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Table 3 Assumptions for sample size required to measure the primary outcome “incidence of births within 8 months of the end of the intervention period”

From: Effectiveness of a girls’ empowerment programme on early childbearing, marriage and school dropout among adolescent girls in rural Zambia: study protocol for a cluster randomized trial

Parameter

Assumed level

Comment

Incidence of births in control group

0.06

Eight months after the end of the intervention period the girls will be on average 17.1 years and we assume that 15% of them will have given birth. This corresponds to an average incidence rate of (15%-3%)/2 = 6% over this 2-year period.

Effectiveness of combined intervention vs control

−40%

i.e. incidence in combined intervention arm assumed to be 0.036

Cluster size

28

See assumptions for the outcome “incidence of births before girls’ 18th birthday”

Person years per cluster

56

If 28 participants are followed up for 2 years, there will be 56 person years

k

0.20

The ICC was 0.00737 for “ever pregnant” after the intervention period in the cash transfer trial in Malawi. This corresponds to k = 0.20 when the total proportion who have given birth by this time is 0.15

Z1 (acceptable alpha error level)

1.96

 

Power for comparison of combined intervention vs control

90%

We need 36 combined clusters vs 36 control clusters to have 90% power detect the assumed difference. The PASS function for proportions indicates that with 63 combined clusters, we will have > 90% power with 30 control clusters.