ArticleAmerican journal of public health2016
Evaluating Public Health Interventions: 2. Stepping Up to Routine Public Health Evaluation With the Stepped Wedge Design.
Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed.
- Effectiveness of a Technology-Enhanced Integrated Care Model for Frail Older People: A Stepped-Wedge Cluster Randomized Trial in Nursing Homes.The Gerontologist · 2021Trial
- A stepped-wedge randomized trial and qualitative survey of HIV pre-exposure prophylaxis uptake in the Eswatini population.Science translational medicine · 2020Trial
- Evaluation of a technology-enhanced integrated care model for frail older persons: protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homes.BMC geriatrics · 2017Trial
- Article
- Linking Inter-professional Newborn and Contraception Care (LINCC) trial: Protocol for a stepped wedge cluster randomized trial to link postpartum contraception care with routine Well-Baby Visits.Contemporary clinical trials · 2024Article
- Navigating grey areas in HIV and mental health implementation science.Journal of the International AIDS Society · 2024Article
- Article
- How to "Start Small and Just Keep Moving Forward": Mixed Methods Results From a Stepped-Wedge Trial to Support Evidence-Based Processes in Local Health Departments.Frontiers in public health · 2022Article
- Online Guide for Electronic Health Evaluation Approaches: Systematic Scoping Review and Concept Mapping Study.Journal of medical Internet research · 2020Article
- Translating research into practice: Protocol for a community-engaged, stepped wedge randomized trial to reduce disparities in breast cancer treatment through a regional patient navigation collaborative.Contemporary clinical trials · 2020Article
- Let's CHAT (community health approaches to) dementia in Aboriginal and Torres Strait Islander communities: protocol for a stepped wedge cluster randomised controlled trial.BMC health services research · 2020Article
- Invited Commentary: Making Causal Inference More Social and (Social) Epidemiology More Causal.American journal of epidemiology · 2020Article
- Clinician's Guide to Evaluating and Developing eHealth Interventions for Mental Health.Psychiatric research and clinical practice · 2020Article
- From Epidemiologic Knowledge to Improved Health: A Vision for Translational Epidemiology.American journal of epidemiology · 2019Review
- Article
- Big Data in Public Health: Terminology, Machine Learning, and Privacy.Annual review of public health · 2018Review
- Adolescent Pregnancy Prevention in Group Homes: Recruiting and Retention Considerations.American journal of public health · 2018Article
- Decision making in advanced heart failure: bench, bedside, practice, and policy.Heart failure reviews · 2017Review
- Review of Recent Methodological Developments in Group-Randomized Trials: Part 2-Analysis.American journal of public health · 2017Review
- Review of Recent Methodological Developments in Group-Randomized Trials: Part 1-Design.American journal of public health · 2017Review
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
In a stepped wedge design (SWD), an intervention is rolled out in a staggered manner over time, in groups of experimental units, so that by the end, all units experience the intervention. For example, in the MaxART study, the date at which to offer universal antiretroviral therapy to otherwise ineligible clients is being randomly assigned in nine "steps" of four months duration so that after three years, all 14 facilities in northern and central Swaziland will be offering early treatment. In the common alternative, the cluster randomized trial (CRT), experimental units are randomly allocated on a single common start date to the interventions to be compared. Often, the SWD is more feasible than the CRT, both for practical and ethical reasons, but takes longer to complete. The SWD permits both within- and between- unit comparisons, while the CRT only allows between-unit comparisons. Thus, confounding bias with respect to time-invariant factors tends to be lower in an SWD than a CRT, but the SWD cannot as readily control for confounding by time-varying factors. SWDs have generally more statistical power than CRTs, especially as the intraunit correlation and the number of participants within unit increases. Software for both designs are available, although for a more limited set of SWD scenarios.
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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.