Evidence map›Paper›PMID 27146064›Full record

ArticleTrials2016

Sample size calculations for stepped wedge trials using design effects are only approximate in some circumstances.

Karla Hemming

Abstract readLetterComment
In one paragraph

Article in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Designing stepped wedge trials to evaluate physical activity interventions in schools: methodological considerations.The international journal of behavioral nutrition and physical activity · 2025
    Article
  3. Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Karla HemmingUniversity of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. k.hemming@bham.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledEstimation of sample size and power for stepped wedge cluster randomised trials can be determined by one of a number of related methods. These include exact analytical approaches, design effects or simulation. A recent paper compared the design effect to the analytical method. There were some differences between the two approaches. We show here that these differences occur because the design effect approach is only technically correct when there is an equal number of clusters crossing over at each step.

findingsThe design effect for the stepped wedge cluster randomised trial is only appropriate when there is an equal number of clusters switching at each step.

Indexed as

Research DesignSample SizeHumans

Identifiers

PMID27146064
PMCPMC4857282

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.