International Journal of Epidemiology 2003;32:943-944
© International Epidemiological Association 2003
Symposium |
Spies, magicians, and Enid Blyton: how they can help improve clinical trials
Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK. E-mail: j.milton@bristol.ac.uk
Keywords Random allocation, randomized controlled trials/st[Standards]
Accepted 30 June 2003
| The first 10% of the full text of this article appears below. |
Some of the most important methods for preventing bias in modern clinical trials have a peculiar history. Masked assessment with placebo control seems to have appeared first during tests led by Benjamin Franklin in 1784 to investigate unorthodox claims of healing by animal magnetism or mesmerism. People were blindfolded and told that they were or were not receiving magnetism, when the reverse was true, and were given sham treatments of mesmerised water.1 Similar methods were used to test claims of higher mesmeric phenomena such as thought-reading and precognition.2 Two-hundred years later, the same methodology is still used to assess controversial claims in parapsychology, a subdiscipline of experimental psychology, that uses controlled laboratory techniques to examine claims of psychic abilities. Recent problems noted with the conduct of clinical trials suggest that although the two fields have
| Problems with allocation concealment |
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| Spies, magicians, and envelopes |
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| Conclusions |
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