Stepped-wedge cluster and participant selection

Define clusters and observation populations

Closed cohorts, open cohorts and repeated cross-sections have different observation processes. Keep unique people, repeated observations and cluster-period denominators distinct.

Flow diagram

Stepped-wedge cluster and participant selectionF1.S1Define cluster eligibilityF1.S2Choose observation populationF1.S3Define within-period eligibilityF1.S4Document allocation-awarerecruitmentF1.S5Track cluster and perioddenominatorsF1.S6Included clustersF1.S7Unique participantsF1.S8Eligible observationsF1.N1Stepped-wedge sampling rulesLevelEligibilityEntry orreplacementPeriod coverageDenominatorClusterParticipantObservationF1.N2Assumptions and rationaleF1.N3Method and protocol evidenceF1.S0 Start flowStepped-wedge cluster and participantselectionF1.S999 End flowEnd flow

Steps

Define cluster eligibility

Specify cluster boundaries, recruitment and consent.

Choose observation population

Select closed cohort, open cohort or repeated cross-sectional sampling with rationale.

Define within-period eligibility

Specify entry, replacement and repeated participation rules.

Document allocation-aware recruitment

Record whether recruiters know the transition sequence and control selection bias.

Track cluster and period denominators

Keep unique people, observations and clusters distinct.

Included clusters

Record clusters using the documented inclusion definition. This count is not a disjoint partition of the other count nodes.

Unique participants

Record people using the documented inclusion definition. This count is not a disjoint partition of the other count nodes.

Eligible observations

Record observations using the documented inclusion definition. This count is not a disjoint partition of the other count nodes.

Stepped-wedge cluster and participant selection

End flow

Tables and supporting information

Stepped-wedge sampling rules

Stepped-wedge sampling rulesLevelEligibilityEntry orreplacementPeriod coverageDenominatorClusterParticipantObservation

Repeated observations cannot be added as if they were unique participants.

Assumptions and rationale

Closed cohorts and repeated cross-sections imply different dependence, attrition and estimands.

Method and protocol evidence

Attach the protocol, methodological sources and versioned software specification supporting these decisions. Record citations and provenance; do not enter participant identifiers.

Sources