Practical considerations for sample size calculation for cluster randomized trials - 13/02/24
, Sandra Eldridge b, Monica Taljaard c, d, Karla Hemming eAbstract |
Cluster randomized trials are an essential design in public health and medical research, when individual randomization is infeasible or undesirable for scientific or logistical reasons. However, the correlation among observations within clusters leads to a decrease in statistical power compared to an individually randomised trial with the same total sample size. This correlation - often quantified using the intra-cluster correlation coefficient - must be accounted for in the sample size calculation to ensure that the trial is adequately powered. In this paper, we first describe the principles of sample size calculation for parallel-arm CRTs, and explain how these calculations can be extended to CRTs with cross-over designs, with a baseline measurement and stepped-wedge designs. We introduce tools to guide researchers with their sample size calculation and discuss methods to inform the choice of the a priori estimate of the intra-cluster correlation coefficient for the calculation. We also include additional considerations with respect to anticipated attrition, a small number of clusters, and use of covariates in the randomisation process and in the analysis.
Le texte complet de cet article est disponible en PDF.Keywords : Cluster randomized trials, Stepped-wedge trials, Cluster crossover trials, Design effect, Sample size calculation, Intra-cluster correlation
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Vol 72 - N° 1
Article 202198- février 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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