What do the Washington Post, Brookings, The Atlantic, and Business Insider have in common?
They all employ credulous writers who don't read about the things they write about.
The issue? Attacks on laptop-based notetaking🧵
Each of these outlets (among many others, unfortunately) reported on a a 2014 study by Mueller and Oppenheimer, in which it was reported that laptop-based note-taking was inferior to longhand note-taking for remembering content.
The evidence for this should not have been considered convincing.
In the first study, a sample of 67 students was randomized to watch and take notes on different TED talks and then they were assessed on factual or open-ended questions. The result? Worse open-ended performance:
The laptop-based note-takers didn't do worse when it came to factual content, but they did so worse when it came to the open-ended questions.
The degree to which they did worse should have been the first red flag: d = 0.34, p = 0.046.
The other red flag should have been that there was no significant interaction between the mean difference and the factual and conceptual condition (p ≈ 0.25). Strangely, that went unnoted, but I will return to it.
The authors sought to explain why there wasn't a difference in factual knowledge about the TED talks while there was one in ability to describe stuff about it/to provide open-ended, more subjective answers.
Simple: Laptops encouraged verbatim, not creative note-taking.
Before going on to study 2: Do note that all of these bars lack 95% CIs. They show standard errors, so approximately double them in your head if you're trying to figure out which differences are significant.
OK, so the second study added an intervention.
The intervention asked people using laptops to try to not take notes verbatim. This intervention totally failed with a stunningly high p-value as a result:
In terms of performance, there was once again nothing to see for factual recall. But, the authors decided to interpret a significant difference between the laptop-nonintervention participants and longhand participants in the open-ended questions as being meaningful.
But it wasn't, and the authors should have known it! Throughout this paper, they repeatedly bring up interaction tests, and they know that the interaction by the intervention did nothing, so they shouldn't have taken it. They should have affirmed no significant difference!
The fact that the authors knew to test for interactions and didn't was put on brilliant display in study 3, where they did a different intervention in which people were asked to study or not study their notes before testing at a follow-up.
Visual results:
This section is like someone took a shotgun to the paper and the buckshot was p-values in the dubious, marginal range, like a main effect with a p-value of 0.047, a study interaction of p = 0.021, and so on
It's just a mess and there's no way this should be believed. Too hacked!
And yet, this got plenty of reporting.
So the idea is out there, it's widely reported on. Lots of people start saying you should take notes by hand, not with a laptop.
But the replications start rolling in and it turns out something is wrong.
In a replication of Mueller and Oppenheimer's first study with a sample that was about twice as large, Urry et al. failed to replicate the key performance-related results.
Verbatim note copying and longer notes with laptops? Both confirmed. The rest? No.
So then Urry et al. did a meta-analysis. This was very interesting, because apparently they found that Mueller and Oppenheimer had used incorrect CIs and their results were actually nonsignificant for both types of performance.
Oh and the rest of the lit was too:
Meta-analytically, using a laptop definitely led to higher word counts in notes and more verbatim note-taking, but the performance results just weren't there.
The closest thing we get in the meta-analysis to performance going up is that maybe conceptual performance went up a tiny bit (nonsignificant, to be clear), but who even knows if that assessment's fair
That's important, since essays and open-ended questions are frequently biased
So, ditch the laptop to take notes by hand?
I wouldn't say to do that just yet.
But definitely ditch the journalists who don't tell you how dubious the studies they're reporting on actually are.
In my latest article, I documented that the only RCT for functional medicine methods appears fraudulent🧵
Before getting into it, what's functional medicine?
It's a pseudoscience used to bilk patients by getting them on an unending cycle of tests, supplements, and more tests.
Functional medicine's practitioners claim that they can reveal and treat so-called "root causes" of people's health problems
These are proposed to be things like gut health, toxin burdens, and various chemical and hormonal imbalances
They find these things with unproven tests
If you run enough tests, you will be able to find something that looks 'off' about a patient, and if you're a functional medicine doctor, that's your 'A-ha!' moment, even if—as is usually the case—the result is just a false-positive and treating it is unlikely to do anything.
If you want to add beds to a hospital, build facilities, purchase diagnostic scanners, but you live somewhere with CON laws, then you have to prove you're not creating competition for other medical facilities in the area, which is often the whole state.
No. Competition. Allowed.
The idea behind these laws is that people will spend excessively on healthcare, so to combat that, we'll have people report if there's more spending needed before approving it.
Nutrition science is the area of science that's suffered the most in the replication crisis. It is a graveyard of theories and pseudoscientific bullshit.
Now:
The HHS is going to make doctors to sit through 40 hours of classes where they'll have to take that bullshit seriously.
This reads like a list of the things that fared the worst in all of nutrition science and stuff with NO EVIDENCE.
When I read through this, my mouth was agape.
Whoever wrote this trash needs fired for incompetence. Mentally retarded people should not hold keep government posts.
'What did you learn in your mandatory nutrition misinformation class?'
'Well, if a patient comes in with a migraine, I'm supposed to sell them a WHOOP bracelet or an Oura ring so I can help them figure out their health age.'
Strength training is a highly effective way to improve your flexibility, and I've made a graphic to put this into understandable terms:
This is from a meta-analysis of strength training trials.
What makes that so useful is that there's major publication bias for strength outcomes (pictured).
But, since authors weren't looking at it, there's no publication bias for flexibility outcomes.
Studies made their way into this meta-analysis because they had a flexibility outcome, but they made their way into the literature because they showed positive strength results.
This could indirectly biased the flexibility results because of selection on a correlated outcome.