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Data Collection Form Blank

The document provides instructions for consistently extracting data from study reports using a standardized form. The form includes sections for recording general information about the study, characteristics of included studies, intervention groups, outcomes, and data/analysis. Extractors are advised to be consistent in order and style, record any missing information clearly, and include instructions on using the form.

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Joyce Tan
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157 views6 pages

Data Collection Form Blank

The document provides instructions for consistently extracting data from study reports using a standardized form. The form includes sections for recording general information about the study, characteristics of included studies, intervention groups, outcomes, and data/analysis. Extractors are advised to be consistent in order and style, record any missing information clearly, and include instructions on using the form.

Uploaded by

Joyce Tan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Notes on using a data extraction form:

 Be consistent in the order and style you use to describe the information for each report.

 Record any missing information as unclear or not described, to make it clear that the
information was not found in the study report(s), not that you forgot to extract it.

 Include any instructions and decision rules on the data collection form, or in an accompanying
document. It is important to practice using the form and give training to any other authors using
the form.

General Information
Study ID (surname of first
author and year first full report
of study was published e.g.
Smith 2001)

Name/ID of person extracting


data

Reference citation

Characteristics of included studies


Methods

Descriptions as stated in report/paper

Aim of study (e.g.


efficacy, equivalence,
pragmatic)

Design(e.g. parallel,
crossover, non-RCT)

Start date and End


date
Duration of      
participation

(from recruitment to
last follow-up)

Participants
Population description      

(from which study


participants are drawn)

Setting      

(including location and


social context)

Inclusion criteria      

Exclusion criteria      

Total no. randomised      

(or total pop. at start of


study for NRCTs)

Age      

Sex      

Race/Ethnicity      

Intervention groups
Copy and paste table for each intervention and comparison group

Intervention Group 1

Description as stated in report/paper

Group name      


No. randomised to group      

(specify whether no.


people or clusters)

Description (include      


sufficient detail for
replication, e.g. content,
dose, components, delivery
timing)

Duration of treatment      


period

Co-interventions      

Intervention Group 1

Description as stated in report/paper

Group name      

No. randomised to group      

(specify whether no.


people or clusters)

Description (include      


sufficient detail for
replication, e.g. content,
dose, components, delivery
timing)

Duration of treatment      


period

Co-interventions      

Outcomes
Copy and paste table for each outcome.
Outcome 1

Description as stated in report/paper

Outcome name      

Time points measured      

(specify whether from


start or end of
intervention)

Outcome definition (with      


diagnostic criteria if
relevant)

Unit of measurement      

(if relevant)

Imputation of missing      


data
(e.g. assumptions made
for ITT analysis)

Assumed risk estimate      

(e.g. baseline or
population risk noted in
Background)

Power (e.g. power &      


sample size calculation,
level of power achieved)

Data and analysis


Copy and paste the appropriate table for each outcome, including additional tables for each time point
and subgroup as required.

For RCT/CCT

Continuous outcome
Description as stated in report/paper

Comparison

Outcome

Subgroup

Post-intervention or
change from
baseline?

Results Intervention Comparison

Mean SD (or No. Mean SD (or No.


other participants other participan
variance, variance, ts
specify) specify)

     

Any other results


reported (e.g. mean
difference, CI, P value)

No. missing
participants

Reasons missing

No. participants
moved from other
group

Reasons moved

Unit of analysis

(individuals, cluster/
groups or body parts)
Statistical methods
used and
appropriateness of
these (e.g.
adjustment for
correlation)

Other
Study funding sources            

(including role of funders)

Possible conflicts of interest            

(for study authors)

Notes:      

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