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Factorial Experiments: Efficient Tools for Evaluation of Intervention Components

Overview
Journal Am J Prev Med
Specialty Public Health
Date 2014 Aug 6
PMID 25092122
Citations 139
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Abstract

Background: An understanding of the individual and combined effects of a set of intervention components is important for moving the science of preventive medicine interventions forward. This understanding can often be achieved in an efficient and economical way via a factorial experiment, in which two or more independent variables are manipulated. The factorial experiment is a complement to the RCT; the two designs address different research questions.

Purpose: To offer an introduction to factorial experiments aimed at investigators trained primarily in the RCT.

Methods: The factorial experiment is compared and contrasted with other experimental designs used commonly in intervention science to highlight where each is most efficient and appropriate.

Results: Several points are made: factorial experiments make very efficient use of experimental subjects when the data are properly analyzed; a factorial experiment can have excellent statistical power even if it has relatively few subjects per experimental condition; and when conducting research to select components for inclusion in a multicomponent intervention, interactions should be studied rather than avoided.

Conclusions: Investigators in preventive medicine and related areas should begin considering factorial experiments alongside other approaches. Experimental designs should be chosen from a resource management perspective, which states that the best experimental design is the one that provides the greatest scientific benefit without exceeding available resources.

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References
1.
Gray L, Cooper N, Dunkley A, Warren F, Ara R, Abrams K . A systematic review and mixed treatment comparison of pharmacological interventions for the treatment of obesity. Obes Rev. 2012; 13(6):483-98. DOI: 10.1111/j.1467-789X.2011.00981.x. View

2.
Collins L, Baker T, Mermelstein R, Piper M, Jorenby D, Smith S . The multiphase optimization strategy for engineering effective tobacco use interventions. Ann Behav Med. 2010; 41(2):208-26. PMC: 3053423. DOI: 10.1007/s12160-010-9253-x. View

3.
LeBlanc E, OConnor E, Whitlock E, Patnode C, Kapka T . Effectiveness of primary care-relevant treatments for obesity in adults: a systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 2011; 155(7):434-47. DOI: 10.7326/0003-4819-155-7-201110040-00006. View

4.
Collins L, Murphy S, Strecher V . The multiphase optimization strategy (MOST) and the sequential multiple assignment randomized trial (SMART): new methods for more potent eHealth interventions. Am J Prev Med. 2007; 32(5 Suppl):S112-8. PMC: 2062525. DOI: 10.1016/j.amepre.2007.01.022. View

5.
Wolbers M, Heemskerk D, Chau T, Yen N, Caws M, Farrar J . Sample size requirements for separating out the effects of combination treatments: randomised controlled trials of combination therapy vs. standard treatment compared to factorial designs for patients with tuberculous meningitis. Trials. 2011; 12:26. PMC: 3040154. DOI: 10.1186/1745-6215-12-26. View