Domain 2 · Intake, Assessment & Diagnosis · Lesson 9 of 11

Research designs and threats to internal and external validity

20 min read · Dr. Andrew WichtermanCACREP: Research & Program Evaluation

Last reviewed September 2026 by Dr. Andrew Wichterman · Aligned to the current NCE blueprint. Valid for exams through June 30, 2027.

AI-narrated overview made with Google NotebookLM. The written lesson below is by Dr. Andrew Wichterman.

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A counselor's new group seems to help. Did it? Research design is the set of tricks for ruling out everything else that could explain the change. This lesson explains the vocabulary, the three kinds of study, the threats that fool researchers, and how the exam tests each, assuming no prior research course.

Before you read: three questions

Try to answer each from memory first, even if you have to guess. Guessing before reading makes the answer stick; reveal only after you have tried.

What is Independent / dependent variable?Manipulated / measured.
What is Random assignment?To conditions; permits causal claims.
What is Random selection?From the population; permits generalization.

Start here: does the treatment work, or does it just look like it works?

A counselor runs a new anxiety group. Eight weeks later the members report less anxiety. Did the group help? Maybe. Or maybe the members would have improved anyway with time; maybe the most motivated clients were the ones who signed up; maybe they just learned to answer the questionnaire differently the second time. Research design is the set of tricks for ruling out the "maybes" so that you can say the treatment, and not something else, produced the change. The exam does not ask you to run studies. It asks you to name the parts, spot the design, and recognize what could be fooling the researcher.

The words you need first

TermPlain meaningIn the anxiety-group example
Independent variable (IV)The thing the researcher changes or applies; the suspected causeThe anxiety group (getting it or not)
Dependent variable (DV)The thing the researcher measures; the outcome that "depends" on the IVAnxiety score after eight weeks
Treatment (experimental) groupThe people who get the IVClients in the group
Control groupThe people who do not get it, for comparisonClients on the waiting list
HypothesisThe specific prediction being tested"Group members will report lower anxiety than the wait list"
Operational definitionExactly how a fuzzy idea will be measured"Anxiety" = score on the GAD-7
Confounding (extraneous) variableSomething else that differs between the groups and could explain the resultGroup members also happened to start medication
PlaceboA fake treatment that controls for the effect of expecting to improveAn "attention only" group that meets but does no anxiety work
Double-blindNeither participants nor the people measuring them know who got the real treatmentRare in counseling, common in drug trials
In plain English. The IV is what you do; the DV is what you measure. If you get them confused on the exam, ask: which one did the researcher control? That one is independent.

The single most important idea: random assignment

The worry in every study is that the two groups were different before the treatment started. If the most motivated clients joined the group and the least motivated stayed on the wait list, the group will look effective even if it did nothing. Random assignment fixes this. You take everyone who agreed to be in the study and use a coin flip (or a random number list) to decide who gets the treatment. Now the only systematic difference between the groups is the treatment itself, and any pre-existing differences are spread evenly by chance.

Do not confuse this with random selection, which is about how you got your participants in the first place. Random selection from a population lets you generalize your result to that population. Random assignment to groups lets you claim the treatment caused the result. A study can have one without the other. Most counseling studies have neither, which is why so few can say "caused."

Three kinds of study

True experiment
Researcher assigns people to groups by coin flip, then applies the treatment
Can say "caused"
Quasi-experiment
Groups already exist (two clinics, two classrooms); researcher applies the treatment
Can say "associated with," maybe more
Correlational
Nothing is assigned or applied; researcher just measures two things
Can say "related to" only
The dividing line is random assignment. With it, you have a true experiment and can talk about cause. Without it, you can only talk about relationships.

A true experiment has random assignment and a manipulated IV. It is the only design that supports a causal claim. A quasi-experiment manipulates the IV but uses existing groups without random assignment: a new curriculum in one school compared to the old one in another. It is often the best a counselor can do in the real world, and it can be strengthened with a pretest to show the groups started out similar. A correlational study manipulates nothing; it measures two variables in the same people and computes the relationship. It can show that anxiety and sleep problems go together but cannot say which causes which, or whether a third thing causes both.

Other designs the exam names

DesignWhat it isExample
Pretest-posttest control groupMeasure both groups before and after; the classic experimental designGAD-7 before and after, group vs. wait list
Posttest-only control groupMeasure only after; relies on random assignment to make the groups equal at the startSame, without the pretest
Solomon four-groupCombines the two above to detect whether taking the pretest itself changed peopleFour groups: with/without pretest × with/without treatment
Single-subject (N = 1) designs: ABAB, multiple baselineOne person measured repeatedly; treatment is applied, withdrawn, reappliedTrack a child's outbursts for two weeks (A), add a reward system (B), remove it (A), add it back (B)
LongitudinalSame people followed over a long timeTrack a cohort from high school to age 30
Cross-sectionalDifferent age groups measured at one timeCompare 20-, 40- and 60-year-olds today
Ex post facto (causal-comparative)Groups formed by something that already happened; looks backwardCompare adults who were and were not bullied as children
Survey / descriptiveDescribe what is, without comparison groupsWhat percentage of counselors use telehealth?

Two kinds of "is this study any good?"

Here "validity" means something different from the test validity in lesson 4, though the spirit is the same: is the conclusion trustworthy?

Internal validity
"Inside this study, did the treatment really cause the change?"
Threatened by: history, maturation, testing, selection…
Protected by random assignment and control groups
External validity
"Would this result hold for other people, places and times?"
Threatened by: unusual sample, artificial setting
Protected by random selection and realistic conditions
Internal validity is about the study's own logic. External validity is about whether the result travels. A tightly controlled lab study often has high internal and low external validity; a messy real-world study is often the reverse.

Threats to internal validity: the things that fool you

Campbell and Stanley's list of threats is heavily tested. Each is a reason a change might happen that has nothing to do with the treatment.

ThreatPlain meaningExample
HistoryAn outside event happened during the studyA community tragedy raises everyone's anxiety mid-study
MaturationPeople change on their own with timeChildren's attention naturally improves as they age
TestingTaking the pretest changes how people do on the posttestClients remember the questions and answer "better"
InstrumentationThe measuring tool or the rater changedA new version of the questionnaire is used at posttest; the observer gets stricter
Statistical regressionPeople picked for extreme scores drift back toward average on their ownThe most anxious clients improve most, treatment or not
SelectionThe groups were different to begin withVolunteers vs. non-volunteers
Mortality (attrition)People drop out, and the ones who stay are differentThe clients who were not improving quit the group
Diffusion of treatmentThe control group picks up the treatment informallyWait-list clients hear about the techniques from friends in the group
Experimenter (Rosenthal) effectThe researcher's expectations leak to participantsWarmer with the treatment group
Hawthorne effectPeople change simply because they know they are being studiedAttendance improves because someone is counting
Demand characteristicsParticipants figure out what the researcher wants and give itReporting less anxiety to please the counselor

Random assignment handles selection and, over time, regression. A control group handles history, maturation and testing, because both groups experience them equally. That is why the pretest-posttest control group design is considered so strong: most threats affect both groups the same way and cancel out.

Who is in the study? Sampling

MethodHow it worksNote
Simple randomEveryone in the population has an equal chanceThe gold standard for external validity
Stratified randomDivide the population into subgroups (strata), then sample randomly from each in proportionGuarantees small groups are represented
ClusterRandomly pick whole groups (schools, clinics), then study everyone in themPractical when you cannot list every individual
SystematicEvery k-th person from a listRandom start, then fixed interval
ConvenienceWhoever is availableMost counseling research; weakest for generalizing
PurposiveDeliberately chosen because they have a characteristic of interestCommon in qualitative research
SnowballParticipants recruit other participantsHidden or hard-to-reach populations

Protecting participants

Every study involving people needs approval from an Institutional Review Board (IRB), informed consent from participants, the right to withdraw without penalty, protection of confidentiality, and debriefing if any deception was used. The Belmont Report (1979) set out the three principles: respect for persons, beneficence, and justice. The ACA Code covers research in Section G.

How the exam asks about this

Name the variable. "A researcher tests whether a new grief curriculum reduces depression scores." Curriculum is the IV, depression score is the DV.

Name the design. Look first for random assignment. Present: true experiment. Absent but a treatment was applied to existing groups: quasi-experiment. Nothing applied, just measured: correlational. One person measured over time with the treatment on and off: single-subject.

Spot the threat. "Half the control group dropped out before the posttest." Mortality. "Clients were chosen because they had the highest anxiety scores, and their scores fell." Statistical regression. "A hurricane struck the area during the study." History.

Can they say "caused"? Only with random assignment. Any option that draws a causal conclusion from a correlational or quasi-experimental study is wrong.

Exam tip. Random assignment is what lets a study say "caused." Random selection is what lets it say "and this applies to the whole population." If the item has no random assignment, the answer will say "related to" or "associated with," never "caused."
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Two-minute brain dump

Without scrolling up, write everything you remember from this lesson. Then check yourself against the key terms. Recalling the whole lesson once, right after reading it, does more than reading it twice.

Independent / dependent variable Random assignment Random selection Quasi-experiment Ex post facto Solomon four-group ABAB design History / maturation / mortality Hawthorne effect Double-blind
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