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Cluster randomized trials of professional and organization behavior change interventions in health care settings

By: GRIMSHAW, Jeremy.
Contributor(s): ECCLES, Martin | CAMPBELL, Marion | ELBOURNE, Diana.
Material type: materialTypeLabelArticlePublisher: Thousand Oaks : SAGE, May 2005The Annals of The American Academy of Political and Social Science 599, p. 71-93Abstract: Individual patient randomized trials gold standard for assessing the effects of heçth care evaluations. However, individual randomization may not be possible for pratical, logistical, ethical, or political reasons, for example, when evaluating health care professional and organizational behavior change interventions. Under such circumstances, cluster randomized trials are comonly used. this article discusses the pratical and ethical issues in the design, conduct, and analysis of cluster randomized trials of professional behavior and organizational change strategies evaluating health care provider behavior change strategies. Cluster randomized trials are commonly used in health care. They raise distinct ethical and methodological issues that have rarely been adequately addressed in studes to date.
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Individual patient randomized trials gold standard for assessing the effects of heçth care evaluations. However, individual randomization may not be possible for pratical, logistical, ethical, or political reasons, for example, when evaluating health care professional and organizational behavior change interventions. Under such circumstances, cluster randomized trials are comonly used. this article discusses the pratical and ethical issues in the design, conduct, and analysis of cluster randomized trials of professional behavior and organizational change strategies evaluating health care provider behavior change strategies. Cluster randomized trials are commonly used in health care. They raise distinct ethical and methodological issues that have rarely been adequately addressed in studes to date.

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