Journal
PSYCHO-ONCOLOGY
Volume 22, Issue 8, Pages 1738-1747Publisher
WILEY
DOI: 10.1002/pon.3205
Keywords
longitudinal; statistical methodology; design; ICC; oncology; cancer
Funding
- Cancer Councils of New South Wales and Queensland [RG36/05]
- Australian Fertility Decision Aid Collaborative Group and The Cancer Council, New South Wales [RG 06-13]
- National Breast Cancer Foundation
- National Health and Medical Research Council of Australia (NHMRC) [950461]
- NHMRC [509143]
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Objective The study aims to provide information about variance components of psychosocial outcomes: within and between-participant variance, within-participant correlation and for cluster randomised trials, the intra-cluster correlation (ICC) and, also, to demonstrate how estimates of these variance components and ICCs can be used to design randomised trials and cluster randomised trials. Method Data from 15 longitudinal multi-centre psycho-oncology studies were analysed, and variance components including ICCs were estimated. Studies with psychosocial outcomes that had at least one measurement post-baseline including individual randomised controlled trials, cluster randomised trials and observational studies were included. Results Variance components and ICCs from 87 outcome measures were estimated. The unadjusted, single timepoint (first post-baseline) ICCs ranged from 0 to 0.16, with a median value of 0.022 and inter-quartile range 0 to 0.0605. The longitudinal ICCs ranged from 0 to 0.09 with a median value of 0.0007 and inter-quartile range 0 to 0.018. Conclusions Although the magnitude of variance components and ICCs used for sample-size calculation cannot be known in advance of the study, published estimates can help reduce the uncertainty in sample-size calculations. Psycho-oncology researchers should be conservative in their sample-size calculations and use approaches that improve efficiency in their design and analysis. Copyright (c) 2012 John Wiley & Sons, Ltd.
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