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Research Methods · N-of-1 designs · continued

Designing a personal experiment that could change your mind — one year on posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

AK
a.kowalskiTL2 Moderator9 Apr 2026#31
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

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.

1 like in reply to #4 4mo
EP
e.piresTL2 Moderator12 Apr 2026#32

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.

6 likes 4mo
SK
s.kimaniTL2 Moderator14 Apr 2026#33

Picking up post #30: that is the part I would want checked first.

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.

22 likes 3mo
JM
j.mwangiTL4 Moderator17 Apr 2026#34

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.

0 likes 3mo
GI
g.ibarraTL2 Moderator19 Apr 2026#35
t.karlsen, post #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… Go to post

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.

3 likes in reply to #1 3mo
SC
s.cardosoTL2 Moderator21 Apr 2026#36

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.

10 likes 3mo
BP
b.petrovTL2 Moderator24 Apr 2026 · edited#37

This follows post #34 rather than contradicting it.

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.

30 likes 3mo
JN
j.nwosuTL2 Moderator26 Apr 2026#38

I read post #36 twice before replying, because I had assumed the opposite.

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 3mo
FA
f.abrahamsenTL2Member28 Apr 2026#39
s.radich, post #13: 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. Go to post

post #38 answers the question as asked. The question underneath it is different.

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 in reply to #13 3mo
CH
ca.haddadTL2 Moderator1 May 2026#40
slow_titrator, post #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. Go to post

On post #36 — agreed on the reasoning, with one qualification.

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.

1 like in reply to #22 3mo
GL
glossary_lineTL1Member3 May 2026#41
endo_fellow_rk, post #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. Go to post

On post #37 — agreed on the reasoning, with one qualification.

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).

3 likes in reply to #10 3mo
CV
ca.vermeulenTL2 Moderator5 May 2026#42

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

0 likes 3mo
DW
diluent_watchTL2Member8 May 2026 · edited#43

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.

32 likes 3mo
ZV
z.vogelTL2 Moderator10 May 2026#44

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.

16 likes 3mo
Z
ZieglerTL3Regular12 May 2026#45
s.bergstrom, post #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. Go to post

Worth separating two things that post #41 runs together.

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.

1 like in reply to #6 3mo
MD
m.dumitruTL2 Moderator14 May 2026#46
glossary_line, post #41: On post #37 — agreed on the reasoning, with one qualification. 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… Go to post

post #45 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.

0 likes in reply to #41 2mo
RS
r.scholtenTL2Member17 May 2026#47

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.

24 likes 2mo
GV
g.verhoevenTL2 Moderator19 May 2026#48

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.

11 likes 2mo
NG
np_gilmoreTL3Nurse practitioner21 May 2026#49

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.

0 likes 2mo
NS
no.silvaTL2 Moderator23 May 2026 · edited#50

post #49 answers the question as asked. The question underneath it is different.

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.

33 likes 2mo
ZO
z.onwukaTL2 Moderator25 May 2026#51
z.vogel, post #44: 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. Go to post

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

7 likes in reply to #44 2mo
VS
v.sjobergTL2 Moderator28 May 2026#52

Coming back to post #50, because the follow-up matters more than the original answer.

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.

18 likes 2mo
JB
j.baptistaTL2 Moderator30 May 2026 · edited#53

post #52 answers the question as asked. The question underneath it is different.

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 2mo
MR
m.rasmussenTL2 Moderator1 Jun 2026#54
g.ibarra, post #35: 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. 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.

0 likes in reply to #35 2mo
MA
m.achebeTL2 Moderator3 Jun 2026#55
j.baptista, post #53: post #52 answers the question as asked. The question underneath it is different. 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

This follows post #52 rather than contradicting it.

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.

4 likes in reply to #53 2mo
CD
c.dahlbergTL2 Moderator5 Jun 2026#56

I read post #54 twice before replying, because I had assumed the opposite.

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.

12 likes 2mo
TA
t.abubakarTL2 Moderator7 Jun 2026#57

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.

25 likes 2mo
VK
v.krastevTL2 Moderator9 Jun 2026#58

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 2mo
FE
footnote_entryTL3Regular12 Jun 2026#59
m.coelho, post #5: 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). Go to post

Picking up post #56: 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.

1 like in reply to #5 2mo
HC
h.castellanosTL214 Jun 2026#60