Following on from last week’s blog on retrospective studies, I thought it made sense to regale you this week with tales of Prospective studies. Retrospective studies are essentially studies that look into the past, on events that have already happened. Prospective studies are thus the opposite; they start out with a group, and then follow them over a set period of time. I think it is all too easy to try and compare these two types of studies, and it happens quite a lot. Just because they are two different ways of making observations, people seem to think that you pick to do one or the other. But I think that this is not the case. In essence, they are both very unique, and should be used for testing different things. This means that to try and compare them in terms of which one you should use is unfair and unscientific, as it’s not a case of ‘oh, I’ll choose retrospective because it’s cheaper’. To get the full story on retrospective studies, read my last blog. Now! Up to date? Good. Here, I will discuss what prospective studies are, and some positives and negatives.
This Link explains prospective studies well. They basically start out with a group who share a characteristic and follows them over time to determine the relationship between the characteristic and a condition. An example would be smoking. It is very hard to retrospectively study those who have died as a result of smoking. Prospectively, you are able to progress with them, and see the effects it has. This highlights one of the advantages, as it can measure things that you would not have otherwise been able to. This Link highlights the fact that as you are not relying on memory, you are able to produce true incident rates and results. It also, however, lists many problems. For example, they are usually very expensive and take huge amounts of time, as you have gathered potentially years worth of data, then need to analyse it all. They can also require huge amounts of people, and are particularly prone to attrition, where people leave the study midway through.
This Study looked at effects of diet on mental health. They followed a set of adolescents and found that poor diet is related to poor mental health and vice versa. This shows the usefulness of prospective studies, as they are able to look at a difference between people (diet), and see the effect that this has over time. We know that diet has a big effect on health, and so to experimentally alter people’s diet to see the outcome would be unethical. So prospective studies allow you to test things that otherwise you wouldn’t have been able to. I think that one of the most important uses of prospective studies Is this; the ability to provide valuable information about the course of a disease. This allows for more accurate prognoses and treatment. This Study looked at a particular disease and gathered information that has led to doctors being able to more accurately diagnose and treat it. This is useful for both the doctor and the patient, as the patient gets the most effective treatment and realistic idea of course, and huge amounts of money aren’t wasted in the fruitless endeavour of curing. These positives can be equally applied to the field of psychology, for example without prospective studies, much that is currently known about the course of schizophrenia would be unknown. This Study again shows the usefulness of prospective studies in being able to isolate causes, in this specific case identifying disease-related genes. But also makes a point of the fact that they can be long and costly.
One of the main issues I feel there is with these type of studies, is that for important things like diseases, the researcher is just sitting back to see what happens, much like how nature cameramen don’t help the limping gazelle before it is ripped to shreds by bloodthirsty lions. Can this be ethically acceptable? Surely the researchers should be doing everything to help those people. I understand that the results will eventually help many people in the future, but you are effectively sacrificing those people who are studied.
Whilst having a major thorny ethical issue, I think that the advantages of prospective studies make them an invaluable research tool. Rather than being used instead of retrospective studies, they examine different things, and different natures. Surely the most effective method of research would be to use both!