Wittes and Brittain recommended using an 'internal pilot study' to adjust s
ample size. The approach involves five steps in testing a general linear hy
pothesis for a general linear univariate model, with Gaussian errors. First
, specify the design, hypothesis, desired test size, power, a smallest 'cli
nically meaningful' effect, and a speculated error variance. Second, conduc
t a power analysis to choose provisionally a planned sample size. Third, co
llect a specified proportion of the planned sample as the internal pilot sa
mple, and estimate the variance (but do not test the hypothesis). Fourth, u
pdate the power analysis with the variance estimate to adjust the total sam
ple size. Fifth, finish the study and test the hypothesis with all data. We
describe methods for computing exact test size and power under this scenar
io. Our analytic results agree with simulations of Wittes and Brittain. Fur
thermore,:our exact results apply to any general linear univariate model wi
th fixed predictors, which is much more general than the two-sample t-test
considered by Wittes and Brittain. In addition, our results allow for exami
nation of the impact on test size of internal pilot studies for more compli
cated designs in the framework of the general linear model. We examine the
impact of (i) small samples, (ii) allowing the planned sample size to decre
ase, (iii) the choice of internal pilot sample size, and (iv) the maximum a
llowable size of the second sample. All affect test size, power and expecte
d total sample size. We present a number of examples including one that use
s an internal pilot study in a three-group analysis of variance. Copyright
(C) 1999 John Wiley & Sons, Ltd.