Stephen, thank you for a provocative and relevant question. Here are some thoughts:
A statistician could simply to decline to get involved, because there's too much risk of misinterpretation or misrepresentation. Imagine headlines like "Statistician proves prayer works!" or "Statistician denounces believers!"
If you do get involved you might have occasion to point out that, like the evangelical Christian, Francis Collins, who headed the National Institutes of Health for over ten years, a statistician, whether or not a religious believer, can be faithful to his or her role as scientist.
Experimentation seeks to discover or confirm factual truths, but it has other uses. Pharma companies run clinical trials to establish efficacy and safety, but also to generate buzz among prescribers about a new product (seeding trial, Ref. 1). Which is the principal motive of the experimenters: to understand reality or to promote beliefs?
The statistician should make explicit the principles of the scientific method that guide planning a new study or interpreting completed studies. Doing this in writing will help protect the statistician, even if it doesn't stop others from publishing misinformation about the study, if the beliefs turn out not to be scientifically supported. Some principles to consider are:
"Put the hypothesis in jeopardy." (2) Those hypothesizing that prayer improves health outcomes have a burden to prove the case. The initial assumption of statistical hypothesis testing is that their hypothesis is false, and sufficient data can overturn this assumption. Starting with the 'null hypothesis' in this way has been the norm for at least a hundred years. It is not because statisticians are biased against prayer but because we are trained to produce credible findings.
Another principle is that scientific results require replication. Should a first study favor prayer, a second study usually would be needed to confirm. "Usually" but not always, as in a clinical study that stops prematurely because of overwhelming efficacy. In this case there is very strong evidence in favor of the alternative hypothesis and, importantly, a procedure established before the study starts on how to assess the evidence during the study (as well as at the end of the study). Replication and strength of evidence are things to consider in planning a prayer study or in retrospective analysis.
Of course, other principles apply, like blinding and control groups.
The experimenters may ask whether a written statement about principles is applied to all studies. I think a frank 'no' is an appropriate response. It would be unusual to have it for a benign topic, say a comparative study of car seat upholstery. Religion has always been a sensitive topic, and now it's politically charged, even an excuse for violent reaction. A written statement serves to intellectually and professionally protect the proponents of prayer who organized a study, the statisticians and others involved.
If study results are misleadingly reported, the statisticians should be free to counter. Among other things, non-disclosure agreements must either be avoided or written explicitly to allow counter-reporting by statisticians.
Lots more for me or others to say, but I'll stop here.
References
- https://en.wikipedia.org/wiki/Seeding_trial
- I think George Box said this but I couldn't find the quote. In his ASA Presidential Address, he does mention jeopardy in this context. See JASA, March 1979.
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Dick Bittman
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Original Message:
Sent: 05-05-2022 15:00
From: Stephen Simon
Subject: How to talk about religion without offending your students
I attended an interested forum "Indoctrination vs. Education: A Conversation on the Appropriate Role of the Higher Ed Professor" which was very interesting, but there were so many questions and comments that they never got around to answering my question. So I thought I'd pose it here because it relates how we discuss controversial topics in Statistics.
"I have a question about how to properly discuss examples of research that involve religious beliefs. More specifically, there were a series of research studies around the start of the millenium where patients in a hospital were randomly assigned to either to receive prayers from a stranger or to a control group. These studies raise interesting questions about informed consent (most of these prayer studies did not require informed consent) and scientific plausibility (your perspective about what is plausible depends on whether you are an atheist or not). They even raise questions about one-sided versus two-sided hypotheses (should you entertain the possibility that prayer could be harmful instead of helpful). I want to raise these issues without seeming like I am criticizing people based on their particular theology. What are some of the pitfalls that I need to look out for when I talk about these studies?"
I'm interested in what you all think.
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Stephen Simon, blog.pmean.com
Independent Statistical Consultant
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