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Open Access Editorial

Stereotyping and the treatment of missing data for drug and alcohol clinical trials

Stephan Arndt

Author Affiliations

Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA

Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA 52242, USA

Iowa Consortium for Substance Abuse Research and Evaluation, Iowa City, IA 52242, USA

Substance Abuse Treatment, Prevention, and Policy 2009, 4:2 doi:10.1186/1747-597X-4-2

Published: 18 February 2009

Abstract

Stigma and stereotyping of marginalized groups often is insidious and shows up in unlikely places, for instance in how clinical trials consider dropouts in treatment research. A surprising number of studies presume that people who do not complete the study protocol relapse and code their data as if they had been observed. There is no good statistical rationale for this treatment of missing data and numerous and more defensible alternative methods are available. We need to be mindful about our attitudes and preconceptions about the people we are intending to help. There is no good reason to continue to support science built on this scientifically indefensible stereotyping, however unintentional.