Instrument 1b Descriptive CONSORT Diagram Template

CONSORT Diagram for Clusters and for Youth

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CONSORT Diagram for Clusters (if applicable)

*Complete based on pooled sample to date. Also complete diagram for youth, using only retained clusters.

Describe what makes a cluster eligible for the evaluation; the number of clusters screened and the screening criteria used; the number of clusters determined to be eligible; the counts and reasons for those screened out; and whether and how any clusters were prioritized for inclusion in the study sample.

Key dates

This diagram reflects sample enrolled through (date): __________­­­­­­­

This diagram reflects survey data collected through (date): __________

Did not pass screening criteria (n = __)

Other (n = __)

Retained at immediate post (n = __)

List reason(s) for cluster(s) non-completes

• ___ (n=__)

• ___ (n=__)

Retained at first follow up (n = __)

List reason(s) for cluster(s) non-completes

• ___ (n=__)

• ___ (n=__)

Retained at second follow up (n = __)

List reason(s) for cluster(s) non-completes

• ___ (n=__)

• ___ (n=__)

Primary analysis sample (n = __)

List reason(s) for cluster(s) being excluded

• ___ (n=__)

• ___ (n=__)

Completed baseline data collection (n = __)

List reason(s) for cluster(s) non-completes

• ___ (n=__)

• ___ (n=__)

Clusters Enrolled (n = __)

Date(s) of Cluster Enrollment ______

CONSORT Diagram for Youth

*Complete based on pooled sample to date.

Key dates

This diagram reflects sample enrolled through (date): __________­­­­­­­

This diagram reflects survey data collected through (date): __________

Describe what makes a youth eligible for the evaluation; the number of youth screened and determined to be eligible; the counts and reasons for those screened out; and the process for selecting the study participants among those eligible.

Did not receive parental consent (n = __)

Did not pass screening criteria (n = __)

Other (n = __)

Program start date(s):

Program end date(s):

Move “agreed to be in study” to correct sequence given your processes.

Enrolled (n = __)

Date(s) of Enrollment ______

Agreed to be in the study (n = __)

Completed baseline (n = __)

Date(s) of data collection:

List reasons for non-completes

• ___ (n=__)

• ___ (n=__)

Eligible for immediate post (n = __)

Completed immediate post (n = __)

Date(s) of data collection:

List reasons for non-completes

• ___ (n=__)

• ___ (n=__)

Eligible for first follow-up (n = __)

Completed first follow up (n = __)

Date(s) of data collection:

List reasons for non-completes

• ___ (n=__)

• ___ (n=__)

Eligible for second follow-up (n = __)

Completed second follow up (n = __)

Date(s) of data collection:

List reasons for non-completes

• ___ (n=__)

• ___ (n=__)

Primary analysis sample (n = __)

List reason(s) for exclusion

• ___ (n=__)

• ___ (n=__)