{"id":7050,"date":"2026-09-21T07:45:58","date_gmt":"2026-09-21T07:45:58","guid":{"rendered":"https:\/\/hacto.umh.es\/2026\/09\/21\/how-to-interpret-p-value-in-scientific-studies\/"},"modified":"2026-09-21T08:41:30","modified_gmt":"2026-09-21T08:41:30","slug":"how-to-interpret-p-value-in-scientific-studies","status":"publish","type":"post","link":"https:\/\/hacto.umh.es\/en\/2026\/09\/21\/how-to-interpret-p-value-in-scientific-studies\/","title":{"rendered":"How to interpret p-value in scientific studies."},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;4.17.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]P-value is at the same time one of the most used and misunderstood concepts in research. That\u2019s why in this post we will explain what it is, which information it provides and how it should be interpreted alongside the rest of the results.<\/p>\n<p>When working with a sample population, variability due to randomness is inevitable. Consequently, the differences or associations observed may be indicative of a characteristic of the population or they may be the results of random variability.<\/p>\n<p><strong>Example: <\/strong>Suppose we wanted to find out whether taking part in an occupational prescription programme reduces loneliness in older adults. After comparing participants with non-participants, we can observe that the participants present lower levels of loneliness. However, as we have only observed a sample of the population, we cannot guarantee that this difference is in fact due to the programme. It may be due to the sample\u2019s variation.<\/p>\n<p>This is where the p-value, alongside other indicators, will help us to interpret the results.<\/p>\n<p><u>Previous considerations<\/u><\/p>\n<p>\u201cHypothesis testing\u201d is a method to find enough evidence to reject the null hypothesis (H0) and support the alternative hypothesis (HA). The HA is usually the hypothesis of interest, referring to the existence of difference, association or effect between the variables of the study.<\/p>\n<table style=\"width: 1196px\" width=\"602\">\n<tbody>\n<tr>\n<td style=\"width: 1187.6px\"><strong>For example (HA):<\/strong> Falls prevention\u2019s programs reduce the number of hospital admissions amongst older adults compared to regular care.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>On the other hand, the H0 is established opposed to our research interest, indicating an absence of difference, association or effect.<\/p>\n<table style=\"width: 1194px\" width=\"602\">\n<tbody>\n<tr>\n<td style=\"width: 1185.6px\"><strong>For example (H0): <\/strong>Falls prevention programs do not reduce the number of hospital admissions amongst older adults compared to regular care.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>However, it is important to point out that the scientific statistical community advocates for a more careful interpretation of this element (p-value). It should be considered alongside other indicators of the study such as the confidence intervals (CI) (Wasserstein &amp; Lazar, 2016).<\/p>\n<p>&nbsp;<br \/>\n[\/et_pb_text][et_pb_image src=&#8221;https:\/\/hacto.umh.es\/files\/2026\/09\/PublicaTO-Infografia-1.jpg&#8221; title_text=&#8221;PublicaTO Infografia 1&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]Imagine that an occupational therapy programme reduces the feeling of loneliness on a scale by 4 points. This estimation is based on a sample and therefore, it is subject to uncertainty. The CI indicates the range of values which it is reasonable to assume that the programme\u2019s real effect occurs in the population. The narrower the range, the higher the accuracy of the estimation. However, we should not confuse this range with the interpretation of a 95% probability that the true value lies within it.<\/p>\n<p><u>P-value\u2019s interpretation<\/u><\/p>\n<p>The p-value is calculated based on the chosen measure and the hypothesis test that accompanies it. In 2016, the American Statistical Association (ASA) publicised a historical declaration to clarify the use of the p-value (Wasserstein, &amp; Lazar, 2016). They remind us that the p-value is a useful tool but it should never be interpreted alone. The ASA recommends interpreting the results of a study alongside the effect size, the CI, the methodological quality, the study design and the scientific context. Therefore, it is not enough to make conclusions based on the p-value being higher or lower than 0.05. Their declaration included 6 points:<\/p>\n<ol>\n<li>P-values can indicate how incompatible the data are with a specified statistical model.<\/li>\n<li>P-values do not measure the probability that the studied hypothesis is true, or the probability that the data were produced by random chance alone.<\/li>\n<li>Scientific conclusions and business or policy decisions should not be based only on whether a p-value passes a specific threshold.<\/li>\n<li>Proper inference requires full transparency and the complete presentation of data, including estimates and uncertainty, through confidence intervals.<\/li>\n<li>A p-value, or statistical significance, does not measure the size of an effect or the importance of a result.<\/li>\n<li>By itself, a p-value does not provide a good measure of evidence regarding a model or hypothesis.<\/li>\n<\/ol>\n<p>The interpretation of the p-value depends on the alfa\u2019s significance (\u03b1) level or \u201c<strong>cut-off point<\/strong>\u201d which is usually established at 0.05 (5%). This value represents the risk that we are willing to accept incorrectly that the result of a difference or association exists, when in fact it does not. This is known as Type Error I or false positive. Based on this we can interpret the p-value as follows:<\/p>\n<ul>\n<li><strong>If the p-value is lower than 0.05 (p&lt; 0.05):<\/strong> This means that the data is <em>less compatible<\/em> with the H0 and therefore, the probability of the difference, association or effect between variables being due to randomness is low. In this case, we tend to say \u201cwe don\u2019t believe\u201d the H0 and therefore, <strong>we reject the H0 and declare that our results are statistically significant. <\/strong><\/li>\n<\/ul>\n<table style=\"width: 1176px\" width=\"554\">\n<tbody>\n<tr>\n<td style=\"width: 1167.6px\"><strong>Example:<\/strong> Comparison of number of hospital admissions during a year between people over 67 years olds that participated in a falls prevention programme and those who received only regular care.<\/p>\n<p>The hypothesis would be:<\/p>\n<p>\u25cf <strong>Null hypothesis (H<strong>0<\/strong>)<\/strong>: There are no differences between the number of hospital admissions during a year between people over 67 years olds that participated in a falls prevention programme and those who received only regular care.<\/p>\n<p>\u25cf<strong> Alternative hypothesis (HA): <\/strong>Participants of the falls prevention programme present a lower number of hospital admissions during a year compared to those who received only regular care.<\/p>\n<p>After the data analysis, p-value was 0.03. As the result is lower than the significant level established previously (\u03b1 = 0.05), the results are less compatible with the hypothesis of no differences. Therefore, we have statistical evidence to conclude that there is a difference between the groups.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li><strong>If the p-value is higher than 0.05 (p&gt; 0.05):<\/strong> This means that your data is compatible with the null hypothesis (H0). The observed changes are within the range of random variations of the variables. Therefore, you cannot reject the H0 ( which doesn\u2019t mean the H0 is true; rather it indicates that you do not have enough evidence to prove otherwise).<\/li>\n<\/ul>\n<table style=\"width: 1177px\" width=\"554\">\n<tbody>\n<tr>\n<td style=\"width: 1168.6px\"><strong>Example:<\/strong> Comparison of number of hospital admissions during a year between people over 67 years olds that participated in a falls prevention programme and those who received only regular care.<\/p>\n<p>The hypothesis would be:<\/p>\n<p>\u25cf <strong>Null hypothesis (H<strong>0<\/strong>)<\/strong>: There are no differences between the number of hospital admissions during a year between people over 67 years olds that participated in a falls prevention programme and those who received only regular care.<\/p>\n<p>\u25cf<strong> Alternative hypothesis (HA): <\/strong>Participants of the falls prevention programme present a lower number of hospital admissions during a year compared to those who received only regular care.<\/p>\n<p>After the data analysis, p-value was 0.18. As the result is higher than the significant level established previously (\u03b1 = 0.05), the results are compatible with the hypothesis that indicates no difference between groups. Therefore, we do not have enough statistical evidence to reject the H0.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Watch out! <\/strong><\/p>\n<p>Several researchers have considered enough that the p-value was higher or lower than the cut-off point to accept or reject the null hypothesis. However, as ASA indicates, it is important to establish the exact result of the hypothesis test. For example, a result of p-value of 0,0490 is lower than 0.05 but the probability of randomness is still high.<\/p>\n<p>The p-value is not the only relevant data in a quantitative study. This value is in relation with other elements that we should take in account when interpreting the results (Lee, 2016).<\/p>\n<ul>\n<li>As we mentioned before, the<strong> Confident Intervals (CI)<\/strong> provide information about the accuracy of the data and the range of values that are compatible with it. A narrow range indicates a more precise estimation, whereas a wider range reflects a higher uncertainty. Furthermore, the CI allows us to evaluate the clinical relevance of the results, as well as their statistical significance. Traditionally, CIs are established at 90%, 95% or 99% depending on the researcher\u2019s criteria.<\/li>\n<li>The Effect Size (ES) measures the impact of strength of an association or change. The p-value can accompany many measurements and each one will have an interpretation depending on the statistical test used (Odds ratio, prevalence ratio, attributable risk, amongst others).<\/li>\n<\/ul>\n<p>We need to keep these elements in mind when we read or analysis a study, to <strong>not focus solely on the p-value.<\/strong> It is important to check if all authors describe the CI and the ES and with that information, interpret the results correctly. Despite the fact that many reporting guides developed by EQUATOR Network recommend describing the CI and ES for a better interpretation of the results (more information on <a href=\"https:\/\/hacto.umh.es\/2022\/03\/18\/guias-para-mejorar-la-transparencia-y-la-calidad-del-reporte-de-los-articulos-cientificos\/\">Guidelines for better transparency and report quality of scientific articles<\/a>) not all studies include them.<\/p>\n<p>Let\u2019s use an example in Occupational Therapy. Table 3 corresponds to a cross-sectional study published by our research group (Campos-S\u00e1nchez et al., 2023). In the study we analysed the association between sensory reactivity and feeding problem in children between 3 and 7 years old from the data published on InProS\u2019 study <a href=\"https:\/\/inteo.umh.es\/inpros\/\">(https:\/\/inteo.umh.es\/inpros\/)<\/a>. The table illustrates how a statistical analysis includes the ES, the CI and the p-value all together, enabling for a more comprehensive interpretation of the results.<\/p>\n<p>&nbsp;<br \/>\n[\/et_pb_text][et_pb_image src=&#8221;https:\/\/hacto.umh.es\/files\/2026\/09\/publicato-tabla.png&#8221; title_text=&#8221;publicato tabla&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]Each row shows the association between a type of sensory activity and a feeding problem. For each association its presented 3 fundamental data:<\/p>\n<ul>\n<li>Prevalence ratio (PR): this represents the magnitude of the effect size, by how much the prevalence of the feeding problem raises or decreases in children with sensory reactivity respect those without it.<\/li>\n<li>Confidence interval at 95% (IC 95%): this information illustrates the precision of the estimation. The narrower the interval, the higher the precision. Additionally, when the IC95% of a PR does not include the value 1, the association tends to be considered statistically significant.<\/li>\n<li>P-value: this indicates the degree of compatibility between the data and the null hypothesis. Usually, a p-value lower than 0.05 is considered sufficient statistical evidence to reject the null hypothesis of lack of association.<\/li>\n<\/ul>\n<p>Let\u2019s look at the example of the association between taste\/smell sensitivity and food variety problems. The PR is 1.42 meaning that children with taste\/smell sensitivity present a prevalence of food variety problems have 42% higher prevalence than those without this alteration. Furthermore, the IC95% (1.31-1.53) does not include the value 1, indicating that this estimation is consistent with a positive association. Additionally, the p-value is lower than 0.001, indicating statistical evidence against the null hypothesis. On the other hand, when we examine the association between tactile sensitivity and texture problem, we can see an RP=1.04, IC95% of 0,95\u20131,11 and p = 0,334. In this case, the IC includes the value 1 and p-value is higher than 0.05. In this case, we do not own enough statistical evidence to conclude that there is an association between the two variables.<\/p>\n<p><u>Questions that may arise when reading a study<\/u><\/p>\n<p><strong>Does it mean that when my p-value is higher than 0.05, my results are not relevant and are just the outcome of randomness?<\/strong><\/p>\n<p>No it doesn\u2019t. Several authors have studied, analysed and criticised this idea for years, as well as pointed out the errors regarding the p-value (Greenland et al., 2016). Concepts such as the effect size or the confidence interval are relevant to interpret your results.<\/p>\n<p><strong>Does it mean that when my p-value is lower or equal to 0.05 i should reject the null hypothesis and confirm a relationship between my variables?<br \/>\n<\/strong><\/p>\n<p>No it doesn\u2019t. The p-value indicates that there is a statistical significance of the result regarding the variables, but \u201cstatistical significance\u201d does not imply \u201cclinical significance\u201d.<\/p>\n<p><strong>What does statistical significance mean?<br \/>\n<\/strong><\/p>\n<p>It means that it is less likely that the difference or relationship observed in the data is due to randomness. However, as we have pointed out before, it is important to keep in mind the confidence interval and the effect size too.<\/p>\n<p><strong>Does the study I am reading provide all these data?<br \/>\n<\/strong><\/p>\n<p>A lot of studies do not offer all these data together (ES,IC and p-value) which makes it more difficult to understand the results.<\/p>\n<p><u>How to report the results of my study correctly?<\/u><\/p>\n<p>The same points that we must keep in mind when interpreting the results of a study also apply to reporting our own study. A clear and well-structured report makes it easier for other researchers and professionals to understand and correctly interpret the results. Some guidelines to help you achieve this are:<\/p>\n<ol>\n<li><strong>Indicate the statistical analysis conducted.<\/strong> Specify which statistical test or model was used (e.g. Student&#8217;s t-test, chi-squared test, linear regression or Poisson regression). This will enable readers to understand to which estimation or measurement the p-value refers.<\/li>\n<li><strong>Disclose the exact p-value where possible.<\/strong> Report the exact p-value (for example, p = 0.032) and avoid unclear expressions such as &#8216;NS&#8217;, &#8216;p &gt; 0.05&#8217; or &#8216;p &lt; 0.05&#8217;. The only exception is when the values are so small that it is common to represent them as p &lt; 0.001.<\/li>\n<li><strong>Include the confidence interval and the effect size when reporting the p-value.<\/strong> The p-value indicates statistical significance against the null hypothesis, but does not detail the magnitude of the effect or the precision of the estimation. Therefore, these data should be presented together whenever possible.<\/li>\n<\/ol>\n<p>To sum up, a good report does not consist solely on reporting if a result is statistically significant or not. It should provide all the information necessary for the reader to assess the impact, precision and relevance of the results. This promotes a more rigorous, transparent and useful interpretation of the scientific evidence.<\/p>\n<p>We hope this post is useful to understand better what is the p-value and how to interpret it correctly.<\/p>\n<p>If you have any question or suggestion, we would be happy to hear from you on inteo@umh.es<\/p>\n<p><strong>References<\/strong><\/p>\n<p>Gonz\u00e1lez-Marr\u00f3n A, Real J, Forn\u00e9 C, Roso-Llorach A, Navarrete-Mu\u00f1oz EM, Mart\u00ednez-S\u00e1nchez JM. Confidence interval reporting for measures of association in multivariable regression models in observational studies. <em>Med Clin (Bar<\/em>c). 27;153(6):239-242. <u>https:\/\/doi.org\/10.1016\/j.medcli.2018.06.018.<\/u><\/p>\n<p>Greenland, S., Senn, S. J., Rothman, K. J., Carlin, J. B., Poole, C., Goodman, S. N., &amp; Altman, D. G. (2016). Statistical tests, P values, confidence intervals, and power: a guide to misinterpretations. <em>European Journal of Epidemiology<\/em>, <em>31<\/em>(4), 337\u2013350. <a href=\"https:\/\/doi.org\/10.1007\/s10654-016-0149-3\">https:\/\/doi.org\/10.1007\/s10654-016-0149-3<\/a><\/p>\n<p>Lee, D. K. (2016). Alternatives to P value: confidence interval and effect size. <em>Korean Journal of Anesthesiology<\/em>, <em>69<\/em>(6), 555\u2013562. <a href=\"https:\/\/doi.org\/10.4097\/kjae.2016.69.6.555\">https:\/\/doi.org\/10.4097\/kjae.2016.69.6.555<\/a><\/p>\n<p>Wasserstein, R. L., &amp; Lazar, N. A. (2016). The ASA Statement on p-Values: Context, Process, and Purpose. <em>The American Statistician<\/em>, <em>70<\/em>(2), 129\u2013133. <a href=\"https:\/\/doi.org\/10.1080\/00031305.2016.1154108\">https:\/\/doi.org\/10.1080\/00031305.2016.1154108<\/a><\/p>\n<p>Campos-S\u00e1nchez, I., Mu\u00f1oz-S\u00e1nchez, R., Navarrete-Mu\u00f1oz, E.-M., Molina-I\u00f1igo, M. S., Hurtado-Pomares, M., Fern\u00e1ndez-Pires, P., S\u00e1nchez-P\u00e9rez, A., Prieto-Botella, D., Ju\u00e1rez-Leal, I., Peral-G\u00f3mez, P., Espinosa-Sempere, C., &amp; Valera-Gran, D. (2023). Association between sensory reactivity and feeding problems in school-aged children: InProS Study. <em>Appetite, 107108. <\/em><u>https:\/\/doi.org\/10.1016\/j.appet.2023.107108<\/u><br \/>\n[\/et_pb_text][et_pb_team_member _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_team_member][et_pb_image _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/hacto.umh.es\/files\/2026\/09\/Post-redes-1.png&#8221; title_text=&#8221;Post redes (1)&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/hacto.umh.es\/files\/2026\/09\/Post-redes-2.png&#8221; title_text=&#8221;Post redes (2)&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Texto&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; link_option_url=&#8221;https:\/\/www.linkedin.com\/in\/paula-noce-94b062222\/&#8221; link_option_url_new_window=&#8221;on&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<div id=\"attachment_6690\" style=\"width: 212px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/hacto.umh.es\/files\/2026\/03\/foto-carnet-e1785319856429.jpg\"><img aria-describedby=\"caption-attachment-6690\" loading=\"lazy\" class=\"wp-image-6690 size-thumbnail\" src=\"https:\/\/hacto.umh.es\/files\/2026\/03\/foto-carnet-150x150.jpg\" alt=\"\" width=\"202\" height=\"202\" \/><\/a><p id=\"caption-attachment-6690\" class=\"wp-caption-text\"><strong>Roc\u00edo Mu\u00f1oz<\/strong><\/p>\n<p>Occupational Therapist, Master&#8217;s in Occupational Therapy in Neurology and Master&#8217;s in Public Health. Predoctoral researcher in the Doctoral Program in Public Health, Medical and Surgical Sciences.<br \/>Collaborator at InTeO.<\/p><\/div><br \/>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Texto&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; link_option_url=&#8221;https:\/\/www.linkedin.com\/in\/irene-campos-s%C3%A1nchez-132824226\/&#8221; global_module=&#8221;7020&#8243; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div id=\"attachment_3613\" style=\"width: 171px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/hacto.umh.es\/files\/2026\/09\/Sandra.png\"><img aria-describedby=\"caption-attachment-3613\" loading=\"lazy\" class=\"wp-image-7032 alignnone size-full\" src=\"https:\/\/hacto.umh.es\/files\/2026\/09\/Sandra.png\" alt=\"\" width=\"161\" height=\"221\" \/><\/a><p id=\"caption-attachment-3613\" class=\"wp-caption-text\"><strong>Sandra S\u00e1nchez<\/strong><br \/>Terapeuta ocupacional. Creadora de contenidos sobre terapia ocupacional en redes sociales (@elretodelato). Miembro de la Junta directiva de ROTOS Foundation como L\u00edder de Comunicaci\u00f3n. M\u00e1ster en Investigaci\u00f3n con especializaci\u00f3n en Terapia Ocupacional de la Universidad de J\u00f6nk\u00f6ping.Contratada en InTeO.<\/p><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>P-value is at the same time one of the most used and misunderstood concepts in research. That\u2019s why in this post we will explain what it is, which information it provides and how it should be interpreted alongside the rest of the results. When working with a sample population, variability due to randomness is inevitable. [&hellip;]<\/p>\n","protected":false},"author":6388,"featured_media":6891,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>[et_pb_section fb_built=\"1\" admin_label=\"section\" _builder_version=\"4.16\" global_colors_info=\"{}\"][et_pb_row admin_label=\"row\" _builder_version=\"4.17.4\" background_size=\"initial\" background_position=\"top_left\" background_repeat=\"repeat\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"][et_pb_column type=\"4_4\" _builder_version=\"4.16\" custom_padding=\"|||\" global_colors_info=\"{}\" custom_padding__hover=\"|||\"][et_pb_text _builder_version=\"4.17.4\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"]<\/p><p>P-value is at the same time one of the most used and misunderstood concepts in research. That\u2019s why in this post we will explain what it is, which information it provides and how it should be interpreted alongside the rest of the results.<\/p><p>When working with a sample population, variability due to randomness is inevitable. Consequently, the differences or associations observed may be indicative of a characteristic of the population or they may be the results of random variability.<\/p><p><strong>Example: <\/strong>Suppose we wanted to find out whether taking part in an occupational prescription programme reduces loneliness in older adults. After comparing participants with non-participants, we can observe that the participants present lower levels of loneliness. However, as we have only observed a sample of the population, we cannot guarantee that this difference is in fact due to the programme. It may be due to the sample\u2019s variation.<\/p><p>This is where the p-value, alongside other indicators, will help us to interpret the results.<\/p><p><u>Previous considerations<\/u><\/p><p>\u201cHypothesis testing\u201d is a method to find enough evidence to reject the null hypothesis (H0) and support the alternative hypothesis (HA). The HA is usually the hypothesis of interest, referring to the existence of difference, association or effect between the variables of the study.<\/p><table style=\"width: 1196px;\" width=\"602\"><tbody><tr><td style=\"width: 1187.6px;\"><strong>For example (HA):<\/strong> Falls prevention\u2019s programs reduce the number of hospital admissions amongst older adults compared to regular care.<\/td><\/tr><\/tbody><\/table><p>On the other hand, the H0 is established opposed to our research interest, indicating an absence of difference, association or effect.<\/p><table style=\"width: 1194px;\" width=\"602\"><tbody><tr><td style=\"width: 1185.6px;\"><strong>For example (H0): <\/strong>Falls prevention programs do not reduce the number of hospital admissions amongst older adults compared to regular care.<\/td><\/tr><\/tbody><\/table><p>However, it is important to point out that the scientific statistical community advocates for a more careful interpretation of this element (p-value). It should be considered alongside other indicators of the study such as the confidence intervals (CI) (Wasserstein & Lazar, 2016).<\/p><p>\u00a0<\/p><p>[\/et_pb_text][et_pb_image _builder_version=\"4.17.4\" _module_preset=\"default\" title_text=\"PublicaTO Infografia 1\" src=\"https:\/\/hacto.umh.es\/files\/2026\/09\/PublicaTO-Infografia-1.jpg\" hover_enabled=\"0\" sticky_enabled=\"0\"][\/et_pb_image][et_pb_text _builder_version=\"4.17.4\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"]<\/p><p>Imagine that an occupational therapy programme reduces the feeling of loneliness on a scale by 4 points. This estimation is based on a sample and therefore, it is subject to uncertainty. The CI indicates the range of values which it is reasonable to assume that the programme\u2019s real effect occurs in the population. The narrower the range, the higher the accuracy of the estimation. However, we should not confuse this range with the interpretation of a 95% probability that the true value lies within it.<\/p><p><u>P-value\u2019s interpretation<\/u><\/p><p>The p-value is calculated based on the chosen measure and the hypothesis test that accompanies it. In 2016, the American Statistical Association (ASA) publicised a historical declaration to clarify the use of the p-value (Wasserstein, & Lazar, 2016). They remind us that the p-value is a useful tool but it should never be interpreted alone. The ASA recommends interpreting the results of a study alongside the effect size, the CI, the methodological quality, the study design and the scientific context. Therefore, it is not enough to make conclusions based on the p-value being higher or lower than 0.05. Their declaration included 6 points:<\/p><ol><li>P-values can indicate how incompatible the data are with a specified statistical model.<\/li><li>P-values do not measure the probability that the studied hypothesis is true, or the probability that the data were produced by random chance alone.<\/li><li>Scientific conclusions and business or policy decisions should not be based only on whether a p-value passes a specific threshold.<\/li><li>Proper inference requires full transparency and the complete presentation of data, including estimates and uncertainty, through confidence intervals.<\/li><li>A p-value, or statistical significance, does not measure the size of an effect or the importance of a result.<\/li><li>By itself, a p-value does not provide a good measure of evidence regarding a model or hypothesis.<\/li><\/ol><p>The interpretation of the p-value depends on the alfa\u2019s significance (\u03b1) level or \u201c<strong>cut-off point<\/strong>\u201d which is usually established at 0.05 (5%). This value represents the risk that we are willing to accept incorrectly that the result of a difference or association exists, when in fact it does not. This is known as Type Error I or false positive. Based on this we can interpret the p-value as follows:<\/p><ul><li><strong>If the p-value is lower than 0.05 (p< 0.05):<\/strong> This means that the data is <em>less compatible<\/em> with the H0 and therefore, the probability of the difference, association or effect between variables being due to randomness is low. In this case, we tend to say \u201cwe don\u2019t believe\u201d the H0 and therefore, <strong>we reject the H0 and declare that our results are statistically significant. <\/strong><\/li><\/ul><table style=\"width: 1176px;\" width=\"554\"><tbody><tr><td style=\"width: 1167.6px;\"><p><strong>Example:<\/strong> Comparison of number of hospital admissions during a year between people over 67 years olds that participated in a falls prevention programme and those who received only regular care.<\/p><p>The hypothesis would be:<\/p><p>\u25cf <strong>Null hypothesis (H<strong>0<\/strong>)<\/strong>: There are no differences between the number of hospital admissions during a year between people over 67 years olds that participated in a falls prevention programme and those who received only regular care.<\/p><p>\u25cf<strong> Alternative hypothesis (HA): <\/strong>Participants of the falls prevention programme present a lower number of hospital admissions during a year compared to those who received only regular care.<\/p><p>After the data analysis, p-value was 0.03. As the result is lower than the significant level established previously (\u03b1 = 0.05), the results are less compatible with the hypothesis of no differences. Therefore, we have statistical evidence to conclude that there is a difference between the groups.<\/p><\/td><\/tr><\/tbody><\/table><ul><li><strong>If the p-value is higher than 0.05 (p> 0.05):<\/strong> This means that your data is compatible with the null hypothesis (H0). The observed changes are within the range of random variations of the variables. Therefore, you cannot reject the H0 ( which doesn\u2019t mean the H0 is true; rather it indicates that you do not have enough evidence to prove otherwise).<\/li><\/ul><table style=\"width: 1177px;\" width=\"554\"><tbody><tr><td style=\"width: 1168.6px;\"><p><strong>Example:<\/strong> Comparison of number of hospital admissions during a year between people over 67 years olds that participated in a falls prevention programme and those who received only regular care.<\/p><p>The hypothesis would be:<\/p><p>\u25cf <strong>Null hypothesis (H<strong>0<\/strong>)<\/strong>: There are no differences between the number of hospital admissions during a year between people over 67 years olds that participated in a falls prevention programme and those who received only regular care.<\/p><p>\u25cf<strong> Alternative hypothesis (HA): <\/strong>Participants of the falls prevention programme present a lower number of hospital admissions during a year compared to those who received only regular care.<\/p><p>After the data analysis, p-value was 0.18. As the result is higher than the significant level established previously (\u03b1 = 0.05), the results are compatible with the hypothesis that indicates no difference between groups. Therefore, we do not have enough statistical evidence to reject the H0.<\/p><\/td><\/tr><\/tbody><\/table><p>\u00a0<\/p><p><strong>Watch out! <\/strong><\/p><p>Several researchers have considered enough that the p-value was higher or lower than the cut-off point to accept or reject the null hypothesis. However, as ASA indicates, it is important to establish the exact result of the hypothesis test. For example, a result of p-value of 0,0490 is lower than 0.05 but the probability of randomness is still high.<\/p><p>The p-value is not the only relevant data in a quantitative study. This value is in relation with other elements that we should take in account when interpreting the results (Lee, 2016).<\/p><ul><li>As we mentioned before, the<strong> Confident Intervals (CI)<\/strong> provide information about the accuracy of the data and the range of values that are compatible with it. A narrow range indicates a more precise estimation, whereas a wider range reflects a higher uncertainty. Furthermore, the CI allows us to evaluate the clinical relevance of the results, as well as their statistical significance. Traditionally, CIs are established at 90%, 95% or 99% depending on the researcher\u2019s criteria.<\/li><li>The Effect Size (ES) measures the impact of strength of an association or change. The p-value can accompany many measurements and each one will have an interpretation depending on the statistical test used (Odds ratio, prevalence ratio, attributable risk, amongst others).<\/li><\/ul><p>We need to keep these elements in mind when we read or analysis a study, to <strong>not focus solely on the p-value.<\/strong> It is important to check if all authors describe the CI and the ES and with that information, interpret the results correctly. Despite the fact that many reporting guides developed by EQUATOR Network recommend describing the CI and ES for a better interpretation of the results (more information on <a href=\"https:\/\/hacto.umh.es\/2022\/03\/18\/guias-para-mejorar-la-transparencia-y-la-calidad-del-reporte-de-los-articulos-cientificos\/\">Guidelines for better transparency and report quality of scientific articles<\/a>) not all studies include them.<\/p><p>Let\u2019s use an example in Occupational Therapy. Table 3 corresponds to a cross-sectional study published by our research group (Campos-S\u00e1nchez et al., 2023). In the study we analysed the association between sensory reactivity and feeding problem in children between 3 and 7 years old from the data published on InProS\u2019 study <a href=\"https:\/\/inteo.umh.es\/inpros\/\">(https:\/\/inteo.umh.es\/inpros\/)<\/a>. The table illustrates how a statistical analysis includes the ES, the CI and the p-value all together, enabling for a more comprehensive interpretation of the results.<\/p><p>\u00a0<\/p><p>[\/et_pb_text][et_pb_image _builder_version=\"4.17.4\" _module_preset=\"default\" title_text=\"publicato tabla\" src=\"https:\/\/hacto.umh.es\/files\/2026\/09\/publicato-tabla.png\" hover_enabled=\"0\" sticky_enabled=\"0\"][\/et_pb_image][et_pb_text _builder_version=\"4.17.4\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"]<\/p><p>Each row shows the association between a type of sensory activity and a feeding problem. For each association its presented 3 fundamental data:<\/p><ul><li>Prevalence ratio (PR): this represents the magnitude of the effect size, by how much the prevalence of the feeding problem raises or decreases in children with sensory reactivity respect those without it.<\/li><li>Confidence interval at 95% (IC 95%): this information illustrates the precision of the estimation. The narrower the interval, the higher the precision. Additionally, when the IC95% of a PR does not include the value 1, the association tends to be considered statistically significant.<\/li><li>P-value: this indicates the degree of compatibility between the data and the null hypothesis. Usually, a p-value lower than 0.05 is considered sufficient statistical evidence to reject the null hypothesis of lack of association.<\/li><\/ul><p>Let\u2019s look at the example of the association between taste\/smell sensitivity and food variety problems. The PR is 1.42 meaning that children with taste\/smell sensitivity present a prevalence of food variety problems have 42% higher prevalence than those without this alteration. Furthermore, the IC95% (1.31-1.53) does not include the value 1, indicating that this estimation is consistent with a positive association. Additionally, the p-value is lower than 0.001, indicating statistical evidence against the null hypothesis. On the other hand, when we examine the association between tactile sensitivity and texture problem, we can see an RP=1.04, IC95% of 0,95\u20131,11 and p = 0,334. In this case, the IC includes the value 1 and p-value is higher than 0.05. In this case, we do not own enough statistical evidence to conclude that there is an association between the two variables.<\/p><p><u>Questions that may arise when reading a study<\/u><\/p><p><strong>Does it mean that when my p-value is higher than 0.05, my results are not relevant and are just the outcome of randomness?<\/strong><\/p><p>No it doesn\u2019t. Several authors have studied, analysed and criticised this idea for years, as well as pointed out the errors regarding the p-value (Greenland et al., 2016). Concepts such as the effect size or the confidence interval are relevant to interpret your results.<\/p><p><strong>Does it mean that when my p-value is lower or equal to 0.05 i should reject the null hypothesis and confirm a relationship between my variables?<br \/><\/strong><\/p><p>No it doesn\u2019t. The p-value indicates that there is a statistical significance of the result regarding the variables, but \u201cstatistical significance\u201d does not imply \u201cclinical significance\u201d.<\/p><p><strong>What does statistical significance mean?<br \/><\/strong><\/p><p>It means that it is less likely that the difference or relationship observed in the data is due to randomness. However, as we have pointed out before, it is important to keep in mind the confidence interval and the effect size too.<\/p><p><strong>Does the study I am reading provide all these data?<br \/><\/strong><\/p><p>A lot of studies do not offer all these data together (ES,IC and p-value) which makes it more difficult to understand the results.<\/p><p><u>How to report the results of my study correctly?<\/u><\/p><p>The same points that we must keep in mind when interpreting the results of a study also apply to reporting our own study. A clear and well-structured report makes it easier for other researchers and professionals to understand and correctly interpret the results. Some guidelines to help you achieve this are:<\/p><ol><li><strong>Indicate the statistical analysis conducted.<\/strong> Specify which statistical test or model was used (e.g. Student's t-test, chi-squared test, linear regression or Poisson regression). This will enable readers to understand to which estimation or measurement the p-value refers.<\/li><li><strong>Disclose the exact p-value where possible.<\/strong> Report the exact p-value (for example, p = 0.032) and avoid unclear expressions such as 'NS', 'p > 0.05' or 'p < 0.05'. The only exception is when the values are so small that it is common to represent them as p < 0.001.<\/li><li><strong>Include the confidence interval and the effect size when reporting the p-value.<\/strong> The p-value indicates statistical significance against the null hypothesis, but does not detail the magnitude of the effect or the precision of the estimation. Therefore, these data should be presented together whenever possible.<\/li><\/ol><p>To sum up, a good report does not consist solely on reporting if a result is statistically significant or not. It should provide all the information necessary for the reader to assess the impact, precision and relevance of the results. This promotes a more rigorous, transparent and useful interpretation of the scientific evidence.<\/p><p>We hope this post is useful to understand better what is the p-value and how to interpret it correctly.<\/p><p>If you have any question or suggestion, we would be happy to hear from you on inteo@umh.es<\/p><p><strong>References<\/strong><\/p><p>Gonz\u00e1lez-Marr\u00f3n A, Real J, Forn\u00e9 C, Roso-Llorach A, Navarrete-Mu\u00f1oz EM, Mart\u00ednez-S\u00e1nchez JM. Confidence interval reporting for measures of association in multivariable regression models in observational studies. <em>Med Clin (Bar<\/em>c). 27;153(6):239-242. <u>https:\/\/doi.org\/10.1016\/j.medcli.2018.06.018.<\/u><\/p><p>Greenland, S., Senn, S. J., Rothman, K. J., Carlin, J. B., Poole, C., Goodman, S. N., & Altman, D. G. (2016). Statistical tests, P values, confidence intervals, and power: a guide to misinterpretations. <em>European Journal of Epidemiology<\/em>, <em>31<\/em>(4), 337\u2013350. <a href=\"https:\/\/doi.org\/10.1007\/s10654-016-0149-3\">https:\/\/doi.org\/10.1007\/s10654-016-0149-3<\/a><\/p><p>Lee, D. K. (2016). Alternatives to P value: confidence interval and effect size. <em>Korean Journal of Anesthesiology<\/em>, <em>69<\/em>(6), 555\u2013562. <a href=\"https:\/\/doi.org\/10.4097\/kjae.2016.69.6.555\">https:\/\/doi.org\/10.4097\/kjae.2016.69.6.555<\/a><\/p><p>Wasserstein, R. L., & Lazar, N. A. (2016). The ASA Statement on p-Values: Context, Process, and Purpose. <em>The American Statistician<\/em>, <em>70<\/em>(2), 129\u2013133. <a href=\"https:\/\/doi.org\/10.1080\/00031305.2016.1154108\">https:\/\/doi.org\/10.1080\/00031305.2016.1154108<\/a><\/p><p>Campos-S\u00e1nchez, I., Mu\u00f1oz-S\u00e1nchez, R., Navarrete-Mu\u00f1oz, E.-M., Molina-I\u00f1igo, M. S., Hurtado-Pomares, M., Fern\u00e1ndez-Pires, P., S\u00e1nchez-P\u00e9rez, A., Prieto-Botella, D., Ju\u00e1rez-Leal, I., Peral-G\u00f3mez, P., Espinosa-Sempere, C., & Valera-Gran, D. (2023). Association between sensory reactivity and feeding problems in school-aged children: InProS Study. <em>Appetite, 107108. <\/em><u>https:\/\/doi.org\/10.1016\/j.appet.2023.107108<\/u><\/p><p>[\/et_pb_text][et_pb_team_member _builder_version=\"4.17.4\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"][\/et_pb_team_member][et_pb_image _builder_version=\"4.17.4\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.17.4\" _module_preset=\"default\" column_structure=\"1_2,1_2\"][et_pb_column _builder_version=\"4.17.4\" _module_preset=\"default\" type=\"1_2\"][et_pb_image _builder_version=\"4.17.4\" _module_preset=\"default\" title_text=\"PublicaTO Infografia 2\" src=\"https:\/\/hacto.umh.es\/files\/2026\/09\/PublicaTO-Infografia-2.jpg\" hover_enabled=\"0\" sticky_enabled=\"0\"][\/et_pb_image][\/et_pb_column][et_pb_column _builder_version=\"4.17.4\" _module_preset=\"default\" type=\"1_2\"][et_pb_image _builder_version=\"4.17.4\" _module_preset=\"default\" title_text=\"PublicaTO Infografia 3\" src=\"https:\/\/hacto.umh.es\/files\/2026\/09\/PublicaTO-Infografia-3.jpg\" hover_enabled=\"0\" sticky_enabled=\"0\"][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.17.4\" _module_preset=\"default\" column_structure=\"1_2,1_2\"][et_pb_column _builder_version=\"4.17.4\" _module_preset=\"default\" type=\"1_2\"][et_pb_text admin_label=\"Texto\" _builder_version=\"4.17.4\" _module_preset=\"default\" link_option_url=\"https:\/\/www.linkedin.com\/in\/paula-noce-94b062222\/\" link_option_url_new_window=\"on\" hover_enabled=\"0\" saved_tabs=\"all\" global_colors_info=\"{}\" theme_builder_area=\"post_content\" sticky_enabled=\"0\"]<\/p>[caption id=\"attachment_6690\" align=\"alignnone\" width=\"202\"]<a href=\"https:\/\/hacto.umh.es\/files\/2026\/03\/foto-carnet-e1785319856429.jpg\"><img class=\"wp-image-6690 size-thumbnail\" src=\"https:\/\/hacto.umh.es\/files\/2026\/03\/foto-carnet-150x150.jpg\" alt=\"\" width=\"202\" height=\"202\" \/><\/a> <strong>Roc\u00edo Mu\u00f1oz<\/strong><br \/><br \/>Occupational Therapist, Master's in Occupational Therapy in Neurology and Master's in Public Health. Predoctoral researcher in the Doctoral Program in Public Health, Medical and Surgical Sciences.<br \/>Collaborator at InTeO.[\/caption]<p>[\/et_pb_text][\/et_pb_column][et_pb_column _builder_version=\"4.17.4\" _module_preset=\"default\" type=\"1_2\"][et_pb_text admin_label=\"Texto\" _builder_version=\"4.17.4\" _module_preset=\"default\" link_option_url=\"https:\/\/www.linkedin.com\/in\/irene-campos-s%C3%A1nchez-132824226\/\" hover_enabled=\"0\" saved_tabs=\"all\" global_colors_info=\"{}\" global_module=\"7020\" theme_builder_area=\"post_content\" sticky_enabled=\"0\"]<\/p>[caption id=\"attachment_3613\" align=\"aligncenter\" width=\"161\"]<a href=\"https:\/\/hacto.umh.es\/files\/2026\/09\/Sandra.png\"><img class=\"wp-image-7032 alignnone size-full\" src=\"https:\/\/hacto.umh.es\/files\/2026\/09\/Sandra.png\" alt=\"\" width=\"161\" height=\"221\" \/><\/a> <strong>Sandra S\u00e1nchez<\/strong><br \/>Occupational therapist. Occupational therapy content creator on social media (@elretodelato). Member of the Board of Directors of the ROTOS Foundation as Communication Lead. Master of Science in Occupational Therapy from J\u00f6nk\u00f6ping University. Staff member at InTeO.[\/caption]<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","_et_gb_content_width":"","_links_to":"","_links_to_target":""},"categories":[332145],"tags":[],"_links":{"self":[{"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/posts\/7050"}],"collection":[{"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/users\/6388"}],"replies":[{"embeddable":true,"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/comments?post=7050"}],"version-history":[{"count":0,"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/posts\/7050\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/media\/6891"}],"wp:attachment":[{"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/media?parent=7050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/categories?post=7050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hacto.umh.es\/en\/wp-json\/wp\/v2\/tags?post=7050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}