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Module 7 · Lesson 4 · Core

Comparing effect measures: d, r, odds ratios and relative risks

Put the effect measures from Modules 2 to 7 side by side and learn which can be compared and which cannot.

  • 50 minutes
  • Serves O5 and O6
  • Assumes M7.L3

Phase 1: Prepare

Step 1 Warm-up recall

List the four effect measures you have met: d, r, an odds ratio and a relative risk. Which one did Cohen and colleagues (2016) report?

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Step 2 Learning goal

By the end of this lesson you can:

  • say what each effect measure describes (Foundation);
  • avoid comparing numbers on different scales (Core);
  • write a cross-module evidence summary and prepare week-4 data for the report (Core).

Phase 2: Teach

Step 3 A familiar example

Comparing a temperature in Celsius with one in Fahrenheit by looking at the numbers misleads. Effect measures also come in different units.

Step 4 Clear explanation

Each measure answers a different question:

MeasureWhat it describesExample in this courseNo-effect value
Cohen’s dDifference between group means in standard-deviation unitsd = 0.28, kindness (Curry and colleagues, 2018)0
Correlation rStrength of a linear associationr = .29, positive activities (Sin and Lyubomirsky, 2009)0
Odds ratioRatio of odds in two groupsOR 1.50, social relationships and survival (Holt-Lunstad and colleagues, 2010)1
Relative riskRatio of risks (probabilities) in two groupsRR 0.83, purpose and mortality (Cohen and colleagues, 2016)1

Rule. Numbers on different scales cannot be compared directly. An odds ratio of 1.50 is not “bigger” than a d of 0.28 in any simple sense. To compare, convert to a common scale, such as a chance of superiority, or compare the verbal descriptions and the quality of the evidence.

Conversions you have used. d = 2r ÷ √(1 − r²). Percentage change in odds = (OR − 1) × 100. Percentage change in risk = (1 − RR) × 100. Chance of superiority = area below d ÷ √2.

Week 4 reminder. This is your last week of data. Rate at the same time each day, log each dose, and write a daily note on anything unusual. In Module 8 you will calculate adherence, the weeks 3 and 4 mean, the change from baseline and apply your decision rule.

Step 5 Worked example (4 marks)

A summary table lists “d = 0.28” for kindness and “OR = 1.50” for social ties, and a reader concludes ties matter more.

  1. The two are on different scales and cannot be compared by size. (1 mark)
  2. The outcomes differ: well-being in one, survival in the other. (1 mark)
  3. The designs differ: pooled trials versus pooled observational studies. (1 mark)
  4. Fair comparison: describe each in words, state the design and grade the evidence separately. (1 mark)

Phase 3: Practise

Step 6 Learner practice (instant-marked)

3. Which measure has a no-effect value of 1?

4. Why is it misleading to say OR 1.50 is a bigger effect than d 0.28?

Phase 4: Close

Step 7 Recap

  • d and r have a no-effect value of 0; odds ratios and relative risks have 1.
  • Do not compare numbers on different scales directly.
  • Week 4: rate, log and note; change nothing.

Step 8 Exit ticket (ungraded)

Write one sentence comparing two findings from this course without comparing their raw numbers.

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Step 9 Go further (Extension)

Make a one-page table of the effects you have met, adding design, size of sample and your grade.

Common mistakes

MistakeWhy it fails
Ranking effects by raw numbersThe scales differ.
Mixing up the no-effect valueIt is 0 for d and r, 1 for ratios.
Ignoring design when comparingTrials and observational studies differ in what they can show.

Limits. This lesson summarises conversions used in the course; the formulas assume simple cases. Figures quoted are from earlier lessons.