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Randomised Controlled Trials: What, why and how? Pam Hanley 22 March 2013
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What are RCTs? “Gold standard” for a trial – find out which intervention is most effective at achieving a specific, measurable outcome Most familiar from medicine eg drugs trials Divide a group of people, schools etc at random Compare “intervention” group(s) with a “control” group
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Why do we need them? “… to test the effectiveness of new and existing interventions …; to learn what is working and what is not; and to adapt our policies so that they steadily improve and evolve both in terms of quality and effectiveness.” Haynes, Service, Goldacre & Torgerson (2012) (Cabinet Office Report: Test, Learn, Adapt)
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Examples of RCTs in Education Reading eg beginning reading, struggling readers Maths Technology and reading, maths etc Primary science School reform programmes Social and emotional learning
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Benefits to RCT participants Intervention groups: early triallists and some influence on development Control group: benefit from refinements made as a result of trial Participants are equally vital to the study regardless of group
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Evaluation process Intervention A Control Initial sample Randomly assign to group Assess for eligibility and invite to participate Measure outcomes Intervention B
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Challenges Recruiting schools Large-scale study Long-term commitment (legacy year) Changes in school staff (and schools)
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Three possible objections to RCTs 1. Ethics: only unethical if we already know the intervention works 2. Education is too complex: but unknown factors are more likely to be balanced out through randomisation 3. RCTs don’t explain HOW: need to use in conjunction with other methods, eg observations, focus groups, interviews
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