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  • 标题:Cluster-randomized Studies in Educational Research: Principles and Methodological Aspects
  • 本地全文:下载
  • 作者:Jens Dreyhaupt ; Benjamin Mayer ; Oliver Keis
  • 期刊名称:GMS Zeitschrift für Medizinische Ausbildung
  • 印刷版ISSN:1860-3572
  • 出版年度:2017
  • 卷号:34
  • 页码:1-25
  • DOI:10.3205/zma001103
  • 出版社:German Medical Science
  • 摘要:An increasing number of studies are being performed in educational research to evaluate new teaching methods and approaches. These studies could be performed more efficiently and deliver more convincing results if they more strictly applied and complied with recognized standards of scientific studies. Such an approach could substantially increase the quality in particular of prospective, two-arm (intervention) studies that aim to compare two different teaching methods. A key standard in such studies is randomization, which can minimize systematic bias in study findings; such bias may result if the two study arms are not structurally equivalent. If possible, educational research studies should also achieve this standard, although this is not yet generally the case. Some difficulties and concerns exist, particularly regarding organizational and methodological aspects. An important point to consider in educational research studies is that usually individuals cannot be randomized, because of the teaching situation, and instead whole groups have to be randomized (so-called “cluster randomization”). Compared with studies with individual randomization, studies with cluster randomization normally require (significantly) larger sample sizes and more complex methods for calculating sample size. Furthermore, cluster-randomized studies require more complex methods for statistical analysis. The consequence of the above is that a competent expert with respective special knowledge needs to be involved in all phases of cluster-randomized studies. Studies to evaluate new teaching methods need to make greater use of randomization in order to achieve scientifically convincing results. Therefore, in this article we describe the general principles of cluster randomization and how to implement these principles, and we also outline practical aspects of using cluster randomization in prospective, two-arm comparative educational research studies.
  • 关键词:cluster randomization; structural equivalence; educational research; study; sample size calculation; statistical analysis
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