So you want to conduct a cluster randomized controlled trial? Lessons from a national cluster trial of early labour

被引：1

作者：

Hundley, Vanora ^{[1
,2
]}

Cheyne, Helen ^{[1
]}

Bland, J. Martin ^{[3
]}

Styles, Maggie ^{[4
]}

Barnett, Carol A. ^{[5
]}

机构：

[1] Univ Stirling, Nursing Midwifery & Allied Hlth Profess Res Unit, Stirling FK9 4LA, Scotland

[2] Semmelweis Univ, Fac Hlth Sci, Budapest, Hungary

[3] Univ York, Dept Hlth Sci, York YO10 5DD, N Yorkshire, England

[4] Univ Stirling, Dept Nursing & Midwifery, Stirling FK9 4LA, Scotland

[5] Kings Cross Hosp, NHS Tayside, Dept Publ Hlth, Dundee, Scotland

来源：

JOURNAL OF EVALUATION IN CLINICAL PRACTICE | 2010年 / 16卷 / 03期

关键词：

ethics; labour; lessons learned; statistics; trial; STATISTICS NOTES; DIAGNOSIS; DESIGN; BIAS; CARE;

D O I：

10.1111/j.1365-2753.2009.01266.x

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

P>As the discipline of health services research has developed so methods of evaluation have become increasingly sophisticated; where once a 'simple' randomized controlled trial would have been considered the gold standard, now terms such as 'complex interventions' and the 'cluster randomized controlled trial' are hot topics for discussion. The challenges involved in carrying out such studies are rarely presented. In this paper we discuss some of these challenges in relation to ethical and statistical considerations, and illustrate them using a recently completed cluster randomized controlled trial of a decision tool for early labour.

引用

页码：632 / 638

页数：7

共 34 条

[11] The development and testing of an algorithm for diagnosis of active labour in primiparous women [J].