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계단형 쐐기 클러스터 무작위 배정 연구×군집 무작위 대조 시험×
분야인과추론임상연구
계열Regression modelProcess / pipeline
기원 연도20071999-2000
창시자Hussey and HughesCampbell, Grimshaw, Elbourne et al.
유형Phased implementation trial designResearch Design
원전Hemming, K., Haines, T. P., Chilton, P. J., Girling, A. J., & Lilford, R. J. (2015). The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting. British Medical Journal, 350, h391. DOI ↗Campbell, M. K., Grimshaw, J. M., & Elbourne, D. R. (2000). Intracluster correlation coefficients in cluster randomized trials: empirical insights into how should they be reported. BMC Medical Research Methodology, 4, 30. link ↗
별칭SWCRT, SW-CRT, Stepped Wedge DesignCRT, cluster RCT, cluster trial, group randomization
관련33
요약A stepped wedge cluster randomized trial is an experimental design where clusters (e.g., schools, hospitals, communities) are randomized to receive an intervention in a phased, staggered manner over time. First formally described by Hussey and Hughes in 2007, this design combines the benefits of cluster randomization with a time-stepped implementation strategy. It is particularly useful for evaluating the effectiveness of interventions in real-world healthcare and public health settings.A cluster randomized trial (CRT) randomizes intact groups—schools, clinics, villages, or hospital wards—rather than individuals. Developed by Campbell, Grimshaw, and colleagues in the late 1990s to address real-world settings where intervention delivery or contamination occurs at the group level, CRTs are now standard for evaluating population-level, community-based, and policy interventions.
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