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Session 3: Implementation. Conference for EEF evaluators: Building evidence in education. Hannah Ainsworth , York Trials Unit, University of York Professor David Torgerson , York Trials Unit, University of York Professor Carole Torgerson , School of Education, Durham University.
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Session 3: Implementation Conference for EEF evaluators: Building evidence in education Hannah Ainsworth, York Trials Unit, University of York Professor David Torgerson, York Trials Unit, University of York Professor Carole Torgerson, School of Education, Durham University
Session 3: Implementation • Trial registration and CONSORT (HA – 10 mins.) • Trial management (HA - 30mins) • Model/approach (HA – 5mins) • Discussion (5mins) • Protocol and other tools (HA – 5mins) • Discussion (5mins) • Relationship with delivery partner (HA – 5mins) • Discussion (5mins) • Recruitment and retention (CT – 20 mins.)
Trial registration • Register trial with Current Controlled Trials at outset before beginning recruitment. • You will be allocated an ISRCTN http://www.controlled-trials.com/isrctn/submission/
Why is it important to register trials? • Public knowledge • Reduce duplication • Increase opportunities for collaboration • Reduce selective reporting and over reporting • Reduce publication bias
CONSORT • Conduct and report trial to the CONSORT standards • http://www.consort-statement.org/consort-statement/ • What is CONSORT? • Why is it important? • How can it help?
CONSORT flow diagram cluster trials From Campbell MK, Piaggio G, Elbourne DR, Altman DG; for the CONSORT Group. Consort 2010 statement: extension to cluster randomised trials. BMJ. 2012 Sep 4;345:e5661.
Trial management • Trial management approach/model • Developing a trial protocol and other trial management tools • Relationship with delivery partner
Trial management model/approach • Current EEF model: Light touch approach to trial management as delivery partner is often taking responsibility for many of the ‘usual’ trial management responsibilities • Think about everything you would normally do/take responsibility for as trial manager. document this and share with delivery partner. • Offer advice and guide the process
Discussion • What are YOUR experiences of trial management within EFF evaluations? • What are the advantages and disadvantages of the current model/approach? • Possible solutions?
Trial Protocol and other tools • Develop a trial protocol as evaluation team • Discuss and develop trial protocol with delivery partner • Produce clear timeframes/deadlines which both evaluation team and delivery partner can work to
Produce evaluation diagrams Primary Schools n = 24 Secondary Schools n = 3 Children in target group n = 288 (based on average 12 children per school) Baseline data collection Information on all Year 6 pupils including Key stage 2 English Teacher Assessments from Dec 2012 Primary School Randomisation Control Group Primary Schools N = 12 No intervention Intervention Group Primary Schools N = 12 Intervention in Year 6 continued intervention in Year 7 in Secondary Schools. • Follow up data collection Dec 2013 • Progress in English 11 (long form)(Conducted in Secondary School) Long term follow up Routine test results and pupil characteristics recorded in National Pupil Database
Provide clear information • Help delivery partner develop information for schools, parents and children • Work with delivery partner to ensure clear instructions are given to schools • Help delivery partner develop school agreement documents • Help develop parent consent forms/opt out forms
Discussion • Has the trial protocol been a useful shared document? • What other tools have YOU used to aid the process?
Relationship with delivery partner • Intervention developer has a lot invested in the intervention • Evaluator must remain in equipoise • Can be a challenging relationship • Try to explain that it is important you remain impartial • Refrain from voicing your own opinions about the intervention – let the research speak for itself
Relationship with delivery partner • Manage expectations • Be clear from outset who is responsible for what • Be clear from outset on the data you will require, when and the format you will require it in • Provide clear instructions for secure data transfer
Discussion • What are YOUR experiences of the relationship with the delivery partner? • How can challenges be overcome?
Recruitment and retention (CT) • Randomisation ensures absence of selection bias • Selection bias can still be introduced during recruitment or because of attrition
Recruitment bias • Potential sources: • Developer-led recruitment • Timing • Randomisation of clusters before recruitment of individuals • Teacher not linked to class before randomisation • Possible solutions: • Evaluators fully involved in recruitment process • Randomise after recruitment of clusters and within clusters • Ensure teachers are linked to classes before randomisation
Attrition bias • Attrition after randomisation can introduce bias • Those who leave a trial tend to be different from those who remain in the trial • If there is unequal attrition this is worrying • All efforts must be made to retain participants after randomisation for post-tests even if they don’t receive the intervention
Discussion • Discuss any issues you have experienced with the developer-led recruitment.