Abstract
We describe five asymptotically unbiased estimators of intervention effects on event rates in nonmatched and matched-pair cluster randomized trials, and we present a bias-corrected version of the estimators for use when the number of clusters is small. The estimators are the ratio of mean counts (r
1), ratio of mean cluster-level event rates (r
2), ratio of event rates (r
3), double ratio of counts (r
4), and double ratio of event rates (r
5). r
1, r
2, and r
3 estimate the total effect, which comprises the direct and indirect effects; r
4 and r
5 estimate the direct effect. We describe a new command,
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