Evidence map›Paper›PMID 37728810›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2024

Sample Size Calculations for Stepped Wedge Designs with Treatment Effects that May Change with the Duration of Time under Intervention.

James P Hughes, Wen-Yu Lee, Andrea B Troxel, Patrick J Heagerty

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Using the NIH Research Methods Resources Website.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Designing stepped wedge trials to evaluate physical activity interventions in schools: methodological considerations.The international journal of behavioral nutrition and physical activity · 2025
    Article
  6. Article
  7. Improving the design and analytic methods used in NIH-funded clinical trials involving behavioral interventions.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

James P HughesDepartment of Biostatistics, University of Washington, Seattle, WA, 98195, USA. jphughes@uw.edu.ORCID 0000-0001-5034-3157
Wen-Yu LeeDepartment of Population Health, Division of Biostatistics, New York University, New York, NY, USA.
Andrea B TroxelDepartment of Population Health, Division of Biostatistics, New York University, New York, NY, USA.
Patrick J HeagertyDepartment of Biostatistics, University of Washington, Seattle, WA, 98195, USA.
New York University · USUniversity of Washington · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Southern All of Us NetworkOT2OD026548 · OD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N., KORF, BRUCE R · 2018 to 2023
$60.5M
Institutional Career Development CoreKL2TR001874 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GENKINGER, JEANINE M., SHIMBO, DAICHI · 2016 to 2025
$13.6M
STATISTICAL ISSUES IN AIDS RESEARCHR37AI029168 · NIAID · UNIVERSITY OF WASHINGTON · PI JAMES P HUGHES · 1999 to 2026
$9.8M
Incorporation of a Hypertension Working Group into the Jackson Heart StudyR01HL117323 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E, OGEDEGBE, OLUGBENGA G. · 2013 to 2024
$7.2M
Promoting Academic Workforce Development in Behavioral Medicine and Sleep Disorders ResearchR25HL105444 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Girardin Jean-Louis, Tatjana Rundek · 2010 to 2026
$5.8M
Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control (ADDRESS-BP) in BlacksUH3HL151310 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI NADIA S ISLAM, OLUGBENGA G. OGEDEGBE · 2023 to 2026
$5.3M
STATISTICAL ISSUES IN AIDS RESEARCHR01AI029168 · NIAID · UNIVERSITY OF WASHINGTON · PI HUGHES, JAMES P · 1989 to 2018
$5.3M
Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control (ADDRESS-BP) in BlacksUG3HL151310 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ISLAM, NADIA S, OGEDEGBE, OLUGBENGA G. · 2020 to 2022
$4.3M
Community Mobilization for Improved Clean Cookstove Uptake, Household Air Pollution Reduction, and Hypertension Prevention - Revision - Supplement - 2R01HL157091 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI OGEDEGBE, OLUGBENGA G., OLOPADE, CHRISTOPHER O · 2021 to 2025
$3.9M
Faith-Based Approaches in the Treatment of Hypertension (FAITH)R01HL092860 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI LANCASTER, KRISTIE J, OGEDEGBE, OLUGBENGA G. · 2009 to 2013
$3.7M
National Institute of Allergy and Infectious Diseases AI 29168NCATS NIH HHS KL2 TR001874NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002319NHLBI NIH HHS R01 HL092860NHLBI NIH HHS R01 HL117323NHLBI NIH HHS R01 HL157091NHLBI NIH HHS R25 HL105444NHLBI NIH HHS UG3 HL151310NHLBI NIH HHS UH3 HL151310NIAID NIH HHS R01 AI029168NIAID NIH HHS R37 AI029168
6 · The paper itself

Abstract

The stepped wedge design is often used to evaluate interventions as they are rolled out across schools, health clinics, communities, or other clusters. Most models used in the design and analysis of stepped wedge trials assume that the intervention effect is immediate and constant over time following implementation of the intervention (the "exposure time"). This is known as the IT (immediate treatment effect) assumption. However, recent research has shown that using methods based on the IT assumption when the treatment effect varies over exposure time can give extremely misleading results. In this manuscript, we discuss the need to carefully specify an appropriate measure of the treatment effect when the IT assumption is violated and we show how a stepped wedge trial can be powered when it is anticipated that the treatment effect will vary as a function of the exposure time. Specifically, we describe how to power a trial when the exposure time indicator (ETI) model of Kenny et al. (Statistics in Medicine, 41, 4311-4339, 2022) is used and the estimand of interest is a weighted average of the time-varying treatment effects. We apply these methods to the ADDRESS-BP trial, a type 3 hybrid implementation study designed to address racial disparities in health care by evaluating a practice-based implementation strategy to reduce hypertension in African American communities.

Indexed as

Research DesignHumansSample SizeTime FactorsExposure time indicator modelSample sizeStepped wedge

Identifiers

PMID37728810
PMCPMC10950842
OpenAlexW4386877900

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.