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Research Methods · N-of-1 designs

Designing a personal experiment that could change your mind — one year on

TK
t.karlsenTL2 Moderator6 Jan 2026#1

Designing a personal experiment that could change your mind — one year on — setting out what I have, and where I think it stops being reliable.

Session topic: STEP 4 (JAMA, 2021). Please read it before posting; the discussion is much better when everyone has.

The question I would like us to start with is what the trial set out to estimate, rather than what it found. Once that is on the table we can talk about whether the design could have answered it, and only then about the numbers.

Specific things I would like covered: the population and how far it generalises, how discontinuation was handled, whether the comparator was a fair one, and what the absolute rather than relative effect looks like.

I will summarise at the end and the summary will feed the relevant digest page.

0 likes 7mo
NM
n.moreauTL2 Moderator12 Jan 2026#2

Generalisability: a robust n-of-1 result applies to you. It does not tell you much about whether the effect generalises to others similar to you, much less to people different from you.

21 likes 6mo
PM
p.mbekiTL2 Moderator17 Jan 2026#3

Worth separating two things that the opening post runs together.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

9 likes 6mo
BS
b.solbergTL2 Moderator21 Jan 2026#4

post #3 is right about the mechanism and I think understates the practical bit.

Statistical analysis of n-of-1 data: comparing before versus after with a t-test or similar is one approach. Plotting the data visually is another. Both are valid.

2 likes 6mo
MC
m.coelhoTL2 Moderator25 Jan 2026#5
p.mbeki, post #3: Worth separating two things that the opening post runs together. Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. Go to post

Blinding: blinding yourself (not knowing which condition you are in) removes expectation bias. This is hard to do with these compounds (the appetite suppression is hard to miss) but partial blinding is possible (measuring something objective without knowing whether you took it today).

0 likes in reply to #3 6mo
SB
s.bergstromTL2 Moderator29 Jan 2026#6

Picking up post #3: that is the part I would want checked first.

Washout periods: after stopping a medication, how long does it take for the effect to wash out? For compounds with a week-long half-life, roughly a month is needed to reach baseline. Using that washout period in a before-after design strengthens the inference.

28 likes 6mo
K
KTurkingtonTL3Regular1 Feb 2026 · edited#7

On post #3 — agreed on the reasoning, with one qualification.

Designing a personal experiment that could actually change your mind: that is the standard for an n-of-1 design. An experiment designed so that any result confirms what you already believed has not changed anything.

14 likes 6mo
FN
f.novakTL2 Moderator5 Feb 2026#8

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

5 likes 6mo
CC
ch.correiaTL2 Moderator8 Feb 2026#9
b.solberg, post #4: post #3 is right about the mechanism and I think understates the practical bit. Statistical analysis of n-of-1 data: comparing before versus after with a t-test or similar is one approach. Plotting the data visually is another. Both are valid. Go to post

I read post #7 twice before replying, because I had assumed the opposite.

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

0 likes in reply to #4 6mo
EF
endo_fellow_rkTL3Endocrinology fellow11 Feb 2026#10

Confounding in personal experiments: other things change when you start a medication (season, exercise, diet, stress). Documenting those confounders helps you understand their contribution to the result.

0 likes 5mo
ON
o.nybergTL2 Moderator14 Feb 2026#11

Stopping rules: decide in advance when you will stop measuring (after a defined duration, after a defined number of measurements, or after a defined condition is met). Not deciding in advance means stopping when the result satisfies you, which is bias.

2 likes 5mo
MW
m.wanjalaTL1Member17 Feb 2026#12

Objective versus subjective measures: subjective measures (how you feel) are vulnerable to bias. Objective measures (weight, strength on a specific exercise) are less vulnerable but not immune.

8 likes 5mo
SR
s.radichTL221 Feb 2026#13
M
MakinenTL2Member23 Feb 2026#14

Worth separating two things that post #10 runs together.

Designing a personal experiment that could actually change your mind: that is the standard for an n-of-1 design. An experiment designed so that any result confirms what you already believed has not changed anything.

0 likes 5mo
KK
k.kimaniTL2 Moderator26 Feb 2026#15

Picking up post #12: that is the part I would want checked first.

Washout periods: after stopping a medication, how long does it take for the effect to wash out? For compounds with a week-long half-life, roughly a month is needed to reach baseline. Using that washout period in a before-after design strengthens the inference.

4 likes 5mo
FF
f.fenwickTL3Regular1 Mar 2026#16
p.mbeki, post #3: Worth separating two things that the opening post runs together. Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. Go to post

Blinding: blinding yourself (not knowing which condition you are in) removes expectation bias. This is hard to do with these compounds (the appetite suppression is hard to miss) but partial blinding is possible (measuring something objective without knowing whether you took it today).

13 likes in reply to #3 5mo
SH
s.hartmannTL2 Moderator4 Mar 2026 · edited#17
ch.correia, post #9: I read post #7 twice before replying, because I had assumed the opposite. Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. Go to post

Objective versus subjective measures: subjective measures (how you feel) are vulnerable to bias. Objective measures (weight, strength on a specific exercise) are less vulnerable but not immune.

27 likes in reply to #9 5mo
K
KForsbergTL2Member7 Mar 2026#18

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

0 likes 5mo
HF
h.ferrariTL2 Moderator10 Mar 2026#19

This follows post #16 rather than contradicting it.

Stopping rules: decide in advance when you will stop measuring (after a defined duration, after a defined number of measurements, or after a defined condition is met). Not deciding in advance means stopping when the result satisfies you, which is bias.

8 likes 5mo
EL
e.lehtinenTL2 Moderator12 Mar 2026#20

I read post #18 twice before replying, because I had assumed the opposite.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

19 likes 5mo
HE
h.espinozaTL2 Moderator15 Mar 2026#21

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

0 likes 4mo
ST
slow_titratorTL2Regular18 Mar 2026#22

Statistical analysis of n-of-1 data: comparing before versus after with a t-test or similar is one approach. Plotting the data visually is another. Both are valid.

29 likes 4mo
TK
t.karlsenTL2 Moderator20 Mar 2026#23

Worth separating two things that post #19 runs together.

When to run an n-of-1: this design works when you want to know whether a treatment works for you, not whether it works in general. For that purpose, it is efficient.

9 likes 4mo
WN
w.novakTL3Regular23 Mar 2026#24
f.novak, post #8: I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient. Go to post

post #23 is right about the mechanism and I think understates the practical bit.

Generalisability: a robust n-of-1 result applies to you. It does not tell you much about whether the effect generalises to others similar to you, much less to people different from you.

2 likes in reply to #8 4mo
FW
f.weissTL2 Moderator25 Mar 2026#25

Coming back to post #23, because the follow-up matters more than the original answer.

Sample size in n-of-1: you are the sample. Repeated measurements (weekly weighings, daily mood scores) increase the power to detect a real effect even though n=1.

0 likes 4mo
CL
customs_ledgerTL3Regular28 Mar 2026#26

Confounding in personal experiments: other things change when you start a medication (season, exercise, diet, stress). Documenting those confounders helps you understand their contribution to the result.

21 likes 4mo
RF
ro.friskTL2 Moderator31 Mar 2026 · edited#27
m.wanjala, post #12: Objective versus subjective measures: subjective measures (how you feel) are vulnerable to bias. Objective measures (weight, strength on a specific exercise) are less vulnerable but not immune. Go to post

Sample size in n-of-1: you are the sample. Repeated measurements (weekly weighings, daily mood scores) increase the power to detect a real effect even though n=1.

6 likes in reply to #12 4mo
DS
dr_seongTL3Physician2 Apr 2026#28
KTurkington, post #7: On post #3 — agreed on the reasoning, with one qualification. Designing a personal experiment that could actually change your mind: that is the standard for an n-of-1 design. An experiment designed so that any result confirms what you already believed has not changed anything. Go to post

post #27 answers the question as asked. The question underneath it is different.

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

1 like in reply to #7 4mo
PM
p.mwangiTL2 Moderator5 Apr 2026#29

I read post #27 twice before replying, because I had assumed the opposite.

Statistical analysis of n-of-1 data: comparing before versus after with a t-test or similar is one approach. Plotting the data visually is another. Both are valid.

2 likes 4mo
OO
orbitrap_olaTL3Mass spectrometrist7 Apr 2026 · edited#30

This follows post #27 rather than contradicting it.

Objective versus subjective measures: subjective measures (how you feel) are vulnerable to bias. Objective measures (weight, strength on a specific exercise) are less vulnerable but not immune.

0 likes 4mo