:

Making a Decision : “The results are statistically significant! p-value < 0.05 , The drug seems to have an effect!” If not, we’d say, “Looks like the drug isn’t as miraculous as we thought.”

5. Conclusion

Hypothesis testing is an indispensable tool in data science, allowing us to make data-driven decisions with confidence. By understanding its principles, conducting tests properly, and considering real-world applications, you can harness the power of hypothesis testing to unlock valuable insights from your data.

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Hypothesis Testing

When you conduct a piece of quantitative research, you are inevitably attempting to answer a research question or hypothesis that you have set. One method of evaluating this research question is via a process called hypothesis testing , which is sometimes also referred to as significance testing . Since there are many facets to hypothesis testing, we start with the example we refer to throughout this guide.

An example of a lecturer's dilemma

Two statistics lecturers, Sarah and Mike, think that they use the best method to teach their students. Each lecturer has 50 statistics students who are studying a graduate degree in management. In Sarah's class, students have to attend one lecture and one seminar class every week, whilst in Mike's class students only have to attend one lecture. Sarah thinks that seminars, in addition to lectures, are an important teaching method in statistics, whilst Mike believes that lectures are sufficient by themselves and thinks that students are better off solving problems by themselves in their own time. This is the first year that Sarah has given seminars, but since they take up a lot of her time, she wants to make sure that she is not wasting her time and that seminars improve her students' performance.

The research hypothesis

The first step in hypothesis testing is to set a research hypothesis. In Sarah and Mike's study, the aim is to examine the effect that two different teaching methods – providing both lectures and seminar classes (Sarah), and providing lectures by themselves (Mike) – had on the performance of Sarah's 50 students and Mike's 50 students. More specifically, they want to determine whether performance is different between the two different teaching methods. Whilst Mike is skeptical about the effectiveness of seminars, Sarah clearly believes that giving seminars in addition to lectures helps her students do better than those in Mike's class. This leads to the following research hypothesis:

Before moving onto the second step of the hypothesis testing process, we need to take you on a brief detour to explain why you need to run hypothesis testing at all. This is explained next.

Sample to population

If you have measured individuals (or any other type of "object") in a study and want to understand differences (or any other type of effect), you can simply summarize the data you have collected. For example, if Sarah and Mike wanted to know which teaching method was the best, they could simply compare the performance achieved by the two groups of students – the group of students that took lectures and seminar classes, and the group of students that took lectures by themselves – and conclude that the best method was the teaching method which resulted in the highest performance. However, this is generally of only limited appeal because the conclusions could only apply to students in this study. However, if those students were representative of all statistics students on a graduate management degree, the study would have wider appeal.

In statistics terminology, the students in the study are the sample and the larger group they represent (i.e., all statistics students on a graduate management degree) is called the population . Given that the sample of statistics students in the study are representative of a larger population of statistics students, you can use hypothesis testing to understand whether any differences or effects discovered in the study exist in the population. In layman's terms, hypothesis testing is used to establish whether a research hypothesis extends beyond those individuals examined in a single study.

Another example could be taking a sample of 200 breast cancer sufferers in order to test a new drug that is designed to eradicate this type of cancer. As much as you are interested in helping these specific 200 cancer sufferers, your real goal is to establish that the drug works in the population (i.e., all breast cancer sufferers).

As such, by taking a hypothesis testing approach, Sarah and Mike want to generalize their results to a population rather than just the students in their sample. However, in order to use hypothesis testing, you need to re-state your research hypothesis as a null and alternative hypothesis. Before you can do this, it is best to consider the process/structure involved in hypothesis testing and what you are measuring. This structure is presented on the next page .

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Hypothesis Testing – A Complete Guide with Examples

Published by Alvin Nicolas at August 14th, 2021 , Revised On October 26, 2023

In statistics, hypothesis testing is a critical tool. It allows us to make informed decisions about populations based on sample data. Whether you are a researcher trying to prove a scientific point, a marketer analysing A/B test results, or a manufacturer ensuring quality control, hypothesis testing plays a pivotal role. This guide aims to introduce you to the concept and walk you through real-world examples.

What is a Hypothesis and a Hypothesis Testing?

A hypothesis is considered a belief or assumption that has to be accepted, rejected, proved or disproved. In contrast, a research hypothesis is a research question for a researcher that has to be proven correct or incorrect through investigation.

What is Hypothesis Testing?

Hypothesis testing  is a scientific method used for making a decision and drawing conclusions by using a statistical approach. It is used to suggest new ideas by testing theories to know whether or not the sample data supports research. A research hypothesis is a predictive statement that has to be tested using scientific methods that join an independent variable to a dependent variable.  

Example: The academic performance of student A is better than student B

Characteristics of the Hypothesis to be Tested

A hypothesis should be:

• Clear and precise
• Capable of being tested
• Able to relate to a variable
• Stated in simple terms
• Consistent with known facts
• Limited in scope and specific
• Tested in a limited timeframe
• Explain the facts in detail

What is a Null Hypothesis and Alternative Hypothesis?

A  null hypothesis  is a hypothesis when there is no significant relationship between the dependent and the participants’ independent  variables . 

In simple words, it’s a hypothesis that has been put forth but hasn’t been proved as yet. A researcher aims to disprove the theory. The abbreviation “Ho” is used to denote a null hypothesis.

If you want to compare two methods and assume that both methods are equally good, this assumption is considered the null hypothesis.

Example: In an automobile trial, you feel that the new vehicle’s mileage is similar to the previous model of the car, on average. You can write it as: Ho: there is no difference between the mileage of both vehicles. If your findings don’t support your hypothesis and you get opposite results, this outcome will be considered an alternative hypothesis.

If you assume that one method is better than another method, then it’s considered an alternative hypothesis. The alternative hypothesis is the theory that a researcher seeks to prove and is typically denoted by H1 or HA.

If you support a null hypothesis, it means you’re not supporting the alternative hypothesis. Similarly, if you reject a null hypothesis, it means you are recommending the alternative hypothesis.

Example: In an automobile trial, you feel that the new vehicle’s mileage is better than the previous model of the vehicle. You can write it as; Ha: the two vehicles have different mileage. On average/ the fuel consumption of the new vehicle model is better than the previous model.

If a null hypothesis is rejected during the hypothesis test, even if it’s true, then it is considered as a type-I error. On the other hand, if you don’t dismiss a hypothesis, even if it’s false because you could not identify its falseness, it’s considered a type-II error.

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How to Conduct Hypothesis Testing?

Here is a step-by-step guide on how to conduct hypothesis testing.

Step 1: State the Null and Alternative Hypothesis

Once you develop a research hypothesis, it’s important to state it is as a Null hypothesis (Ho) and an Alternative hypothesis (Ha) to test it statistically.

A null hypothesis is a preferred choice as it provides the opportunity to test the theory. In contrast, you can accept the alternative hypothesis when the null hypothesis has been rejected.

Example: You want to identify a relationship between obesity of men and women and the modern living style. You develop a hypothesis that women, on average, gain weight quickly compared to men. Then you write it as: Ho: Women, on average, don’t gain weight quickly compared to men. Ha: Women, on average, gain weight quickly compared to men.

Step 2: Data Collection

Hypothesis testing follows the statistical method, and statistics are all about data. It’s challenging to gather complete information about a specific population you want to study. You need to  gather the data  obtained through a large number of samples from a specific population. 

Example: Suppose you want to test the difference in the rate of obesity between men and women. You should include an equal number of men and women in your sample. Then investigate various aspects such as their lifestyle, eating patterns and profession, and any other variables that may influence average weight. You should also determine your study’s scope, whether it applies to a specific group of population or worldwide population. You can use available information from various places, countries, and regions.

Step 3: Select Appropriate Statistical Test

There are many  types of statistical tests , but we discuss the most two common types below, such as One-sided and two-sided tests.

Note: Your choice of the type of test depends on the purpose of your study 

One-sided Test

In the one-sided test, the values of rejecting a null hypothesis are located in one tail of the probability distribution. The set of values is less or higher than the critical value of the test. It is also called a one-tailed test of significance.

Example: If you want to test that all mangoes in a basket are ripe. You can write it as: Ho: All mangoes in the basket, on average, are ripe. If you find all ripe mangoes in the basket, the null hypothesis you developed will be true.

Two-sided Test

In the two-sided test, the values of rejecting a null hypothesis are located on both tails of the probability distribution. The set of values is less or higher than the first critical value of the test and higher than the second critical value test. It is also called a two-tailed test of significance. 

Example: Nothing can be explicitly said whether all mangoes are ripe in the basket. If you reject the null hypothesis (Ho: All mangoes in the basket, on average, are ripe), then it means all mangoes in the basket are not likely to be ripe. A few mangoes could be raw as well.

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Step 4: Select the Level of Significance

When you reject a null hypothesis, even if it’s true during a statistical hypothesis, it is considered the  significance level . It is the probability of a type one error. The significance should be as minimum as possible to avoid the type-I error, which is considered severe and should be avoided. 

If the significance level is minimum, then it prevents the researchers from false claims. 

The significance level is denoted by  P,  and it has given the value of 0.05 (P=0.05)

If the P-Value is less than 0.05, then the difference will be significant. If the P-value is higher than 0.05, then the difference is non-significant.

Example: Suppose you apply a one-sided test to test whether women gain weight quickly compared to men. You get to know about the average weight between men and women and the factors promoting weight gain.

Step 5: Find out Whether the Null Hypothesis is Rejected or Supported

After conducting a statistical test, you should identify whether your null hypothesis is rejected or accepted based on the test results. It would help if you observed the P-value for this.

Example: If you find the P-value of your test is less than 0.5/5%, then you need to reject your null hypothesis (Ho: Women, on average, don’t gain weight quickly compared to men). On the other hand, if a null hypothesis is rejected, then it means the alternative hypothesis might be true (Ha: Women, on average, gain weight quickly compared to men. If you find your test’s P-value is above 0.5/5%, then it means your null hypothesis is true.

Step 6: Present the Outcomes of your Study

The final step is to present the  outcomes of your study . You need to ensure whether you have met the objectives of your research or not. 

In the discussion section and  conclusion , you can present your findings by using supporting evidence and conclude whether your null hypothesis was rejected or supported.

In the result section, you can summarise your study’s outcomes, including the average difference and P-value of the two groups.

If we talk about the findings, our study your results will be as follows:

Example: In the study of identifying whether women gain weight quickly compared to men, we found the P-value is less than 0.5. Hence, we can reject the null hypothesis (Ho: Women, on average, don’t gain weight quickly than men) and conclude that women may likely gain weight quickly than men.

Did you know in your academic paper you should not mention whether you have accepted or rejected the null hypothesis? 

Always remember that you either conclude to reject Ho in favor of Haor   do not reject Ho . It would help if you never rejected  Ha  or even  accept Ha .

Suppose your null hypothesis is rejected in the hypothesis testing. If you conclude  reject Ho in favor of Haor   do not reject Ho,  then it doesn’t mean that the null hypothesis is true. It only means that there is a lack of evidence against Ho in favour of Ha. If your null hypothesis is not true, then the alternative hypothesis is likely to be true.

Example: We found that the P-value is less than 0.5. Hence, we can conclude reject Ho in favour of Ha (Ho: Women, on average, don’t gain weight quickly than men) reject Ho in favour of Ha. However, rejected in favour of Ha means (Ha: women may likely to gain weight quickly than men)

Frequently Asked Questions

What are the 3 types of hypothesis test.

The 3 types of hypothesis tests are:

• One-Sample Test : Compare sample data to a known population value.
• Two-Sample Test : Compare means between two sample groups.
• ANOVA : Analyze variance among multiple groups to determine significant differences.

What is a hypothesis?

A hypothesis is a proposed explanation or prediction about a phenomenon, often based on observations. It serves as a starting point for research or experimentation, providing a testable statement that can either be supported or refuted through data and analysis. In essence, it’s an educated guess that drives scientific inquiry.

What are null hypothesis?

A null hypothesis (often denoted as H0) suggests that there is no effect or difference in a study or experiment. It represents a default position or status quo. Statistical tests evaluate data to determine if there’s enough evidence to reject this null hypothesis.

What is the probability value?

The probability value, or p-value, is a measure used in statistics to determine the significance of an observed effect. It indicates the probability of obtaining the observed results, or more extreme, if the null hypothesis were true. A small p-value (typically <0.05) suggests evidence against the null hypothesis, warranting its rejection.

What is p value?

The p-value is a fundamental concept in statistical hypothesis testing. It represents the probability of observing a test statistic as extreme, or more so, than the one calculated from sample data, assuming the null hypothesis is true. A low p-value suggests evidence against the null, possibly justifying its rejection.

What is a t test?

A t-test is a statistical test used to compare the means of two groups. It determines if observed differences between the groups are statistically significant or if they likely occurred by chance. Commonly applied in research, there are different t-tests, including independent, paired, and one-sample, tailored to various data scenarios.

When to reject null hypothesis?

Reject the null hypothesis when the test statistic falls into a predefined rejection region or when the p-value is less than the chosen significance level (commonly 0.05). This suggests that the observed data is unlikely under the null hypothesis, indicating evidence for the alternative hypothesis. Always consider the study’s context.

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In today’s data-driven world , decisions are based on data all the time. Hypothesis plays a crucial role in that process, whether it may be making business decisions, in the health sector, academia, or in quality improvement. Without hypothesis & hypothesis tests, you risk drawing the wrong conclusions and making bad decisions. In this tutorial, you will look at Hypothesis Testing in Statistics.

What Is Hypothesis Testing in Statistics?

Hypothesis Testing is a type of statistical analysis in which you put your assumptions about a population parameter to the test. It is used to estimate the relationship between 2 statistical variables.

Let's discuss few examples of statistical hypothesis from real-life - 

• A teacher assumes that 60% of his college's students come from lower-middle-class families.
• A doctor believes that 3D (Diet, Dose, and Discipline) is 90% effective for diabetic patients.

Now that you know about hypothesis testing, look at the two types of hypothesis testing in statistics.

Hypothesis Testing Formula

Z = ( x̅ – μ0 ) / (σ /√n)

• Here, x̅ is the sample mean,
• μ0 is the population mean,
• σ is the standard deviation,
• n is the sample size.

How Hypothesis Testing Works?

An analyst performs hypothesis testing on a statistical sample to present evidence of the plausibility of the null hypothesis. Measurements and analyses are conducted on a random sample of the population to test a theory. Analysts use a random population sample to test two hypotheses: the null and alternative hypotheses.

The null hypothesis is typically an equality hypothesis between population parameters; for example, a null hypothesis may claim that the population means return equals zero. The alternate hypothesis is essentially the inverse of the null hypothesis (e.g., the population means the return is not equal to zero). As a result, they are mutually exclusive, and only one can be correct. One of the two possibilities, however, will always be correct.

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Null Hypothesis and Alternate Hypothesis

The Null Hypothesis is the assumption that the event will not occur. A null hypothesis has no bearing on the study's outcome unless it is rejected.

H0 is the symbol for it, and it is pronounced H-naught.

The Alternate Hypothesis is the logical opposite of the null hypothesis. The acceptance of the alternative hypothesis follows the rejection of the null hypothesis. H1 is the symbol for it.

Let's understand this with an example.

A sanitizer manufacturer claims that its product kills 95 percent of germs on average. 

To put this company's claim to the test, create a null and alternate hypothesis.

H0 (Null Hypothesis): Average = 95%.

Alternative Hypothesis (H1): The average is less than 95%.

Another straightforward example to understand this concept is determining whether or not a coin is fair and balanced. The null hypothesis states that the probability of a show of heads is equal to the likelihood of a show of tails. In contrast, the alternate theory states that the probability of a show of heads and tails would be very different.

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Hypothesis Testing Calculation With Examples

Let's consider a hypothesis test for the average height of women in the United States. Suppose our null hypothesis is that the average height is 5'4". We gather a sample of 100 women and determine that their average height is 5'5". The standard deviation of population is 2.

To calculate the z-score, we would use the following formula:

z = ( x̅ – μ0 ) / (σ /√n)

z = (5'5" - 5'4") / (2" / √100)

z = 0.5 / (0.045)

 We will reject the null hypothesis as the z-score of 11.11 is very large and conclude that there is evidence to suggest that the average height of women in the US is greater than 5'4".

Steps of Hypothesis Testing

Step 1: specify your null and alternate hypotheses.

It is critical to rephrase your original research hypothesis (the prediction that you wish to study) as a null (Ho) and alternative (Ha) hypothesis so that you can test it quantitatively. Your first hypothesis, which predicts a link between variables, is generally your alternate hypothesis. The null hypothesis predicts no link between the variables of interest.

Step 2: Gather Data

For a statistical test to be legitimate, sampling and data collection must be done in a way that is meant to test your hypothesis. You cannot draw statistical conclusions about the population you are interested in if your data is not representative.

Step 3: Conduct a Statistical Test

Other statistical tests are available, but they all compare within-group variance (how to spread out the data inside a category) against between-group variance (how different the categories are from one another). If the between-group variation is big enough that there is little or no overlap between groups, your statistical test will display a low p-value to represent this. This suggests that the disparities between these groups are unlikely to have occurred by accident. Alternatively, if there is a large within-group variance and a low between-group variance, your statistical test will show a high p-value. Any difference you find across groups is most likely attributable to chance. The variety of variables and the level of measurement of your obtained data will influence your statistical test selection.

Step 4: Determine Rejection Of Your Null Hypothesis

Your statistical test results must determine whether your null hypothesis should be rejected or not. In most circumstances, you will base your judgment on the p-value provided by the statistical test. In most circumstances, your preset level of significance for rejecting the null hypothesis will be 0.05 - that is, when there is less than a 5% likelihood that these data would be seen if the null hypothesis were true. In other circumstances, researchers use a lower level of significance, such as 0.01 (1%). This reduces the possibility of wrongly rejecting the null hypothesis.

Step 5: Present Your Results 

The findings of hypothesis testing will be discussed in the results and discussion portions of your research paper, dissertation, or thesis. You should include a concise overview of the data and a summary of the findings of your statistical test in the results section. You can talk about whether your results confirmed your initial hypothesis or not in the conversation. Rejecting or failing to reject the null hypothesis is a formal term used in hypothesis testing. This is likely a must for your statistics assignments.

Types of Hypothesis Testing

To determine whether a discovery or relationship is statistically significant, hypothesis testing uses a z-test. It usually checks to see if two means are the same (the null hypothesis). Only when the population standard deviation is known and the sample size is 30 data points or more, can a z-test be applied.

A statistical test called a t-test is employed to compare the means of two groups. To determine whether two groups differ or if a procedure or treatment affects the population of interest, it is frequently used in hypothesis testing.

Chi-Square 

You utilize a Chi-square test for hypothesis testing concerning whether your data is as predicted. To determine if the expected and observed results are well-fitted, the Chi-square test analyzes the differences between categorical variables from a random sample. The test's fundamental premise is that the observed values in your data should be compared to the predicted values that would be present if the null hypothesis were true.

Hypothesis Testing and Confidence Intervals

Both confidence intervals and hypothesis tests are inferential techniques that depend on approximating the sample distribution. Data from a sample is used to estimate a population parameter using confidence intervals. Data from a sample is used in hypothesis testing to examine a given hypothesis. We must have a postulated parameter to conduct hypothesis testing.

Bootstrap distributions and randomization distributions are created using comparable simulation techniques. The observed sample statistic is the focal point of a bootstrap distribution, whereas the null hypothesis value is the focal point of a randomization distribution.

A variety of feasible population parameter estimates are included in confidence ranges. In this lesson, we created just two-tailed confidence intervals. There is a direct connection between these two-tail confidence intervals and these two-tail hypothesis tests. The results of a two-tailed hypothesis test and two-tailed confidence intervals typically provide the same results. In other words, a hypothesis test at the 0.05 level will virtually always fail to reject the null hypothesis if the 95% confidence interval contains the predicted value. A hypothesis test at the 0.05 level will nearly certainly reject the null hypothesis if the 95% confidence interval does not include the hypothesized parameter.

Simple and Composite Hypothesis Testing

Depending on the population distribution, you can classify the statistical hypothesis into two types.

Simple Hypothesis: A simple hypothesis specifies an exact value for the parameter.

Composite Hypothesis: A composite hypothesis specifies a range of values.

A company is claiming that their average sales for this quarter are 1000 units. This is an example of a simple hypothesis.

Suppose the company claims that the sales are in the range of 900 to 1000 units. Then this is a case of a composite hypothesis.

One-Tailed and Two-Tailed Hypothesis Testing

The One-Tailed test, also called a directional test, considers a critical region of data that would result in the null hypothesis being rejected if the test sample falls into it, inevitably meaning the acceptance of the alternate hypothesis.

In a one-tailed test, the critical distribution area is one-sided, meaning the test sample is either greater or lesser than a specific value.

In two tails, the test sample is checked to be greater or less than a range of values in a Two-Tailed test, implying that the critical distribution area is two-sided.

If the sample falls within this range, the alternate hypothesis will be accepted, and the null hypothesis will be rejected.

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Right Tailed Hypothesis Testing

If the larger than (>) sign appears in your hypothesis statement, you are using a right-tailed test, also known as an upper test. Or, to put it another way, the disparity is to the right. For instance, you can contrast the battery life before and after a change in production. Your hypothesis statements can be the following if you want to know if the battery life is longer than the original (let's say 90 hours):

• The null hypothesis is (H0 <= 90) or less change.
• A possibility is that battery life has risen (H1) > 90.

The crucial point in this situation is that the alternate hypothesis (H1), not the null hypothesis, decides whether you get a right-tailed test.

Left Tailed Hypothesis Testing

Alternative hypotheses that assert the true value of a parameter is lower than the null hypothesis are tested with a left-tailed test; they are indicated by the asterisk "<".

Suppose H0: mean = 50 and H1: mean not equal to 50

According to the H1, the mean can be greater than or less than 50. This is an example of a Two-tailed test.

In a similar manner, if H0: mean >=50, then H1: mean <50

Here the mean is less than 50. It is called a One-tailed test.

Type 1 and Type 2 Error

A hypothesis test can result in two types of errors.

Type 1 Error: A Type-I error occurs when sample results reject the null hypothesis despite being true.

Type 2 Error: A Type-II error occurs when the null hypothesis is not rejected when it is false, unlike a Type-I error.

Suppose a teacher evaluates the examination paper to decide whether a student passes or fails.

H0: Student has passed

H1: Student has failed

Type I error will be the teacher failing the student [rejects H0] although the student scored the passing marks [H0 was true]. 

Type II error will be the case where the teacher passes the student [do not reject H0] although the student did not score the passing marks [H1 is true].

Level of Significance

The alpha value is a criterion for determining whether a test statistic is statistically significant. In a statistical test, Alpha represents an acceptable probability of a Type I error. Because alpha is a probability, it can be anywhere between 0 and 1. In practice, the most commonly used alpha values are 0.01, 0.05, and 0.1, which represent a 1%, 5%, and 10% chance of a Type I error, respectively (i.e. rejecting the null hypothesis when it is in fact correct).

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A p-value is a metric that expresses the likelihood that an observed difference could have occurred by chance. As the p-value decreases the statistical significance of the observed difference increases. If the p-value is too low, you reject the null hypothesis.

Here you have taken an example in which you are trying to test whether the new advertising campaign has increased the product's sales. The p-value is the likelihood that the null hypothesis, which states that there is no change in the sales due to the new advertising campaign, is true. If the p-value is .30, then there is a 30% chance that there is no increase or decrease in the product's sales.  If the p-value is 0.03, then there is a 3% probability that there is no increase or decrease in the sales value due to the new advertising campaign. As you can see, the lower the p-value, the chances of the alternate hypothesis being true increases, which means that the new advertising campaign causes an increase or decrease in sales.

Why is Hypothesis Testing Important in Research Methodology?

Hypothesis testing is crucial in research methodology for several reasons:

• Provides evidence-based conclusions: It allows researchers to make objective conclusions based on empirical data, providing evidence to support or refute their research hypotheses.
• Supports decision-making: It helps make informed decisions, such as accepting or rejecting a new treatment, implementing policy changes, or adopting new practices.
• Adds rigor and validity: It adds scientific rigor to research using statistical methods to analyze data, ensuring that conclusions are based on sound statistical evidence.
• Contributes to the advancement of knowledge: By testing hypotheses, researchers contribute to the growth of knowledge in their respective fields by confirming existing theories or discovering new patterns and relationships.

Limitations of Hypothesis Testing

Hypothesis testing has some limitations that researchers should be aware of:

• It cannot prove or establish the truth: Hypothesis testing provides evidence to support or reject a hypothesis, but it cannot confirm the absolute truth of the research question.
• Results are sample-specific: Hypothesis testing is based on analyzing a sample from a population, and the conclusions drawn are specific to that particular sample.
• Possible errors: During hypothesis testing, there is a chance of committing type I error (rejecting a true null hypothesis) or type II error (failing to reject a false null hypothesis).
• Assumptions and requirements: Different tests have specific assumptions and requirements that must be met to accurately interpret results.

After reading this tutorial, you would have a much better understanding of hypothesis testing, one of the most important concepts in the field of Data Science . The majority of hypotheses are based on speculation about observed behavior, natural phenomena, or established theories.

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If you have any questions regarding this ‘Hypothesis Testing In Statistics’ tutorial, do share them in the comment section. Our subject matter expert will respond to your queries. Happy learning!

1. What is hypothesis testing in statistics with example?

Hypothesis testing is a statistical method used to determine if there is enough evidence in a sample data to draw conclusions about a population. It involves formulating two competing hypotheses, the null hypothesis (H0) and the alternative hypothesis (Ha), and then collecting data to assess the evidence. An example: testing if a new drug improves patient recovery (Ha) compared to the standard treatment (H0) based on collected patient data.

2. What is hypothesis testing and its types?

Hypothesis testing is a statistical method used to make inferences about a population based on sample data. It involves formulating two hypotheses: the null hypothesis (H0), which represents the default assumption, and the alternative hypothesis (Ha), which contradicts H0. The goal is to assess the evidence and determine whether there is enough statistical significance to reject the null hypothesis in favor of the alternative hypothesis.

Types of hypothesis testing:

• One-sample test: Used to compare a sample to a known value or a hypothesized value.
• Two-sample test: Compares two independent samples to assess if there is a significant difference between their means or distributions.
• Paired-sample test: Compares two related samples, such as pre-test and post-test data, to evaluate changes within the same subjects over time or under different conditions.
• Chi-square test: Used to analyze categorical data and determine if there is a significant association between variables.
• ANOVA (Analysis of Variance): Compares means across multiple groups to check if there is a significant difference between them.

3. What are the steps of hypothesis testing?

The steps of hypothesis testing are as follows:

• Formulate the hypotheses: State the null hypothesis (H0) and the alternative hypothesis (Ha) based on the research question.
• Set the significance level: Determine the acceptable level of error (alpha) for making a decision.
• Collect and analyze data: Gather and process the sample data.
• Compute test statistic: Calculate the appropriate statistical test to assess the evidence.
• Make a decision: Compare the test statistic with critical values or p-values and determine whether to reject H0 in favor of Ha or not.
• Draw conclusions: Interpret the results and communicate the findings in the context of the research question.

4. What are the 2 types of hypothesis testing?

• One-tailed (or one-sided) test: Tests for the significance of an effect in only one direction, either positive or negative.
• Two-tailed (or two-sided) test: Tests for the significance of an effect in both directions, allowing for the possibility of a positive or negative effect.

The choice between one-tailed and two-tailed tests depends on the specific research question and the directionality of the expected effect.

5. What are the 3 major types of hypothesis?

The three major types of hypotheses are:

• Null Hypothesis (H0): Represents the default assumption, stating that there is no significant effect or relationship in the data.
• Alternative Hypothesis (Ha): Contradicts the null hypothesis and proposes a specific effect or relationship that researchers want to investigate.
• Nondirectional Hypothesis: An alternative hypothesis that doesn't specify the direction of the effect, leaving it open for both positive and negative possibilities.

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Hypothesis Testing

Hypothesis testing is a tool for making statistical inferences about the population data. It is an analysis tool that tests assumptions and determines how likely something is within a given standard of accuracy. Hypothesis testing provides a way to verify whether the results of an experiment are valid.

A null hypothesis and an alternative hypothesis are set up before performing the hypothesis testing. This helps to arrive at a conclusion regarding the sample obtained from the population. In this article, we will learn more about hypothesis testing, its types, steps to perform the testing, and associated examples.

What is Hypothesis Testing in Statistics?

Hypothesis testing uses sample data from the population to draw useful conclusions regarding the population probability distribution . It tests an assumption made about the data using different types of hypothesis testing methodologies. The hypothesis testing results in either rejecting or not rejecting the null hypothesis.

Hypothesis Testing Definition

Hypothesis testing can be defined as a statistical tool that is used to identify if the results of an experiment are meaningful or not. It involves setting up a null hypothesis and an alternative hypothesis. These two hypotheses will always be mutually exclusive. This means that if the null hypothesis is true then the alternative hypothesis is false and vice versa. An example of hypothesis testing is setting up a test to check if a new medicine works on a disease in a more efficient manner.

Null Hypothesis

The null hypothesis is a concise mathematical statement that is used to indicate that there is no difference between two possibilities. In other words, there is no difference between certain characteristics of data. This hypothesis assumes that the outcomes of an experiment are based on chance alone. It is denoted as \(H_{0}\). Hypothesis testing is used to conclude if the null hypothesis can be rejected or not. Suppose an experiment is conducted to check if girls are shorter than boys at the age of 5. The null hypothesis will say that they are the same height.

Alternative Hypothesis

The alternative hypothesis is an alternative to the null hypothesis. It is used to show that the observations of an experiment are due to some real effect. It indicates that there is a statistical significance between two possible outcomes and can be denoted as \(H_{1}\) or \(H_{a}\). For the above-mentioned example, the alternative hypothesis would be that girls are shorter than boys at the age of 5.

Hypothesis Testing P Value

In hypothesis testing, the p value is used to indicate whether the results obtained after conducting a test are statistically significant or not. It also indicates the probability of making an error in rejecting or not rejecting the null hypothesis.This value is always a number between 0 and 1. The p value is compared to an alpha level, \(\alpha\) or significance level. The alpha level can be defined as the acceptable risk of incorrectly rejecting the null hypothesis. The alpha level is usually chosen between 1% to 5%.

Hypothesis Testing Critical region

All sets of values that lead to rejecting the null hypothesis lie in the critical region. Furthermore, the value that separates the critical region from the non-critical region is known as the critical value.

Hypothesis Testing Formula

Depending upon the type of data available and the size, different types of hypothesis testing are used to determine whether the null hypothesis can be rejected or not. The hypothesis testing formula for some important test statistics are given below:

• z = \(\frac{\overline{x}-\mu}{\frac{\sigma}{\sqrt{n}}}\). \(\overline{x}\) is the sample mean, \(\mu\) is the population mean, \(\sigma\) is the population standard deviation and n is the size of the sample.
• t = \(\frac{\overline{x}-\mu}{\frac{s}{\sqrt{n}}}\). s is the sample standard deviation.
• \(\chi ^{2} = \sum \frac{(O_{i}-E_{i})^{2}}{E_{i}}\). \(O_{i}\) is the observed value and \(E_{i}\) is the expected value.

We will learn more about these test statistics in the upcoming section.

Types of Hypothesis Testing

Selecting the correct test for performing hypothesis testing can be confusing. These tests are used to determine a test statistic on the basis of which the null hypothesis can either be rejected or not rejected. Some of the important tests used for hypothesis testing are given below.

Hypothesis Testing Z Test

A z test is a way of hypothesis testing that is used for a large sample size (n ≥ 30). It is used to determine whether there is a difference between the population mean and the sample mean when the population standard deviation is known. It can also be used to compare the mean of two samples. It is used to compute the z test statistic. The formulas are given as follows:

• One sample: z = \(\frac{\overline{x}-\mu}{\frac{\sigma}{\sqrt{n}}}\).
• Two samples: z = \(\frac{(\overline{x_{1}}-\overline{x_{2}})-(\mu_{1}-\mu_{2})}{\sqrt{\frac{\sigma_{1}^{2}}{n_{1}}+\frac{\sigma_{2}^{2}}{n_{2}}}}\).

Hypothesis Testing t Test

The t test is another method of hypothesis testing that is used for a small sample size (n < 30). It is also used to compare the sample mean and population mean. However, the population standard deviation is not known. Instead, the sample standard deviation is known. The mean of two samples can also be compared using the t test.

• One sample: t = \(\frac{\overline{x}-\mu}{\frac{s}{\sqrt{n}}}\).
• Two samples: t = \(\frac{(\overline{x_{1}}-\overline{x_{2}})-(\mu_{1}-\mu_{2})}{\sqrt{\frac{s_{1}^{2}}{n_{1}}+\frac{s_{2}^{2}}{n_{2}}}}\).

Hypothesis Testing Chi Square

The Chi square test is a hypothesis testing method that is used to check whether the variables in a population are independent or not. It is used when the test statistic is chi-squared distributed.

One Tailed Hypothesis Testing

One tailed hypothesis testing is done when the rejection region is only in one direction. It can also be known as directional hypothesis testing because the effects can be tested in one direction only. This type of testing is further classified into the right tailed test and left tailed test.

Right Tailed Hypothesis Testing

The right tail test is also known as the upper tail test. This test is used to check whether the population parameter is greater than some value. The null and alternative hypotheses for this test are given as follows:

\(H_{0}\): The population parameter is ≤ some value

\(H_{1}\): The population parameter is > some value.

If the test statistic has a greater value than the critical value then the null hypothesis is rejected

Left Tailed Hypothesis Testing

The left tail test is also known as the lower tail test. It is used to check whether the population parameter is less than some value. The hypotheses for this hypothesis testing can be written as follows:

\(H_{0}\): The population parameter is ≥ some value

\(H_{1}\): The population parameter is < some value.

The null hypothesis is rejected if the test statistic has a value lesser than the critical value.

Two Tailed Hypothesis Testing

In this hypothesis testing method, the critical region lies on both sides of the sampling distribution. It is also known as a non - directional hypothesis testing method. The two-tailed test is used when it needs to be determined if the population parameter is assumed to be different than some value. The hypotheses can be set up as follows:

\(H_{0}\): the population parameter = some value

\(H_{1}\): the population parameter ≠ some value

The null hypothesis is rejected if the test statistic has a value that is not equal to the critical value.

Hypothesis Testing Steps

Hypothesis testing can be easily performed in five simple steps. The most important step is to correctly set up the hypotheses and identify the right method for hypothesis testing. The basic steps to perform hypothesis testing are as follows:

• Step 1: Set up the null hypothesis by correctly identifying whether it is the left-tailed, right-tailed, or two-tailed hypothesis testing.
• Step 2: Set up the alternative hypothesis.
• Step 3: Choose the correct significance level, \(\alpha\), and find the critical value.
• Step 4: Calculate the correct test statistic (z, t or \(\chi\)) and p-value.
• Step 5: Compare the test statistic with the critical value or compare the p-value with \(\alpha\) to arrive at a conclusion. In other words, decide if the null hypothesis is to be rejected or not.

Hypothesis Testing Example

The best way to solve a problem on hypothesis testing is by applying the 5 steps mentioned in the previous section. Suppose a researcher claims that the mean average weight of men is greater than 100kgs with a standard deviation of 15kgs. 30 men are chosen with an average weight of 112.5 Kgs. Using hypothesis testing, check if there is enough evidence to support the researcher's claim. The confidence interval is given as 95%.

Step 1: This is an example of a right-tailed test. Set up the null hypothesis as \(H_{0}\): \(\mu\) = 100.

Step 2: The alternative hypothesis is given by \(H_{1}\): \(\mu\) > 100.

Step 3: As this is a one-tailed test, \(\alpha\) = 100% - 95% = 5%. This can be used to determine the critical value.

1 - \(\alpha\) = 1 - 0.05 = 0.95

0.95 gives the required area under the curve. Now using a normal distribution table, the area 0.95 is at z = 1.645. A similar process can be followed for a t-test. The only additional requirement is to calculate the degrees of freedom given by n - 1.

Step 4: Calculate the z test statistic. This is because the sample size is 30. Furthermore, the sample and population means are known along with the standard deviation.

z = \(\frac{\overline{x}-\mu}{\frac{\sigma}{\sqrt{n}}}\).

\(\mu\) = 100, \(\overline{x}\) = 112.5, n = 30, \(\sigma\) = 15

z = \(\frac{112.5-100}{\frac{15}{\sqrt{30}}}\) = 4.56

Step 5: Conclusion. As 4.56 > 1.645 thus, the null hypothesis can be rejected.

Hypothesis Testing and Confidence Intervals

Confidence intervals form an important part of hypothesis testing. This is because the alpha level can be determined from a given confidence interval. Suppose a confidence interval is given as 95%. Subtract the confidence interval from 100%. This gives 100 - 95 = 5% or 0.05. This is the alpha value of a one-tailed hypothesis testing. To obtain the alpha value for a two-tailed hypothesis testing, divide this value by 2. This gives 0.05 / 2 = 0.025.

Related Articles:

• Probability and Statistics
• Data Handling

Important Notes on Hypothesis Testing

• Hypothesis testing is a technique that is used to verify whether the results of an experiment are statistically significant.
• It involves the setting up of a null hypothesis and an alternate hypothesis.
• There are three types of tests that can be conducted under hypothesis testing - z test, t test, and chi square test.
• Hypothesis testing can be classified as right tail, left tail, and two tail tests.

Examples on Hypothesis Testing

• Example 1: The average weight of a dumbbell in a gym is 90lbs. However, a physical trainer believes that the average weight might be higher. A random sample of 5 dumbbells with an average weight of 110lbs and a standard deviation of 18lbs. Using hypothesis testing check if the physical trainer's claim can be supported for a 95% confidence level. Solution: As the sample size is lesser than 30, the t-test is used. \(H_{0}\): \(\mu\) = 90, \(H_{1}\): \(\mu\) > 90 \(\overline{x}\) = 110, \(\mu\) = 90, n = 5, s = 18. \(\alpha\) = 0.05 Using the t-distribution table, the critical value is 2.132 t = \(\frac{\overline{x}-\mu}{\frac{s}{\sqrt{n}}}\) t = 2.484 As 2.484 > 2.132, the null hypothesis is rejected. Answer: The average weight of the dumbbells may be greater than 90lbs
• Example 2: The average score on a test is 80 with a standard deviation of 10. With a new teaching curriculum introduced it is believed that this score will change. On random testing, the score of 38 students, the mean was found to be 88. With a 0.05 significance level, is there any evidence to support this claim? Solution: This is an example of two-tail hypothesis testing. The z test will be used. \(H_{0}\): \(\mu\) = 80, \(H_{1}\): \(\mu\) ≠ 80 \(\overline{x}\) = 88, \(\mu\) = 80, n = 36, \(\sigma\) = 10. \(\alpha\) = 0.05 / 2 = 0.025 The critical value using the normal distribution table is 1.96 z = \(\frac{\overline{x}-\mu}{\frac{\sigma}{\sqrt{n}}}\) z = \(\frac{88-80}{\frac{10}{\sqrt{36}}}\) = 4.8 As 4.8 > 1.96, the null hypothesis is rejected. Answer: There is a difference in the scores after the new curriculum was introduced.
• Example 3: The average score of a class is 90. However, a teacher believes that the average score might be lower. The scores of 6 students were randomly measured. The mean was 82 with a standard deviation of 18. With a 0.05 significance level use hypothesis testing to check if this claim is true. Solution: The t test will be used. \(H_{0}\): \(\mu\) = 90, \(H_{1}\): \(\mu\) < 90 \(\overline{x}\) = 110, \(\mu\) = 90, n = 6, s = 18 The critical value from the t table is -2.015 t = \(\frac{\overline{x}-\mu}{\frac{s}{\sqrt{n}}}\) t = \(\frac{82-90}{\frac{18}{\sqrt{6}}}\) t = -1.088 As -1.088 > -2.015, we fail to reject the null hypothesis. Answer: There is not enough evidence to support the claim.

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FAQs on Hypothesis Testing

What is hypothesis testing.

Hypothesis testing in statistics is a tool that is used to make inferences about the population data. It is also used to check if the results of an experiment are valid.

What is the z Test in Hypothesis Testing?

The z test in hypothesis testing is used to find the z test statistic for normally distributed data . The z test is used when the standard deviation of the population is known and the sample size is greater than or equal to 30.

What is the t Test in Hypothesis Testing?

The t test in hypothesis testing is used when the data follows a student t distribution . It is used when the sample size is less than 30 and standard deviation of the population is not known.

What is the formula for z test in Hypothesis Testing?

The formula for a one sample z test in hypothesis testing is z = \(\frac{\overline{x}-\mu}{\frac{\sigma}{\sqrt{n}}}\) and for two samples is z = \(\frac{(\overline{x_{1}}-\overline{x_{2}})-(\mu_{1}-\mu_{2})}{\sqrt{\frac{\sigma_{1}^{2}}{n_{1}}+\frac{\sigma_{2}^{2}}{n_{2}}}}\).

What is the p Value in Hypothesis Testing?

The p value helps to determine if the test results are statistically significant or not. In hypothesis testing, the null hypothesis can either be rejected or not rejected based on the comparison between the p value and the alpha level.

What is One Tail Hypothesis Testing?

When the rejection region is only on one side of the distribution curve then it is known as one tail hypothesis testing. The right tail test and the left tail test are two types of directional hypothesis testing.

What is the Alpha Level in Two Tail Hypothesis Testing?

To get the alpha level in a two tail hypothesis testing divide \(\alpha\) by 2. This is done as there are two rejection regions in the curve.

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1.2 - the 7 step process of statistical hypothesis testing.

We will cover the seven steps one by one.

Step 1: State the Null Hypothesis

The null hypothesis can be thought of as the opposite of the "guess" the researchers made. In the example presented in the previous section, the biologist "guesses" plant height will be different for the various fertilizers. So the null hypothesis would be that there will be no difference among the groups of plants. Specifically, in more statistical language the null for an ANOVA is that the means are the same. We state the null hypothesis as:

\(H_0 \colon \mu_1 = \mu_2 = ⋯ = \mu_T\)

for  T levels of an experimental treatment.

Step 2: State the Alternative Hypothesis

\(H_A \colon \text{ treatment level means not all equal}\)

The alternative hypothesis is stated in this way so that if the null is rejected, there are many alternative possibilities.

For example, \(\mu_1\ne \mu_2 = ⋯ = \mu_T\) is one possibility, as is \(\mu_1=\mu_2\ne\mu_3= ⋯ =\mu_T\). Many people make the mistake of stating the alternative hypothesis as \(\mu_1\ne\mu_2\ne⋯\ne\mu_T\) which says that every mean differs from every other mean. This is a possibility, but only one of many possibilities. A simple way of thinking about this is that at least one mean is different from all others. To cover all alternative outcomes, we resort to a verbal statement of "not all equal" and then follow up with mean comparisons to find out where differences among means exist. In our example, a possible outcome would be that fertilizer 1 results in plants that are exceptionally tall, but fertilizers 2, 3, and the control group may not differ from one another.

Step 3: Set \(\alpha\)

If we look at what can happen in a hypothesis test, we can construct the following contingency table:

You should be familiar with Type I and Type II errors from your introductory courses. It is important to note that we want to set \(\alpha\) before the experiment ( a-priori ) because the Type I error is the more grievous error to make. The typical value of \(\alpha\) is 0.05, establishing a 95% confidence level. For this course, we will assume \(\alpha\) =0.05, unless stated otherwise.

Step 4: Collect Data

Remember the importance of recognizing whether data is collected through an experimental design or observational study.

Step 5: Calculate a test statistic

For categorical treatment level means, we use an F- statistic, named after R.A. Fisher. We will explore the mechanics of computing the F- statistic beginning in Lesson 2. The F- value we get from the data is labeled \(F_{\text{calculated}}\).

Step 6: Construct Acceptance / Rejection regions

As with all other test statistics, a threshold (critical) value of F is established. This F- value can be obtained from statistical tables or software and is referred to as \(F_{\text{critical}}\) or \(F_\alpha\). As a reminder, this critical value is the minimum value of the test statistic (in this case \(F_{\text{calculated}}\)) for us to reject the null.

The F- distribution, \(F_\alpha\), and the location of acceptance/rejection regions are shown in the graph below:

Step 7: Based on Steps 5 and 6, draw a conclusion about \(H_0\)

If \(F_{\text{calculated}}\) is larger than \(F_\alpha\), then you are in the rejection region and you can reject the null hypothesis with \(\left(1-\alpha \right)\) level of confidence.

Note that modern statistical software condenses Steps 6 and 7 by providing a p -value. The p -value here is the probability of getting an \(F_{\text{calculated}}\) even greater than what you observe assuming the null hypothesis is true. If by chance, the \(F_{\text{calculated}} = F_\alpha\), then the p -value would be exactly equal to \(\alpha\). With larger \(F_{\text{calculated}}\) values, we move further into the rejection region and the p- value becomes less than \(\alpha\). So, the decision rule is as follows:

If the p- value obtained from the ANOVA is less than \(\alpha\), then reject \(H_0\) in favor of \(H_A\).

6 Steps to Evaluate the Effectiveness of Statistical Hypothesis Testing

You know what is tragic? Having the potential to complete the research study but not doing the correct hypothesis testing. Quite often, researchers think the most challenging aspect of research is standardization of experiments, data analysis or writing the thesis! But in all honesty, creating an effective research hypothesis is the most crucial step in designing and executing a research study. An effective research hypothesis will provide researchers the correct basic structure for building the research question and objectives.

In this article, we will discuss how to formulate and identify an effective research hypothesis testing to benefit researchers in designing their research work.

Table of Contents

What Is Research Hypothesis Testing?

Hypothesis testing is a systematic procedure derived from the research question and decides if the results of a research study support a certain theory which can be applicable to the population. Moreover, it is a statistical test used to determine whether the hypothesis assumed by the sample data stands true to the entire population.

The purpose of testing the hypothesis is to make an inference about the population of interest on the basis of random sample taken from that population. Furthermore, it is the assumption which is tested to determine the relationship between two data sets.

Types of Statistical Hypothesis Testing

Source: https://www.youtube.com/c/365DataScience

1. there are two types of hypothesis in statistics, a. null hypothesis.

This is the assumption that the event will not occur or there is no relation between the compared variables. A null hypothesis has no relation with the study’s outcome unless it is rejected. Null hypothesis uses H0 as its symbol.

b. Alternate Hypothesis

The alternate hypothesis is the logical opposite of the null hypothesis. Furthermore, the acceptance of the alternative hypothesis follows the rejection of the null hypothesis. It uses H1 or Ha as its symbol

Hypothesis Testing Example: A sanitizer manufacturer company claims that its product kills 98% of germs on average. To put this company’s claim to test, create null and alternate hypothesis H0 (Null Hypothesis): Average = 98% H1/Ha (Alternate Hypothesis): The average is less than 98%

2. Depending on the population distribution, you can categorize the statistical hypothesis into two types.

A. simple hypothesis.

A simple hypothesis specifies an exact value for the parameter.

b. Composite Hypothesis

A composite hypothesis specifies a range of values.

Hypothesis Testing Example: A company claims to have achieved 1000 units as their average sales for this quarter. (Simple Hypothesis) The company claims to achieve the sales in the range of 900 to 100o units. (Composite Hypothesis).

3. Based on the type of statistical testing, the hypothesis in statistics is of two types.

A. one-tailed.

One-Tailed test or directional test considers a critical region of data which would result in rejection of the null hypothesis if the test sample falls in that data region. Therefore, accepting the alternate hypothesis. Furthermore, the critical distribution area in this test is one-sided which means the test sample is either greater or lesser than a specific value.

b. Two-Tailed

Two-Tailed test or nondirectional test is designed to show if the sample mean is significantly greater than and significantly less than the mean population. Here, the critical distribution area is two-sided. If the sample falls within the range, the alternate hypothesis is accepted and the null hypothesis is rejected.

Statistical Hypothesis Testing Example: Suppose H0: mean = 100 and H1: mean is not equal to 100 According to the H1, the mean can be greater than or less than 100. (Two-Tailed test) Similarly, if H0: mean >= 100, then H1: mean < 100 Here the mean is less than 100. (One-Tailed test)

Steps in Statistical Hypothesis Testing

Step 1: develop initial research hypothesis.

Research hypothesis is developed from research question. It is the prediction that you want to investigate. Moreover, an initial research hypothesis is important for restating the null and alternate hypothesis, to test the research question mathematically.

Step 2: State the null and alternate hypothesis based on your research hypothesis

Usually, the alternate hypothesis is your initial hypothesis that predicts relationship between variables. However, the null hypothesis is a prediction of no relationship between the variables you are interested in.

Step 3: Perform sampling and collection of data for statistical testing

It is important to perform sampling and collect data in way that assists the formulated research hypothesis. You will have to perform a statistical testing to validate your data and make statistical inferences about the population of your interest.

Step 4: Perform statistical testing based on the type of data you collected

There are various statistical tests available. Based on the comparison of within group variance and between group variance, you can carry out the statistical tests for the research study. If the between group variance is large enough and there is little or no overlap between groups, then the statistical test will show low p-value. (Difference between the groups is not a chance event).

Alternatively, if the within group variance is high compared to between group variance, then the statistical test shows a high p-value. (Difference between the groups is a chance event).

Step 5: Based on the statistical outcome, reject or fail to reject your null hypothesis

In most cases, you will use p-value generated from your statistical test to guide your decision. You will consider a predetermined level of significance of 0.05 for rejecting your null hypothesis , i.e. there is less than 5% chance of getting the results wherein the null hypothesis is true.

Step 6: Present your final results of hypothesis testing

You will present the results of your hypothesis in the results and discussion section of the research paper . In results section, you provide a brief summary of the data and a summary of the results of your statistical test. Meanwhile, in discussion, you can mention whether your results support your initial hypothesis.

Note that we never reject or fail to reject the alternate hypothesis. This is because the testing of hypothesis is not designed to prove or disprove anything. However, it is designed to test if a result is spuriously occurred, or by chance. Thus, statistical hypothesis testing becomes a crucial statistical tool to mathematically define the outcome of a research question.

Have you ever used hypothesis testing as a means of statistically analyzing your research data? How was your experience? Do write to us or comment below.

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Hypothesis testing involves formulating assumptions about population parameters based on sample statistics and rigorously evaluating these assumptions against empirical evidence. This article sheds light on the significance of hypothesis testing and the critical steps involved in the process.

What is Hypothesis Testing?

Hypothesis testing is a statistical method that is used to make a statistical decision using experimental data. Hypothesis testing is basically an assumption that we make about a population parameter. It evaluates two mutually exclusive statements about a population to determine which statement is best supported by the sample data. 

Example: You say an average height in the class is 30 or a boy is taller than a girl. All of these is an assumption that we are assuming, and we need some statistical way to prove these. We need some mathematical conclusion whatever we are assuming is true.

Defining Hypotheses

Key Terms of Hypothesis Testing

• P-value: The P value , or calculated probability, is the probability of finding the observed/extreme results when the null hypothesis(H0) of a study-given problem is true. If your P-value is less than the chosen significance level then you reject the null hypothesis i.e. accept that your sample claims to support the alternative hypothesis.
• Test Statistic: The test statistic is a numerical value calculated from sample data during a hypothesis test, used to determine whether to reject the null hypothesis. It is compared to a critical value or p-value to make decisions about the statistical significance of the observed results.
• Critical value : The critical value in statistics is a threshold or cutoff point used to determine whether to reject the null hypothesis in a hypothesis test.
• Degrees of freedom: Degrees of freedom are associated with the variability or freedom one has in estimating a parameter. The degrees of freedom are related to the sample size and determine the shape.

Why do we use Hypothesis Testing?

Hypothesis testing is an important procedure in statistics. Hypothesis testing evaluates two mutually exclusive population statements to determine which statement is most supported by sample data. When we say that the findings are statistically significant, thanks to hypothesis testing. 

One-Tailed and Two-Tailed Test

One tailed test focuses on one direction, either greater than or less than a specified value. We use a one-tailed test when there is a clear directional expectation based on prior knowledge or theory. The critical region is located on only one side of the distribution curve. If the sample falls into this critical region, the null hypothesis is rejected in favor of the alternative hypothesis.

One-Tailed Test

There are two types of one-tailed test:

Two-Tailed Test

A two-tailed test considers both directions, greater than and less than a specified value.We use a two-tailed test when there is no specific directional expectation, and want to detect any significant difference.

What are Type 1 and Type 2 errors in Hypothesis Testing?

In hypothesis testing, Type I and Type II errors are two possible errors that researchers can make when drawing conclusions about a population based on a sample of data. These errors are associated with the decisions made regarding the null hypothesis and the alternative hypothesis.

How does Hypothesis Testing work?

Step 1: define null and alternative hypothesis.

We first identify the problem about which we want to make an assumption keeping in mind that our assumption should be contradictory to one another, assuming Normally distributed data.

Step 2 – Choose significance level

Step 3 – Collect and Analyze data.

Gather relevant data through observation or experimentation. Analyze the data using appropriate statistical methods to obtain a test statistic.

Step 4-Calculate Test Statistic

The data for the tests are evaluated in this step we look for various scores based on the characteristics of data. The choice of the test statistic depends on the type of hypothesis test being conducted.

There are various hypothesis tests, each appropriate for various goal to calculate our test. This could be a Z-test , Chi-square , T-test , and so on.

• Z-test : If population means and standard deviations are known. Z-statistic is commonly used.
• t-test : If population standard deviations are unknown. and sample size is small than t-test statistic is more appropriate.
• Chi-square test : Chi-square test is used for categorical data or for testing independence in contingency tables
• F-test : F-test is often used in analysis of variance (ANOVA) to compare variances or test the equality of means across multiple groups.

We have a smaller dataset, So, T-test is more appropriate to test our hypothesis.

T-statistic is a measure of the difference between the means of two groups relative to the variability within each group. It is calculated as the difference between the sample means divided by the standard error of the difference. It is also known as the t-value or t-score.

Step 5 – Comparing Test Statistic:

In this stage, we decide where we should accept the null hypothesis or reject the null hypothesis. There are two ways to decide where we should accept or reject the null hypothesis.

Method A: Using Crtical values

Comparing the test statistic and tabulated critical value we have,

• If Test Statistic>Critical Value: Reject the null hypothesis.
• If Test Statistic≤Critical Value: Fail to reject the null hypothesis.

Note: Critical values are predetermined threshold values that are used to make a decision in hypothesis testing. To determine critical values for hypothesis testing, we typically refer to a statistical distribution table , such as the normal distribution or t-distribution tables based on.

Method B: Using P-values

We can also come to an conclusion using the p-value,

Note : The p-value is the probability of obtaining a test statistic as extreme as, or more extreme than, the one observed in the sample, assuming the null hypothesis is true. To determine p-value for hypothesis testing, we typically refer to a statistical distribution table , such as the normal distribution or t-distribution tables based on.

Step 7- Interpret the Results

At last, we can conclude our experiment using method A or B.

Calculating test statistic

To validate our hypothesis about a population parameter we use statistical functions . We use the z-score, p-value, and level of significance(alpha) to make evidence for our hypothesis for normally distributed data .

1. Z-statistics:

When population means and standard deviations are known.

• μ represents the population mean, 
• σ is the standard deviation
• and n is the size of the sample.

2. T-Statistics

T test is used when n<30,

t-statistic calculation is given by:

• t = t-score,
• x̄ = sample mean
• μ = population mean,
• s = standard deviation of the sample,
• n = sample size

3. Chi-Square Test

Chi-Square Test for Independence categorical Data (Non-normally distributed) using:

• i,j are the rows and columns index respectively.

Real life Hypothesis Testing example

Let’s examine hypothesis testing using two real life situations,

Case A: D oes a New Drug Affect Blood Pressure?

Imagine a pharmaceutical company has developed a new drug that they believe can effectively lower blood pressure in patients with hypertension. Before bringing the drug to market, they need to conduct a study to assess its impact on blood pressure.

• Before Treatment: 120, 122, 118, 130, 125, 128, 115, 121, 123, 119
• After Treatment: 115, 120, 112, 128, 122, 125, 110, 117, 119, 114

Step 1 : Define the Hypothesis

• Null Hypothesis : (H 0 )The new drug has no effect on blood pressure.
• Alternate Hypothesis : (H 1 )The new drug has an effect on blood pressure.

Step 2: Define the Significance level

Let’s consider the Significance level at 0.05, indicating rejection of the null hypothesis.

If the evidence suggests less than a 5% chance of observing the results due to random variation.

Step 3 : Compute the test statistic

Using paired T-test analyze the data to obtain a test statistic and a p-value.

The test statistic (e.g., T-statistic) is calculated based on the differences between blood pressure measurements before and after treatment.

t = m/(s/√n)

• m  = mean of the difference i.e X after, X before
• s  = standard deviation of the difference (d) i.e d i ​= X after, i ​− X before,
• n  = sample size,

then, m= -3.9, s= 1.8 and n= 10

we, calculate the , T-statistic = -9 based on the formula for paired t test

Step 4: Find the p-value

The calculated t-statistic is -9 and degrees of freedom df = 9, you can find the p-value using statistical software or a t-distribution table.

thus, p-value = 8.538051223166285e-06

Step 5: Result

• If the p-value is less than or equal to 0.05, the researchers reject the null hypothesis.
• If the p-value is greater than 0.05, they fail to reject the null hypothesis.

Conclusion: Since the p-value (8.538051223166285e-06) is less than the significance level (0.05), the researchers reject the null hypothesis. There is statistically significant evidence that the average blood pressure before and after treatment with the new drug is different.

Python Implementation of Hypothesis Testing

Let’s create hypothesis testing with python, where we are testing whether a new drug affects blood pressure. For this example, we will use a paired T-test. We’ll use the scipy.stats library for the T-test.

Scipy is a mathematical library in Python that is mostly used for mathematical equations and computations.

We will implement our first real life problem via python,

In the above example, given the T-statistic of approximately -9 and an extremely small p-value, the results indicate a strong case to reject the null hypothesis at a significance level of 0.05. 

• The results suggest that the new drug, treatment, or intervention has a significant effect on lowering blood pressure.
• The negative T-statistic indicates that the mean blood pressure after treatment is significantly lower than the assumed population mean before treatment.

Case B : Cholesterol level in a population

Data: A sample of 25 individuals is taken, and their cholesterol levels are measured.

Cholesterol Levels (mg/dL): 205, 198, 210, 190, 215, 205, 200, 192, 198, 205, 198, 202, 208, 200, 205, 198, 205, 210, 192, 205, 198, 205, 210, 192, 205.

Populations Mean = 200

Population Standard Deviation (σ): 5 mg/dL(given for this problem)

Step 1: Define the Hypothesis

• Null Hypothesis (H 0 ): The average cholesterol level in a population is 200 mg/dL.
• Alternate Hypothesis (H 1 ): The average cholesterol level in a population is different from 200 mg/dL.

As the direction of deviation is not given , we assume a two-tailed test, and based on a normal distribution table, the critical values for a significance level of 0.05 (two-tailed) can be calculated through the z-table and are approximately -1.96 and 1.96.

Step 4: Result

Since the absolute value of the test statistic (2.04) is greater than the critical value (1.96), we reject the null hypothesis. And conclude that, there is statistically significant evidence that the average cholesterol level in the population is different from 200 mg/dL

Limitations of Hypothesis Testing

• Although a useful technique, hypothesis testing does not offer a comprehensive grasp of the topic being studied. Without fully reflecting the intricacy or whole context of the phenomena, it concentrates on certain hypotheses and statistical significance.
• The accuracy of hypothesis testing results is contingent on the quality of available data and the appropriateness of statistical methods used. Inaccurate data or poorly formulated hypotheses can lead to incorrect conclusions.
• Relying solely on hypothesis testing may cause analysts to overlook significant patterns or relationships in the data that are not captured by the specific hypotheses being tested. This limitation underscores the importance of complimenting hypothesis testing with other analytical approaches.

Hypothesis testing stands as a cornerstone in statistical analysis, enabling data scientists to navigate uncertainties and draw credible inferences from sample data. By systematically defining null and alternative hypotheses, choosing significance levels, and leveraging statistical tests, researchers can assess the validity of their assumptions. The article also elucidates the critical distinction between Type I and Type II errors, providing a comprehensive understanding of the nuanced decision-making process inherent in hypothesis testing. The real-life example of testing a new drug’s effect on blood pressure using a paired T-test showcases the practical application of these principles, underscoring the importance of statistical rigor in data-driven decision-making.

Frequently Asked Questions (FAQs)

1. what are the 3 types of hypothesis test.

There are three types of hypothesis tests: right-tailed, left-tailed, and two-tailed. Right-tailed tests assess if a parameter is greater, left-tailed if lesser. Two-tailed tests check for non-directional differences, greater or lesser.

2.What are the 4 components of hypothesis testing?

Null Hypothesis ( ): No effect or difference exists. Alternative Hypothesis ( ): An effect or difference exists. Significance Level ( ): Risk of rejecting null hypothesis when it’s true (Type I error). Test Statistic: Numerical value representing observed evidence against null hypothesis.

3.What is hypothesis testing in ML?

Statistical method to evaluate the performance and validity of machine learning models. Tests specific hypotheses about model behavior, like whether features influence predictions or if a model generalizes well to unseen data.

4.What is the difference between Pytest and hypothesis in Python?

Pytest purposes general testing framework for Python code while Hypothesis is a Property-based testing framework for Python, focusing on generating test cases based on specified properties of the code.

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• Published: 02 May 2024

Use of the International IFOMPT Cervical Framework to inform clinical reasoning in postgraduate level physiotherapy students: a qualitative study using think aloud methodology

• Katie L. Kowalski 1 ,
• Heather Gillis 1 ,
• Katherine Henning 1 ,
• Paul Parikh 1 ,
• Jackie Sadi 1 &
• Alison Rushton 1  

BMC Medical Education volume  24 , Article number:  486 ( 2024 ) Cite this article

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Vascular pathologies of the head and neck are rare but can present as musculoskeletal problems. The International Federation of Orthopedic Manipulative Physical Therapists (IFOMPT) Cervical Framework (Framework) aims to assist evidence-based clinical reasoning for safe assessment and management of the cervical spine considering potential for vascular pathology. Clinical reasoning is critical to physiotherapy, and developing high-level clinical reasoning is a priority for postgraduate (post-licensure) educational programs.

To explore the influence of the Framework on clinical reasoning processes in postgraduate physiotherapy students.

Qualitative case study design using think aloud methodology and interpretive description, informed by COnsolidated criteria for REporting Qualitative research. Participants were postgraduate musculoskeletal physiotherapy students who learned about the Framework through standardized delivery. Two cervical spine cases explored clinical reasoning processes. Coding and analysis of transcripts were guided by Elstein’s diagnostic reasoning components and the Postgraduate Musculoskeletal Physiotherapy Practice model. Data were analyzed using thematic analysis (inductive and deductive) for individuals and then across participants, enabling analysis of key steps in clinical reasoning processes and use of the Framework. Trustworthiness was enhanced with multiple strategies (e.g., second researcher challenged codes).

For all participants ( n  = 8), the Framework supported clinical reasoning using primarily hypothetico-deductive processes. It informed vascular hypothesis generation in the patient history and testing the vascular hypothesis through patient history questions and selection of physical examination tests, to inform clarity and support for diagnosis and management. Most participant’s clinical reasoning processes were characterized by high-level features (e.g., prioritization), however there was a continuum of proficiency. Clinical reasoning processes were informed by deep knowledge of the Framework integrated with a breadth of wider knowledge and supported by a range of personal characteristics (e.g., reflection).

Conclusions

Findings support use of the Framework as an educational resource in postgraduate physiotherapy programs to inform clinical reasoning processes for safe and effective assessment and management of cervical spine presentations considering potential for vascular pathology. Individualized approaches may be required to support students, owing to a continuum of clinical reasoning proficiency. Future research is required to explore use of the Framework to inform clinical reasoning processes in learners at different levels.

Peer Review reports

Introduction

Musculoskeletal neck pain and headache are highly prevalent and among the most disabling conditions globally that require effective rehabilitation [ 1 , 2 , 3 , 4 ]. A range of rehabilitation professionals, including physiotherapists, assess and manage musculoskeletal neck pain and headache. Assessment of the cervical spine can be a complex process. Patients can present to physiotherapy with vascular pathology masquerading as musculoskeletal pain and dysfunction, as neck pain and/or headache as a common first symptom [ 5 ]. While vascular pathologies of the head and neck are rare [ 6 ], they are important considerations within a cervical spine assessment to facilitate the best possible patient outcomes [ 7 ]. The International IFOMPT (International Federation of Orthopedic Manipulative Physical Therapists) Cervical Framework (Framework) provides guidance in the assessment and management of the cervical spine region, considering the potential for vascular pathologies of the neck and head [ 8 ]. Two separate, but related, risks are considered: risk of misdiagnosis of an existing vascular pathology and risk of serious adverse event following musculoskeletal interventions [ 8 ].

The Framework is a consensus document iteratively developed through rigorous methods and the best contemporary evidence [ 8 ], and is also published as a Position Statement [ 7 ]. Central to the Framework are clinical reasoning and evidence-based practice, providing guidance in the assessment of the cervical spine region, considering the potential for vascular pathologies in advance of planned interventions [ 7 , 8 ]. The Framework was developed and published to be a resource for practicing musculoskeletal clinicians and educators. It has been implemented widely within IFOMPT postgraduate (post-licensure) educational programs, influencing curricula by enabling a comprehensive and systemic approach when considering the potential for vascular pathology [ 9 ]. Frequently reported curricula changes include an emphasis on the patient history and incorporating Framework recommended physical examination tests to evaluate a vascular hypothesis [ 9 ]. The Framework aims to assist musculoskeletal clinicians in their clinical reasoning processes, however no study has investigated students’ use of the Framework to inform their clinical reasoning.

Clinical reasoning is a critical component to physiotherapy practice as it is fundamental to assessment and diagnosis, enabling physiotherapists to provide safe and effective patient-centered care [ 10 ]. This is particularly important for postgraduate physiotherapy educational programs, where developing a high level of clinical reasoning is a priority for educational curricula [ 11 ] and critical for achieving advanced practice physiotherapy competency [ 12 , 13 , 14 , 15 ]. At this level of physiotherapy, diagnostic reasoning is emphasized as an important component of a high level of clinical reasoning, informed by advanced use of domain-specific knowledge (e.g., propositional, experiential) and supported by a range of personal characteristics (e.g., adaptability, reflective) [ 12 ]. Facilitating the development of clinical reasoning improves physiotherapist’s performance and patient outcomes [ 16 ], underscoring the importance of clinical reasoning to physiotherapy practice. Understanding students’ use of the Framework to inform their clinical reasoning can support optimal implementation of the Framework within educational programs to facilitate safe and effective assessment and management of the cervical spine for patients.

To explore the influence of the Framework on the clinical reasoning processes in postgraduate level physiotherapy students.

Using a qualitative case study design, think aloud case analyses enabled exploration of clinical reasoning processes in postgraduate physiotherapy students. Case study design allows evaluation of experiences in practice, providing knowledge and accounts of practical actions in a specific context [ 17 ]. Case studies offer opportunity to generate situationally dependent understandings of accounts of clinical practice, highlighting the action and interaction that underscore the complexity of clinical decision-making in practice [ 17 ]. This study was informed by an interpretive description methodological approach with thematic analysis [ 18 , 19 ]. Interpretive description is coherent with mixed methods research and pragmatic orientations [ 20 , 21 ], and enables generation of evidence-based disciplinary knowledge and clinical understanding to inform practice [ 18 , 19 , 22 ]. Interpretive description has evolved for use in educational research to generate knowledge of educational experiences and the complexities of health care education to support achievement of educational objectives and professional practice standards [ 23 ]. The COnsolidated criteria for REporting Qualitative research (COREQ) informed the design and reporting of this study [ 24 ].

Research team

All research team members hold physiotherapy qualifications, and most hold advanced qualifications specializing in musculoskeletal physiotherapy. The research team is based in Canada and has varying levels of academic credentials (ranging from Clinical Masters to PhD or equivalent) and occupations (ranging from PhD student to Director of Physical Therapy). The final author (AR) is also an author of the Framework, which represents international and multiprofessional consensus. Authors HG and JS are lecturers on one of the postgraduate programs which students were recruited from. The primary researcher and first author (KK) is a US-trained Physical Therapist and Postdoctoral Research Associate investigating spinal pain and clinical reasoning in the School of Physical Therapy at Western University. Authors KK, KH and PP had no prior relationship with the postgraduate educational programs, students, or the Framework.

Study setting

Western University in London, Ontario, Canada offers a one-year Advanced Health Care Practice (AHCP) postgraduate IFOMPT-approved Comprehensive Musculoskeletal Physiotherapy program (CMP) and a postgraduate Sport and Exercise Medicine (SEM) program. Think aloud case analyses interviews were conducted using Zoom, a viable option for qualitative data collection and audio-video recording of interviews that enables participation for students who live in geographically dispersed areas across Canada [ 25 ]. Interviews with individual participants were conducted by one researcher (KK or KH) in a calm and quiet environment to minimize disruption to the process of thinking aloud [ 26 ].

Participants

AHCP postgraduate musculoskeletal physiotherapy students ≥ 18 years of age in the CMP and SEM programs were recruited via email and an introduction to the research study during class by KK, using purposive sampling to ensure theoretical representation. The purposive sample ensured key characteristics of participants were included, specifically gender, ethnicity, and physiotherapy experience (years, type). AHCP students must have attended standardized teaching about the Framework to be eligible to participate. Exclusion criteria included inability to communicate fluently in English. As think-aloud methodology seeks rich, in-depth data from a small sample [ 27 ], this study sought to recruit 8–10 AHCP students. This range was informed by prior think aloud literature and anticipated to balance diversity of participant characteristics, similarities in musculoskeletal physiotherapy domain knowledge and rich data supporting individual clinical reasoning processes [ 27 , 28 ].

Learning about the IFOMPT Cervical Framework

CMP and SEM programs included standardized teaching of the Framework to inform AHCP students’ clinical reasoning in practice. Delivery included a presentation explaining the Framework, access to the full Framework document [ 8 ], and discussion of its role to inform practice, including a case analysis of a cervical spine clinical presentation, by research team members AR and JS. The full Framework document that is publicly available through IFOMPT [ 8 ] was provided to AHCP students as the Framework Position Statement [ 7 ] was not yet published. Discussion and case analysis was led by AHCP program leads in November 2021 (CMP, including research team member JS) and January 2022 (SEM).

Think aloud case analyses data collection

Using think aloud methodology, the analytical processes of how participants use the Framework to inform clinical reasoning were explored in an interview with one research team member not involved in AHCP educational programs (KK or KH). The think aloud method enables description and explanation of complex information paralleling the clinical reasoning process and has been used previously in musculoskeletal physiotherapy [ 29 , 30 ]. It facilitates the generation of rich verbal [ 27 ]as participants verbalize their clinical reasoning protocols [ 27 , 31 ]. Participants were aware of the aim of the research study and the research team’s clinical and research backgrounds, supporting an open environment for depth of data collection [ 32 ]. There was no prior relationship between participants and research team members conducting interviews.

Participants were instructed to think aloud their analysis of two clinical cases, presented in random order (Supplementary  1 ). Case information was provided in stages to reflect the chronology of assessment of patients in practice (patient history, planning the physical examination, physical examination, treatment). Use of the Framework to inform clinical reasoning was discussed at each stage. The cases enabled participants to identify and discuss features of possible vascular pathology, treatment indications and contraindications/precautions, etc. Two research study team members (HG, PP) developed cases designed to facilitate and elicit clinical reasoning processes in neck and head pain presentations. Cases were tested against the research team to ensure face validity. Cases and think aloud prompts were piloted prior to use with three physiotherapists at varying levels of practice to ensure they were fit for purpose.

Data collection took place from March 30-August 15, 2022, during the final terms of the AHCP programs and an average of 5 months after standardized teaching about the Framework. During case analysis interviews, participants were instructed to constantly think aloud, and if a pause in verbalizations was sustained, they were reminded to “keep thinking aloud” [ 27 ]. As needed, prompts were given to elicit verbalization of participants’ reasoning processes, including use of the Framework to inform their clinical reasoning at each stage of case analysis (Supplementary  2 ). Aside from this, all interactions between participants and researchers minimized to not interfere with the participant’s thought processes [ 27 , 31 ]. When analysis of the first case was complete, the researcher provided the second case, each lasting 35–45 min. A break between cases was offered. During and after interviews, field notes were recorded about initial impressions of the data collection session and potential patterns appearing to emerge [ 33 ].

Data analysis

Data from think aloud interviews were analyzed using thematic analysis [ 30 , 34 ], facilitating identification and analysis of patterns in data and key steps in the clinical reasoning process, including use of the Framework to enable its characterization (Fig.  1 ). As established models of clinical reasoning exist, a hybrid approach to thematic analysis was employed, incorporating inductive and deductive processes [ 35 ], which proceeded according to 5 iterative steps: [ 34 ]

Data analysis steps

Familiarize with data: Audio-visual recordings were transcribed verbatim by a physiotherapist external to the research team. All transcripts were read and re-read several times by one researcher (KK), checking for accuracy by reviewing recordings as required. Field notes supported depth of familiarization with data.

Generate initial codes: Line-by-line coding of transcripts by one researcher (KK) supported generation of initial codes that represented components, patterns and meaning in clinical reasoning processes and use of the Framework. Established preliminary coding models were used as a guide. Elstein’s diagnostic reasoning model [ 36 ] guided generating initial codes of key steps in clinical reasoning processes (Table  1 a) [ 29 , 36 ]. Leveraging richness of data, further codes were generated guided by the Postgraduate Musculoskeletal Physiotherapy Practice model, which describes masters level clinical practice (Table  1 b) [ 12 ]. Codes were refined as data analysis proceeded. All codes were collated within participants along with supporting data.

Generate initial themes within participants: Coded data was inductively grouped into initial themes within each participant, reflecting individual clinical reasoning processes and use of the Framework. This inductive stage enabled a systematic, flexible approach to describe each participant’s unique thinking path, offering insight into the complexities of their clinical reasoning processes. It also provided a comprehensive understanding of the Framework informing clinical reasoning and a rich characterization of its components, aiding the development of robust, nuanced insights [ 35 , 37 , 38 ]. Initial themes were repeatedly revised to ensure they were grounded in and reflected raw data.

Develop, review and refine themes across participants: Initial themes were synthesized across participants to develop themes that represented all participants. Themes were reviewed and refined, returning to initial themes and codes at the individual participant level as needed.

Organize themes into established models: Themes were deductively organized into established clinical reasoning models; first into Elstein’s diagnostic reasoning model, second into the Postgraduate Musculoskeletal Physiotherapy Practice model to characterize themes within each diagnostic reasoning component [ 12 , 36 ].

Trustworthiness of findings

The research study was conducted according to an a priori protocol and additional steps were taken to establish trustworthiness of findings [ 39 ]. Field notes supported deep familiarization with data and served as a means of data source triangulation during analysis [ 40 ]. One researcher coded transcripts and a second researcher challenged codes, with codes and themes rigorously and iteratively reviewed and refined. Frequent debriefing sessions with the research team, reflexive discussions with other researchers and peer scrutiny of initial findings enabled wider perspectives and experiences to shape analysis and interpretation of findings. Several strategies were implemented to minimize the influence of prior relationships between participants and researchers, including author KK recruiting participants, KK and KH collecting/analyzing data, and AR, JS, HG and PP providing input on de-identified data at the stage of synthesis and interpretation.

Nine AHCP postgraduate level students were recruited and participated in data collection. One participant was withdrawn because of unfamiliarity with the standardized teaching session about use of the Framework (no recall of session), despite confirmation of attendance. Data from eight participants were used for analysis (CMP: n  = 6; SEM: n  = 2; Table  2 ), which achieved sample size requirements for think aloud methodology of rich and in-depth data [ 27 , 28 ].

Diagnostic reasoning components

Informed by the Framework, all components of Elstein’s diagnostic reasoning processes [ 36 ] were used by participants, including use of treatment with physiotherapy interventions to aid diagnostic reasoning. An illustrative example is presented in Supplement  3 . Clinical reasoning used primarily hypothetico-deductive processes reflecting a continuum of proficiency, was informed by deep Framework knowledge and breadth of prior knowledge (e.g., experiential), and supported by a range of personal characteristics (e.g., justification for decisions).

Cue acquisition

All participants sought to acquire additional cues early in the patient history, and for some this persisted into the medical history and physical examination. Cue acquisition enabled depth and breadth of understanding patient history information to generate hypotheses and factors contributing to the patient’s pain experience (Table  3 ). All participants asked further questions to understand details of the patients’ pain and their presentation, while some also explored the impact of pain on patient functioning and treatments received to date. There was a high degree of specificity to questions for most participants. Ongoing clinical reasoning processes through a thorough and complete assessment, even if the patient had previously received treatment for similar symptoms, was important for some participants. Cue acquisition was supported by personal characteristics including a patient-centered approach (e.g., understanding the patient’s beliefs about pain) and one participant reflected on their approach to acquiring patient history cues.

Hypothesis generation

Participants generated an average of 4.5 hypotheses per case (range: 2–8) and most hypotheses (77%) were generated rapidly early in the patient history. Knowledge from the Framework about patient history features of vascular pathology informed vascular hypothesis generation in the patient history for all participants in both cases (Table  4 ). Vascular hypotheses were also generated during the past medical history, where risk factors for vascular pathology were identified and interpreted by some participants who had high levels of suspicion for cervical articular involvement. Non-vascular hypotheses were generated during the physical examination by some participants to explain individual physical examination or patient history cues. Deep knowledge of the patient history section in the Framework supported high level of cue identification and interpretation for generating vascular hypotheses. Initial hypotheses were prioritized by some participants, however the level of specificity of hypotheses varied.

Cue evaluation

All participants evaluated cues throughout the patient history and physical examination in relationship to hypotheses generated, indicating use of hypothetico-deductive reasoning processes (Table  5 ). Framework knowledge of patient history features of vascular pathology was used to test vascular hypotheses and aid differential diagnosis. The patient history section supported high level of cue identification and interpretation of patient history features for all but one participant, and generation of further patient history questions for all participants. The level of specificity of these questions was high for all but one participant. Framework knowledge of recommended physical examination tests, including removal of positional testing, supported planning a focused and prioritized physical examination to further test vascular hypotheses for all participants. No participant indicated intention to use positional testing as part of their physical examination. Treatment with physiotherapy interventions served as a form of cue evaluation, and cues were evaluated to inform prognosis for some participants. At times during the physical examination, some participants demonstrated occasional errors or difficulty with cue evaluation by omitting key physical exam tests (e.g., no cranial nerve assessment despite concerns for trigeminal nerve involvement), selecting physical exam tests in advance of hypothesis generation (e.g., cervical spine instability testing), difficulty interpreting cues, or late selection of a physical examination test. Cue acquisition was supported by a range of personal characteristics. Most participants justified selection of physical examination tests, and some self-reflected on their ability to collect useful physical examination information to inform selection of tests. Precaution to the physical examination was identified by all participants but one, which contributed to an adaptable approach, prioritizing patient safety and comfort. Critical analysis of physical examination information aided interpretation within the context of the patient for most participants.

Hypothesis evaluation

All participants used the Framework to evaluate their hypotheses throughout the patient history and physical examination, continuously shifting their level of support for hypotheses (Table  6 , Supplement  4 ). This informed clarity in the overall level of suspicion for vascular pathology or musculoskeletal diagnoses, which were specific for most participants. Response to treatment with physiotherapy interventions served as a form of hypothesis evaluation for most participants who had low level suspicion for vascular pathology, highlighting ongoing reasoning processes. Hypotheses evaluated were prioritized by ranking according to level of suspicion by some participants. Difficulties weighing patient history and physical examination cues to inform judgement on overall level of suspicion for vascular pathology was demonstrated by some participants who reported that incomplete physical examination data and not being able to see the patient contributed to difficulties. Hypothesis evaluation was supported by the personal characteristic of reflection, where some students reflected on the Framework’s emphasis on the patient history to evaluate a vascular hypothesis.

The Framework supported all participants in clinical reasoning related to treatment (Table  7 ). Treatment decisions were always linked to the participant’s overall level of suspicion for vascular pathology or musculoskeletal diagnosis. Framework knowledge supported participants with high level of suspicion for vascular pathology to refer for further investigations. Participants with a musculoskeletal diagnosis kept the patient for physiotherapy interventions. The Framework patient history section supported patient education about symptoms of vascular pathology and safety netting for some participants. Framework knowledge influenced informed consent processes and risk-benefit analysis to support the selection of musculoskeletal physiotherapy interventions, which were specific and prioritized for some participants. Less Framework knowledge related to treatment was demonstrated by some students, generating unclear recommendations regarding the urgency of referral and use of the Framework to inform musculoskeletal physiotherapy interventions. Treatment was supported by a range of personal characteristics. An adaptable approach that prioritized patient safety and was supported by justification was demonstrated in all participants except one. Shared decision-making enabled the selection of physiotherapy interventions, which were patient-centered (individualized, considered whole person, identified future risk for vascular pathology). Communication with the patient’s family doctor facilitated collaborative patient-centered care for most participants.

This is the first study to explore the influence of the Framework on clinical reasoning processes in postgraduate physiotherapy students. The Framework supported clinical reasoning that used primarily hypothetico-deductive processes. The Framework informed vascular hypothesis generation in the patient history and testing the vascular hypothesis through patient history questions and selection of physical examination tests to inform clarity and support for diagnosis and management. Most postgraduate students’ clinical reasoning processes were characterized by high-level features (e.g. specificity, prioritization). However, some demonstrated occasional difficulties or errors, reflecting a continuum of clinical reasoning proficiency. Clinical reasoning processes were informed by deep knowledge of the Framework integrated with a breadth of wider knowledge and supported by a range of personal characteristics (e.g., justification for decisions, reflection).

Use of the Framework to inform clinical reasoning processes

The Framework provided a structured and comprehensive approach to support postgraduate students’ clinical reasoning processes in assessment and management of the cervical spine region, considering the potential for vascular pathology. Patient history and physical examination information was evaluated to inform clarity and support the decision to refer for further vascular investigations or proceed with musculoskeletal physiotherapy diagnosis/interventions. The Framework is not intended to lead to a vascular pathology diagnosis [ 7 , 8 ], and following the Framework does not guarantee vascular pathologies will be identified [ 41 ]. Rather, it aims to support a process of clinical reasoning to elicit and interpret appropriate patient history and physical examination information to estimate the probability of vascular pathology and inform judgement about the need to refer for further investigations [ 7 , 8 , 42 ]. Results of this study suggest the Framework has achieved this aim for postgraduate physiotherapy students.

The Framework supported postgraduate students in using primarily hypothetico-deductive diagnostic reasoning processes. This is expected given the diversity of vascular pathology clinical presentations precluding a definite clinical pattern and inherent complexity as a potential masquerader of a musculoskeletal problem [ 7 ]. It is also consistent with prior research investigating clinical reasoning processes in musculoskeletal physiotherapy postgraduate students [ 12 ] and clinical experts [ 29 ] where hypothetico-deductive and pattern recognition diagnostic reasoning are employed according to the demands of the clinical situation [ 10 ]. Diagnostic reasoning of most postgraduate students in this study demonstrated features suggestive of high-level clinical reasoning in musculoskeletal physiotherapy [ 12 ], including ongoing reasoning with high-level cue identification and interpretation, specificity and prioritization during assessment and treatment, use of physiotherapy interventions to aid diagnostic reasoning, and prognosis determination [ 12 , 29 , 43 ]. Expert physiotherapy practice has been further described as using a dialectical model of clinical reasoning with seamless transitions between clinical reasoning strategies [ 44 ]. While diagnostic reasoning was a focus in this study, postgraduate students considered a breadth of information as important to their reasoning (e.g., patient’s perspectives of the reason for their pain). This suggests wider reasoning strategies (e.g., narrative, collaborative) were employed to enable shared decision-making within the context of patient-centered care.

Study findings also highlighted a continuum of proficiency in use of the Framework to inform clinical reasoning processes. Not all students demonstrated all characteristics of high-level clinical reasoning and there are suggestions of incomplete reasoning processes, for example occasional errors in evaluating cues. Some students offered explanations such as incomplete case information as factors contributing to difficulties with clinical reasoning processes. However, the ability to critically evaluate incomplete and potentially conflicting clinical information is consistently identified as an advanced clinical practice competency [ 14 , 43 ]. A continuum of proficiency in clinical reasoning in musculoskeletal physiotherapy is supported by wider healthcare professions describing acquisition and application of clinical knowledge and skills as a developmental continuum of clinical competence progressing from novice to expert [ 45 , 46 ]. The range of years of clinical practice experience in this cohort of students (3–14 years) or prior completed postgraduate education may have contributed to the continuum of proficiency, as high-quality and diverse experiential learning is essential for the development of high-level clinical reasoning [ 14 , 47 ].

Deep knowledge of the Framework informs clinical reasoning processes

Postgraduate students demonstrated deep Framework knowledge to inform clinical reasoning processes. All students demonstrated knowledge of patient history features of vascular pathology, recommended physical examination tests to test a vascular hypothesis, and the need to refer if there is a high level of suspicion for vascular pathology. A key development in the recent Framework update is the removal of the recommendation to perform positional testing [ 8 ]. All students demonstrated knowledge of this development, and none wanted to test a vascular hypothesis with positional testing. Most also demonstrated Framework knowledge about considerations for planning treatment with physiotherapy interventions (e.g., risk-benefit analysis, informed consent), though not all, which underscores the continuum of proficiency in postgraduate students. Rich organization of multidimensional knowledge is a required component for high level clinical reasoning and is characteristic of expert physiotherapy practice [ 10 , 48 , 49 ]. Most postgraduate physiotherapy students displayed this expert practice characteristic through integration of deep Framework knowledge with a breadth of prior knowledge (e.g., experiential, propositional) to inform clinical reasoning processes. This highlights the utility of the Framework in postgraduate physiotherapy education to develop advanced level evidence-based knowledge informing clinical reasoning processes for safe assessment and management of the cervical spine, considering the potential for vascular pathology [ 9 , 8 , 50 , 51 , 52 ].

Framework supports personal characteristics to facilitate integration of knowledge and clinical reasoning

The Framework supported personal characteristics of postgraduate students, which are key drivers for the complex integration of advanced knowledge and high-level clinical reasoning [ 10 , 12 , 48 ]. For all students, the Framework supported justification for decisions and patient-centered care, emphasizing a whole-person approach and shared decision-making. Further demonstrating a continuum of proficiency, the Framework supported a wider breadth of personal characteristics for some students, including critical analysis, reflection, self-analysis, and adaptability. These personal characteristics illustrate the interwoven cognitive and metacognitive skills that influence and support a high level of clinical reasoning [ 10 , 12 ] and the development of clinical expertise [ 48 , 53 ]. For example [ 54 ], reflection is critical to developing high-level clinical reasoning and advanced level practice [ 12 , 55 ]. Postgraduate students reflected on prior knowledge, experiences, and action within the context of current Framework knowledge, emphasizing active engagement in cognitive processes to inform clinical reasoning processes. Reflection-in-action is highlighted by self-analysis and adaptability. These characteristics require continuous cognitive processing to consider personal strengths and limitations in the context of the patient and evidence-based practice, adapting the clinical encounter as required [ 53 , 55 ]. These findings highlight use of the Framework in postgraduate education to support development of personal characteristics that are indicative of an advanced level of clinical practice [ 12 ].

Synthesis of findings

Derived from synthesis of research study findings and informed by the Postgraduate Musculoskeletal Physiotherapy Practice model [ 12 ], use of the Framework to inform clinical reasoning processes in postgraduate students is illustrated in Fig.  2 . Overlapping clinical reasoning, knowledge and personal characteristic components emphasize the complex interaction of factors contributing to clinical reasoning processes. Personal characteristics of postgraduate students underpin clinical reasoning and knowledge, highlighting their role in facilitating the integration of these two components. Bolded subcomponents indicate convergence of results reflecting all postgraduate students and underscores the variability among postgraduate students contributing to a continuum of clinical reasoning proficiency. The relative weighting of the components is approximately equal to balance the breadth and convergence of subcomponents. Synthesis of findings align with the Postgraduate Musculoskeletal Physiotherapy Practice model [ 12 ], though some differences exist. Limited personal characteristics were identified in this study with little convergence across students, which may be due to the objective of this study and the case analysis approach.

Use of the Framework to inform clinical reasoning in postgraduate level musculoskeletal physiotherapy students. Adapted from the Postgraduate Musculoskeletal Physiotherapy Practice model [ 12 ].

Strengths and limitations

Think aloud case analyses enabled situationally dependent understanding of the Framework to inform clinical reasoning processes in postgraduate level students [ 17 ], considering the rare potential for vascular pathology. A limitation of this approach was the standardized nature of case information provided to students, which may have influenced clinical reasoning processes. Future research studies may consider patient case simulation to address this limitation [ 30 ]. Interviews were conducted during the second half of the postgraduate educational program, and this timing could have influenced clinical reasoning processes compared to if interviews were conducted at the end of the program. Future research can explore use of the Framework to inform clinical reasoning processes in established advanced practice physiotherapists. The sample size of this study aligns with recommendations for think aloud methodology [ 27 , 28 ], achieved rich data, and purposive sampling enabled wide representation of key characteristics (e.g., gender, ethnicity, country of training, physiotherapy experiences), which enhances transferability of findings. Students were aware of the study objective in advance of interviews which may have contributed to a heightened level of awareness of vascular pathology. The prior relationship between students and researchers may have also influenced results, however several strategies were implemented to minimize this influence.

Implications

The Framework is widely implemented within IFOMPT postgraduate educational programs and has led to important shifts in educational curricula [ 9 ]. Findings of this study support use of the Framework as an educational resource in postgraduate physiotherapy programs to inform clinical reasoning processes for safe and effective assessment and management of cervical spine presentations considering the potential for vascular pathology. Individualized approaches may be required to support each student, owing to a continuum of clinical reasoning proficiency. As the Framework was written for practicing musculoskeletal clinicians, future research is required to explore use of the Framework to inform clinical reasoning in learners at different levels, for example entry-level physiotherapy students.

The Framework supported clinical reasoning that used primarily hypothetico-deductive processes in postgraduate physiotherapy students. It informed vascular hypothesis generation in the patient history and testing the vascular hypothesis through patient history questions and selection of physical examination tests, to inform clarity and support for diagnosis and management. Most postgraduate students clinical reasoning processes were characterized as high-level, informed by deep Framework knowledge integrated with a breadth of wider knowledge, and supported by a range of personal characteristics to facilitate the integration of advanced knowledge and high-level clinical reasoning. Future research is required to explore use of the Framework to inform clinical reasoning in learners at different levels.

Data availability

The dataset used and analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

The authors would like to acknowledge study participants and the transcriptionist for their time in completing and transcribing think aloud interviews.

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Katie L. Kowalski, Heather Gillis, Katherine Henning, Paul Parikh, Jackie Sadi & Alison Rushton

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Katie Kowalski: Conceptualization, methodology, validation, formal analysis, investigation, data curation, writing– original draft, visualization, project administration. Heather Gillis: Validation, resources, writing– review & editing. Katherine Henning: Investigation, formal analysis, writing– review & editing. Paul Parikh: Validation, resources, writing– review & editing. Jackie Sadi: Validation, resources, writing– review & editing. Alison Rushton: Conceptualization, methodology, validation, writing– review & editing, supervision.

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Western University Health Science Research Ethics Board granted ethical approval (Project ID: 119934). Participants provided written informed consent prior to participating in think aloud interviews.

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Competing interests

Author AR is an author of the IFOMPT Cervical Framework. Authors JS and HG are lecturers on the AHCP CMP program. AR and JS led standardized teaching of the Framework. Measures to reduce the influence of potential competing interests on the conduct and results of this study included: the Framework representing international and multiprofessional consensus, recruitment of participants by author KK, data collection and analysis completed by KK with input from AR, JS and HG at the stage of data synthesis and interpretation, and wider peer scrutiny of initial findings. KK, KH and PP have no potential competing interests.

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Kowalski, K.L., Gillis, H., Henning, K. et al. Use of the International IFOMPT Cervical Framework to inform clinical reasoning in postgraduate level physiotherapy students: a qualitative study using think aloud methodology. BMC Med Educ 24 , 486 (2024). https://doi.org/10.1186/s12909-024-05399-x

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8.6: Steps of the Hypothesis Testing Process

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• Foster et al.
• University of Missouri-St. Louis, Rice University, & University of Houston, Downtown Campus via University of Missouri’s Affordable and Open Access Educational Resources Initiative

The process of testing hypotheses follows a simple four-step procedure. This process will be what we use for the remainder of the textbook and course, and though the hypothesis and statistics we use will change, this process will not.

Step 1: State the Hypotheses

Your hypotheses are the first thing you need to lay out. Otherwise, there is nothing to test! You have to state the null hypothesis (which is what we test) and the alternative hypothesis (which is what we expect). These should be stated mathematically as they were presented above AND in words, explaining in normal English what each one means in terms of the research question.

Step 2: Find the Critical Values

Next, we formally lay out the criteria we will use to test our hypotheses. There are two pieces of information that inform our critical values: \(α\), wh ich determines how much of the area under the curve composes our rejection region, and the directionality of the test, which determines where the region will be.

Step 3: Compute the Test Statistic

Once we have our hypotheses and the standards we use to test them, we can collect data and calculate our test statistic, in this c ase \(z\). This step is where the vast majority of differences in future chapters will arise: different tests used for different data are calculated in different ways, but the way we use and interpret them remains the same.

Step 4: Make the Decision

Finally, once we have our obtained test statistic, we can compare it to our critical value and decide whether we should reject or fail to reject the null hypothesis. When we do this, we must interpret the decision in relation to our research question, stating what we concluded, what we based our conclusion on, and the specific statistics we obtained.

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Foster et al.  (University of Missouri-St. Louis, Rice University, & University of Houston, Downtown Campus)