Ignoring the group in group-level HIV/AIDS intervention trials: a review of reported design and analytic methods.

作者: Sherri L Pals , Ryan E Wiegand , David M Murray

DOI: 10.1097/QAD.0B013E3283467198

关键词:

摘要: Objectives: Studies evaluating the efficacy of HIV/AIDS interventions often involve random assignment groups participants or treatment in groups. These studies require analytic methods that take within-group correlation into account. We reviewed published to determine extent which was dealt with properly. Design: group-randomized trials (GRTs) and individually randomized group (IRGT) general public health journals 2005-2009. Methods: At least two authors each article, recording descriptive characteristics, sample size estimation methods, judgments about whether took intraclass account Results: Of those articles including sufficient information judge were correct, only 24% used appropriate for dealing correlation. The percentages differed substantially GRTs (41.7%) IRGT (8.0%). Most (69.2%) also made no mention a priori estimation. Conclusion: A majority our review reported analyses ignoring This practice may result underestimated variance, inappropriately small P values, incorrect conclusions effectiveness interventions. Previous analyzed incorrectly need be re-analyzed, future should designed methods. Also, journal reviewers editors aware special requirements design analysis quality reporting on such according standards.

参考文章(73)
Bernard M. Branson, Gary M. Goldbaum, Ann Kurth, Anthony Rossini, David Lockhart, Freya Spielberg, Robert W. Wood, Choosing HIV Counseling and Testing Strategies for Outreach Settings: A Randomized Trial. Journal of Acquired Immune Deficiency Syndromes. ,vol. 38, pp. 348- 355 ,(2005)
Loretta Sweet Jemmott, John B. Jemmott, Ann O’Leary, Effects on sexual risk behavior and STD rate of brief HIV/STD prevention interventions for African American women in primary care settings. American Journal of Public Health. ,vol. 97, pp. 1034- 1040 ,(2007) , 10.2105/AJPH.2003.020271
J M Simpson, N Klar, A Donnor, Accounting for cluster randomization: a review of primary prevention trials, 1990 through 1993. American Journal of Public Health. ,vol. 85, pp. 1378- 1383 ,(1995) , 10.2105/AJPH.85.10.1378
A. Berkman, D. J. Pilowsky, P. A. Zybert, D. B. Herman, S. Conover, S. Lemelle, F. Cournos, L. A. Hoepner, E. Susser, HIV prevention with severely mentally ill men: a randomised controlled trial. Aids Care-psychological and Socio-medical Aspects of Aids\/hiv. ,vol. 19, pp. 579- 588 ,(2007) , 10.1080/09540120701213989
Kathleen J Sikkema, Patrick A Wilson, Nathan B Hansen, Arlene Kochman, Sharon Neufeld, Musie S Ghebremichael, Trace Kershaw, Effects of a coping intervention on transmission risk behavior among people living with HIV/AIDS and a history of childhood sexual abuse. Journal of Acquired Immune Deficiency Syndromes. ,vol. 47, pp. 506- 513 ,(2008) , 10.1097/QAI.0B013E318160D727
Sheng Wu, Li Li, Zunyou Wu, Li-Jung Liang, Haijun Cao, Zhihua Yan, Jianhua Li, A Brief HIV Stigma Reduction Intervention for Service Providers in China Aids Patient Care and Stds. ,vol. 22, pp. 513- 520 ,(2008) , 10.1089/APC.2007.0198
Sharon B Mannheimer, Edward Morse, John P Matts, Laurie Andrews, Carroll Child, Barry Schmetter, Gerald H Friedland, Terry Beirn Community Programs for Clinical Research on AIDS, Sustained benefit from a long-term antiretroviral adherence intervention. Results of a large randomized clinical trial. Journal of Acquired Immune Deficiency Syndromes. ,vol. 43, ,(2006) , 10.1097/01.QAI.0000245887.58886.AC
Joel Milam, Jean L Richardson, Allen McCutchan, Susan Stoyanoff, Jony Weiss, Carol Kemper, Robert A Larsen, Harry Hollander, Penny Weismuller, Robert Bolan, Effect of a brief antiretroviral adherence intervention delivered by HIV care providers. Journal of Acquired Immune Deficiency Syndromes. ,vol. 40, pp. 356- 363 ,(2005) , 10.1097/01.QAI.0000159710.98960.81
Sherri P. Varnell, David M. Murray, Jessica B. Janega, Jonathan L. Blitstein, Design and analysis of group-randomized trials: a review of recent practices. American Journal of Public Health. ,vol. 94, pp. 393- 399 ,(2004) , 10.2105/AJPH.94.3.393