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Discussion Board
Question 1: Discuss whether the presence of therapeutic misconceptions impacts the internal validity of a medical research study, that is, the extent to which no other variables other than the ones being studied contributed to the result.
Therapeutic misconception could, in basic terms, be conceptualized as patient belief that decisions made in relation to the study in which they participate in are meant to benefit them and are tailored to address their specific concerns, as opposed to the establishment of generalizable knowledge. To a large extent, the presence of therapeutic misconceptions could have a significant impact on medical research study internal validity. This is to say that therapeutic misconceptions could affect our confidence regarding the extent to which other factors are responsible for a medical research studys cause-and-effect relationship. For instance, therapeutic misconception could result in a higher attrition rate or experimental mortality which is in itself a threat to internal validity. In this case, patients could be unwilling to continue participating in experiments for various reasons, i.e. following the realization that that their individual therapeutic interests are not necessarily being advanced by the research protocol. It is also important to note that therapeutic misconceptions could have a significant effect on participant attitudes about the study. Indeed, in the words of Laake, Benestad, and...…in mind, Zieff, Kerr, More and Stoner, 2020 are categorical that in the long-term, this results in a healthier population. There is evidence in support of this assertion from Switzerland. According to Roy (2011), the country, which has in place a highly decentralized universal healthcare system, is considered to have the healthiest people on the planet. It should, however, be noted that a universal healthcare system does have some downsides. For instance, elective procedures could in this case be subject to long wait times. This has been the case in Canada. Martin, Miller, Quesnel-Vallee, Caron, Vissandjee, Marchildon (2018) indicate that one of the issues or concerns currently bedeviling universal…
References
Laake, P., Benestad, H.B. & Olsen, B.R. (2007). Research Methodology in the Medical and Biological Sciences. Academic Press.
Martin, D., Miller, A.P., Quesnel-Vallee, A., Caron, N.R., Vissandjee, B. & Marchildon, G.P. (2018). Canada's universal health-care system: achieving its potential. Lancet, 391(10131), 1718-1735.
Roy, A. (2011). Why Switzerland Has the World's Best Health Care System. https://www.forbes.com/sites/theapothecary/2011/04/29/why-switzerland-has-the-worlds-best-health-care-system/?sh=118d7b4a7d74
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