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Table 2 Characteristics of the ‘Improving Secondary Prophylaxis’ stepped-wedge trial

From: Improving delivery of secondary prophylaxis for rheumatic heart disease in remote Indigenous communities: study protocol for a stepped-wedge randomised trial

Term/Trial characteristic

Definition

Unit

Aboriginal health centres

Cluster

Pairs of health centres

Individuals

People with ARF/RHD who require secondary prophylaxis with penicillin, whose primary health centre is enrolled in the study

Timing of start of exposure

Groups of individuals (all individuals managed by a given community clinic) are first exposed at one of a number of discrete time points

Duration of exposure

Fixed length: 15 months per clinic

Measurement

Repeated measurements from individuals: record of every penicillin injection received, as documented in the ARF/RHD Register

Duration of trial

3.5 years

Number of clinics per cluster

2

Total number of clusters

5

Pre-roll out period

11 to 25 months

Roll out period

15 months

Post-rollout period

3 to 15 months

  1. ARF acute rheumatic fever, RHD rheumatic heart disease