1) Specify that allocation was based on clusters |
Yes (reporting) |
Clearly identified as cluster randomised trial in title or abstract |
2) Rationale for using cluster design |
Yes (reporting) |
Justification provided for using clustered design |
3) Eligibility criteria for participants and clusters |
No |
— |
5) Interventions intended for individual level, cluster level, or both |
No |
— |
5) Specific objectives for individual level, cluster level, or both |
No |
— |
6) Report outcome measures for individual level, cluster level, or both |
Yes (reporting) |
Primary outcome identified clearly |
7) How total sample size was determined including method of calculation, No of clusters, cluster size, coefficient of intracluster correlation |
Yes (reporting) |
Sample size calculation presented |
Yes (methodology) |
Accounted for clustering in sample size |
8) Method used to generate random allocation sequence |
Yes (methodology) |
Used stratification/matching/minimisation |
9) Method used to implement random allocation sequence |
No |
— |
10) Who generated allocation sequence and enrolled and assigned participants |
Yes (reporting) |
Identified who enrolled patients |
11) Whether participants, those administering interventions, and those assessing outcomes were blinded to group assignment |
Yes (reporting) |
Reported on blinding of outcome assessors; reported on blinding of participants/administrators |
12) Statistical methods used to compare groups for primary outcome(s) indicating how clustering was taken into account |
Yes (reporting) |
Reported methods of analysis |
Yes (methodology) |
Accounted for clustering in analysis |
13) Flow of clusters and individual participants through each stage |
Yes (reporting) |
Reported No of clusters randomised; reported No of individuals lost to follow-up; reported No of clusters lost to follow-up; reported No of clusters withdrew; reported size of clusters in each arm |
14) Dates defining periods of recruitment and follow up |
No |
— |
15) Baseline information for each group for individual and cluster levels |
No |
— |
16) No of clusters and participants in each group included in each analysis and whether analysis was by intention to treat |
Yes (reporting) |
Similar to 13 above |
Yes (methodology) |
Allocated minimum of four clusters per arm |
17) For each outcome, summary of results for each group for individual or cluster level, and coefficient of intracluster correlation. |
Yes (reporting) |
Reported intracluster correlation |
18) Address multiplicity by reporting any other analyses performed |
No |
— |
19) All important adverse events or side effects in each intervention group |
No |
— |
20) Interpretation of results (internal validity) |
No |
— |
21) Generalisability (external validity) |
No |
— |
22) Interpretation in context of current evidence |
No |
— |