Table 2 Matched observational retrospective cohort with a target trial emulation design

From: Impacts of testing and immunity acquired through vaccination and infection on covid-19 cases in Massachusetts elementary and secondary students

Protocol Component

Description

Eligibility criteria

• Massachusetts schools with testing program implemented during the 2021-22 school year

• No surveillance testing program before 9/19/2021

Policy interventions

• Intervention: Implementation of in-school surveillance testing program on 9/19/2021

• Control: No surveillance testing program

Follow-up period

• 12 weeks after 9/19/2021 (study end: 12/12/2021)

Matching criteria

• Massachusetts schools that did not have a surveillance testing program on the study start date were propensity-matched 1:1 based on average vaccination at the level of the school-aged population, consent rate, race, urban/rural, title1 status, charter, masking policy, public/private

Outcome(s)

• Primary: In-school test-to-stay positivity rate

• Sensitivity analysis: In-school all test positivity rate

Critical co-variates

• Community cases per 100,000Ā at the town-level, Treatment/control, weeks from program start

Causal contrasts of interest

• Intention-to-treat: Once included in the study, all schools were analyzed according to their initial assignment (intervention or control).

Statistical analysis

• Primary: cluster GEE model adjusted for critical co-variates

• Secondary: Fixed effects model

• Sensitivity analysis: Counties that implemented surveillance testing after the study start date were excluded