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In a yearlong study, half of the participants were given a simple kit to use at home for measuring the cholesterol level of their blood. They reduced their cholesterol levels on average 15 percent more than did participants without the kit. Participants were selected at random from among people with dangerously high cholesterol levels.

Which one of the following, if true, most helps to explain the study’s finding?


(A) The lower a blood-cholesterol level is, the less accurate are measurements made by the kit.

(B) Participants with the kit were more likely to avoid foods that lower cholesterol level.

(C) Participants with the kit used it more frequently during the first two months of the study.

(D) All the participants in the study showed some lowering of cholesterol levels, the most striking decreases having been achieved in the first three months.

(E) Participants using the kit reported that each reading reinforced their efforts to reduce their cholesterol levels.

Participants were selected at random from among people with dangerously high cholesterol levels
Half were given a simple kit to use at home for measuring the cholesterol level of their blood.
Finding of the Study: They reduced their cholesterol levels on average 15 percent more than did participants without the kit.

How do we explain the finding? Why did people with the kit reduce their cholesterol by much more? Note that there is no paradox here. We just have some results and we need explanation for those.

(A) The lower a blood-cholesterol level is, the less accurate are measurements made by the kit.

We know that all participants had very high cholesterol to begin with. So measurements would be accurate. Accuracy would be low when the cholesterol level is low.

(B) Participants with the kit were more likely to avoid foods that lower cholesterol level.

This is against our argument. People with kits avoided good foods. Then they should not have seen a better decrease of cholesterol.

(C) Participants with the kit used it more frequently during the first two months of the study.

Irrelevant. It doesn't explain why they reduced their cholesterol more.

(D) All the participants in the study showed some lowering of cholesterol levels, the most striking decreases having been achieved in the first three months.

Again, irrelevant when the most decrease happened.

(E) Participants using the kit reported that each reading reinforced their efforts to reduce their cholesterol levels.

Right. The kit provided motivation. When the kit showed reduction, it reinforced their efforts (of reducing cholesterol). They got motivated to put in more effort to reduce. This explains why their cholesterol decreased much more.

Answer (E)
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Thank you VeritasKarishma and MentorTutoring

I could understand my gaps w.r.t. your approach and would like to share the same
to improvise my learning.

Quote:
In a yearlong study, half of the participants were given a simple kit to use at home for measuring the cholesterol level of their blood. They reduced their cholesterol levels on average 15 percent more than did participants without the kit.
The main point here is: People who were given measuring kits to monitor cholesterol levels actually reduced
their cholesterol without any external support (e.g exercising / medicines, apologize for going off tangent here)
than the group of people who were not given monitoring kit.

Quote:
Participants were selected at random from among people with dangerously high cholesterol levels.
This is the part where I got confused and misinterpreted. People are selected at random (from a group that was given measuring kit and a group that was not given measuring kit) and the reports showed HIGH levels of cholesterol. Where is this passage are we talking about CAUSES that led to HIGH levels of cholesterol?
How would you put last sentence in the context of the passage?
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adkikani


Quote:
Participants were selected at random from among people with dangerously high cholesterol levels.
This is the part where I got confused and misinterpreted. People are selected at random (from a group that was given measuring kit and a group that was not given measuring kit) and the reports showed HIGH levels of cholesterol. Where is this passage are we talking about CAUSES that led to HIGH levels of cholesterol?
How would you put last sentence in the context of the passage?

There is no discussion on "causes" of high cholesterol level. All the participants of the study had dangerously high cholesterol levels. The group of people with dangerously high cholesterol levels was identified (say from the hospital records) and some were selected randomly from that for the study.
Out of the ones selected for study, half were given kits and half were not. Note that ALL of them had dangerously high cholesterol levels.
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Thank you VeritasKarishma and MentorTutoring

I could understand my gaps w.r.t. your approach and would like to share the same
to improvise my learning.

Quote:
In a yearlong study, half of the participants were given a simple kit to use at home for measuring the cholesterol level of their blood. They reduced their cholesterol levels on average 15 percent more than did participants without the kit.
The main point here is: People who were given measuring kits to monitor cholesterol levels actually reduced
their cholesterol without any external support (e.g exercising / medicines, apologize for going off tangent here)
than the group of people who were not given monitoring kit.

Quote:
Participants were selected at random from among people with dangerously high cholesterol levels.
This is the part where I got confused and misinterpreted. People are selected at random (from a group that was given measuring kit and a group that was not given measuring kit) and the reports showed HIGH levels of cholesterol. Where is this passage are we talking about CAUSES that led to HIGH levels of cholesterol?
How would you put last sentence in the context of the passage?
Hello again, adkikani. Although VeritasKarishma has already posted a fine response, I did want to address the second question a bit more. All the last sentence of the passage tells is some background information about the how the experiment was conducted. This process happens all the time in human health experiments. The researchers will say something like, Okay. What if we took people with high cholesterol and gave half the participants this kit they can use at home to measure their cholesterol? Will they show any drop in cholesterol compared to a control group? That control group, of course, is the group not given the kit. In order not to have any sort of eye on the outcome of the experiment, or in other words influence the outcome in any way, the researchers randomize the participants so that they, the researchers, have no idea who has gotten kits and who has not. In this manner, after the yearlong trial when the researchers are simply looking at the data, they say, Patient X showed a such-and-such percent decrease. And they can then look up whether that patient had belonged to the kit group or the one without. Because of the randomization process, the researchers can be more confident in the findings of the unbiased experiment. So in short, the researchers in the passage probably sought out high-cholesterol participants for the study. After that, though, the experiment ran its course without any tampering.

Not that the above explanation will necessarily help you refine your approach to the question, but in any case, I hope it helps you in some way.

- Andrew
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