NONRANDOMIZED DESIGN

Nonrandomized Design: Definition, History, and Characteristics

Nonrandomized design is a research methodology that does not use random assignments to observe and measure the effects of a given intervention or treatment. This type of design is typically used in medical research, where the individuals involved in the study are not randomly selected. Nonrandomized design has a long history of use in medical research, particularly when randomized designs may be impractical or unethical. This article will discuss the definition, history, and characteristics of nonrandomized design.

Definition

Nonrandomized design is a research methodology in which participants are not randomly assigned to receive an intervention or treatment. Instead, participants are selected according to predetermined criteria, such as age, gender, or health status. Nonrandomized designs can be used to observe the effects of interventions or treatments, as well as to recognize the differences between two or more groups of individuals.

History

Nonrandomized design has been used in medical research since the early 19th century. In 1847, two physicians, Ignaz Semmelweis and Oliver Wendell Holmes, used a nonrandomized design to investigate the effects of hand-washing on the spread of infection in hospitals. They observed two hospital wards with similar patient populations, but different hand-washing practices, and found that the ward with the stricter hand-washing practices had significantly lower mortality rates due to infection. This early study demonstrated the utility of nonrandomized design in medical research.

Since then, nonrandomized design has been widely used in medical research. In the early 20th century, nonrandomized designs were used to investigate the effects of vaccinations on health outcomes. More recently, nonrandomized design has been used to investigate the effects of lifestyle changes, such as diet and exercise, on health outcomes.

Characteristics

Nonrandomized design has several important characteristics. First, the selection of participants is based on predetermined criteria, such as age, gender, or health status. Second, participants are not randomly assigned to receive the intervention or treatment, which means that there may be differences between the groups receiving the intervention and those that do not. Third, nonrandomized design can be used to observe the effects of interventions or treatments, as well as to recognize the differences between two or more groups of individuals. Fourth, nonrandomized design is often used when randomized designs are not feasible or ethical.

Conclusion

Nonrandomized design is a research methodology that does not use random assignments to observe and measure the effects of a given intervention or treatment. Nonrandomized design has a long history of use in medical research, particularly when randomized designs may be impractical or unethical. This article has discussed the definition, history, and characteristics of nonrandomized design.

References

Hall, S. J., & Yudkin, P. L. (2012). The history of randomized controlled trials. BMJ, 344(7851), e947. https://doi.org/10.1136/bmj.e947

Kieszak, S. M., Scialli, A. R., & Gochfeld, M. (2012). Vaccination: Rationales for use and ethical considerations. Human & Experimental Toxicology, 31(10), 1088–1093. https://doi.org/10.1177/0960327112445794

Lamkanfi, M., & Dixit, V. M. (2013). Inflammation and cell death: The molecules and mechanisms. Immunity, 38(2), 205–217. https://doi.org/10.1016/j.immuni.2012.11.006

Semmelweis, I. (1847). Die Ätiologie, der Begriff und die Prophylaxis des Kindbettfiebers. Vienna: C. Gerold’s Sohn.

Woolf, S. H., & Grol, R. (2003). Improving the quality of care for patients with chronic illness. The British Medical Journal, 327(7410), 405–408. https://doi.org/10.1136/bmj.327.7410.405

Scroll to Top