Discuss: Mental health and transgender youth in care at an Adolescent urban community health centre

Formatting:

· Use full sentences and paragraphs to address the topics and questions in the rubric. This is not meant to be a list of questions with discrete answers, but rather a coherent paper addressing each of the issues included.

· Write entirely using your own words. Direct quotes (phrases or sentences) from the article, textbook, or any other source should be limited and must be enclosed in quotations.

· Please include a title page with your name, the date, course number, assignment, and title of the article.

· Please include a header with your last name and page numbers in the upper right hand corner. (Pages have been known to come apart and this makes them much easier to put back together.)

· All text should be double-spaced with one-inch margins, and appropriate font size (11-12 point for most fonts).

· Please use section headers (Design and data collection; Data analysis; Results and interpretation; Overall impressions) where appropriate in the text.

· Remember to address ALL questions/items listed on the rubric! Not all items in this rubric necessarily apply equally to all articles. If something in the rubric does not apply to the selected article, please state that and the reason why, do not skip that item. You will lose points for unanswered questions.

Academic Dishonesty: This is an individual assignment. Although it is permissible to discuss broad concepts of epidemiology with one another and the instructors, you should not discuss the particulars of any of the potential critique articles with anyone until after the critiques are turned in. Your critique should be written in your own words. Word-for-word phrases or sentences that are found to have been taken directly from the article you are critiquing or another published source will be considered plagiarism unless it is properly quoted and cited. If you are having difficulty, please reach out to one of the instructors for assistance. Students not meeting this requirement will be given a grade of zero on this assignment.

Critique Rubric

Points possible
Design and data collection 25
Context/rationale of the study 1. Why was the study done?

2. What work had been done previously to lead the researchers to motivate this study?

Study objectives 3. What were the goals/objectives of the study?

4. What is(are) the hypothesis(es)?

Primary exposure 5. What was the primary exposure of interest?

6. Was this accurately measured?

Primary outcome 7. What was the primary outcome of interest?

8. Was this accurately measured?

Study design 9. What type of study was this?
Sample selection
· Source population 10. What was the source population from which study subjects were selected?
· Subject selection process 11. What methods were used to select subjects?
· Sample size 12. What was the overall sample size?

Sample size by comparison groups (e.g. exposed/unexposed, cases/controls)?

Selection bias What are possible sources of selection bias?

13. How likely is it that this bias occurred? If you do not feel that selection bias was a serious concern, please state why not.

Information bias 14. What are possible sources of information bias?

15. How likely is it that this bias occurred? If you do not feel that information bias was a serious concern, please state why not.

Study design control of confounding 16. What elements of the study design were used to minimize the influence of confounding factors?

17. Were these sufficient? If there were no study design measures taken to control confounding, please state that.

Data analysis 10
Analytic control of confounding 18. What analytic methods were used to control confounding?

19. What potential confounders were controlled for in the analysis?

Measures of association 20. What measures of association (e.g. relative risks, odds ratios, hazard ratios) were reported?

21. Are these appropriate for the study design?

Measures of statistical stability 22. What probability-based statistics (e.g. 95% confidence intervals, p-values) were used to draw statistical inference?
Results and data interpretation 30
Results 23. What were the major results of the study? Summarize main findings in terms of statistical significance and strength of association. (Please do NOT only re-state the “Results” section of the abstract.)
Bias in results 24. How could information bias and selection bias affect interpretation of results? Discuss the possible direction and magnitude of bias. If you do not feel that one or both of these was a serious concern, please state why not.
Confounding in results 25. What was the magnitude and direction of confounding in the main analysis?
Misclassification in results 26. How could misclassification affect interpretation of results? Discuss direction and magnitude of misclassification.
Limitations 27. Did the discussion section adequately address limitations of study?
Main conclusions 28. What were the author’s main conclusions?

29. Were they justified by the findings?

Generalizability 30. To what larger population can the results of this study be generalized?
Overall impression 5
What are your overall impressions of this article? 31. Please provide a brief (one paragraph) summary of your overall impressions of this article.

32. Do you agree with the authors conclusions? Why or why not?

Please address the main points you feel are important. Topics could include:

33.What stands out to you as being its particular strengths and weaknesses?

34. Do you feel the authors effectively answered the question they set out to answer?

35. Did the article make a clear argument that the question they were answering was important?

36. Were the methods described in sufficient detail that you understood clearly what was done?

Overall critique quality 5
Organization, clarity, and following directions Up to five points will be awarded based on the overall organization, writing quality, clarity, and the extent to which directions were followed.
Extra credit Extra credit for critiques turned in in class on 11/21/19 5
Total

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