NIH’s malicious Effort Preference claim is propped up by a misleading manipulation of the EEfRT and a shameless misrepresentation of the EEfRT data. Read all about it in Part 2 of my new series. thoughtsaboutme.com/2024/06/12/the…
One of my through-the-looking-glass findings is that ME patients actually performed better than controls on the EEfRT based on the reported data, completely debunking the Effort Preference claim, but there is so much more than that.
NIH conveniently excluded--w/o explanation or mention in the paper--the control w/ the fewest hard-task choices (HTCs), on par with the ME patient w/ the fewest HTCs whose data weren't excluded. #1
The EEfRT requires, for validity, a very high and similar (btw. groups) trial/task-completion rate. A 67% completion rate for hard trials by the patient group is completely outside the realm of validity, especially compared to the >96% hard-trial completion rate by controls. #2
Five ME patients were physically unable to complete hard tasks at a valid rate or at all. Under the EEfRT, data from participants who are physically unable to complete at least 50% of their trials are to be excluded. NIH's failure to do so renders EEfRT findings invalid. #3
Left: This is how NIH wants you to believe ME patients and controls performed, i.e., more HTC by controls in every trial. That's what the Effort Preference claim is based on.
Right: This is how the groups actually performed: a tiny difference between groups. #4
NIH claims that patients made fewer HTCs "at the start" of the EEfRT. That is false. Pts chose more hard tasks in the first trial. Both groups chose the same number of hard tasks per participant for the first 4 trials. /#5
NIH claims that pts made HTCs at a lower rate than controls "throughout" the EEfRT i.e. on every single trial. That is false:
* 34% of trials: higher HTC rate by pts
* 2% of trials: same HTC rate by both groups
* 14% of trials: practically identical HTC rate by both groups
#6
The reason patients made fewer HTCs is that they followed the EEfRT game instructions to win as much virtual money as possible and made strategic choices by not choosing hard tasks for low-probability trials (probability sensitivity). This debunks the Effort Preference claim. #7
Using a game optimization strategy (every EEfRT trial has a different reward value & probability of winning), patients on average won more virtual rewards than controls based on NIH data. This eviscerates the Effort Preference claim. #8
At least some of the EEfRT data is false. In 79 uncompleted trials (56.03% of all uncompleted trials), participants were given unearned rewards when they shouldn't have based on the EEfRT rules. That means that the entire EEfRT data set is unreliable. #9
This is a very truncated summary of what I have found. Keep in mind that NIH made sweeping, unqualified conclusions about an allegedly altered Effort Preference as a defining feature of ME based on one 15-minute test by ONLY 15 ME patients. #10
There is also an astonishing number of inexplicable, careless mistakes with respect to the EEfRT in the paper, making it very clear how little effort was put into its accuracy. #11
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Reminder: In order to secure desired outcome of psychologizing ME, NIH made Walitt (well-known proponent of ME as psychosomatic, psychocultural, psychogenic, Somatic Sx Disorder, social construct) central figure of study (Nath: the study would've been impossible w/o Walitt). 1/
NIH invented a new medical term & concept (“effort preference”) based on a test, EEfRT, designed for MH & contraindicated in cohorts w/ physical limitations, at very least w/o controlling for limitations by individually calibrating test requirements based on physical ability. 2/
NIH used 3 inconsistent selection criteria, incl. IOM definition, which is unfit for research per the IOM authors, and failed to exclude pts who spontaneously recovered (i.e., likely mis-dx'ed or at least not representative), pts on benzos, etc. 3/
NIH: “... it is up to the reader to consider, based on other studies, how the result might compare if the same data were analyzed and interpreted using other sound statistical methods.” 1/
Reality check: Analyzing dozens of EEfRT studies and extracting from the >24k data-point NIH Figure 3a spreadsheet & graphing the relevant data is a laborious, tedious, & time-consuming process, not something the reader could possibly eye-ball or reasonably “consider” b/c Figure 3a carefully conceals the truth. NIH's suggestion is preposterous and disingenuous. 2/
If one were to indeed go through that process, as I have done, the resulting graph and conclusion reveals the opposite of what Figure 3a shows: ME patients are not less likely to chose the hard task. 3/
Some examples out of a long list. To chalk these and the many other up to "honest errors" is ludicrous. 1/
NIH’s Madian claimed that ME pts “completed the task a large majority of the time.” That’s blatantly false as ME pts had a combined hard-task completion rate of only 67%, not even in the ballpark for “a large majority of the time.” 2/
NIH claims that controls chose more hard EEfRT tasks at the start of the test. Completely false. See screenshot from my blog post. 3/ thoughtsaboutme.com/2024/06/12/the…
Off-the-charts NIH corruption on display. Agency buries glaring EEFRT research misconduct, didn’t even conduct an inquiry--an exceedingly low-bar hurdle--much less an investigation, which would 100% have resulted in the finding of misconduct absent a blatant cover-up. 1/
None of my specific research-misconduct allegations, documenting numerous incidents of falsification of research results (incl. manipulation, changing, omitting), were contested, in this letter or otherwise, since I filed my complaints in June 2024. Draw your own conclusions. 2/
It’s telling that it’s taken NIH Agency Intramural Research Integrity Officer (AIRIO) >6 months to issue the determination memo, something that normally takes about 30 days. Obviously, there's been lots of jockeying and damage control behind the scenes in an effort to … 3/
NIH’s Agency Intramural Research Integrity Officer (AIRIO) has begun assessing research-conduct complaints made by ME advocates against certain NIH investigators involved in intramural ME study. This is the 1st in a 4-step process. 1/n
Due to the large number of issues raised with the intramural study and the fact that we are several weeks into this process already, the assessment stage will likely take more than the usual 30 days. 2/n
2nd step: inquiry
3rd step: investigation
4th step: determination by the Deciding Official whether NIH accepts investigation report’s findings and recommended actions
3/n
Thread: We have barely scratched the surface w/ respect to Walitt. The more you look, the more you realize just how deranged he is. This is whom NIH installed to run the intramural ME study and to be primary investigator for ongoing GWI & FM studies. This is not normal. 1/
Take, e.g., this 2013 Walitt opinion paper (links in last tweet, published in Nature Review,) a vile propaganda piece regarding fibromyalgia & myalgic encephalomyelitis: Culture, science and the changing nature of fibromyalgia. 2/
My focus here is mainly on Walitt’s views, but his choices of odious science-free quotes & citations—which include Wessely and Shorter—obviously constitute an endorsement. Conversely, Walitt disses work that “led to the expansion and acceptance of” FM. 3/