You are on page 1of 7

REVIEWS

An Introduction to Non-parametric
Statistics for Health Scientists
Christy C Tomkins MSc, CK
Faculty of Rehabilitation Medicine

Correspondence to: Christy Tomkins.


3-50 Corbett Hall, University of M any introductory courses in statistics
tend to focus on what are called
parametric statistics. These techniques are
Table 1. Assumptions to be met
for the use of parametric tests
Alberta, Edmonton, AB, T6G 2G4.
termed parametric because they focus • Normal distribution of the
Phone (780)432-3982 E-mail: ctomkins@ on specific parameters of the population, dependent variable
ualberta.ca usually the mean and variance (1). In • A certain level of measurement:
order to utilize these techniques, a number Interval data
of assumptions regarding the nature of • Adequate sample size (>30
population from which the data are drawn recommended per group)
must be met (Table 1). One might note • An independence of
ABSTRACT that typical health science research often observations, except with paired
violates one, if not all of these parametric data
Data from research in the assumptions. The solution to this problem • Observations for the dependent
health sciences often violates one, if in many cases is another group of tests for variable have been randomly
not all of the assumptions underlying statistical inference, which do not make drawn
strict assumptions about the population • Equal variance among sample
the use of traditional parametric from which the data have been sampled: populations
statistics. Non-parametric statistics non-parametric statistics (1). Although non- • Hypotheses usually made about
parametric techniques do not require the numerical values, especially the
are another group of tests for
stringent assumptions associated with mean
statistical inference, which do not their parametric counterparts, this does
Adapted from: Pett MA. Nonparametric
make strict assumptions about the not imply that they are ‘assumption free’
Statistics for Health Care Research.
(Table 2). London, Thousand Oaks, New Delhi: Sage
population from which the data have
There are three major parametric Publications, 1997.
been sampled, and may be used
assumptions, which are, and will
for studies with small sample sizes, continue to be routinely violated by Table 2. Characteristics
research in the health sciences: level of common to most non-
nominal or ordinal level data, and
measurement, sample size, and normal parametric techniques (15)
non-normally distributed variables. distribution of the dependent variable. • Fewer assumptions regarding the
Non-parametric techniques are The following sections will discuss these population distribution
assumptions, and elucidate why much • Sample sizes are often less
widely applicable to research in
of the data procured in health science stringent
the health sciences. The challenge research violate these assumptions, thus • Measurement level may be
appears to be convincing researchers implicating the use of non-parametric nominal or ordinal
techniques. • Independence of randomly
to adopt these techniques, despite
selected observations, except
misconceptions and limited Level of Measurement when paired
exposure. The following review will • Primary focus is on the rank
When deciding which statistical test to
ordering or frequencies of data
provide a brief introduction to non- use, it is important to identify the level
• Hypotheses are posed regarding
of measurement associated with the
parametric statistics, as they apply ranks, medians, or frequencies of
dependent variable of interest. Generally,
to research conducted in the field of data
for the use of a parametric test, a
minimum of interval level measurement Adapted from:Pett MA. Nonparametric
health sciences.
is required. Nonparametric techniques can Statistics for Health Care Research.
London, Thousand Oaks, New Delhi: Sage
be used with all levels of measurement,
Publications, 1997.
and are most frequently associated with
KEY WORDS: non-parametric nominal and ordinal level data.
statistics, health sciences, sample size, exclusive named categories with no
measurement, research Nominal data implied ordering: yes or no, male or
female. Data are placed in one of the
The first level of measurement is categories, and the numbers in each
nominal, or categorical. Nominal scales category are counted (also known
are usually composed of two mutually

20 University of Alberta Health Sciences Journal • June 2006 • Volume 3 • Issue 1


REVIEWS
Table 3. Example of an item using a nominal level Table 4. Example of an
measurement scale item using an ordinal level
measurement scale
1. Does your back problem affect your employment status?
Section 4 – Walking
T Yes T No
1 Pain does not prevent me
2. Are you limited in how many minutes you are able to walk continuously with walking any distance
or without support (i.e. cane)? 2 Pain prevents me from walking
T No TYes more than 2 kilometres
3 Pain prevents me from walking
more than 1 kilometre
as frequencies). The key to nominal techniques. This type of data is also 4 Pain prevents me from walking
level measurement is that there are ordered into mutually exclusive more than 500 meters
no numerical values assigned to the categories, but in this case the divisions 5 I can only walk using a stick or
variables. Given that no ordering or between categories are equidistant. crutches
meaningful numerical distances between The only difference between interval 6 I am in bed most of the time
numbers exist in nominal measurement, data and ratio data, is the presence of a
we cannot obtain the coveted ‘normal meaningful zero point. In interval level
distribution’ of the dependent variable measurement, zero does not represent
(1). Descriptive research in the health the absence of value. As such, you cannot statistical techniques.
sciences would make use of the nominal say that one point is say, two times larger
The sample size required for a study has
scale often when collecting demographic than another. For example, 100 degrees
implications for both choices of statistical
data about target populations (i.e. pain Celsius is not two times hotter than 50
techniques and resulting power (1).
present or not present, ambulatory or not degrees because zero does not represent
It has been shown that sample size is
ambulatory, agree or disagree). Examples the complete absence of heat.
directly related to researchers’ ability to
of items representing nominal level
Ratio is the highest level of measurement correctly reject a null hypothesis (power)
measurement are presented in Table 3.
and provides the most information. The (4;5). As such, small sample sizes often
level of measurement is characterized by reduce power and increase the chance
Ordinal data equal intervals between variables, and a of a type II error. It has been found that
The second level of measurement, which meaningful zero point. Examples of ratio by using non-parametric techniques
is also frequently associated with non- level measurement include weight, blood with small sample sizes, it is possible to
parametric statistics, is the ordinal scale pressure, and force (1). gain adequate power. However, there
(also known as rank-order). Ordinal level does not seem to be a consensus among
It is important to note that in health
measurement gives us a quantitative statisticians regarding what constitutes
science research we often use multi-item
‘order’ of variables, in mutually exclusive a small sample size. Siegel and Castellan
scales, with individual items being either
categories, but no indication as to the (6) argue that if the sample size is very
nominal or ordinal. Table 5 provides an
value of the differences between the small, there may be no alternative to
example of such items from the CES-D
positions (squash ladders, army ranks) using a non-parametric statistical test
depression scale (3).
(1). As such, the difference between (6), but the value of ‘very small’ is not
positions in the ordered scale cannot be The item responses (0-3) are summed delineated. It has been suggested by
assumed to be equal. Examples of ordinal to produce a scale with interval-level Wampold et al. (7), that the issue of
scales in health science research include properties and a larger range of scores sample size is closely related to the
pain scales, stress scales, and functional (in this case the range would be 0-15) (1). distribution of the dependent variable,
scales. One could estimate that someone It is possible to use parametric statistics, given that as sample size increases, the
with a score of 5 is in more pain, more which consider the mean and variance in sampling distribution approaches normal
stressed, or more functional than someone such cases. (n>100). It was suggested that if the
with a score of 3, but not by how much. distribution of the dependent variable
There are a number of non-parametric Sample size resembles closely a normal distribution
techniques available to test hypotheses then moderate sample sizes (5 or 10) will
about differences between groups and Adequate sample size is another of the be sufficient to say that the sampling
relationships among variables, as well assumptions underlying parametric distribution of the mean is approximately
as descriptive statistics relying on rank tests. It is not uncommon to see small normal. For other distributions, 30
ordering. Table 4 provides an example of sample sizes (i.e. n=5), or case studies observations might be required (7).
an ordinal level item from the Oswestry (one subject) in health science literature.
Health scientists frequently work As with many facets of research,
Disability Index (2).
with small groups of individuals, low decisions regarding statistical technique
incidence conditions, convenience choice are not cut and dry, but require
Interval and ratio data us to ‘get dirty with the data’. In light
samples, and limited funding. Thus, the
Interval level data is usually a minimum assumption of large sample size is often of the dearth of consensus regarding
requirement for the use of parametric violated by such studies using parametric
Continued on page 24

University of Alberta Health Sciences Journal • June 2006 • Volume 3 • Issue 1 21


SPECIAL FEATURE

Human Rights Photo Spread


A young girl in Botswana who dreams of becoming a teacher is taken out of school to help her
mother take care of their family… A well educated Indian man faces discrimination because
his last name indicates a lower class status… A family mourns the loss of their son, who was killed
in war… A Ukrainian family forced to live in an internment camp simply because of their origin…
Another child dies from a treatable infection because their family had no access to medical care…

The Universal Declaration of


Human Rights, Article 1 states: “Article 26 of the Universal
All human beings are born free Declaration of Human Rights
and equal in dignity and rights. states that everyone has the
They are endowed with reason right to education and that
and conscience and should act it shall be free, at least in the
towards one another in a spirit of elementary and fundamental
brotherhood. It goes on to state stages. As in many parts of
that everyone has the right to the world, Bénin educational
life, liberty and the security of statistics indicate that
person and that no one shall women lag behind their male
be subjected to torture or to counterparts in the successful
cruel, inhuman or degrading completion of elementary and
treatment or punishment. The secondary school. This photo
declaration exists to protect the depicts children at an early
rights of every individual from stage in their education, when
the day they are born until the the gender balance is equal. To
day they die, no matter who create a balanced and diverse
they are, where they are or what workforce, equal access to
they believe in. education must be strived for.”
What we can’t see, can’t hurt Parakou, Bénin, Western
us. In reality, there are many Africa By: Graeme Brassard, Class
parts of the world where not of 2006
only are individual human
rights ignored, but they are
violated. It is all too easy
“The monument represents the drastic actions that are occasionally required to stop
for these violations to go
invasions and threats to basic human rights, such as housing, safety and health. This also
unrecognized and even if they
demonstrates the importance that Canadians and individuals around the world place on
are acknowledged, action is not
human rights, and the extremes they will go to in their commitment to protect the rights of
easily elicited. The following
all individuals.”
pictures were taken by U of A
medical students and illustrate London, England By: Kelvin Leung, Class of 2008
what they have seen around
the world, and their reflections
on the importance of valuing
human rights.
Take a moment to see for
yourself the reality of the
situation. Take a moment to
think about what you could do
to make a difference. Take a
moment to make a difference.
Shirmee Doshi, Medicine, Class
of 2009

22 University of Alberta Health Sciences Journal • June 2006 • Volume 3 • Issue 1


SPECIAL FEATURE
“We often associate a lack of human rights with
places overseas and far away; this picture was
taken in our own backyard, and serves as a
reminder that human rights are still an issue here
and now in Canada.”
Banff, Canada By: Clark Schommer, Class of 2009
“Patang Baazi is an annual kite flying festival, where families climb
to their rooftops and spend the day flying kites, cutting down their
competition and enjoying a day of leisure. It is the one day in India
where there are no boundaries of castes, creed, color, religion, nationality
or language. For one day, everyone is equal and the fighting and
discrimination stops. But only for one day.”
Baroda, India By: Shirmee Doshi, Class of 2009

“Many families from Burma swim the Moei River


to gain illegal entry to Thailand in order to access
medical treatment. Too often I was witness to
children not being able to enjoy their childhood
because of the responsibilities imposed on them.
The family’s poverty requires many children to
become the caretakers of the siblings admitted to
the local clinic - after seeing such demands placed
on children, I was delighted to see these boys
enjoying themselves at play.”
Mae Tao Clinic, Mae Sot, Thailand
By: Geneil Campbell, Class of 2006

“Universal Declaration of Human Rights, Article


4: No one shall be held in slavery or servitude;
slavery and the slave trade shall be prohibited in
all their forms. This picture is of a little Puruhae
(indigenous Andean) boy. This little boy’s
“Safety, health and education take a back seat to the constant struggle parents are the first generation to live freely and
for survival and search for family income. Working long hours for little own their own land. They are finally making
pay, becoming involved in illegal acts or being maliciously disfigured to enough money to provide an education for their
make better beggars were not uncommon situations. It’s heartbreaking son and to achieve a better quality of life for
to convey, but for many children of India childhood is lost… except for their family.”
those brief moments in the sand.”
Guargualla, Ecuador By:
Chowpatty Beach, Mumbai, India By: Laine Racher, Class of 2008 Nipunie Rajapakse, Class of 2009

University of Alberta Health Sciences Journal • June 2006 • Volume 3 • Issue 1 23


REVIEWS
Continued from page 21
Table 5. Example of ordinal level measurement
Occasionally
Rarely or none or a moderate
During the past 1 week: of the time Some or a little amount of the Most or all of
(Less than a of the time time the time
day) (1-2 days) (3-4 days) (5-7 days)
1. I was bothered by things that usually don’t bother me 0 1 2 3

what constitutes a small sample, Pett has non-normally distributed populations. of stringent assumptions associated
suggested that the choice of parametric However, it seems that most researchers with non-parametric tests implies that
or non-parametric tests just ‘depends’ using parametric statistics often just there is little probability of violating
(1). It depends on sample size, level ‘assume’ normality. Micceri et al. (11) state assumptions, which implies robustness.
of measurement, the researcher’s that the naïve assumption of normality The application of non-parametric tests
knowledge of the variables’ distribution appears to characterize research in many in health science research is wide, given
in the population, and the shape of the fields. However, empirical studies have that they can be applied to constructs
distribution of the variable of interest. If documented non-normal distributions for which it is impossible to obtain
in doubt, try using both parametric and in literature from a variety of fields quantitative measures (descriptive
non-parametric techniques. (11). Micceri et al. (11) investigated studies), as well as to small sample sizes.
the distribution in 440 large sample
Normality achievement and psychometric measures. Misconceptions about
It was found that all of the samples were non-parametric statistics
According to Pett, in choosing a test significantly non-normal (p<0.01). It was
we must consider the shape of the concluded that the underlying tenets of The lack of use of non-parametric
distribution of the variable of interest. normal-assuming statistics appeared to techniques is owing to a series of
In order to use a parametric test, we be fallacious for the commonly used data common misconceptions about this
must assume a normal distribution of in these samples (11). It is likely that if branch of statistics. Non-parametric
the dependent variable (1). However, a similar study, investigating the nature statistics have long taken the back seat
in real research situations things do not of the distributions of data were to be to parametric statistics, often being
come packaged with labels detailing conducted with some of the measures portrayed as inferior in practice and
the characteristics of the population commonly used in health science research, teaching. It has been suggested that
of origin (8). Sometimes it is feasible a similar result would ensue, given that researchers are hesitant to use these
to base assumptions of population not all variables are normally distributed. techniques, due to fears that peer
distributions on empirical evidence, reviewers may not be completely familiar
or past experience. However, often with these statistics, and therefore unable
When and why to use
sample sizes are too small, or experience to properly interpret, and review the
non-parametric techniques
too limited to make any reasonable results (12). This opinion could be owing
assumptions about the population It is apparent that there are a number to a widespread case of limited exposure
parameters (1). Generally in practice, one of factors involved in choosing whether of research clinicians to this type of
is only able to say that a sample appears or not to use a non-parametric test, statistics. Non-parametric techniques are
to come from say, a skewed, very peaked, including level of measurement, sample often left out of basic statistics courses,
or very flat population (9). Even when size and sample distribution. Table 6 and relegated to the last chapter of texts
one has a precise measurement (ratio summarizes a number of situations (12), making them seem less important,
scale), it may be irrational to assume that would implicate the use of a non- while reinforcing the focus on parametric
a normal distribution, because this parametric technique. When the choice of statistics.
implies a certain degree of symmetry statistical technique for a set of data is not
Another common misconception
and spread (9). Non-parametric statistics clear, there is no harm in analyzing the
concerning non-parametric statistics
were designed to be used when we know data both ways: using both parametric
is that they are restricted in their
nothing about the distribution of the and non-parametric tests. For each of the
application (12). It is thought that there
variable of interest. Thus, we can apply main parametric techniques there is a
are only a limited number of simple
non-parametric techniques to data from non-parametric counterpart; Experiment
designs that can be analyzed using
which the variable of interest does not with the data to determine which test
these techniques. However, there are
belong to any specified distribution (i.e. provides the best power, and the greatest
non-parametric techniques which
normal distribution). level of significance.
span from simple 2-group analysis, to
Although there are many variables in There are a number of advantages to complex structural equation modelling
existence that are normally distributed, using non-parametric techniques in (12). Basically, for any parametric test,
such as weight, height and strength, health science research (Table 7). The there is a non-parametric equivalent that
this is not true of all variables in health most important of these advantages would be equally, or in some cases, more
science (10). The incidence of rare disease are the generality and wide scope of appropriate for use.
and low prevalence conditions are both non-parametric techniques. The lack

24 University of Alberta Health Sciences Journal • June 2006 • Volume 3 • Issue 1


REVIEWS
nonparametric tests only if all of the be gained if the populations does happen
Table 6. Conditions when it assumptions underlying the parametric to be normal’ (14). Blair concluded by
is appropriate to use a non- test are met (1;8;10;12;14;15). saying that ‘although there were only
parametric test two tests compared here, it should be
Pierce (15) suggests that unless it has
• Nominal or ordinal level of viewed as part of a small but growing
been determined that the data do comply
measurement body of evidence that is seriously
with all of the restrictions imposed by
• Small sample sizes challenging the traditional views of
the parametric test, the greater power of
• Non-normal distribution of nonparametric statistics’ (14). This
the parametric test is irrelevant. This is
dependent variable study demonstrated that the use of non-
because ‘the purpose of applied statistics
• Unequal variances across groups parametric techniques is implicated
is to delineate and justify the inferences
• Data with notable outliers whenever there is doubt regarding the
that can be made within the limits of
fulfillment of parametric assumptions,
existing knowledge - that purpose is
such as normality or sample size.
Table 7. Advantages of non- defeated if the knowledge assumed is
parametric statistics for use in beyond that actually possessed’ (15).
health science research Thus, the power advantage of the Which non-parametric
parametric test does not hold when the test should we use?
• Methods quick and easy to apply assumptions of the parametric test are The most common non-parametric
• Theory fairly simple not met, when the data are in ranks, or tests can be found in Table 8. Please
• Assumptions for tests easily when the nonparametric test is used with refer to the following statistical texts for
satisfied interval or ratio data (12). the derivation and calculation of these
• Accommodate unusual or
When comparison studies have been statistics, as this is beyond the scope or
irregular sample distributions
made between parametric and non- intention of this paper: Nonparametric
• Basic data need not be actual
parametric tests, the non-parametric Statistics for the Behavioural Science
measurements
tests are frequently as powerful as (Siegel Sand Castellan NJ, 1988) (6),
• Use with small sample sizes
parametric, especially with smaller Applied Nonparametric Statistical
• Inherently robust due to lack of
sample sizes (16;17). Blair et al. (14) Methods (Sprent P and Smeeton NC,
stringent assumptions
compared the power of the paired 2001) (9), Nonparametric Statistical
• Process of collecting data may
sample t-test (a common parametric test), Inference (Gibbons JD, 1985) (8),
conserve time and funds
to the Wilcoxon signed-ranks test (non- Nonparametrics: Statistical Methods
• Often offer a selection of
parametric), under various population Based On Ranks (Lehmann EL, 1975)
interchangeable methods
shapes and sample sizes (n=10, 25, 50), (18), Practical Nonparametric Statistics
• Can be used with samples made
using a simple pre-post test design (14). (Conover WJ, 1980) (19), Fundamentals of
up of observations from several
It was found that in some situations Nonparametric Statistics (Pierce A, 1970)
different populations
the t-test was more powerful than the (15), and Essentials of Research Methods
Adapted from: Pett MA. Nonparametric in Health, Physical Education, Exercise
Statistics for Health Care Research. Wilcoxon. However, the Wilcoxon test
was found to be the more powerful test Science and Recreation (Berg KE and
London, Thousand Oaks, New Delhi: Sage
in a greater number of situations (certain Latin RW, 2003) (10).
Publications, 1997.
population shapes and sample sizes),
especially when sample sizes were small Conclusion
Are parametric tests
more powerful? (14). In addition, the power advantage The proper application of statistical
of the Wilcoxon test often increased techniques is essential for the effective
The primary barrier to use of non- with larger sample sizes, suggesting that and accurate interpretation, and
parametric tests is the misconception non-parametric techniques need not be presentation of data in health science
that they are less powerful than their limited to studies with small sample research. Thus, it is important that
parametric counterparts (power is sizes (14). It was concluded that insofar researchers become aware of the
the ability to correctly reject the null as these two statistics are concerned, the statistical techniques available and know
hypothesis). It has been suggested that often-repeated claim that parametric tests when to apply them. It is apparent that
parametric tests are almost always more are more powerful than non-parametric non-parametric techniques are widely
powerful than non-parametric tests (13). test is not justified (14). Generally, the applicable to research in the health
This assertion is still made in current rationale for using the t-test over the sciences. The challenge appears to be
textbooks, such as the Essentials of Wilcoxon test is that the parametric tests convincing researchers to adopt these
Research Methods in Health, Physical are more powerful under the assumption techniques, despite misconceptions
Education, Exercise Science, and of normality. However, it was shown in and limited exposure. The expansion
Recreation (2003) (10). These assertions this study that even under normal theory, of knowledge and advance of science
are often made with no references to there was little to gain, in terms of power depends on ingenuity. For knowledge to
support them, suggesting that this falls by using the t-test as opposed to the advance in the field of health sciences,
into the realm of ‘common knowledge’ Wilcoxon (14). It was suggested by Blair researchers must be willing to try new
(14). Evidence to support this is not (14) that ‘it is difficult to justify the use techniques and challenge the traditional
abundant, nor conclusive (14). Rather, of a t-test in situations where the shape views of non-parametric statistics,
on closer examination, it is found that of the sampled population is unknown realizing that these techniques are likely
parametric tests are more powerful than on the basis that a power advantage will

University of Alberta Health Sciences Journal • June 2006 • Volume 3 • Issue 1 25


REVIEWS
Table 8. Common nonparametric statistics
Purpose of Test Level of measurement Nonparametric statistic
“Goodness of Fit” Nominal • Chi-Square-Goodness-of-Fit Test
• The Binomial Test
Ordinal/Interval • Kolmogorov Smirnov One-Sample
and Two-Sample Tests
Related Samples: Pre-test-post-test Nominal • The McNemar Test
measures for a single sample (2 measures)
Ordinal/Interval • The Sign Test
• Wilcoxon Signed Ranks Test
Related Samples: Pre-test-post-tests Nominal • Cochran’s Q Test
measures for a single or matched sample
Ordinal/Interval • The Friedman Test
(>2 measures)
Tests for Two Independent Groups Nominal • The Fisher Exact Test (dichotomous
variable)
• Chi-square Test for Two Independent
Samples
Ordinal/Interval • The Wilcoxon-Mann-Whitney U Test
Assessing Differences Among Several Nominal • Chi-square Test for k Independent
Independent Groups Samples
• The Mantel-Haenszel Chi-Square Test
for Trends
Ordinal/Interval • The Median Test
• Kruskal Wallis-One Way ANOVA by
Ranks
Tests of Association Between Variables Nominal • Phi Coefficient (dichotomous variable)
• Cramér’s V Coefficient
• The Kappa Coefficient
Ordinal/Interval • Point Biserial Correlation
• Spearman’s Rank Order Correlation
Coefficient
• Kendall’s Tau Coefficient

Adapted from: Pett MA. Nonparametric Statistics for Health Care Research. London, Thousand Oaks, New Delhi: Sage
Publications, 1997.

best suited for a substantial proportion of application of statistics. New York: 14. Blair RC, Higgins JJ. Comparison of teh
the current research in this field. McGraw-Hill, 1990. Power of the Paired Samples t Test to That
of Wilcoxon’s Signed-Ranks Test Under
8. Gibbons JD. Nonparametric Statistical
Various Population Shapes. Psychological
References Inference. New York: Marcel Dekker Inc.,
Bulletin 1985;119-28.
1971.
1. Pett MA. Nonparametric Statistics for
15. Pierce A. Fundamentals of Nonparametric
Health Care Research. London, Thousand 9. Sprent P, Smeeton NC. Applied
Statistics. Belmont, California: Dickenson
Oaks, New Delhi: Sage Publications, 1997. Nonparametric Statistical Methods. New
Publishing Company, 1970.
York: Champan and Hall/CRC, 2001.
2. Fairbank JC, Pynsent PB. The Oswestry
16. Blair RC, Higgins JJ. A comparison of the
Disability Index. Spine 2000;2940-52. 10. Berg KE, Latin RW. Essentials of Research
power of Wilcoxon’s rank-sum statistic to
Methods in Health, Physical Education,
3. Cole JC, Rabin A.S., Smith T.L. that of Student’s t statistic under various
Exercise Science, and Recreation.
Development and Validation of a Rasch- non-normal distributions. Journal of
Philadelphia, Baltimore, New York,
Derived CES-D Short Form. Psychological Educational Statistics 1980;309-35.
London, Buenos Aires, Hong Kong,
Assessment 2004;360-72. Sydney, Tokyo: Lippincott Williams and 17. Conover WJ, Iman RL. Rank
4. Cohen J. Statistical Power Analysis for Wilkins, 2004. transformations as a bridge between
the Behavioural Sciences. Hillsdale, NJ: parametric and nonparametric statistics.
11. Micceri T. The Unicorn, The Normal
Lawrence Erlbaum, 1988. The American Statistician 1981;124-8.
Curve, and Other Improbable Creatures.
5. Kraemer HC, Thiemann S. How Many Psychological Bulletin 1989;156-66. 18. Lehmann EL. Nonparametrics: Statistical
Subjects? Newbury Park, CA: Sage, 1987. Methods Based on Ranks. San Francisco,
12. Hunter MA, May RB. Some myths
New York: Holden-Day Inc. and McGraw-
6. Siegel S, Castellan NJ. Nonparametric concerning parametric and nonparametric
Hill International Book Company, 1975.
Statistics for the Behavioural Sciences. tests. Canadian Psychology 1993;384.
New York: McGraw-Hill Book Company, 19. Conover WJ. Practical Nonparametric
13. Kerlinger FN. Foundations of Behavioural
1988. Statistics. New York, Chichester, Brisbane,
Research. New York: Holt, Rinehart and
Toronto: John Wiley and Sons, 1980. Q
7. Wampold BE, Drew CJ. Theory and Winston, 1964.

26 University of Alberta Health Sciences Journal • June 2006 • Volume 3 • Issue 1

You might also like