Case Control Research

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experimental_study_template.doc

Experimental Study

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):

Cohort Study

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:

Type of Study (please indicate whether this is a prospective (concurrent) or retrospective (non-concurrent) or ambi-directional study:

Description/Ascertainment of Cohort:

Data Collection at Baseline:

Type, Frequency and Duration of Follow-Up (indicate something about loss to follow-up and any efforts that were made to minimize loss to follow-up and include information on the characteristics of those who were lost to follow-up and comment on why this is important):

Type of Data Analysis (include measure of association used):

Results/Main Findings of Study:

Assessment of Bias (selection and information):

Assessment of Confounders:

Comments:

Case-Control Study

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:

Diagnostic Criteria for Cases:

Case Ascertainment (include whether this was a single site or multi-site study):

Number of Cases (include information, if available, about the number who participated and the number who refused; indicate whether any information was provided about those who refused to participate):

Control Population (type/number/selection):

Type(s)/Method(s) of Data Collection (e.g. questionnaire, medical records, whether or not there was any procedure for validating some or the data):

Type of Data Analysis:

Results/Main Findings of Study:

Assessment of Bias (selection/information):

Assessment of Confounders:

Comments: