Patterns of intra-cluster correlation from primary care research to inform study design and analysis

To provide information concerning the magnitude of the intraclass correlation coefficient (ICC) for cluster-based studies set in primary care. Reanalysis of data from 31 cluster-based studies in primary care to estimate intraclass correlation coefficients from random effects models using maximum lik...

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Veröffentlicht in:Journal of clinical epidemiology 2004-08, Vol.57 (8), p.785-794
Hauptverfasser: Adams, Geoffrey, Gulliford, Martin C., Ukoumunne, Obioha C., Eldridge, Sandra, Chinn, Susan, Campbell, Michael J.
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container_end_page 794
container_issue 8
container_start_page 785
container_title Journal of clinical epidemiology
container_volume 57
creator Adams, Geoffrey
Gulliford, Martin C.
Ukoumunne, Obioha C.
Eldridge, Sandra
Chinn, Susan
Campbell, Michael J.
description To provide information concerning the magnitude of the intraclass correlation coefficient (ICC) for cluster-based studies set in primary care. Reanalysis of data from 31 cluster-based studies in primary care to estimate intraclass correlation coefficients from random effects models using maximum likelihood estimation. ICCs were estimated for 1,039 variables. The median ICC was 0.010 (interquartile range [IQR] 0 to 0.032, range 0 to 0.840). After adjusting for individual- and cluster-level characteristics, the median ICC was 0.005 (IQR 0 to 0.021). A given measure showed widely varying ICC estimates in different datasets. In six datasets, the ICCs for SF-36 physical functioning scale ranged from 0.001 to 0.055 and for SF-36 general health from 0 to 0.072. In four datasets, the ICC for systolic blood pressure ranged from 0 to 0.052 and for diastolic blood pressure from 0 to 0.108. The precise magnitude of between-cluster variation for a given measure can rarely be estimated in advance. Studies should be designed with reference to the overall distribution of ICCs and with attention to features that increase efficiency.
doi_str_mv 10.1016/j.jclinepi.2003.12.013
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Reanalysis of data from 31 cluster-based studies in primary care to estimate intraclass correlation coefficients from random effects models using maximum likelihood estimation. ICCs were estimated for 1,039 variables. The median ICC was 0.010 (interquartile range [IQR] 0 to 0.032, range 0 to 0.840). After adjusting for individual- and cluster-level characteristics, the median ICC was 0.005 (IQR 0 to 0.021). A given measure showed widely varying ICC estimates in different datasets. In six datasets, the ICCs for SF-36 physical functioning scale ranged from 0.001 to 0.055 and for SF-36 general health from 0 to 0.072. In four datasets, the ICC for systolic blood pressure ranged from 0 to 0.052 and for diastolic blood pressure from 0 to 0.108. The precise magnitude of between-cluster variation for a given measure can rarely be estimated in advance. Studies should be designed with reference to the overall distribution of ICCs and with attention to features that increase efficiency.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15485730</pmid><doi>10.1016/j.jclinepi.2003.12.013</doi><tpages>10</tpages></addata></record>
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subjects Adjustment
Biological and medical sciences
Blood pressure
Cardiovascular disease
Cluster Analysis
Cluster randomization
Cluster sampling
Correlation coefficient
Data Interpretation, Statistical
Design effect
Epidemiology
Estimates
General aspects
General practice
Health Services Research - methods
Hospitals
Humans
Intraclass correlation
Medical sciences
Methodology
Primary care
Primary Health Care - methods
Public health. Hygiene
Public health. Hygiene-occupational medicine
Randomized Controlled Trials as Topic - methods
Research Design
Sample size
Studies
Variables
title Patterns of intra-cluster correlation from primary care research to inform study design and analysis
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