The randomised
control trial (RCT) is a kind of field experiment that can be used in real-life
situations to test the relative effectiveness of specific treatments,
procedures or programmes. RCTs have been widely used (especially in medicine)
since the late 1940s. Galashiels-born Archie Cochrane was a key figure in
establishing their acceptance and development in the medical field after 1970
and they are still regularly used and seen as the most demanding test of
efficacy of any treatment (especially when combined with a double blind in
which even the practitioner doesn't know which treatment has been offered to
each randomly assigned subject).
In an article
last month, urging wider adoption of the
randomised control trial in UK education, Ben Goldacre was re-opening a fairly
old debate. His enthusiastic approach to making RCTs relevant to education in
2013 emphasises the question "What works?" The question echoes the
title of the USA's "What Works Clearing House" set up for the
educational field in 2002 following a policy push by George W. Bush. Bush had
been persuaded to make RCTs the dominant research instrument for developing new
approaches to teaching and his legacy has persisted under the umbrella of the
Institute of Educational Sciences (http://ies.ed.gov) and the George W. Bush
Institute (http://www.bushcenter.org/george-w-bush-institute)
Goldacre wants
today's teachers and researchers to adopt the same question in the UK and to use
RCTs to test and confirm their answers. By taking part in RCTs themselves and
by referring to evidence derived from them teachers will, he believes, increase
the learning of their pupils and students and simultaneously increase their own
professional standing and independence. In becoming more evidence-based, he
suggests, teachers will become more like doctors in terms of scientific
authority and teaching competence.
His recent and
non-technical briefing "Building Evidence Into Education"
(http://media.education.gov.uk/assets/files/ben goldacre paper.pdf) is based on
a longer document "Test, Learn, Adapt: Developing Public Policy with
Randomised Controlled Trials" co-written with the Behavioural Insights
Team in the Cabinet Office and David Torgeson Director of the University of
York Trials Unit.
(https://www.gov.uk/government/publications/test-learn-adapt-developing-public-policy-with-randomised-controlled-trials)
Most of what follows is a response aimed at readers of Goldacre's shorter
paper. I would like to offer something that, at least, puts up a cautionary
note to anyone convinced by the shorter Goldacre paper that RCTs could bring
about the results that he hopes for:
"we all
expect doctors to be able to make informed decisions about which treatment is
best, using the best currently available evidence. I think teachers could one
day be in the same position" Goldacre (2013) p7
I would start by
agreeing that "What works?" is a simple and appealing question. It is
"common sense" and the more immediate or urgent the answer, the more
focused such a question can be. A fire in the kitchen, a raging fever, a
stopped heart, a violently out-of-control 11 year old in a classroom, a blank
inability to understand percentages… all these situations call for acceptable
solutions that are tried, tested, defensible and well established as effective
within the resource limits of the context.
In the very often
contentious context of teaching, however, it is harder to conceptualise the
research equivalent of a medical cure or of protection from immediate physical
danger when we think about "what works?" Pupils are not in school
because of their illness, deficiency or vulnerability. Educational realities
and educational goals are very much more diverse and open-ended and some
important educational purposes (especially the long term purposes that most
teachers, parents and politicians would want to consider) are impervious to the
testing possible in RCTs as they are generally conducted.
Some of these
purposes are acknowledged, some are not, but many are so deeply held that the
conflicts between them can generate anger and conflict. Some goals are long
term (I want my child to go to University), some short (I want the chance to
take my child abroad when flights are affordable, so missing a week's lessons
is acceptable). Some focus on personal development and intrinsic reward, others
focus on long-term career and extrinsic reward. An educational practice that
"works" for one set of people or purposes can be ruination for the
ambitions or immediate needs of another set. We hope that without offering a
long and still not-comprehensive string of real examples, it should be clear
that asking "What works" immediately opens the floodgates to more
disruptive questions like "Works for who?" "Works to whose
disadvantage?" and "works to what ends?" To insist that
"it's obvious" is simply to short-circuit the debate and insist on
your own values or to accept the apparent majority values.
Asking "what
works" is especially a problem in the face of education's character as a
long-term (some say lifetime) progression. The research literature on science
teaching in higher education, for example, provides plenty of indications that
even successful (It Worked!) A Level students embark on their undergraduate
studies with what seem like perverse conceptions of basic processes. What
worked for getting those high grades at A Level has become an impediment to
understanding the greater complexities at University. Similarly, it is a
commonplace to note that some outstandingly creative or successful adults would
have been or were actually recorded as failures in school learning.
These two points
– the disputed nature of educational goals and the long and not well-understood
development of individuals through education and into adulthood reduce the
apparent value of RCTs in education considerably, especially when considered in
relation to their costs. These points do not rule RCTs out altogether. No
intelligently undertaken research can be a waste of time (even if its use of
resources might be profligate) but promoting them as a special gold standard
that will draw other methodologies and the status of teaching along with them
is, in my view, perverse.
None of what I
have said so far would challenge the valuable idea of research-informed
teaching. A lot of practical classroom research goes on already. (I conducted some while I was a practising teacher). Teacher
training, despite efforts of the Department for Education under a succession of
Secretaries of State, has kept productive links between teachers and
researchers over many years. Teachers undertake research degrees and
researchers involve themselves in the design and evaluation of teaching
innovation. A succession of teacher-research programmes have come and gone,
always dependent on meagre funding and lack of Government commitment. To the
great shame of all, most of the results of this research has been kept away
from teachers with most academic libraries and databases closed to them. The
British Education Index (www.bei.ac.uk) – a huge catalogue of all the educational
research in the British Isles over more than 50 years has never been funded to
allow free access to the very profession that needs it most. In Goldacre's
paper a reader will find no reference to "What Already Exists?" (but
which could soon be lost), nor to recommendations from the past to make more
digital content accessible to teachers and other participants in the
professional world of education (see, for two examples of initiatives left to
wither through lack of political will: (http://www.leeds.ac.uk/educol/documents/00003809.htm
and http://www.tlrp.org/dspace/handle/123456789/1620 ). I wonder if Goldacre is
aware of the huge efforts that have already been made to invest in educational
endeavour that is "evidence-based" or "research-informed"
or whatever else you want to call it. His paper seems to give the impression
that there is a blank canvas just waiting to be filled with enlightened
quantitative scientific research.
The awkward truth is that
serious research is not wholly welcome in Government. It does tend to
yield unwelcome knowledge about the costs and the demands of education that
would really benefit children in general and it does disclose some of the less
welcome news about the inseparably awkward social and political consequences of
national educational practices and processes.
In general terms
I agree with Goldacre that teachers, researchers, and teacher researchers have
common cause in resisting ideological control from central government. The best
possible research would be a teacher's best source of professional development
and a strong stimulus for personal improvement as a teacher. However, RCTs need
to be understood as just one way of accumulating knowledge about teaching, not as a gold standard.
A more balanced
review of RCT practice was presented at the 2010 Conference of the Society for
Research on Educational Effectiveness (SREE) by Savitha Moorthy, Raquel
Sanchez, and Fannie Tseng. (pdf download:
http://www.eric.ed.gov/ERICWebPortal/contentdelivery/servlet/ERICServlet?accno=ED513344)The SREE is broadly sympathetic to the cause-and-effect tradition of
educational research espoused by Goldacre. The caveats included in this paper
provide a useful balance to the "myths" described by Goldacre. From
my perspective they still don’t address the more fundamental questions that
supporters of the RCT approach have not answered.
The promotion of RCTs by a Minister like Michael Gove would yield a narrowing stultification of research and a futile search for simplistic recipe knowledge. There is no certainty in teaching, just a gradual and intelligent gathering of wisdom using as many valid approaches as possible.
References
Goldacre, Ben
(2013) Building Evidence Into Education London Department for Education Website
19pp (http://media.education.gov.uk/assets/files/ben goldacre paper.pdf)
Haynes, Laura;
Service, Owain; Goldacre, Ben; Torgerson, David (2012) Test, Learn, Adapt:
Developing Public Policy with Randomised Controlled Trials Cabinet Office
London 35pp (https://www.gov.uk/government/publications/test-learn-adapt-developing-public-policy-with-randomised-controlled-trials)
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