Experimental study template

Submitted By (make sure your name and date are included here):

Article Citation in APA format:

Research Question:

Health Outcome of Interest:

Exposure(s) of Interest:

Types of Experimental Study (may be more than one; refer to table 7-1 in Aschengrau text):

Inclusion/Exclusion Criteria and Initial Sample Size in Each Arm:

Data Collection at Baseline:

Type, Frequency and Duration of Follow-Up (include mention of whether there were any cross-overs and/or losses to follow-up; include also whether an assessment of compliance was an issue in this study, and, if so, how it was done; include also whether there were interim analyses and whether the study continued for its intended duration):

Blinding of Subjects and Use of Placebo:

Type of Data Analysis (intention to treat?):

Results/Main Findings of Study:

Comments (including generalizability of the study):