Cluster randomised trials of professional and organisational behaviour change interventions in health care settings.

M. Eccles, Marion Kay Campbell, D. Elbourne

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Individual patient randomized trials are the gold standard for assessing the effects of health care evaluations. However, individual randomization may not be possible for practical, logistical, ethical, or political reasons, for example, when evaluating health care professional and organizational behavior change interventions. Under such circumstances, cluster randomized trials are commonly used. This article discusses the practical and ethical issues in the design, conduct, and analysis of cluster randomized trials of professional behavior and organizational change strategies using examples from two primary studies evaluating health care provider behavior,hang, strategies. Cluster randomized trials are commonly used in health care. They raise distinct ethical and methodological issues that have rarely been adequately addressed in studies to date.

Original languageEnglish
Pages (from-to)71-93
Number of pages22
JournalAnnals of the American Academy of Political and Social Science
Volume599
DOIs
Publication statusPublished - 2005

Keywords

  • cluster randomized trials
  • implementation research
  • interventions
  • dissemination and implementation interventions
  • COmputerised Guidelines Evaluation in the NorTh
  • of England (COGENT)
  • EVIDENCE-BASED GUIDELINES
  • ACUTE MYOCARDIAL-INFARCTION
  • COMMON CHILDHOOD CONDITIONS
  • CONSORT STATEMENT
  • GENERAL-PRACTICE
  • IMPLEMENTATION RESEARCH
  • PHYSICIAN PERFORMANCE
  • RADIOLOGY REFERRALS
  • DEVELOPMENT PROJECT
  • REMINDER MESSAGES

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