ArticleContemporary clinical trials2012
Comparison of methods for estimating the intraclass correlation coefficient for binary responses in cancer prevention cluster randomized trials.
Article in Contemporary clinical trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 127 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Genomics in Michigan Impacting Observation or Radiation (G-MINOR)
Improving Antibiotic Prescribing for Pediatric Acute Respiratory Tract Infections: Cluster Randomized Trial to Evaluate Individual Clinician Compared With Clinic-level Feedback
Who cites it
127 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quantifying heterogeneity in individual participant data meta-analysis with binary outcomes.Systematic reviews · 2017Pooled it
- Scaling an intervention for the engagement of people with HIV who inject drugs into care in Viet Nam: an implementation-effectiveness, cluster-randomised trial.The Lancet. Global health · 2025Trial
- Blood pressure reduction and all-cause dementia in people with uncontrolled hypertension: an open-label, blinded-endpoint, cluster-randomized trial.Nature medicine · 2025Trial
- Targeted Behavior Change Communication Using a Mobile Health Platform to Increase Uptake of Long-Lasting Insecticidal Nets Among Pregnant Women in Tanzania: Hati Salama "Secure Voucher" Study Cluster Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Effects of structured contraceptive counseling in young women: Secondary analyses of a cluster randomized controlled trial (the LOWE trial).Acta obstetricia et gynecologica Scandinavica · 2024Trial
- Findings from the Tushirikiane mobile health (mHealth) HIV self-testing pragmatic trial with refugee adolescents and youth living in informal settlements in Kampala, Uganda.Journal of the International AIDS Society · 2023Trial
- Community control strategies for scabies: A cluster randomised noninferiority trial.PLoS medicine · 2021Trial
- A Mobile Phone-Based Life-Skills Training Program for Substance Use Prevention Among Adolescents: Cluster-Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Trial
- Impact of a tuberculosis treatment adherence intervention versus usual care on treatment completion rates: results of a pragmatic cluster randomized controlled trial.Implementation science : IS · 2020Trial
- Trial
- Effectiveness of Shared Decision-making for Diabetes Prevention: 12-Month Results from the Prediabetes Informed Decision and Education (PRIDE) Trial.Journal of general internal medicine · 2019Trial
- Trial
- Community health promotion and medical provision for neonatal health-CHAMPION cluster randomised trial in Nagarkurnool district, Telangana (formerly Andhra Pradesh), India.PLoS medicine · 2017Trial
- Design of a cluster-randomized minority recruitment trial: RECRUIT.Clinical trials (London, England) · 2017Trial
- A multifaceted implementation strategy versus passive implementation of low back pain guidelines in general practice: a cluster randomised controlled trial.Implementation science : IS · 2016Trial
- Comparative effectiveness of audit-feedback versus additional physician communication training to improve cancer screening for patients with limited health literacy.Journal of general internal medicine · 2014Trial
- Retrospective analysis of calving interval data from seasonal-calving pasture-based New Zealand dairy herds.JDS communications · 2026Article
- Evaluation of a Technology-Based Multifactorial Intervention for Improving Fall Risk: A Cluster-Randomized Controlled Trial.Research square · 2026Article
- Tracking risk-taking behind the wheel: Which indicator of risky driving is the most useful in driving simulator studies? A pilot study.International journal of occupational medicine and environmental health · 2026Article
67 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
The intraclass correlation coefficient (ICC) is a fundamental parameter of interest in cluster randomized trials as it can greatly affect statistical power. We compare common methods of estimating the ICC in cluster randomized trials with binary outcomes, with a specific focus on their application to community-based cancer prevention trials with primary outcome of self-reported cancer screening. Using three real data sets from cancer screening intervention trials with different numbers and types of clusters and cluster sizes, we obtained point estimates and 95% confidence intervals for the ICC using five methods: the analysis of variance estimator, the Fleiss-Cuzick estimator, the Pearson estimator, an estimator based on generalized estimating equations and an estimator from a random intercept logistic regression model. We compared estimates of the ICC for the overall sample and by study condition. Our results show that ICC estimates from different methods can be quite different, although confidence intervals generally overlap. The ICC varied substantially by study condition in two studies, suggesting that the common practice of assuming a common ICC across all clusters in the trial is questionable. A simulation study confirmed pitfalls of erroneously assuming a common ICC. Investigators should consider using sample size and analysis methods that allow the ICC to vary by study condition.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.