- posted and e-mailed.

On 20 Jul 2003 08:34:34 -0700, [EMAIL PROTECTED] (mac55) wrote:

> In the medical research I review, the outcome variables are often
> rating scales.  Examples would be a visual analogue scale for pain or
> rating scales (usually from 0 - 10) of various other factors.   These
> data are often compared using parametric statistics.   My question
> is.....are these scales interval/ratio or are they ordinal.  My
> feeling is that these are ordinal data unless you can show me studies
> that prove the an 8 is truly twice as much as a 4.  Therefore I have
> always used non-parametric statistics.  Am I correct????

No, you doubly messed up.  
First:  Ratio is not the same as interval.

"Interval"  means that 4 is just as far from 8 as from 0.
Eight would be twice as much if it were ratio -- If "doubling"
is mentioned a lot when you discuss the data, that suggests 
(to the statistical observer) that it might be useful to take the
logs.

Are the differences truly equal intervals? 
Well, after you perform the "rank-transformation", 
do you like the observed intervals better?  - the 
intervals, after all, are what you are testing.  A decent
scale of any endurance will probably have better
spacing than what your sample-in-hand provides
from its ranks.

I don't know if your Visual Analogue scale is using
integers or not, but for integers, you can have more 
distortion introduced by lumping in categories, if
the N is not tiny.  

You might read Agresti (An introduction to categorical 
data analysis) for his example that shows three 
different scorings for categories (pp 35) of alcohol
consumption.

Basically, there is little risk in using ANOVA  on the
raw scores of limited integer scales when there 
can't be any such thing as an "extreme outlier".

Should you use the ranks?  Well, you do find it 
(a little?  thoroughly?)  misleading to refer to the
average of your scores?  If the means seem 
misleading, *that*  is a suggestion that perhaps 
you might want to use the ranks.  

If you do it both ways, it will usually be more 
informative to your readers if you report the observed
means of your data;  and the rank-tests can serve
as confirmation (presumably)  that the parametric
tests are not misleading you in either direction.

Hope this helps.
-- 
Rich Ulrich, [EMAIL PROTECTED]
http://www.pitt.edu/~wpilib/index.html
"Taxes are the price we pay for civilization."  Justice Holmes.
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