RTC Registry Form

What Works Clearinghouse

RCT Registry Text

RTC Registry Form

OMB: 1850-0788

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What Works Clearinghouse – Registry of Randomized Controlled Trials

Page Layout: Browse RCTs Introduction Page
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Browse RCTs
The Registry of Randomized Controlled Trials (RCTs) website provides information about various ongoing
and completed education-related RCTs in the United States. Any visitor can browse the RCTs based on
the title of the study, the study’s sponsor organization, or its unit of randomization. All registered RCTs
receive a WWC Registration Number, and those registered prior to trial completion are indicated by a
WWC Star Rating.
Browse by Title of Study
Browse by Sponsor Organization
Browse by Unit of Randomization
The information in the Registry of Evaluation Researchers and the Registry of Randomized Controlled Trials is
supplied solely by the researchers themselves. Neither the What Works Clearinghouse (WWC) nor the U.S.
Department of Education endorses any individuals or organizations listed in the registries. The WWC does not
verify the accuracy of the information submitted by the researchers, nor does it assess their qualifications.

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Registries Log-In Page
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WWC Log-In
In order to submit an evaluation researcher profile
or register a randomized controlled trial (RCT),
researchers must have secure log-in credentials.
Researchers registering with the Registry of
Evaluation Researchers are required to submit:
Contact information
Examples of project experience by study
design
Examples of project experience by
publication
A signed letter of commitment to the WWC
Evidence Standards
We encourage you to print a paper copy of the Registry of Evaluation Researchers form in order to
review all the required information before completing the online registration. If you have questions
about completing this form, please contact us.
Researchers registering RCTs are required to submit study details, including:
Principal investigator
Start and anticipated end dates
Setting and sample details
Primary and secondary outcomes
RCTs may be registered once the study receives funding and is in progress. We encourage you to print a
paper copy of the RCT Registry form in order to review all the required information before completing
the online registration. If you have questions about completing this form, please contact us.
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless such collection displays a valid Office of Management and Budget (OMB) control number. The
valid OMB control number for this information collection is 1850-0788, which is valid through June 30, 2010. The
time required to complete this information collection is estimated to average 30 minutes for individuals and
organizations per response, including the time to review instructions, gather the data needed, and complete and
review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or
suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202-4651.
If you have comments or concerns regarding the status of your individual submission of this form, contact the
What Works Clearinghouse.
The information in the Registry of Evaluation Researchers and the Registry of Randomized Controlled Trials is
supplied solely by the researchers themselves. Neither the What Works Clearinghouse (WWC) nor the U.S.
Department of Education endorses any individuals or organizations listed in the registries. The WWC does not
verify the accuracy of the information submitted by the researchers, nor does it assess their qualifications.

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Contact Information
(Details regarding each field are available in Form 07 Details.)
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Registry of Randomized Controlled Trials

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Contact Information
First Name
Last Name
Prefix
Title
Type
Organization
Phone Number
Fax Number
No Fax Number
Email
Confirm Email
Address Line 1
Address Line 2
City
Foreign State
State
Country
ZIP Code

[Text Box]
[Text Box]
[Pre-populated drop-down menu]
[Text Box]
[Pre-populated drop-down menu]
[Text Box]
[Text Box]
[Text Box]
[Check Box]
[Text Box]
[Text Box]
[Text Box]
[Text Box]
[Text Box]
[Check Box]
[Pre-populated drop-down menu]
[Pre-populated drop-down menu]
[Text Box]

Save [Button]

Reset [Button]

The information in the Registry of Evaluation Researchers and the Registry of Randomized Controlled Trials is
supplied solely by the researchers themselves. Neither the What Works Clearinghouse (WWC) nor the U.S.
Department of Education endorses any individuals or organizations listed in the registries. The WWC does not
verify the accuracy of the information submitted by the researchers, nor does it assess their qualifications.

What Works Clearinghouse – Registry of Randomized Controlled Trials

Page Layout: Study Information Summary Page
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Registry of Randomized Controlled Trials

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Studies by Study Title
Below is a list of studies you have submitted. To modify or delete one of these study records, click on
the WWC ID number. To enter information about another study, click on the appropriate “Add New
Study” link.
WWC ID
000000

Study Title
Sample Study Title Here

Add New Study – Funded and In Progress
Add a New Study – Completed with Available Final Report
The information in the Registry of Evaluation Researchers and the Registry of Randomized Controlled Trials is
supplied solely by the researchers themselves. Neither the What Works Clearinghouse (WWC) nor the U.S.
Department of Education endorses any individuals or organizations listed in the registries. The WWC does not
verify the accuracy of the information submitted by the researchers, nor does it assess their qualifications.

What Works Clearinghouse – Registry of Randomized Controlled Trials

Page Layout: Study Information Entry (Add New Study – Funded and In Progress) – PAGE 1
(Details regarding each field are available in Form 07 Details.)
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Registry of Randomized Controlled Trials

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Study Information
Back to Study List
Please complete the following information related to the randomized controlled trial (RCT) that is
funded and in progress, but not yet completed with an available final report. After review, the WWC will
assign a unique ID number to each RCT.
Study Information – For Studies Funded and In Progress
Study Status
[Radio Button option]
RCT Title
[Text Box]
Principal Investigator First Name
[Text Box]
Principal Investigator Last Name
[Text Box]
Principal Investigator Prefix
[Pre-populated drop-down menu]
Principal Investigator Title
[Text Box]
Start Date
[Text Box]
Anticipated End Date
[Text Box]
Sponsor
[Text Box]
Study Abstract and Details – For Studies Funded and In Progress
1. What is the study setting?
[Text Box]
Include settings and locations where the data will be collected, as well as
relevant eligibility criteria for participants.
2. What is the intervention?
[Text Box]
Include intervention type, name(s), and description. Describe how the
intervention is designed to be delivered to each group.
3. What is the randomized unit?

**Continued on Next Page**

[Radio Button option]

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Study Information Entry (Add New Study – Funded and In Progress) – PAGE 2
(Details regarding each field are available in Form 07 Details.)
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Registry of Randomized Controlled Trials

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Study Information (continued)
Back to Study List
Please complete the following information related to the randomized controlled trial (RCT) that is
funded and in progress, but not yet completed with an available final report. After review, the WWC will
assign a unique ID number to each RCT.
Study Abstract and Details (continued) – For Studies Funded and In Progress
4. Study Sample Characteristics
Below is a list of target populations identified by the WWC.
Select all that apply to the study sample for this RCT.
Gender
Male
[Check Box]
Female
[Check Box]
Not Applicable
[Check Box]
Student Race/Ethnicity
American Indian or Alaska Native
[Check Box]
Asian
[Check Box]
Black or African American
[Check Box]
Caucasian
[Check Box]
Hispanic or Latino
[Check Box]
Native Hawaiian or Other Pacific Islander
[Check Box]
Not Applicable
[Check Box]
Student Level(s) of Education
Adult/Continuing Education
[Check Box]
Elementary School
[Check Box]
High School
[Check Box]
Kindergarten
[Check Box]
Middle School
[Check Box]
Preschool
[Check Box]
Postsecondary Education
[Check Box]
Vocational/Career Education
[Check Box]
Not Applicable
[Check Box]

**Continued on Next Page**

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Study Information Entry (Add New Study – Funded and In Progress) – PAGE 3
(Details regarding each field are available in Form 07 Details.)
<>
Registry of Randomized Controlled Trials

Logout

Study Information (continued)
Back to Study List
Please complete the following information related to the randomized controlled trial (RCT) that is
funded and in progress, but not yet completed with an available final report. After review, the WWC will
assign a unique ID number to each RCT.
Study Abstract and Details (continued) – For Studies Funded and In Progress
4. Study Sample Characteristics (continued)
Student Disability
Autism
[Check Box]
Deaf-Blindness
[Check Box]
Deafness
[Check Box]
Emotional Disturbance (ED)
[Check Box]
Hearing Impairment
[Check Box]
Mental Retardation
[Check Box]
Multiple Disabilities
[Check Box]
Orthopedic Impairment
[Check Box]
Other Health Impairment (OHI)
[Check Box]
Specific Learning Disability (LD)
[Check Box]
Speech or Language Impairment
[Check Box]
Traumatic Brain Injury
[Check Box]
Visual Impairment
[Check Box]
Not Applicable
[Check Box]
5. Additional Study Sample Information
[Text Box]
Include the expected size of the sample and any additional characteristics
not described in question 4. Describe attrition that has occurred at this point,
as well as any interim analyses.
6. What research design and methods will be used? [Text Box]
Include a description of any alterations to the sample after random
assignment. Also note the statistical methods intended to compare
compatibility of groups on primary outcome(s) and methods for additional
analyses.
7. What is the control (counterfactual) condition?

**Continued on Next Page**

[Text Box]

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Study Information Entry (Add New Study – Funded and In Progress) – PAGE 4
(Details regarding each field are available in Form 07 Details.)
<>
Registry of Randomized Controlled Trials

Logout

Study Information (continued)
Back to Study List
Please complete the following information related to the randomized controlled trial (RCT) that is
funded and in progress, but not yet completed with an available final report. After review, the WWC will
assign a unique ID number to each RCT.
Study Abstract and Details (continued) – For Studies Funded and In Progress
8. What are the intended primary outcomes?
[Text Box]
Include all relevant measures, subgroups, and time periods (e.g., Reading
test scores for all female students in second grade one year after
intervention), and list any planned subgroup analyses.
9. What are the intended secondary outcomes?
See question 8 for instructions.

[Text Box]

10. What is the data analytic strategy?
[Text Box]
Include information about power level analysis and plans for estimating
effect of the intervention, including calculation of effect sizes.
11. Summary of the Study/Abstract
State specific objectives and hypotheses.
Save [Button]

[Text Box]

Reset [Button]

The information in the Registry of Evaluation Researchers and the Registry of Randomized Controlled Trials is
supplied solely by the researchers themselves. Neither the What Works Clearinghouse (WWC) nor the U.S.
Department of Education endorses any individuals or organizations listed in the registries. The WWC does not
verify the accuracy of the information submitted by the researchers, nor does it assess their qualifications.

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Study Information Entry (Add New Study – Completed with Available Final Report) –
PAGE 1
(Details regarding each field are available in Form 07 Details.)
<>
Registry of Randomized Controlled Trials

Logout

Study Information
Back to Study List
Please complete the following information related to the randomized controlled trial (RCT) that is
completed and has an available final report. After review, the WWC will assign a unique ID number to
each RCT.
Study Information – For Studies Completed with an Available Final Report
Study Status
[Radio Button option]
RCT Title
[Text Box]
Principal Investigator First Name
[Text Box]
Principal Investigator Last Name
[Text Box]
Principal Investigator Prefix
[Pre-populated drop-down menu]
Principal Investigator Title
[Text Box]
Start Date
[Text Box]
End Date
[Text Box]
Sponsor
[Text Box]
Web Address for Report
[Text Box]
Published Report Citation (APA Format) [Text Box]
Study Abstract and Details – For Studies Completed with an Available Final Report
1. What was the study setting?
[Text Box]
Include settings and locations where the data were collected, as well as
relevant eligibility criteria for participants.
2. What was the intervention?
[Text Box]
Include intervention type, name(s), and description. Describe how and when
the intervention was delivered to each group.
3. What was the randomized unit?

**Continued on Next Page**

[Radio Button option]

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Study Information Entry (Add New Study – Completed with Available Final Report) –
PAGE 2
(Details regarding each field are available in Form 07 Details.)
<>
Registry of Randomized Controlled Trials

Logout

Study Information (continued)
Back to Study List
Please complete the following information related to the randomized controlled trial (RCT) that is
completed and has an available final report. After review, the WWC will assign a unique ID number to
each RCT.
Study Abstract and Details (continued) – For Studies Completed with an Available
Final Report
4. Study Sample Characteristics
Below is a list of target populations identified by the WWC.
Select all that apply to the study sample for this RCT.
Gender
Male
[Check Box]
Female
[Check Box]
Not Applicable
[Check Box]
Student Race/Ethnicity
American Indian or Alaska Native
[Check Box]
Asian
[Check Box]
Black or African American
[Check Box]
Caucasian
[Check Box]
Hispanic or Latino
[Check Box]
Native Hawaiian or Other Pacific Islander
[Check Box]
Not Applicable
[Check Box]
Student Level(s) of Education
Adult/Continuing Education
[Check Box]
Elementary School
[Check Box]
High School
[Check Box]
Kindergarten
[Check Box]
Middle School
[Check Box]
Preschool
[Check Box]
Postsecondary Education
[Check Box]
Vocational/Career Education
[Check Box]
Not Applicable
[Check Box]

**Continued on Next Page**

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Study Information Entry (Add New Study – Completed with Available Final Report) –
PAGE 3
(Details regarding each field are available in Form 07 Details.)
<>
Registry of Randomized Controlled Trials

Logout

Study Information (continued)
Back to Study List
Please complete the following information related to the randomized controlled trial (RCT) that is
completed and has an available final report. After review, the WWC will assign a unique ID number to
each RCT.
Study Abstract and Details (continued) – For Studies Completed with an Available
Final Report
4. Study Sample Characteristics (continued)
Student Disability
Autism
[Check Box]
Deaf-Blindness
[Check Box]
Deafness
[Check Box]
Emotional Disturbance (ED)
[Check Box]
Hearing Impairment
[Check Box]
Mental Retardation
[Check Box]
Multiple Disabilities
[Check Box]
Orthopedic Impairment
[Check Box]
Other Health Impairment (OHI)
[Check Box]
Specific Learning Disability (LD)
[Check Box]
Speech or Language Impairment
[Check Box]
Traumatic Brain Injury
[Check Box]
Visual Impairment
[Check Box]
Not Applicable
[Check Box]
5. Additional Study Sample Information
[Text Box]
Include the sample size and any characteristics not described in question 4.
Describe attrition that occurred, as well as any interim analyses.
6. What research design and methods were used?
[Text Box]
Include a description of any alterations to the sample after random
assignment. Also note the statistical methods used to compare compatibility
of groups on primary outcome(s) and methods for additional analyses.
7. What was the control (counterfactual) condition?

[Text Box]

8. What were the primary outcomes?
[Text Box]
For each outcome, include a summary of results of each group and the
estimated effect size and level of power analysis. Include all relevant
measures, subgroups, and time periods, as well as the number of
participants in each group included in each analysis.
**Continued on Next Page**

What Works Clearinghouse – Registry of Randomized Controlled Trials
Page Layout: Study Information Entry (Add New Study – Completed with Available Final Report) –
PAGE 4
(Details regarding each field are available in Form 07 Details.)
<>
Registry of Randomized Controlled Trials

Logout

Study Information (continued)
Back to Study List
Please complete the following information related to the randomized controlled trial (RCT) that is
completed and has an available final report. After review, the WWC will assign a unique ID number to
each RCT.
Study Abstract and Details (continued) – For Studies Completed with an Available
Final Report
9. What were the secondary outcomes?
[Text Box]
See question 8 for instructions.
10. What was the data analytic strategy?
[Text Box]
Include information about power level analysis and effect size.
11. Summary of the Study/Abstract
State specific objectives and hypotheses.

[Text Box]

12. Interpretation of Results/Discussion
[Text Box]
Provide a brief discussion of findings. Clearly state any limitations and
sources of bias.
Save [Button]

Reset [Button]

The information in the Registry of Evaluation Researchers and the Registry of Randomized Controlled Trials is
supplied solely by the researchers themselves. Neither the What Works Clearinghouse (WWC) nor the U.S.
Department of Education endorses any individuals or organizations listed in the registries. The WWC does not
verify the accuracy of the information submitted by the researchers, nor does it assess their qualifications.


File Typeapplication/pdf
File TitleForm 01 Text Documentation
AuthorCassie Pickens
File Modified2009-06-25
File Created2009-06-25

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