Table 1.
Summary of the benefits and drawbacks of the three approaches to assessing the effects of context on health outcomes discussed in this paper.
Relocation RCTs | Small place-based RCTs | Place-based Natural Experiments | |
---|---|---|---|
Estimated effect | Effect of moving persons | Effect of changing a place | Effect of changing a place |
Pros | Analytic rigor | Analytic rigor | Low cost |
Cons | Very high cost | May require large number of locations for intervention | Implementation aligned with policy goals Potential for bias due to targeted location selection |
Disruption of existing social networks | Inherent conflict between goal of consistent implementation and community involvement | Potential for bias due to inconsistent implementation | |
Does not reflect the full range of realistic policy interventions |