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- W2023757968 abstract "Objectives: To determine if Randomized Controlled Trial (RCT) methodology was used appropriately in community health, we: (1) determined the proportion of non-randomized studies that should have been RCTs, and (2) assessed the quality of the RCTs. Methods: The 1992 issues of six community health journals were manually searched. Intervention studies were analyzed. Studies that did not use randomization were analyzed for feasibility and practicality of RCT methods; RCTs were analyzed for quality using a checklist. RCTs were compared with community health RCTs from The New England Journal of Medicine. The proportion of studies meeting each criterion was determined. Results: Fourteen percent of 603 studies were interventions and 4% were RCTs. Of those not using randomization, 42% should have. Mean RCT scores were significantly lower for the community health journals than for The New England Journal of Medicine. Many criteria important to quality scored poorly. Conclusions: RCTs are underused and lack méthodologic rigor in community health. Conclusions regarding the effectiveness of interventions are therefore suspect." @default.
- W2023757968 created "2016-06-24" @default.
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- W2023757968 creator A5061949081 @default.
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- W2023757968 date "1997-02-01" @default.
- W2023757968 modified "2023-10-18" @default.
- W2023757968 title "Are community health interventions evaluated appropriately? A review of six journals" @default.
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- W2023757968 doi "https://doi.org/10.1016/s0895-4356(96)00338-1" @default.
- W2023757968 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9120506" @default.
- W2023757968 hasPublicationYear "1997" @default.
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