Experiments
AI

How 12 of the world's top product teams use AI to run experiments

A graphic of a bar chart with an arrow pointing upward.

AI is making it possible to build more experiments. The people running the strongest programs are using that speed to ask harder questions, not to skip judgment.

When Kameron Tanseli described the growth engineering workflow at Fyxer, he did not talk about handing a roadmap to an autonomous product manager. He talked about something more immediate: a coding agent that can implement several contained experiments at once, run the product, and bring back a video for review.

“With Cursor Desktop, it’s running the app. It’s showing me a video of what the experiment is going to look like. Then I can just sign it off without having to do the extra manual QA myself.”

That small scene captures the change taking place across product teams. AI does the waiting-room work: finding a prior test, reading hundreds of calls, drafting a variant, checking an interface, or assembling a first-pass analysis. A person still decides whether the idea is worth pursuing, whether the evidence is trustworthy, and whether the change should reach users.

Across conversations with leaders at Fyxer, Microsoft, Fanatics, Twitch, Diligent, DoorDash, Chess.com, Atlassian, Fin, Stitch Fix, Upwork, and Kargo, the same story appeared in different forms. First, AI made accumulated knowledge easier to retrieve. Then it moved into building and analyzing experiments. Now, for teams shipping AI products, the model itself has become the thing that needs to be tested.

The result is not autonomous experimentation. It is a faster learning loop with a more important human checkpoint.

The bottleneck moved before the process did

Fyxer shows what happens when an experimentation process is already explicit enough for agents to join it. Its growth team has a shared brief, a central data source, visible experiment updates, and a clear review point. AI can move between those parts because the parts already have names.

In the full conversation with Tanseli, he explained that Cursor can handle smaller variants in parallel, while Claude acts as a hub for shared skills, reporting, and analysis. An internal “AI data scientist” can answer complex questions against documented table schemas. Automations check for stale experiment code. The team is not asking one model to improvise the entire lifecycle; it is giving several tools bounded jobs.

“AI is definitely helping us go faster,” Tanseli said. “The main focus is developer performance. Can we break through a thousand experiments?”

The longer Fyxer story matters because the ambition is attached to a real operating system: reusable skills, a reviewable diff, visual QA, shared warehouse context, and a public changelog. Without those pieces, faster code would mostly produce a faster queue of things nobody has validated.

Marco Casalaina, VP of Products for Core AI at Microsoft, described the same acceleration from inside an organization building the tools themselves.

“We use Copilot CLI to help us build Copilot CLI,” he said in the Microsoft episode. “We’re doing like two releases a day. The velocity of this stuff is vastly increased.”

That velocity changes the cost of implementation, but not the need for evidence. Microsoft’s long-running experimentation platform was built around that distinction: trustworthy shared infrastructure is what lets a company learn at scale. AI increases the flow of candidate changes through the system. It does not repeal assignment integrity, statistical power, or the need for a control.

AI first made experiment history usable

Before an agent writes a variation, it can answer a question many companies are surprisingly bad at answering: Have we already tried this?

At Fanatics, Medha Umarji has spent years building a centralized experimentation wiki. It contains results, screenshots, causal interpretations, recommendations, and the next iterations that feed the roadmap. That work began long before the current wave of generative AI. Now it gives AI something worth retrieving.

“The wiki is really helping us as we move toward AI,” Umarji said in the Fanatics conversation. “People are able to build their own feature-based meta-analysis.”

The important word is meta-analysis. Fanatics does not ask a model to summarize a single isolated result and call that institutional knowledge. When a team has run several tests on a feature, it builds a compact view of the different messages, price points, or treatments and what happened across them. Tools such as Claude and Glean can then help someone find that body of evidence before proposing the next test.

Twitch has taken a similar idea closer to the product manager’s daily workspace. Arun Bodapati described an internal AI environment called Kiro, with connections to company data and tools.

“We built an experimentation MCP into it,” he said in the Twitch episode. “Now all of the experiments that are running, and all of the experiments of the past, are within that MCP.”

A product manager can ask for a summary of the advertising experiments currently running, inspect earlier results, and use that history to think about the next hypothesis. Bodapati was careful about hallucinations and the need for guardrails, but the practical unlock was already clear: people who once needed help locating the right notebook can begin with the organization’s accumulated evidence.

At Diligent, the source material is not only prior experiments. It is the customer conversation that should precede one. Dan Layfield contrasted the old research process—recruiting users, conducting interviews, transcribing them, and manually synthesizing the findings—with what his team can do now.

“We use Gong’s MCP, and you can get reasonably good synthesis from sales calls in probably an hour or two,” Layfield said in the Diligent episode.

That does not turn a sales call into a product decision. It lets a product manager reach the judgment stage while the evidence is still timely. The Diligent story also supplies an important counterweight: AI can accelerate the analysis of an inconclusive test, but it should not automatically kill a strategically important idea after the first disappointing result.

DoorDash has the scale version of this memory problem. Ilya Izrailevsky said the company runs about 12,000 experiments a year across a marketplace connecting consumers, merchants, and Dashers. Nobody can remember that history unaided.

“We’re using AI to mine the past experiments we already launched, see what worked and what didn’t, and use the past hypotheses to inform new hypotheses,” he said in the DoorDash episode.

The same agentic layer can help set up tests, diagnose imbalance, analyze results, and draft the company-wide summaries that DoorDash leaders read. But the DoorDash experimentation story makes the boundary visible: retrieving evidence is a computation problem; deciding how to balance consumer price and speed, merchant economics, and Dasher earnings is not.

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Then the agent moved into the build loop

Once research and prior learnings are available, the next bottleneck is turning a defensible hypothesis into something testable.

Chess.com is still working toward the most complete version of that loop. Nafis Shaikh described the destination plainly in the Chess.com conversation:

“We want to have a conversation in Slack about a particular feature, build out all of its requirements through conversation, and hand it off to an agent. An agent will build the feature, set up the experiment, run the experiment, and report back to that same Slack thread.”

Shaikh did not present that as current reality. Chess.com had already built a high-velocity experimentation practice, but the agentic workflow remained an infrastructure goal. That candor is useful. There is a large gap between generating code and closing a trustworthy experiment loop, and the gap contains requirements, targeting, instrumentation, metric selection, QA, runtime, and interpretation.

Atlassian’s Andrew Willingham begins one step earlier: with the reason a person should use an AI feature at all. A company mandate to “use AI” is not a value proposition.

“If I’m a frontline product manager, do I care about AI because the company says it’s important? Probably not,” he said in the Atlassian episode. “What I care about is: you’re about to type up that status report; we’ll generate it for you.”

That is an experimentation problem before it is an implementation problem. Teams can test the promise, placement, and moment of need rather than treating the presence of AI as the benefit. Atlassian’s separate AI Product Builders Week created more than 100 documented use cases, including an agent for retrieving prior growth experiments. Shared demos and failed prototypes gave those tools organizational context that a generic coding model would not possess.

Microsoft’s Casalaina described what happens after the first build. He gave a coding agent an evaluation threshold, let it revise an AI application, run the evals, inspect the result, and continue overnight until it crossed the bar.

“It hit my threshold at 3:35 in the morning,” he said. “That’s the funny thing about evals: you’re not going to hit 100% most of the time. You have to pick a threshold and say, at this point, this is good.”

This is where procedure matters. GrowthBook’s approach to AI coding agents and A/B testing separates capability from rules: an API or MCP server gives an agent access, while reusable skills describe how to find prior work, draft an experiment, check results, and clean up temporary flag logic. The AI-native development layer is useful precisely because the workflow remains inspectable. The goal is not to make the agent responsible for the product decision. It is to shorten the distance from an approved decision to verified execution.

Real users expose failures that offline evals cannot

The story changes when AI is not merely helping run the experiment. When the model, prompt, retrieval system, or agent behavior is the treatment, offline evaluation can screen candidates—but people still produce the surprises.

Pedro Tabacof, Principal Machine Learning Scientist at Fin, called production testing the “gold standard for decision-making.” Offline evals may cover thousands of examples. Fin’s live experiments can reach millions of samples in days and measure resolution rate, customer satisfaction, positive feedback, hallucinations, and other business or guardrail outcomes.

One test began with an assumption that almost everyone shared: faster AI responses should be better. The team could not easily make Fin faster for the experiment, so it carefully made some responses slower. The result went the other way.

“Higher latency only saw good stuff happening,” Tabacof said in the Fin episode. “What we didn’t expect was that positive feedback would increase as well.”

The team’s best hypothesis was psychological. An immediate answer can feel canned; a short pause can signal that work is being done. Fin did not deliberately slow the product after the test, because latency still mattered in demonstrations and other contexts. Instead, the team learned to separate latency from quality in later experiments so that an apparently better model was not credited for an effect caused by timing.

Another test was more consequential. Adding conversation history improved positive feedback, but also made Fin more likely to invent promises such as approving a refund. The headline metric went up while a guardrail got worse. The team stopped, isolated the new hallucination patterns, changed the prompt, and tested again. The second version kept much of the improvement without the unacceptable promises. The full account of the refund experiment, along with Intercom’s description of the testing behind a major Fin release, shows why “the treatment won” is not enough for an AI system.

Stitch Fix found a gentler version of the same lesson. Its AI style assistant helps clients clarify the note they send to a stylist. The quantitative results were promising, but direct feedback revealed that some clients wanted more flexibility or felt pushed toward the tool.

“It’s not just the quantitative results,” Nick Beyler said in the Stitch Fix episode. “We get feedback directly from our clients that are part of the experiment.”

That feedback changed how the feature should be introduced. Stitch Fix’s product combines recommendation algorithms with a human stylist, and Beyler emphasized that balance: the algorithm can narrow options, but a person still interprets a request for a summer wedding or a client’s discomfort with uploading an image. Controlled measurement can tell the team where the AI helps; qualitative evidence helps explain why someone resisted it.

Upwork’s Vinoj Kumar gave perhaps the cleanest warning about AI engagement metrics. His team built “Talk to Data,” a natural-language interface over company data. Counting questions made the product look busy, but a busy chatbot was not necessarily a useful one.

“If a product manager asks the bot the same question five different ways because the bot is giving bad answers, your dashboard shows high engagement,” Kumar said in the Upwork episode. “That’s a retry storm, not success.”

The team added explicit feedback and a “turns to success” metric, then looked downstream. As Talk to Data usage rose, basic ad hoc tickets to analysts fell by about 20%. That outcome was more convincing than message volume. Kumar also described a composite “cost per quality inference” metric that forces latency, cloud cost, and model quality into the same conversation. One number alone would invite one function to improve its target at everyone else’s expense.

These stories reinforce the layered approach in Intercom’s writing on designing AI products: use offline tests to catch obvious regressions, then combine production experiments, telemetry, and qualitative evidence. The same pattern appears in GrowthBook’s sessions with Khan Academy, in analysis of Character.AI’s user-centered model experiments, and in Dropbox’s staged AI rollouts. Each team needs a different outcome metric, but all of them need evidence from the environment where the product will actually be used.

The useful boundary is architectural

Kargo resolves ad auctions inside an unforgiving latency budget. James Falzone does not expect a large language model to sit in that live path simply because agents are fashionable.

“LLMs cannot operate in the ad-tech world just yet. They’re not fast enough,” he said in the Kargo episode. “But they can operate at an orchestration layer. We could have an agent running tests for us.”

That distinction is more useful than a generic mandate to “add AI.” Flexible reasoning belongs around the real-time system: opening access to data, investigating outcomes, proposing variants, and orchestrating test operations. Deterministic, low-latency software remains in control of the auction. The Kargo story also shows why broader access cannot mean weaker context. A bidding model that worked for direct demand initially failed when copied to third-party demand because different customer systems reacted differently.

DoorDash faces another kind of architectural boundary: no single metric can represent a three-sided marketplace. An agent can surface an imbalance, prepare a readout, or suggest an experiment design. It cannot decide how much consumer speed should be traded for Dasher utilization or merchant economics.

“AI can help you do a lot of research and give you insights,” Izrailevsky said. “At the end of the day, humans need to make the calls and prioritize the go or no-go decisions.”

Other conversations point to the same boundary. In the Box episode, a sequence of pricing-page experiments showed that “simpler” can become “oversimplified”; the written Box story is exactly the kind of context an ideation agent needs before recommending another simplification test. In the JPMorgan Chase episode, Kevin Yang argued that AI-driven shipping speed creates demand for more measurement, not less; the longer Chase account describes the self-service infrastructure and expert support around that speed.

The NIST AI Risk Management Framework uses broader governance language, but the operating idea is similar: organizations still need explicit ways to govern, map, measure, and manage AI risk. Google Cloud’s discussion of experimentation as an organizational capability makes the cultural counterpart. The technology can make testing easier; leaders still decide whether learning is valued and acted upon.

The human role is getting more specific

The guests did not defend a vague “human in the loop.” They named the work people still have to do.

People choose the problem. Fin can use Claude to inspect raw examples, generate hypotheses, draft code, and scaffold another test. Tabacof still sees a gap in taste.

“AI is very good at the low level—writing code, writing prompts, even churning through ideas,” he said. “But knowing exactly what to experiment on is the big challenge.”

People define acceptable error. Microsoft can run an agent through a self-correcting evaluation loop, but someone has to decide whether 90% task adherence is enough for that use case and whether an open-world agent should be capable of performing the requested action at all.

“Master the art of evaluation,” Casalaina advised. “There is no one way to do it. There is no one metric that’s right.”

People decide what a metric means. At Twitch, longer viewing may signal a healthy community or a poor experience. At Upwork, more chatbot turns may signal curiosity or failure. At Atlassian, more time in an internal tool might mean engagement—or that the task takes too long. Before optimizing a proxy, the team has to establish its relationship to the outcome that matters.

People approve exposure. A pricing treatment, a financial flow, a model with access to tools, or an AI agent that can promise a refund deserves a named launch boundary. Small cohorts, guardrails, rollback paths, and the discipline to stop are what make faster implementation compatible with responsible operation.

And people interpret tradeoffs. The agent can point out that resolution rose while hallucinations worsened, or that an inference became faster while cost and quality moved in opposite directions. It should not silently decide which constituency absorbs the downside.

Start with one slow, inspectable handoff

The wrong first project is “automate experimentation.” It is too broad to verify and too vague to govern.

Instead, map the path from question to decision and find one bounded wait:

  1. Research: Can the team retrieve relevant calls and prior experiments with links back to the source?
  2. Design: Can an assistant turn an approved hypothesis into a draft design without inventing the success metric?
  3. Implementation: Can a coding agent return a diff, tests, a preview, and the feature-flag state for a contained variant?
  4. Launch: Can the system prepare a draft while a person approves targeting, exposure, guardrails, and rollback?
  5. Analysis: Can AI inspect predeclared metrics and raw examples while clearly separating observation from inference?
  6. Learning: Can the result, caveats, screenshots, and next decision be found by a different team six months later?

Give AI read access before write access. Measure the automation itself: time from approved brief to launch-ready draft, the percentage of analyses requiring material correction, the number of tests that reuse prior evidence, and reviewer time saved. A process that launches more experiments but creates more cleanup has not become more effective.

The 12 teams do not share one tool stack. They share a shape of responsibility. AI compresses a defined part of the learning loop. A controlled experiment reconnects that speed to what users actually do. And a person remains accountable for the problem, the threshold, the exposure, and the decision.

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Experiments

A/B testing for healthcare: Examples and best practices

Sep 23, 2026
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min read

In healthcare, “Can we randomize it?” is the wrong first question. Start with “Could either experience change care, rights, privacy, or access?”

A/B testing can improve digital intake, appointment access, patient education, clinician workflows, and administrative operations. It can also create unacceptable risk when teams treat a clinical or consent decision like an ordinary conversion funnel.

The difference is not the label on the method. A/B tests are randomized experiments. What matters is the treatment, purpose, affected population, data flow, and oversight required in the organization and jurisdiction. This guide provides a practical product framework, not a substitute for legal, clinical, privacy, security, or institutional review.

Draw the boundary before designing variants

Create an intake step that classifies the proposed change before anyone builds a treatment. At minimum, ask:

  • Can the change alter diagnosis, treatment, triage, dosage, or clinical recommendations?
  • Can it delay or discourage access to care, accommodations, or urgent help?
  • Does it change informed consent, privacy choice, required disclosure, or patient cost?
  • Does it use protected or sensitive health information for assignment or measurement?
  • Does it include children, people in crisis, or another population requiring added protection?
  • Is the purpose internal quality improvement, or is it designed to contribute to generalizable knowledge?
  • Could the software function fall within medical-device or clinical decision-support oversight?

The HHS quality-improvement guidance says many activities limited to improving patient care and collecting operational data are not research under the cited human-subjects regulations. It also states that some quality-improvement activities can have a research purpose, in which case human-subject protections may apply. A product team should not make that determination informally; route it to the organization’s authorized office.

Likewise, software that influences clinical decisions is not automatically an ordinary product surface. The FDA’s January 2026 clinical decision-support guidance explains that some software functions are excluded from the device definition while other patient- or caregiver-facing functions can remain subject to digital-health policy. Clinical and regulatory owners need to classify the function before experimentation.

Start with lower-risk operational questions

The safest early program tests reversible changes where both variants meet the same clinical, accessibility, privacy, and disclosure requirements.

Appointment reminder timing

Compare 2 approved reminder schedules or message structures to reduce missed appointments. Keep required details, opt-out behavior, language support, and urgent-contact instructions constant.

Use completed appointments or timely rescheduling as the primary outcome. Track cancellations, patient contacts, message delivery, opt-outs, wrong-recipient risk, and differences across language, age, disability, or access groups. A higher click rate is not enough if no-show rates or trust worsen.

Patient portal navigation

Test whether a clearer information architecture helps people complete a high-value administrative task, such as finding results, updating insurance, or sending a non-urgent message. Preserve emergency guidance and clinical escalation paths in both variants.

Measure successful task completion and time to completion. Guard against repeated navigation, abandonment, accessibility failures, mistaken message routing, and increased call-center burden. Use usability testing before the A/B test to catch failures randomization should never expose.

Administrative form sequence

Compare a long form with a staged flow, or test the order of non-clinical fields. Do not omit information needed for safe care, billing transparency, consent, or legal compliance.

Measure accurate completion, not just submission. Track validation errors, correction rates, staff rework, abandonment, and time to appointment. If the treatment collects sensitive data, confirm necessity and access controls before launch.

Educational content layout

Test 2 ways to present the same clinician-approved information: summary-first versus stepwise, text plus illustration versus text alone, or a clear action checklist versus a dense paragraph. Keep the medical meaning, risks, contraindications, and escalation advice equivalent.

Use a comprehension or appropriate next-action metric when feasible. Page time and clicks can be misleading. Accessibility, language quality, and comprehension across health-literacy levels belong in the guardrail plan.

Review the design before launch

Use a trustworthy experiment-design session to pressure-test metrics, safety checks, and decision rules before exposing patients or clinicians.

Watch the Experiment Design Session

Use stronger controls for care-adjacent products

Some product changes are not clinical interventions but can still influence care. They need clinical ownership, narrower eligibility, conservative ramps, and explicit stopping criteria.

Clinician workflow support

A test might compare how a work queue prioritizes administrative follow-up, how a note template reduces documentation work, or how a non-diagnostic alert is presented. The treatment should not silently alter the clinical standard of care.

Randomize at the unit that prevents contamination. Individual clinician assignment may fail when teams share queues and handoffs; clinic- or unit-level clusters may better match the workflow. Measure task completion and time saved, with guardrails for missed work, overrides, escalations, documentation quality, and staff workload.

Preventive-care outreach

Compare approved outreach content or channels for people already eligible under the same clinical rule. Do not experiment with whether one group receives necessary care or required notice.

Use completed appropriate follow-up as the primary outcome. Track opt-outs, unreachable patients, scheduling capacity, disparities, complaints, and downstream cancellations. If the treatment drives demand beyond operational capacity, a messaging lift can make access worse.

Digital adherence support

Test the presentation or timing of an approved reminder, checklist, or educational cue. Avoid treatment changes that could be interpreted as personalized medical advice without the corresponding validation and oversight.

Measure the intended behavior with caution. Self-reported completion or app engagement is not a clinical outcome. Include adverse-event reporting, escalation pathways, disengagement, and privacy events where relevant.

Feature rollout in health software

Use feature flags to separate deployment from release, start with internal or trained cohorts, and expand only when technical and clinical guardrails remain healthy. GrowthBook’s feature flag platform supports targeted rollouts and kill switches, while the experiment layer measures impact.

The rollback plan must describe more than turning off a flag. Determine whether the old experience remains clinically and operationally safe, how queued work is reconciled, what happens to partial workflows, and who is authorized to stop exposure.

Protect data by design

Do not send a broad event stream to an experimentation vendor and decide later which fields were unnecessary. Inventory the data before implementation:

Data questionRequired decision
AssignmentWhat is the least identifiable stable unit that works?
EligibilityWhich sensitive attributes are truly needed?
ExposureWhat event proves the treatment was delivered?
OutcomesCan metrics be computed inside the governed data environment?
AccessWhich roles can view assignments, segments, and results?
RetentionWhen are raw records, logs, and exports removed?

The HHS minimum-necessary guidance describes limiting uses, disclosures, and requests for protected health information to what is needed for the intended purpose, with policies based on roles and recurring versus non-routine access. Apply that principle to experiment attributes, debugging logs, dashboards, and downloaded readouts.

Pseudonymous identifiers reduce exposure but do not automatically make a dataset non-sensitive or outside applicable rules. Review linkability, small cohorts, free-text fields, URLs, device metadata, and combinations that can reveal a condition. Never put clinical details or identifiers in feature names, variation labels, or URLs.

A warehouse-native experimentation approach can query approved metrics where the organization already governs them. Architecture does not create compliance on its own; teams still need contracts, access control, auditability, retention rules, security review, and configuration that matches the approved data flow.

Keep unsafe questions out of product experimentation

An experimentation policy should name prohibited or separately governed categories. Product teams should not discover the boundary only after a proposal reaches launch review.

Do not use an ordinary product A/B test to withhold a clinically indicated service, emergency direction, safety warning, accessibility accommodation, required disclosure, or legally protected choice. Do not reduce the visibility of risks to improve completion. Do not randomize a diagnostic or treatment recommendation without the clinical, regulatory, and research framework appropriate to that intervention.

Avoid treatments that exploit fear, urgency, shame, or uncertainty about health. A message can increase appointment conversion while undermining informed choice. Likewise, do not test whether patients tolerate a harder cancellation, more confusing privacy control, or hidden cost. Both variants must meet the organization’s baseline standard for respectful and comprehensible communication.

Clinical AI and decision-support changes need an evaluation program beyond a click-based A/B test. Validate the model offline, examine performance and failure modes across relevant populations, review human factors, and stage deployment with clinical monitoring. An online comparison may contribute evidence only after both treatments meet the safety threshold for exposure.

When an activity may be human-subjects research, follow the institution’s process before enrolling or exposing anyone. HHS research-oversight training states that covered non-exempt human-subjects research requires the applicable review and that informed consent requirements apply unless the IRB authorizes otherwise. The product team should preserve the determination, protocol version, approved treatment, and reporting obligations with the experiment record.

Finally, do not interpret lack of detected harm as proof of safety. Rare adverse events, small vulnerable groups, and outcomes that occur after the experiment window may be underpowered. Use prior evidence, incident monitoring, qualitative reports, and post-rollout surveillance alongside the randomized estimate.

Define patient-centered metrics and guardrails

Healthcare teams need more than a conversion scorecard. Build a measurement hierarchy:

  1. Primary outcome: the operational or patient-facing result that answers the decision.
  2. Process diagnostics: steps that explain why the treatment worked or failed.
  3. Safety guardrails: outcomes that trigger a stop or clinical review.
  4. Equity checks: predeclared groups where access or benefit could differ.
  5. Operational guardrails: staffing, wait time, rework, cost, and downstream capacity.

Define the practical threshold before launch. A statistically detectable change may be too small to justify implementation, and a neutral aggregate can hide meaningful harm in a protected or vulnerable group. At the same time, slicing results across many small subgroups increases false-positive risk and can expose sensitive attributes. Predeclare the equity questions that matter and use appropriate privacy and multiple-testing controls.

GrowthBook supports reusable fact tables and metrics so teams can keep definitions reviewable. Use a power analysis for the primary outcome and critical guardrails. If the required sample or duration is unrealistic, do not weaken the standard; use usability research, simulation, staged quality improvement, or a larger treatment contrast.

Create a healthcare experiment review packet

Before launch, the owner should provide one reviewable packet:

  • purpose, hypothesis, and operational decision
  • classification and required oversight determination
  • affected population and exclusion criteria
  • clinical, privacy, security, accessibility, and compliance approvals
  • treatment screenshots or workflow diagrams
  • assignment, exposure, and data-flow design
  • primary outcome, diagnostics, guardrails, and equity checks
  • sample plan and stopping rule
  • rollout stages, monitoring owner, and rollback procedure
  • patient or clinician communication plan, if applicable
  • documentation and retention plan

Use an approval matrix that names accountable people. Product approval does not replace clinical approval; a privacy review does not settle human-subjects research status; and an IRB determination does not automatically approve the production security architecture.

The WHO clinical-trial best-practices guidance emphasizes ethical standards, regulatory considerations, patient-centered research, transparency, and stakeholder collaboration. Not every healthcare product experiment is a clinical trial, but high-risk work should inherit the same respect for people and evidence.

Build trust into the experimentation program

Start with reversible operational improvements where both experiences are already acceptable. Prove that the team can classify risk, minimize data, validate assignment, monitor safety, and document decisions before expanding scope.

Publish internal rules for what teams may test, what requires added review, and what is out of bounds. Maintain an experiment registry and audit trail. Record neutral and negative results so a new team does not repeat the same risky idea.

GrowthBook can support the controlled delivery and analysis layer through experimentation, feature flags, permissions, and warehouse-defined metrics. The organization remains responsible for the clinical, ethical, legal, privacy, and operational framework around every test.

In healthcare, speed is valuable only when the learning process protects the people whose behavior creates the data.

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Connect controlled releases to reviewable metrics and decision rules while keeping healthcare data in your approved architecture.

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Experiments

When to use a z-test vs t-test vs chi-square vs ANOVA

Sep 22, 2026
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min read

The right statistical test is determined by the question and data-generating process, not by which function is easiest to run. Start with the outcome, groups, and dependence structure; the test name comes later.

Z-tests, t-tests, chi-square tests, and analysis of variance (ANOVA) all compare observed data with a null model. They differ in the kind of outcome they model, the uncertainty they estimate, and the number or structure of groups they can compare.

For a simple product experiment, a useful first pass is:

  • continuous outcome, two independent groups: usually a Welch two-sample t-test
  • binary proportion, two large independent groups: a two-proportion z-test is common
  • categorical counts across groups: chi-square test, if expected counts are adequate
  • continuous outcome across three or more groups: one-way ANOVA or Welch ANOVA

Those rules are a starting point. Paired observations, clusters, ratios, repeated measures, heavy tails, covariate adjustment, or sequential monitoring require a model that reflects the design.

Choose from the outcome and hypothesis

Write the estimand before choosing a test. An estimand is the quantity the experiment is trying to estimate: a difference in mean revenue, a difference in conversion probability, or an association between two categorical variables.

QuestionOutcomeCommon test
Did average order value change between A and B?ContinuousWelch two-sample t-test
Did signup probability change between A and B?BinaryTwo-proportion z-test
Is plan choice associated with variant?Categorical, 3+ levelsChi-square test of independence
Do mean task times differ across four variants?ContinuousOne-way ANOVA
Did the same users' scores change before and after?Paired continuousPaired t-test

The number of groups alone is insufficient. Conversion in four variants is still categorical data; a chi-square or binomial model may fit. Revenue in two groups is continuous; a t-test or regression is more natural.

The University of Michigan's statistical-test guide uses the same sequence: identify variable types and the relationship being tested before selecting a method.

When to use a z-test

A z-test compares a standardized estimate with the standard normal distribution. The classical one-sample z-test for a mean assumes the population standard deviation is known. That condition is unusual in product analytics, where variability is estimated from the current sample.

Z-tests remain common for proportions. In a two-arm conversion experiment, the estimate is:

difference = p_treatment - p_control

Under the null of equal proportions and with adequate counts, the standardized difference is approximately normal. This yields a two-proportion z-test.

Use it when:

  • the outcome is a binary count summarized as successes and failures
  • assignment groups are independent
  • sample sizes make the normal approximation credible
  • the hypothesis and one- or two-sided direction were set before analysis

Do not rely on a universal “n greater than 30” rule. For rare events, 30 observations can produce almost no successes; for balanced common events, approximation quality can be good. Inspect expected successes and failures and use an exact or model-based method when counts are sparse.

In high-volume online experiments, a normal approximation is also used for many sample means through the central limit theorem. The important question is whether the estimator's sampling distribution and variance calculation are valid for the metric, not whether the raw user values look perfectly normal.

When to use a t-test

A t-test is designed for inference about means when the variance is estimated from sample data. That extra variance uncertainty produces a t distribution with heavier tails than the standard normal, especially at small sample sizes.

For two independent groups, default to Welch's t-test unless equal variance is justified. Welch's version does not assume the two population variances are equal and handles unequal group sizes. NIST's two-sample t-test reference shows the unequal-variance standard error based on each group's sample variance and size.

Use an independent two-sample t-test when:

  • the outcome is numeric and the mean is the target
  • the two groups contain different experimental units
  • observations are independent within the model
  • the mean and standard error behave well enough for the sample size

Use a paired t-test when each value has a meaningful partner: the same user's before-and-after score, or deliberately matched units. The analysis reduces each pair to a difference and tests the mean of those differences. Treating paired data as independent discards information and computes the wrong standard error.

The t-test can be sensitive to extreme values because the sample mean and variance are sensitive to them. Product metrics such as revenue or session duration are often skewed. At scale, the mean may still have a usable sampling distribution, but inspect outliers, data quality, and the estimand. Robust inference, transformations, winsorization policies, or bootstrap methods may be more appropriate when a few observations dominate the result.

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When to use a chi-square test

Pearson's chi-square statistic compares observed category counts with counts expected under a null hypothesis. Two common forms are:

  • goodness of fit: does one categorical distribution match specified probabilities?
  • independence or homogeneity: is a categorical outcome distributed the same way across groups?

Suppose an onboarding experiment records three outcomes: completed, skipped, and abandoned. Cross-tabulate outcome by variant. A chi-square test asks whether the outcome distribution is independent of variant.

              Completed  Skipped  Abandoned
Control             420      110         70
Treatment           455       82         63

The test statistic sums (observed - expected)^2 / expected across cells. NIST's chi-square documentation describes the same comparison of binned frequency distributions.

Use a chi-square test when observations contribute counts to mutually exclusive categories and expected cell counts are large enough for the asymptotic approximation. With sparse cells, combine categories only when substantively justified or use an exact method such as Fisher's exact test for a two-by-two table.

A chi-square result says the distributions differ somewhere. It does not provide the most decision-friendly effect estimate by itself. Report category proportions, absolute differences, uncertainty intervals, and the cells contributing to the pattern.

For a binary two-arm experiment, the Pearson chi-square test and a two-sided two-proportion z-test are closely related: under standard conditions, the chi-square statistic with one degree of freedom equals the squared z statistic. Choose the representation that matches the hypothesis and reporting needs.

When to use ANOVA

ANOVA compares variation between group means with unexplained variation within groups. A one-way ANOVA tests the null that all population means are equal across levels of one factor.

Use it for a continuous outcome across three or more independent groups when the global question is whether any mean differs. Classical ANOVA assumes independent errors, normally distributed residuals within the model, and equal variances. Welch ANOVA relaxes the equal-variance assumption; R's 0 implements that approximation.

ANOVA's F-test is an omnibus test. A significant result means at least one mean differs, but it does not identify which one. Use planned contrasts or multiplicity-aware post-hoc comparisons to answer the product question.

ANOVA is more than a rule for “three or more groups.” Multi-factor ANOVA can estimate main effects and interactions in multivariate or factorial experiments. Repeated-measures or clustered data need corresponding error structures rather than a basic one-way calculation.

Why several t-tests are not a substitute for ANOVA

With four variants there are six pairwise comparisons. Testing each at 0.05 creates multiple opportunities for a false positive. An omnibus ANOVA tests one global null first, and planned follow-ups can use Tukey, Holm, Bonferroni, or another procedure appropriate to the family of claims.

The Bonferroni correction is simple and conservative. The right procedure depends on whether the goal is all pairwise comparisons, treatments versus one control, or a small set of preplanned contrasts. Define that family before looking at the ranking.

ANOVA and regression are also two views of the same linear-model machinery. R's 0 documentation describes aov as a wrapper around linear models for experimental designs. Regression is often more flexible when the analysis includes covariates, interactions, or unbalanced data.

Assumptions that change the choice

Before running any of the four tests, verify:

Independence and assignment unit

If the experiment randomizes accounts but analyzes users as independent observations, standard errors will usually be too small. Analyze at the randomization unit or use cluster-aware inference. If users can appear in both groups, repair the assignment or use a model that represents the dependence.

Paired or repeated observations

The same user measured twice is not two independent users. Use a paired test or repeated-measures model. For experiments with many events per user, aggregate to the user level or use appropriate clustered methods.

Outcome distribution and metric construction

Check missingness, zero inflation, extreme tails, ratio denominators, and censoring. A test can be mathematically correct for the supplied numbers while the metric itself misrepresents the user outcome.

Variance assumptions

Prefer Welch's t-test or Welch ANOVA when group variances may differ. Equal sample sizes do not prove equal variance, and a preliminary variance test can introduce another decision layer.

Sample size and sparse cells

Approximate z and chi-square methods need enough information in the relevant cells. Low-frequency guardrails and small segments may need exact methods or longer collection.

A product experimentation decision tree

Use this sequence before opening a statistics package:

  1. What unit was randomized: user, account, device, session, or region?
  2. What is the primary estimand: mean, proportion, category distribution, or model coefficient?
  3. Are groups independent, paired, repeated, or clustered?
  4. Are there two groups, several groups, or multiple factors?
  5. Do expected counts and sample sizes support the approximation?
  6. Are variances, tails, or outliers likely to break the default model?
  7. How many confirmatory hypotheses can trigger the decision?
  8. Was the test direction and stopping rule declared before launch?

Then choose the simplest model that answers the exact question. A two-proportion z-test may be perfect for signup conversion, while a t-test handles mean revenue and a chi-square test handles plan mix in the same experiment. Different metrics can require different tests.

Report effects, not only test names

The test produces a statistic and p-value under a null model. The guide to interpreting a t-test p-value shows why that number needs the effect, interval, and degrees of freedom beside it. The product decision needs more:

  • the effect estimate in business units
  • a confidence or credible interval
  • sample sizes and allocation
  • baseline and treatment values
  • assumption and data-quality checks
  • the planned hypothesis family
  • practical thresholds and guardrails

GrowthBook's statistics documentation explains the frequentist and Bayesian engines available for experiment analysis. Whichever framework is used, review effect magnitude and uncertainty together. A small p-value can accompany a trivial lift in a huge sample, while a valuable estimated lift can remain uncertain in a small one.

Choose the test by tracing the data back to the experiment design. For three or more continuous-outcome variants, the deeper ANOVA guide covers the omnibus F-test, planned contrasts, and Welch alternative. When the outcome, assignment unit, dependence, and hypothesis are explicit, the difference between z, t, chi-square, and ANOVA becomes a modeling decision rather than a memorization exercise.

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Experiments

What is ANOVA? Comparing multiple test variants

Sep 21, 2026
x
min read

An experiment with control plus three variants creates more than one comparison. ANOVA gives the team one principled global test of whether the variants differ before it starts hunting for a winner.

Analysis of variance, or ANOVA, is a family of statistical models for comparing group means and decomposing sources of variation. In a one-way product experiment, the “factor” is the assigned variant and its “levels” are control, B, C, and D.

The basic ANOVA question is deliberately broad: if all variants had the same population mean, would the observed separation among their sample means be surprising relative to the noise within variants?

That question is useful, but incomplete. A significant ANOVA result does not say which variant won, whether the lift is large enough to ship, or whether assumptions and instrumentation are sound. Those conclusions require planned contrasts, uncertainty intervals, and experiment-quality checks.

How ANOVA compares means through variance

ANOVA separates total variability into components:

  • between-group variation: how far each group mean is from the overall mean
  • within-group variation: how far individual observations are from their group mean

Each sum of squares is divided by its degrees of freedom to produce a mean square. The F statistic is:

F = mean square between groups / mean square within groups

Under the null hypothesis that all group means are equal, both quantities estimate the same underlying error variance, so their ratio should often be near 1. When group means are separated relative to the residual noise, F grows.

NIST's one-way ANOVA explanation describes this as comparing the level mean square with the residual mean square. The p-value is the probability, under the null model and assumptions, of an F statistic at least as large as the observed one.

For k groups and N total observations, one-way ANOVA usually has:

between-group degrees of freedom = k - 1
within-group degrees of freedom = N - k

The numerator asks how much the k means vary. The denominator pools information about variability inside the groups.

A four-variant experiment example

Suppose a SaaS team tests four onboarding flows and measures projects created per eligible account during the first week.

VariantAccountsMean projectsStandard deviation
Control1,0002.301.80
B1,0202.421.84
C9902.611.91
D1,0102.361.79

The null hypothesis is:

mean_control = mean_B = mean_C = mean_D

The alternative is that not all four means are equal. Notice what it does not say: “C is best.” The global alternative includes any pattern where at least one mean differs.

If the F-test rejects the null, the team should evaluate the comparisons it planned. It might compare every treatment with control, or test one contrast between the current flow and the average of three new concepts. The comparison plan should reflect the decision, not the visual ranking in the finished dashboard.

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Why not run every pairwise t-test?

Four groups create six pairs. If the team runs six independent tests at alpha 0.05 and treats any significant result as proof, the probability of at least one false positive across the family can exceed 0.05.

ANOVA gives one global test of the equality of all means. It also estimates residual variation using all groups, which can be more efficient than estimating it afresh for each pair under the classical equal-variance model.

The global test does not eliminate multiplicity in follow-up comparisons. R's Tukey HSD documentation explicitly notes that ordinary t-tests inflate the probability of a false declaration across a family. Choose the follow-up procedure for the comparisons the decision actually needs:

  • every pair: Tukey-style simultaneous comparisons
  • every treatment versus control: Dunnett-style comparisons
  • a few planned product questions: predeclared contrasts with a suitable adjustment
  • a conservative small family: a Bonferroni or Holm correction

An omnibus test can also be nonsignificant while one carefully planned contrast is persuasive, because the hypotheses and power differ. Decide before launch whether the global null or a treatment-versus-control contrast is the primary decision test.

Unequal group sizes do not automatically invalidate ANOVA, but they make the variance assumption and contrast plan more consequential. If allocation is intentionally uneven, power the smallest comparison that drives the decision and preserve the assignment probabilities. When variances and sample sizes both differ, classical pooled ANOVA can behave poorly; Welch ANOVA or a regression with suitable standard errors is usually easier to defend.

Planned contrasts can also use product structure that the global test ignores. Instead of comparing every pair, a team might compare control with the average of three related treatments, or compare two low-intensity treatments with two high-intensity treatments. A small set of predeclared contrasts often answers the business question with more power and clearer multiplicity control than an exhaustive winner search.

ANOVA assumptions in experiments

The familiar one-way fixed-effects model can be written as:

outcome = overall mean + variant effect + residual error

Classical inference depends on the residuals and design, not on a requirement that the combined raw outcome form one bell curve. NIST's model reference assumes independent, normally distributed errors with mean zero and common variance.

Independent observations

The analysis unit must respect randomization. If accounts are assigned but every user within an account is treated as independent, the standard error ignores clustering. Aggregate at the account level or use cluster-robust or hierarchical methods.

Repeated events from one user create the same problem. Ten sessions from one user do not carry the same independent information as ten users.

Appropriate residual behavior

ANOVA is often robust to moderate non-normality with balanced, sufficiently large groups, but severe skew, outliers, censoring, or zero inflation can make the mean unstable or the F approximation unreliable. Diagnose residuals and assess whether the mean is still the business estimand.

Equal variance for classical one-way ANOVA

Classical ANOVA assumes a common population variance. This can fail when a treatment changes both the mean and spread, or when groups serve different traffic mixes. Unequal group sizes make the problem more consequential.

SciPy's 0 supports Welch ANOVA when equal_var=False. Welch's method relaxes equal population variances and adjusts the degrees of freedom.

Correct outcome model

ANOVA targets a continuous mean. Conversion is binary; event counts are discrete; time-to-churn can be censored. Large-sample mean inference can sometimes work, but logistic, Poisson or negative-binomial, survival, or other generalized models may better represent the outcome and produce interpretable effects.

One-way, two-way, and repeated-measures ANOVA

“ANOVA” names a family rather than one calculation.

One-way ANOVA

One categorical factor with multiple levels, such as four assigned onboarding variants. This is the usual A/B/n example.

Two-way or factorial ANOVA

Two controlled factors, such as headline and layout. The model estimates each main effect plus their interaction. The interaction asks whether one factor's effect changes with the other. This is central to a properly designed multivariate test.

Repeated-measures ANOVA

The same units are observed under multiple conditions or times. Dependence is part of the design and must be modeled. A basic independent one-way ANOVA is invalid for repeated measurements.

ANCOVA

Analysis of covariance adds continuous covariates to the group comparison. In randomized experiments, pre-experiment covariates can improve precision when they are chosen and measured without post-treatment contamination. GrowthBook's guide to variance reduction explains the same motivation in online experimentation.

Run one-way ANOVA in Python

At the action boundary, keep one numeric observation per independent analysis unit in each group. In SciPy:

from scipy.stats import f_oneway

control = [2, 1, 4, 3, 2, 2, 5]
variant_b = [3, 2, 4, 4, 3, 2, 5]
variant_c = [4, 3, 5, 4, 4, 3, 6]

# Classical one-way ANOVA: assumes equal population variances.
result = f_oneway(control, variant_b, variant_c, equal_var=True)
print(result.statistic, result.pvalue)

# Welch ANOVA: does not assume equal population variances.
welch = f_oneway(control, variant_b, variant_c, equal_var=False)
print(welch.statistic, welch.pvalue)

Before running it, confirm that rows match the randomization unit and missing values have a documented policy. Afterward, inspect group summaries and residual behavior. The p-value alone cannot reveal a broken exposure join or a few enormous outliers.

In R, aov(outcome ~ variant, data = experiment) fits the classical model. R documents 1 as a linear-model interface, which helps explain why ANOVA, regression, and contrasts are closely connected.

Interpret the ANOVA table

A standard output contains:

  • degrees of freedom
  • sum of squares
  • mean square
  • F statistic
  • p-value

Suppose the output reports F(3, 4016) = 6.8, p < 0.001. Under the model, the observed ratio of between-variant to within-variant variation is unlikely if all four population means are equal. It does not mean every treatment beats control or that any effect is commercially important.

Add the quantities the product decision needs:

  • each mean and sample size
  • differences from control in original units
  • simultaneous or comparison-specific intervals
  • an effect-size measure when useful
  • guardrail and data-quality results
  • the follow-up comparison method

Avoid ranking noisy means without uncertainty. The highest observed variant has benefited from both its true effect and sampling variation, especially when many variants were screened.

Common ANOVA mistakes

Treating events as independent users

Repeated events make the nominal sample size huge and uncertainty too narrow. Preserve the assignment unit.

Using ANOVA for every metric shape

The word “variant” does not imply ANOVA. Match the outcome distribution and estimand to a model.

Checking assumptions after selecting a winner

Write the model, outlier policy, transformation, and variance choice before the ranking is visible. Result-driven switching creates hidden researcher degrees of freedom.

Treating a significant F-test as a winner declaration

Follow with the planned contrasts. The omnibus test only rejects equality of all means.

Ignoring practical significance

A very large experiment can detect a tiny difference. Compare intervals with a minimum practical effect and account for implementation cost and guardrails.

Use ANOVA as part of an experiment plan

Before launch, specify the factor and levels, independent unit, primary continuous outcome, minimum effect, sample-size plan, variance assumption, global or contrast hypothesis, comparison family, and stopping rule.

Then verify assignment and exposure before interpreting the model. A sample ratio mismatch can signal that observed group counts no longer reflect the planned randomization. No F-test can repair biased exposure data.

ANOVA is valuable because it turns a field of variant means into a structured model of signal and noise. The broader z-test, t-test, chi-square, and ANOVA guide shows when the outcome and hypothesis call for another member of that family. Use the omnibus test for the global question, planned contrasts for the decision, and effect estimates for practical judgment. That sequence makes a multiple-variant test easier to defend than a dashboard full of uncoordinated p-values.

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