Design, analysis, power, and sample size calculation for three‐phase interrupted time series analysis in evaluation of health policy interventions.

Objective: To discuss the study design and data analysis for three‐phase interrupted time series (ITS) studies to evaluate the impact of health policy, systems, or environmental interventions. Simulation methods are used to conduct power and sample size calculation for these studies. Methods: We con...

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Publicado en:Journal of Evaluation in Clinical Practice Vol. 26; no. 3; pp. 826 - 842
Autores principales: Zhang, Bo, Liu, Wei, Lemon, Stephenie C., Barton, Bruce A., Fischer, Melissa A., Lawrence, Colleen, Rahn, Elizabeth J., Danila, Maria I., Saag, Kenneth G., Harris, Paul A., Allison, Jeroan J.
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2020
      vid: 26
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/jep.13266
        143357736
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        atl: Design, analysis, power, and sample size calculation for three‐phase interrupted time series analysis in evaluation of health policy interventions.
      aug:
        au:
          Zhang, Bo
          Liu, Wei
          Lemon, Stephenie C.
          Barton, Bruce A.
          Fischer, Melissa A.
          Lawrence, Colleen
          Rahn, Elizabeth J.
          Danila, Maria I.
          Saag, Kenneth G.
          Harris, Paul A.
          Allison, Jeroan J.
        affil: Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester Massachusetts
      sug:
        subj:
          Interrupted Time Series Analysis
          Data Analysis, Statistical
          Sample Size
          Health Policy Evaluation
          Human
          Study Design
          Simulations
          Software
          Effect Size
          Quasi-Experimental Studies
          Regression
      ab: Objective: To discuss the study design and data analysis for three‐phase interrupted time series (ITS) studies to evaluate the impact of health policy, systems, or environmental interventions. Simulation methods are used to conduct power and sample size calculation for these studies. Methods: We consider the design and analysis of three‐phase ITS studies using a study funded by National Institutes of Health as an exemplar. The design and analysis of both one‐arm and two‐arm three‐phase ITS studies are introduced. Results: A simulation‐based approach, with ready‐to‐use computer programs, was developed to determine the power for two types of three‐phase ITS studies. Simulations were conducted to estimate the power of segmented autoregressive (AR) error models when autocorrelation ranged from −0.9 to 0.9 with various effect sizes. The power increased as the sample size or the effect size increased. The power to detect the same effect sizes varied largely, depending on testing level change, trend changes, or both. Conclusion: This article provides a convenient tool for investigators to generate sample sizes to ensure sufficient statistical power when three‐phase ITS study design is implemented.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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