IDEAS home Printed from https://ideas.repec.org/a/sae/anname/v599y2005i1p71-93.html
   My bibliography  Save this article

Cluster Randomized Trials of Professional and Organizational Behavior Change Interventions in Health Care Settings

Author

Listed:
  • Jeremy Grimshaw

    (Clinical Epidemiology Program of the Ottawa Health Research Institute; Department of Medicine, University of Ottawa)

  • Martin Eccles

    (Centre for Health Services Research, School of Population and Health Sciences, University of Newcastle upon Tyne, United Kingdom)

  • Marion Campbell

    (University of Aberdeen)

  • Diana Elbourne

    (healthcare evaluation in the Medical Statistics Unit of the London School of Hygiene and Tropical Medicine; EPPI Centre, which is part of the Social Science Research Unit in the Institute of Education, University of London)

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 change 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.

Suggested Citation

  • Jeremy Grimshaw & Martin Eccles & Marion Campbell & Diana Elbourne, 2005. "Cluster Randomized Trials of Professional and Organizational Behavior Change Interventions in Health Care Settings," The ANNALS of the American Academy of Political and Social Science, , vol. 599(1), pages 71-93, May.
    • Handle: RePEc:sae:anname:v:599:y:2005:i:1:p:71-93
    DOI: 10.1177/0002716205274576
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0002716205274576
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0002716205274576?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:anname:v:599:y:2005:i:1:p:71-93. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.