Table 1

Summary of the different analytical methods

MethodCore assumptionsProsCons
Scenario 1, only data after launch in the intervention areaOnly the change in the data after the launch is relevant to the evaluationRequires little data or technical knowledgeUnable to comment on the change in the outcome of interest because of the intervention, only its trend after launch
Scenario 2A, first and last time point of intervention periodThe two data points are fully indicative of the changeRequires little data or technical knowledgeHighly dependent on a small array of data.
Risks loss of important details of data, intervention effect or trends
Scenario 2B, disaggregated change from starting periodLast preintervention period fully represents the counterfactualOnly requires one preintervention data point.
Analytically simple
Highly dependent on a small array of control data.
No consideration of trend in counterfactual
Scenario 3A, simple average of historical intervention area dataSimple averaging of before and after data incorporates all factors, there is no value in an assessment of the trendsOnly requires a small amount of pre and post data.
Analytically simple
Fails to explore trends in data
Scenario 3B, matched preintervention and postinterventionThere is a repeating periodic fluctuation, eg, seasonality, which impacts the outcome of interest and the trend over time is informativeSimple means of adjusting for periodic fluctuationsResult varies given matching approach.
Blunt means of adjusting for periodic fluctuations that can result in incorrect estimates
Scenario 4A, comparison of averages postintervention in control and intervention areasThe selected control area fully represents the counterfactual of the intervention areaAllows for use of control area data.
Only requires postlaunch data
Fails to explore trends in data.
Makes no use of historical data.
Difficult to determine if the control area represents a reasonable comparator
Scenario 4B, matched postintervention control and intervention areaThe selected control area fully represents the counterfactual of the intervention area and the trend over time is informativeAllows for use of control area data.
Explores trends in data without having to define a cycle length.
Only requires postlaunch data
Makes no use of historical data.
Difficult to determine if the control area represents a reasonable comparator
Scenario 5, ITS analysis of intervention areaRegression of preintervention data fully represents post-intervention counterfactual and the trend over time is informativeAllows for use of historical control data.
Explores the trends
Reliant on historical intervention area data being predictive of counterfactual
Scenario 6, ITS analysis of control and intervention areaControl area fully represents the counterfactual of the intervention area but the match can be tested by exploring the preintervention data. The trend over time is informativeAllows for use of control area and exploration as to the closeness of the control and intervention areasAssumption that the control area continues to represent a good match after the intervention period
  • ITS, interrupted time series.