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Problem 47E

Is honey a cough remedy? Refer to the Archives of Pediatrics and Adolescent Medicine (Dec. 2007) study of honey as a remedy for coughing, Exercise 2.30 (p. 61). Recall that the 105 ill children in the sample were randomly divided into three groups: those who received a dosage of an over-the-counter cough medicine (DM), those who received a dosage of honey (H), and those who received no dosage (control group). The coughing improvement scores (as determined by the children’s parents) for the patients are reproduced in the accompanying table.

b. Find the median improvement score for the DM dosage group.

c. Find the median improvement score for the control group.

d. Based on the results, parts a–c, what conclusions can pediatric researchers draw? (We show how to support these conclusions with a measure of reliability in subsequent chapters.)

2.30 Is honey a cough remedy? Coughing at night is a common symptom of an upper respiratory tract infection, yet there is no accepted therapeutic cure. Does a teaspoon of honey before bed really calm a child’s cough? To test the folk remedy, pediatric researchers at Pennsylvania State University carried out a designed study conducted over two nights (Archives of Pediatrics and Adolescent Medicine, Dec. 2007). A sample of 105 children who were ill with an upper respiratory tract infection and their parents participated in the study. On the first night, the parents rated their children’s cough symptoms on a scale from 0 (no problems at all) to 6 (extremely severe) in five different areas. The total symptoms score (ranging from 0 to 30 points) was the variable of interest for the 105 patients. On the second night, the parents were instructed to give their sick child a dosage of liquid “medicine” prior to bedtime. Unknown to the parents, some were given a dosage of dextromethorphan (DM)—an over-the-counter cough medicine—while others were given a similar dose of honey. Also, a third group of parents (the control group) gave their sick children no dosage at all. Again, the parents rated their children’s cough symptoms, and the improvement in total cough symptoms score was determined for each child. The data (improvement scores) for the study are shown in the table on the next page, followed by a Minitab dot plot of the data. Notice that the green dots represent the children who received a dose of honey, the red dots represent those who got the DM dosage, and the black dots represent the children in the control group. What conclusions can pediatric researchers draw from the graph? Do you agree with the statement (extracted from the article), “Honey may be a preferable treatment for the cough and sleep difficulty associated with childhood upper respiratory tract infection”?

Questions & Answers

QUESTION:

Problem 47E

Is honey a cough remedy? Refer to the Archives of Pediatrics and Adolescent Medicine (Dec. 2007) study of honey as a remedy for coughing, Exercise 2.30 (p. 61). Recall that the 105 ill children in the sample were randomly divided into three groups: those who received a dosage of an over-the-counter cough medicine (DM), those who received a dosage of honey (H), and those who received no dosage (control group). The coughing improvement scores (as determined by the children’s parents) for the patients are reproduced in the accompanying table.

b. Find the median improvement score for the DM dosage group.

c. Find the median improvement score for the control group.

d. Based on the results, parts a–c, what conclusions can pediatric researchers draw? (We show how to support these conclusions with a measure of reliability in subsequent chapters.)

2.30 Is honey a cough remedy? Coughing at night is a common symptom of an upper respiratory tract infection, yet there is no accepted therapeutic cure. Does a teaspoon of honey before bed really calm a child’s cough? To test the folk remedy, pediatric researchers at Pennsylvania State University carried out a designed study conducted over two nights (Archives of Pediatrics and Adolescent Medicine, Dec. 2007). A sample of 105 children who were ill with an upper respiratory tract infection and their parents participated in the study. On the first night, the parents rated their children’s cough symptoms on a scale from 0 (no problems at all) to 6 (extremely severe) in five different areas. The total symptoms score (ranging from 0 to 30 points) was the variable of interest for the 105 patients. On the second night, the parents were instructed to give their sick child a dosage of liquid “medicine” prior to bedtime. Unknown to the parents, some were given a dosage of dextromethorphan (DM)—an over-the-counter cough medicine—while others were given a similar dose of honey. Also, a third group of parents (the control group) gave their sick children no dosage at all. Again, the parents rated their children’s cough symptoms, and the improvement in total cough symptoms score was determined for each child. The data (improvement scores) for the study are shown in the table on the next page, followed by a Minitab dot plot of the data. Notice that the green dots represent the children who received a dose of honey, the red dots represent those who got the DM dosage, and the black dots represent the children in the control group. What conclusions can pediatric researchers draw from the graph? Do you agree with the statement (extracted from the article), “Honey may be a preferable treatment for the cough and sleep difficulty associated with childhood upper respiratory tract infection”?

ANSWER:

Solution 47E

Step1 of 5:

Let us consider an experiment in which the 105 ill children in the sample were randomly divided into three groups:

1). Those who received a dosage of an over-the-counter cough medicine (DM).

2). Those who received a dosage of honey (H).

3). Those who received no dosage (control group).

The coughing improvement scores for the patients are reproduced in the accompanying table:

12

11

15

11

10

13

10

4

15

16

9

14

Honey Dosage

10

6

10

8

11

12

12

8

12

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