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

Bibliographic Data

ID9760706
AuthorsJeremy M Grimshaw (0000-0001-8015-8243, University of Ottawa, corresponding author), Jeremy Grimshaw (Clinical Epidemiology Program of the Ottawa Health Research Institute; Department of Medicine, University of Ottawa), Martin Eccles (Newcastle University), Marion Campbell (0000-0001-5386-4097, University of Aberdeen), Diana Elbourne (0000-0003-3044-4545, 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)
Year2005
Volume599
Issue1
Pages71-93
Publication date2005-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Annals of the American Academy of Political and Social Science (JOURNAL)
Journal identifiersISSN: 0002-7162 • E-ISSN: 1552-3349
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0002716205274576
OpenAlexW2102404336
LanguageEN
References cited43

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

Behavior change · Cluster (spacecraft · Cluster randomised controlled trial · Health care · Political science · Psychological intervention · Randomized controlled trial · Applied Psychology · Computer Science · Health Policy Implementation Science · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes · Psychology · Social Psychology

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Citation velocityhistorical
Highly citedNo
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