Yes, I think the stepped wedge might catch on.
YOU'VE GOT A WHOLE CONFERENCE NOW!?
Stepped Wedgehog
@steppedwedgehog.bsky.social
Stepped Wedgehog (you won't be surprised to hear) posts on stepped wedge trials and related topics. Visit the website at https://steppedwedgehog.org.
Yes, I think the stepped wedge might catch on.
YOU'VE GOT A WHOLE CONFERENCE NOW!?
A reminder that the call for abstracts for the 5th International Conference on Stepped Wedge Design 2026 is still open—deadline 13th Feb midday.
Save the date: Fifth International Conference on Stepped Wedge Design 2026 12th-14th May (online) www.york.ac.uk/healthscienc...
Reported problems and responses during the conduct of stepped-wedge cluster randomized trials in healthcare settings: a qualitative systematic review academic.oup.com/ije/article/...
Reported problems and responses during the conduct of stepped-wedge cluster randomized trials in healthcare settings: a qualitative systematic review
AbstractBackground. The stepped-wedge cluster randomized trial (SW-CRT) is a pragmatic complex design that can be difficult to implement. We aimed to summa
academic.oup.com
The stepped wedge design came up in the #CCRDownUnder meeting last week so it seemed a good time to revisit the pros and cons of this design 1/6 #MethodologyMonday #128
Role of recruitment bias in stepped-wedge cluster randomised controlled trials: a systematic review bmjopen.bmj.com/content/15/1...
Role of recruitment bias in stepped-wedge cluster randomised controlled trials: a systematic review
Objectives Increased popularity of stepped-wedge cluster randomised trials (SW-CRT) highlights the importance of understanding and appropriate mitigation of sources of bias within this trial design. W...
bmjopen.bmj.com
A scoping review identified additional considerations for defining estimands in cluster randomised trials - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
A scoping review identified additional considerations for defining estimands in cluster randomised trials
An estimand is a clear description of the treatment effect a study aims to quantify. The ICH E9(R1) addendum lists five attributes that should be described when defining an estimand. However, the adde...
jclinepi.com
Lots of feedback and engagement after this session. Some gentle push-back still: "But what if there's even just a *perception* from sites that a stepped wedge is preferable?" 🧵
The recording of this webinar is now available on the @nihr-rss.bsky.social YouTube channel: www.youtube.com/watch?v=4cNz...
📢 Registration now open for the 11th annual meeting on Current Developments in Cluster Randomised Trials & Stepped Wedge Designs on 18th & 19th November 2025 in Birmingham UK. shop.bham.ac.uk/conferences-...
CRT Conference 2025 | University of Birmingham Online Shop
The 11th annual meeting on Current Developments in Cluster Randomised Trials & Stepped Wedge Designs
shop.bham.ac.uk
📢 The 11th annual meeting on Current Developments in Cluster Randomised Trials & Stepped Wedge Designs will take place 18/19 November 2025 in Birmingham UK. Abstract submission is open, deadline for submission 11 July 2025 forms.gle/jS83TAKhs4U8.... Info on registration etc to follow!
Assessing mediation in cross-sectional stepped wedge cluster randomized trials onlinelibrary.wiley.com/doi/10.1002/...
Assessing Mediation in Cross‐Sectional Stepped Wedge Cluster Randomized Trials
Mediation analysis has been studied for independent data, but relatively little work has been done for correlated data observed under stepped wedge cluster randomized trials (SW-CRTs). Motivated by t...
onlinelibrary.wiley.com
Save the date: Fifth International Conference on Stepped Wedge Design 2026 12th-14th May (online) www.york.ac.uk/healthscienc...
Information-theoretic criteria for optimizing designs of individually randomized stepped-wedge clinical trials link.springer.com/article/10.1...
Information-Theoretic Criteria for Optimizing Designs of Individually Randomized Stepped-Wedge Clinical Trials - Statistics and Computing
Clinical trials are essential for advancing medical knowledge and improving health care, with Randomized Clinical Trials (RCTs) considered the gold standard for minimizing bias and generating reliable...
link.springer.com
A useful reminder of the original meaning of a "stepped wedge".
Stepped aluminium wedge that would be placed on the x-ray film to determine density of exposure and a fluoroscope that would let doctors view x-ray images 'in real time' without the use of film, I don't want to imagine the damage that could cause.
Improving the design of staggered implementation cluster randomised trials qualitysafety.bmj.com/content/earl...
Grand rounds in methodology: improving the design of staggered implementation cluster randomised trials
The stepped-wedge cluster randomised trial is a popular design in implementation and health services research. All clusters, such as clinics or hospitals, start in the control state, and gradually swi...
qualitysafety.bmj.com
Super happy to say that my first Biometrics article was published this week!😃 Along with Fan Li, Monica Taljaard, & Denise Esserman, we derive sample size & power formula for cross-sectional stepped-wedge trials with time-to-event outcomes, & explored the impact of finite sample variance corrections
Power calculation for cross-sectional stepped wedge cluster randomized trials with a time-to-event endpoint
ABSTRACT. Stepped wedge cluster randomized trials (SW-CRTs) are a form of randomized trial whereby clusters are progressively transitioned from control to
doi.org
📢 The 11th annual meeting on Current Developments in Cluster Randomised Trials & Stepped Wedge Designs will take place 18/19 November 2025 in Birmingham UK. Abstract submission is open, deadline for submission 11 July 2025 forms.gle/jS83TAKhs4U8.... Info on registration etc to follow!
Identifying less burdensome and more cost-efficient incomplete stepped wedge designs for continuous outcomes collected via repeated cross-sections onlinelibrary.wiley.com/doi/10.1002/...
Identifying Less Burdensome and More Cost‐Efficient Incomplete Stepped Wedge Designs for Continuous Outcomes Collected via Repeated Cross‐Sections
Stepped wedge trials can be costly and burdensome. Recent work has investigated the iterative removal of cluster-period cells from stepped wedge designs, producing a series of candidate incomplete de...
onlinelibrary.wiley.com
How should parallel cluster randomized trials with a baseline period be analyzed?—a survey of estimands and common estimators onlinelibrary.wiley.com/doi/10.1002/...
How Should Parallel Cluster Randomized Trials With a Baseline Period be Analyzed?—A Survey of Estimands and Common Estimators
The parallel cluster randomized trial with baseline (PB-CRT) is a common variant of the standard parallel cluster randomized trial (P-CRT). We define two natural estimands in the context of PB-CRTs w....
onlinelibrary.wiley.com
Bayesian hierarchical penalized spline models for immediate and time-varying intervention effects in stepped wedge cluster randomized trials pmc.ncbi.nlm.nih.gov/articles/PMC...
Bayesian Hierarchical Penalized Spline Models for Immediate and Time‐Varying Intervention Effects in Stepped Wedge Cluster Randomized Trials
Stepped wedge cluster randomized trials (SWCRTs) often face challenges related to potential confounding by time. Traditional frequentist methods may not provide adequate coverage of an intervention's ...
pmc.ncbi.nlm.nih.gov
Analysis of cohort stepped wedge cluster-randomized trials with nonignorable dropout via joint modeling pubmed.ncbi.nlm.nih.gov/39963907/
Analysis of Cohort Stepped Wedge Cluster-Randomized Trials With Nonignorable Dropout via Joint Modeling - PubMed
Stepped wedge cluster-randomized trial (CRTs) designs randomize clusters of individuals to intervention sequences, ensuring that every cluster eventually transitions from a control period to receive t...
pubmed.ncbi.nlm.nih.gov
The relative efficiency of staircase and stepped wedge cluster randomised trial designs journals.sagepub.com/doi/full/10....
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Subscription and open access journals from Sage, the world's leading independent academic publisher.
journals.sagepub.com
A systematic review of stepped wedge cluster randomized trials in high impact journals: assessing the design, rationale, and analysis www.jclinepi.com/article/S089...
A systematic review of stepped wedge cluster randomized trials in high impact journals: assessing the design, rationale, and analysis
Stepped wedge cluster randomized trials (SW-CRTs) are an appealing study design because they enable sequential roll out of an intervention across clusters, bringing logistical advantages. This review ...
jclinepi.com
How nurse researchers can use stepped-wedge design and analysis journals.rcni.com/nurse-resear...
How nurse researchers can use stepped-wedge design and analysis
How nurse researchers can use stepped-wedge design and analysis
journals.rcni.com
Multilevel intervention stepped wedge designs link.springer.com/article/10.1...
Multilevel Intervention Stepped Wedge Designs (MLI-SWDs) - Prevention Science
Multilevel interventions (MLIs) hold promise for reducing health inequities by intervening at multiple types of social determinants of health consistent with the socioecological model of health. In sp...
link.springer.com
Reporting of cluster randomised crossover trials: extension of the CONSORT 2010 statement with explanation and elaboration www.bmj.com/content/388/...
Reporting of cluster randomised crossover trials: extension of the CONSORT 2010 statement with explanation and elaboration
This article presents the CONSORT (consolidated standards of reporting trials) extension for cluster randomised crossover trials. A cluster randomised crossover trial involves randomisation of groups ...
bmj.com
Hey, can someone please get Fan Li and Michael Harhay over here already!? cc @timpmorris.bsky.social @suziecro.bsky.social @brennankahan.bsky.social
A Systematic Review of Stepped Wedge Cluster Randomized Trials in High Impact Journals: Assessing the Design, Rationale, and Analysis - @jclinepi.bsky.social www.jclinepi.com/article/S089...
A Systematic Review of Stepped Wedge Cluster Randomized Trials in High Impact Journals: Assessing the Design, Rationale, and Analysis
Stepped wedge cluster randomized trials (SW-CRTs) are an appealing study design because they enable sequential roll out of an intervention across clusters, bringing logistical advantages. This review ...
jclinepi.com
The application of stepped-wedge cluster-randomized controlled trial study designs in oncology settings: A systematic review www.sciencedirect.com/science/arti...
The application of stepped-wedge cluster-randomized controlled trial study designs in oncology settings: A systematic review
Stepped-wedge cluster-randomized trials (SW-CRTs) offer advantages for implementation research in healthcare and have been increasingly utilised in th…
sciencedirect.com