Statistical analysis plan for a cluster randomised controlled trial to compare screening, feedback and intervention for child anxiety problems to usual school practice: identifying Child Anxiety Through Schools-identification to intervention (iCATS-i2i)

<p><strong>Background</strong></p> The Identifying Child Anxiety Through Schools-identification to intervention (iCATS-i2i) trial is being conducted to establish whether ‘screening and intervention’, consisting of usual school practice plus a pathway comprising screening, fee...

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Bibliographic Details
Main Authors: Ball, S, Reardon, T, Creswell, C, Taylor, L, Brown, P, Ford, T, Gray, A, Hill, C, Jasper, B, Larkin, M, Macdonald, I, Morgan, F, Pollard, J, Sancho, M, Sniehotta, FF, Spence, SH, Stainer, J, Stallard, P, Violato, M, Ukoumunne, OC
Format: Journal article
Language:English
Published: BioMed Central 2024
Description
Summary:<p><strong>Background</strong></p> The Identifying Child Anxiety Through Schools-identification to intervention (iCATS-i2i) trial is being conducted to establish whether ‘screening and intervention’, consisting of usual school practice plus a pathway comprising screening, feedback and a brief parent-led online intervention (OSI: Online Support and Intervention for child anxiety), bring clinical and health economic benefits compared to usual school practice and assessment only — ‘usual school practice’, for children aged 8–9 years in the following: (1) the ‘target population’, who initially screen positive for anxiety problems according to a two-item parent-report child anxiety questionnaire — iCATS-2, and (2) the ‘total population’, comprising all children in participating classes. This article describes the detailed statistical analysis plan for the trial. <p><strong>Methods and design</strong></p> iCATS-i2i is a definitive, superiority, pragmatic, school-based cluster randomised controlled trial (with internal pilot), with two parallel groups. Schools are randomised 1:1 to receive either screening and intervention or usual school practice. This article describes the following: trial objectives and outcomes; statistical analysis principles, including detailed estimand information necessary for aligning trial objectives, conduct, analyses and interpretation when there are different analysis populations and outcome measures to be considered; and planned main analyses, sensitivity and additional analyses. <p><strong>Trial registration</strong></p> ClinicalTrials.gov ISRCTN76119074. Registered on 4 January 2022.