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Table 3 Examples of study design: advantages and pitfalls in a global health setting

From: A Global Health Research Checklist for clinicians

Study design

Examples

Considerations

Experimental designs

Clinical trial

Educational intervention

Quality/process improvement

• For clinical trials, there must be reasonable uncertainty about whether the intervention or standard of care is better (equipoise) [36]

• Educational and quality improvement projects may allow comparison of the same group before and after

• Outcomes from educational interventions can be knowledge, attitudes, or behaviors

Observational designs [37]

Prospective cohort

Retrospective cohort

Case-control

Descriptive epidemiology

• Review of existing records from a retrospective cohort or case-control requires reliable clinical or administrative records

• Surveys and interview tools should be either validated tools from the published literature or carefully designed and reviewed [38]

• Prospective data collection may require more time and personnel

Qualitative design [39]

Interviews

• May generate new ideas for further testing

Pilot study

Small-size project to assess feasibility

• Identifies potential problems prior to larger-scale study [40]