Objecting to experiments that compare two unobjectionable policies or treatments.
A/B tests
field experiments
pragmatic trials
randomized controlled trials
research ethics
Journal
Proceedings of the National Academy of Sciences of the United States of America
ISSN: 1091-6490
Titre abrégé: Proc Natl Acad Sci U S A
Pays: United States
ID NLM: 7505876
Informations de publication
Date de publication:
28 05 2019
28 05 2019
Historique:
pubmed:
11
5
2019
medline:
31
3
2020
entrez:
11
5
2019
Statut:
ppublish
Résumé
Randomized experiments have enormous potential to improve human welfare in many domains, including healthcare, education, finance, and public policy. However, such "A/B tests" are often criticized on ethical grounds even as similar, untested interventions are implemented without objection. We find robust evidence across 16 studies of 5,873 participants from three diverse populations spanning nine domains-from healthcare to autonomous vehicle design to poverty reduction-that people frequently rate A/B tests designed to establish the comparative effectiveness of two policies or treatments as inappropriate even when universally implementing either A or B, untested, is seen as appropriate. This "A/B effect" is as strong among those with higher educational attainment and science literacy and among relevant professionals. It persists even when there is no reason to prefer A to B and even when recipients are treated unequally and randomly in all conditions (A, B, and A/B). Several remaining explanations for the effect-a belief that consent is required to impose a policy on half of a population but not on the entire population; an aversion to controlled but not to uncontrolled experiments; and a proxy form of the illusion of knowledge (according to which randomized evaluations are unnecessary because experts already do or should know "what works")-appear to contribute to the effect, but none dominates or fully accounts for it. We conclude that rigorously evaluating policies or treatments via pragmatic randomized trials may provoke greater objection than simply implementing those same policies or treatments untested.
Identifiants
pubmed: 31072934
pii: 1820701116
doi: 10.1073/pnas.1820701116
pmc: PMC6561206
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
10723-10728Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2019 the Author(s). Published by PNAS.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
J Hist Ideas. 2009 Apr;70(2):317-39
pubmed: 19831209
Health Aff (Millwood). 1984 Summer;3(2):6-32
pubmed: 6432667
J Pain Palliat Care Pharmacother. 2015 Jun;29(2):133-9
pubmed: 26095483
Nature. 2014 Jul 17;511(7509):265
pubmed: 25030132
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
N Engl J Med. 2014 Feb 20;370(8):766-8
pubmed: 24552325
N Engl J Med. 2002 Oct 17;347(16):1233-41
pubmed: 12393820
IRB. 2011 Mar-Apr;33(2):6-13
pubmed: 21510514
J R Soc Med. 2006 Dec;99(12):642-3
pubmed: 17139070
N Engl J Med. 2017 Oct 12;377(15):1412-1414
pubmed: 29020586
N Engl J Med. 2016 Feb 25;374(8):701-3
pubmed: 26836311
EGEMS (Wash DC). 2016 Aug 10;4(3):1233
pubmed: 27683668
Hastings Cent Rep. 2016 Mar-Apr;46(2):35-43
pubmed: 26892881
Cogn Sci. 2002 Sep 1;26(5):521-562
pubmed: 21442007
Hastings Cent Rep. 2013 Jan-Feb;Spec No:S4-S15
pubmed: 23315895