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교차 단일 대상 실험 설계×N-of-1 임상시험×
분야실험설계임상연구
계열Process / pipelineProcess / pipeline
기원 연도1970s–1980s (single-case crossover formalized in behavioral research context)1990s-2010s
창시자Developed within the single-case research tradition; crossover application formalized by Barlow and Hersen and expanded by KazdinKravitz, Duan, Vohra, and single-patient methodology pioneers
유형Experimental single-subject designResearch Design
원전Kazdin, A. E. (2011). Single-Case Research Designs: Methods for Clinical and Applied Settings (2nd ed.). Oxford University Press. ISBN: 978-0195341881Gabler, N. B., Duan, N., Vohra, S., & Kravitz, R. L. (2011). N-of-1 trials in the medical literature: a systematic review. Medical Care, 49(8), 761–768. DOI ↗
별칭crossover SSED, alternating-treatments crossover design, single-case crossover design, N-of-1 crossover designsingle-patient RCT, n=1 trial, individual RCT, crossover n-of-1
관련43
요약The crossover single-subject experimental design (crossover SSED) applies two or more treatment conditions sequentially to the same individual, with a washout or return-to-baseline period between conditions. Because each participant serves as their own control, between-subject variability is eliminated, enabling precise causal inference about treatment effects even with very small samples — often a single participant. This design is widely used in applied behavior analysis, special education, rehabilitation, and clinical psychology.An N-of-1 trial is a single-patient randomized controlled trial in which a patient alternates between treatment A and treatment B (or active drug and placebo) in repeated, randomized cross-over periods. Developed systematically in the 1990s–2010s by Kravitz, Duan, and Vohra, N-of-1 trials enable personalized medicine by determining which treatment works best for that specific individual, avoiding the assumption that population-average effects apply to all patients. They are ideal for chronic conditions with variable outcomes and heterogeneous treatment response.
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