Community Medicine (PSM) · Epidemiology (Advanced Deeper Topics)

In a double-blind RCT, 'allocation concealment' refers to:

  • A Keeping participants unaware of which treatment group they are in
  • B Ensuring the person enrolling participants cannot predict upcoming treatment assignments
  • C Blinding the outcome assessor
  • D Masking the statistical analyst from knowing group identities
Correct answer: B. Ensuring the person enrolling participants cannot predict upcoming treatment assignments

Explanation

Allocation concealment prevents the person enrolling/recruiting participants from knowing or predicting the next treatment assignment, eliminating selection bias during enrollment. It ensures that pre-randomization decisions (like whether to enroll a patient) are not influenced by knowledge of upcoming allocation. This is distinct from blinding (which occurs post-allocation). Methods include central randomization, sequentially numbered sealed envelopes, and pharmacy-controlled allocation.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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