Solved – Paired T test vs Wilcoxon signed-rank

paired-datawilcoxon-signed-rank

I am trying to determine whether a paired T test or Wilcoxon ranked sum test is more appropriate to test for significance of improvement in the following:

Patients were surveyed for pain scores before treatment on 0-10 scale
Patients were then given intervention
Patients were then surveyed for pain score after treatment on 0-10 scale.

The data are effectively paired since datapoints exist for the same patient pre and post treatment.

Wilcoxon-signed-rank yields a very small P value over 24 patients. Very, very small (p<0.0001).

IS wilcoxon-SR appropriate for this application or should I be using a paired T test or chi-square test?

Best Answer

If your data is normally distributed -- you can analyze a number of ways, including a QQ Plot -- then it is fine to run a t-test. But, in order to make the least number of assumptions about the data it is best to use the non-parametric Wilcoxon Signed Rank test.

Due to the fact that you have very few samples (24) I would advise going the Wilcoxon Signed Rank path. I would thoroughly analyze this question because it appears to answer a lot on necessary questions.

Be sure to understand exactly how the type I error and the power behaves in your test.

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