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Determinants of the intracluster correlation coefficient in cluster randomized trials: the case of implementation research
Abstract
The objective of this research was to identify determinants of the magnitude of intracluster correlation coefficients (ICCs) in cluster randomized trials from the field of implementation research. A survey of experts was conducted to generate a priori hypotheses of factors that might affect ICC size. Hypotheses were tested on empirical estimates of ICCs calculated from 21 implementation research datasets, mainly from the UK. Effects of setting (primary or secondary care), type of variable (process or outcome), type of measurement (objective or subjective), prevalence of outcome and size of cluster were tested. In total, 220 ICCs were available (range 0 to 0.415). Significant differences in ICC magnitude were found. The ICCs were significantly higher for process than for outcome variables, and for secondary care outcomes compared with primary care outcomes. The effects of prevalence and size were less clear cut. There was no evidence to suggest that type of measurement affected ICC size. In conclusion, accurate estimates of ICCs are essential for sample size calculations for cluster randomized trials of professional behaviour change interventions. This study demonstrates that ICCs are sensitive to a number of trial factors, particularly setting and outcome type. These factors must be considered when planning such cluster randomized trials.
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“Campbell et al extracted 220 ICCs from 21 data sets and reported the results separately for both primary and secondary care settings.”
From Tailored interventions to address determinants of practice (2015) · cites this paper as Campbell 2005
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“In the meta‐regression analyses, we carried out sensitivity analyses assuming a larger clustering effect than had been accounted for in the standard analyses, by using higher ICC estimates (i.e. the reported upper quartile range values) taken from Campbell (Campbell 2005).”
From Tailored interventions to address determinants of practice (2015) · cites this paper as Campbell 2005
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Self-citationEnsayos clínicos aleatorizados comunitarios (CONSORT CLUSTER)
Campbell, M., Elbourne, D. R., & Altman, D. G. (2005) · Medicina Clínica · doi:10.1016/s0025-7753(05)72206-5 · Cited by 26
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Allison, J. J., Nguyen, H. L., Ha, D. A., Chiriboga, G., Ly, H. N., Tran, H. T. D., Phan, N. T., Nguyen, V. C., Kim, M., & Goldberg, R. J. (2016) · Trials · doi:10.1186/s13063-015-1147-6 · Cited by 22
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Required sample size to detect mediation in 3-level implementation studies
Williams, N. J., Preacher, K. J., Allison, P. D., Mandell, D. S., & Marcus, S. C. (2022) · Implementation Science · doi:10.1186/s13012-022-01235-2 · Cited by 23
Metadata
- Authors
- Campbell, M. K., Fayers, P. M., & Grimshaw, J. M.
- Affiliations
- University of Aberdeen (GB)
- Ottawa Hospital Research Institute (CA)
- Corresponding author
- Campbell, Marion K
- Venue
- Clinical Trials
- Publisher
- SAGE Publications
- Published
- 2005-04
- Volume
- 2
- Issue
- 2
- Pages
- 99-107
- ISSN
- 1740-7745 (ISSN-L)
- 1740-7753
- OpenAlex
- W2164947695
- Cited by
- 275
- References
- 30
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 13 · 2023: 20 · 2022: 18 · 2021: 32 · 2020: 14 · 2019: 15 · 2018: 10 · 2017: 15 · 2016: 14 · 2015: 15 · 2014: 16 · 2013: 8 · 2012: 17
- FWCI
- 9.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Trials (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canada Research Chairs
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Keywords
- intra-cluster correlation, implementation research, primary care, secondary care, sample size determination, cluster size, measurement types
- MeSH terms
- Data Interpretation, Statistical, Health Services Research, Humans, Surveys and Questionnaires, Research Design, Models, Statistical, Cluster Analysis, Randomized Controlled Trials as Topic, Sample Size, Evidence-Based Medicine, Biomedical Research, Empirical Research
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