Have Cluster Randomised Trials a Role in Health Care Research?

2017 ◽  
Vol 1 (1) ◽  
pp. 14-19
Author(s):  
Maria Broderick
2021 ◽  
pp. 174077452110208
Author(s):  
Elizabeth Korevaar ◽  
Jessica Kasza ◽  
Monica Taljaard ◽  
Karla Hemming ◽  
Terry Haines ◽  
...  

Background: Sample size calculations for longitudinal cluster randomised trials, such as crossover and stepped-wedge trials, require estimates of the assumed correlation structure. This includes both within-period intra-cluster correlations, which importantly differ from conventional intra-cluster correlations by their dependence on period, and also cluster autocorrelation coefficients to model correlation decay. There are limited resources to inform these estimates. In this article, we provide a repository of correlation estimates from a bank of real-world clustered datasets. These are provided under several assumed correlation structures, namely exchangeable, block-exchangeable and discrete-time decay correlation structures. Methods: Longitudinal studies with clustered outcomes were collected to form the CLustered OUtcome Dataset bank. Forty-four available continuous outcomes from 29 datasets were obtained and analysed using each correlation structure. Patterns of within-period intra-cluster correlation coefficient and cluster autocorrelation coefficients were explored by study characteristics. Results: The median within-period intra-cluster correlation coefficient for the discrete-time decay model was 0.05 (interquartile range: 0.02–0.09) with a median cluster autocorrelation of 0.73 (interquartile range: 0.19–0.91). The within-period intra-cluster correlation coefficients were similar for the exchangeable, block-exchangeable and discrete-time decay correlation structures. Within-period intra-cluster correlation coefficients and cluster autocorrelations were found to vary with the number of participants per cluster-period, the period-length, type of cluster (primary care, secondary care, community or school) and country income status (high-income country or low- and middle-income country). The within-period intra-cluster correlation coefficients tended to decrease with increasing period-length and slightly decrease with increasing cluster-period sizes, while the cluster autocorrelations tended to move closer to 1 with increasing cluster-period size. Using the CLustered OUtcome Dataset bank, an RShiny app has been developed for determining plausible values of correlation coefficients for use in sample size calculations. Discussion: This study provides a repository of intra-cluster correlations and cluster autocorrelations for longitudinal cluster trials. This can help inform sample size calculations for future longitudinal cluster randomised trials.


1991 ◽  
Vol 5 (49) ◽  
pp. 33-35 ◽  
Author(s):  
Ann Bowling

2009 ◽  
Vol 23 (4) ◽  
pp. 414-416 ◽  
Author(s):  
Kadija Perreault ◽  
Antoine Boivin ◽  
Enette Pauzé ◽  
Amanda L. Terry ◽  
Christie Newton ◽  
...  

Author(s):  
Richard Edlin ◽  
Christopher McCabe ◽  
Claire Hulme ◽  
Peter Hall ◽  
Judy Wright

2002 ◽  
Vol 15 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Carol Hall Ellenbecker ◽  
Joanne M. Dalton ◽  
Kristine Beyerman Alster

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