Study design · Stepped-wedgeUpdated October 20, 2026

Stepped-wedge trial software that keeps time and cluster straight

In a stepped-wedge trial every cluster starts as control and crosses to the intervention at a scheduled step, so every record needs a cluster, a period and an exposure status. Capture holds those in one audited study. Build free, no credit card.

  • Cluster, period, exposure
  • Switch dates in the audit trail
  • Free sandbox

Free sandbox · No credit card · 21 CFR Part 11 aligned

Four-sequence stepped wedge (demo design, months)
12345678910

months

Sequence 1: control
Sequence 1: intervention
Sequence 2: control
Sequence 2: intervention
Sequence 3: control
Sequence 3: intervention
Sequence 4: control
Sequence 4: intervention
Demo design. Each cluster switches once, in a randomised order.

What a stepped-wedge trial asks of its data capture

  • Vocabulary first. The CONSORT extension for stepped-wedge trials (Hemming et al., BMJ 2018) describes clusters allocated to sequences that set the order of switchover, steps and step lengths that set timing, and repeated observations in periods. Your data model should use the same words.
  • Every record carries three tags: which cluster, which period, and whether the cluster was exposed to the intervention at that time. Analysis adjusts for time, so a missing or wrong period is a bias, not a typo.
  • The switch date is data. When a cluster actually crossed over, and whether it crossed on schedule, should be recorded and audited rather than held in an email.
  • Cluster-period size matters for sample size and for interpreting results, so count observations per cluster per period from the start.
  • Capture does not randomise a stepped-wedge sequence for you. Your statistician produces the allocation order; Capture holds it, applies it to sites and records what happened. Test your design in the sandbox before go-live.

The design

Why stepped-wedge trials need different data capture

In a parallel cluster trial, half the clusters receive the intervention throughout and half do not. In a stepped-wedge trial, all clusters begin as control and cross to the intervention one sequence at a time, until all are exposed. It suits interventions that will be rolled out anyway, that cannot be withdrawn, or that stakeholders insist everyone should eventually receive. For the parallel design, read EDC for cluster-randomised trials; this page is about what changes when time is part of the design.

Time changes the data in three ways. First, the same cluster contributes control and intervention observations, so each record needs a period and an exposure label. Second, there are different ways to collect data: the same participants followed over time (a closed cohort), a continuous flow of new participants, or repeated cross-sectional samples taken in each period. The choice affects consent, identifiers and the number of forms per person. Third, some designs include a transition period around each switch when the intervention is being implemented and outcomes are excluded or analysed separately.

Analysis for these designs is the domain of your statistician, and sample-size methods differ from parallel designs: the free cluster sample size calculator explicitly covers only a two-arm parallel design. Capture does not do the sample size or the analysis. It supplies the structured, time-stamped dataset the analysis needs.

Nursing and health-service examples

Stepped wedges are common in health-service and nursing research, where wards or practices roll out a care bundle in stages. See EDC for nursing research for a ward example with falls and pressure-injury outcomes.

Cluster period summary (demo study)
Site 004 · Period 3 · Month 5Draft

Sequence

SEQ
1234

Exposed to intervention this period

EXPOSED
YesNo

Date cluster switched

SWDT
2026-04-15

Scheduled switch date

SCHDT
2026-04-01

Days late

Calculated, read-only

14 Calculated

Switched later than scheduled

Observations this period

NOBS
38
Demo data only.Save
Switch timing and period size are recorded, not inferred later

Study elements

Stepped-wedge elements and how they map to Capture

Design elementWhat the data looks likeWhere it lives in Capture
ClusterWard, clinic, school, practice or villageA site with its own participant numbering and by-site filtering
SequenceOrder of switchover assigned to the clusterA site-level form field set once from the statistician's allocation list
PeriodCalendar block in which an observation is madeA period field on each record; study visits or epochs, tested in the sandbox
Exposure statusControl or intervention at the time of observationA required field or derived from the switch date; edit check if inconsistent
Switch dateActual date the cluster crossed overSite form with an audit trail, compared with the scheduled date
Participant outcomesClinical measures, events or questionnaireseCRFs and ePRO on the participant's phone, linked to site and period
Implementation fidelityTraining done, intervention delivered as plannedRepeating site form per period
ConsentIndividual consent, cluster-level waiver or opt-outeConsent where individuals consent; record the waiver approval otherwise

Capture does not generate the stepped-wedge sequence or perform the analysis.

Model your steps before the first cluster switches

Create your clusters as sites, add a period summary form and an exposure check, and enter demo data across the steps. Free sandbox, no credit card.

Build your stepped-wedge study free

Data quality

Catch period and exposure errors at entry

A wrong period or exposure label is hard to find later. Use edit checks to flag impossible combinations as the data is entered, for example a record dated before the cluster's switch date but labelled as exposed. Each flagged entry becomes an auto-query for the site, and every correction keeps its reason in the audit trail.

  • Range and custom-value rules raise queries automatically.
  • Calculated fields such as days late show read-only.
  • The audit trail records who changed a period or exposure value and why.
Edit checks software for clinical trials
Vital signs · Systolic blood pressure

Edit checks / auto-queries

2
Auto-query

Type

Range High

Operator

Greater than

Value

180

Priority: High

Auto-query

Type

Range Low

Operator

Less than

Value

80

Priority: Normal

Query raised automatically

Value 192 violates limit (180). Please verify.

Design choices

Closed cohort, continuous recruitment or cross-sectional?

In a closed cohort, the same participants are followed across periods, so each person needs a stable identifier and follow-up visits; Capture's visit schedule and ePRO tasks fit this well. With continuous recruitment, new participants enter throughout and each contributes to the period they enrolled in, so enrolment date and period assignment are critical and site-level numbering keeps clusters distinct. With cross-sectional sampling, different people are sampled in each period, often with a short survey or record extract and sometimes with no individual identifiers at all; here a lightweight form per record, rather than a full visit schedule, may be enough.

Decide which you are running before building forms, because it determines the number of forms, the identifiers, and what the consent covers. Write the choice in your data management plan; the data management plan template is a starting point. If the unit is a hospital or clinic network, multi-site clinical trial management covers site set-up.

Build sequence

From stepped-wedge protocol to a running study

  1. 1

    Fix the vocabulary

    Clusters, sequences, steps, periods and exposure, defined once and used on every form.

  2. 2

    Create clusters as sites

    Give each its own numbering, and record its sequence from the statistician's allocation list.

  3. 3

    Draft the forms

    Upload the protocol (PDF, DOCX or DOC) and let the AI study builder propose forms. Nothing is saved until a person reviews it.

  4. 4

    Add the period and exposure checks

    A period summary form and edit checks that flag inconsistent exposure labels.

  5. 5

    Test across the steps

    Enter demo data before and after a switch and confirm the export has cluster, period and exposure columns.

  6. 6

    Approve and go live

    Approved forms lock for live use. Real participants start the paid live phase.

Before first step

Stepped-wedge readiness checklist

Allocation list

Sequence for each cluster supplied by the statistician and stored before the first switch.

Period definition

Calendar boundaries and step lengths written once.

Data collection type

Closed cohort, continuous recruitment or cross-sectional, with matching consent.

Switch-date process

Who records the actual switch date, and how late switches are handled.

Transition periods

Whether outcomes in implementation periods are excluded or flagged.

Export tested

CSV or Excel with the data dictionary opened in the statistics package, with cluster, period and exposure columns present.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

Can Capture randomise a stepped-wedge sequence?

Your statistician produces the allocation order and Capture stores it against each cluster. This page does not claim an automatic stepped-wedge randomiser; for random lists see the randomisation pages and test your design in the sandbox.

How do I record the date a cluster switched?

Use a site-level form with the scheduled and actual switch dates. Every change is kept in the field-level audit trail with the reason, and a calculated field can show days late.

Is this the same as a cluster-randomised trial page?

No. The cluster-randomised page covers parallel designs where clusters stay in one arm. This page covers the extra data needs of stepped-wedge designs: sequences, periods, exposure status and switch dates.

Does Capture do the sample size or analysis?

No. It supplies the structured dataset with cluster, period and exposure for your statistician. Stepped-wedge sample size needs methods beyond the free parallel-cluster calculator.

Can I use it for a closed cohort and a cross-sectional design?

Yes for both as data capture: cohorts use visit schedules and ePRO tasks, cross-sectional designs can use a light form per record. Consent and identifiers differ, so settle them with your ethics committee.

Is it suitable for a PhD or a pragmatic health-service trial?

Yes. The free sandbox has every feature and you pay only once you go live. Check data hosting with your ethics office; Capture hosts in the EU (Frankfurt) and the USA (N. Virginia).

How much does it cost?

The sandbox is free with every feature, no credit card and no time limit. You pay only once you go live with real participants; see the pricing page.

Start your stepped-wedge study free

Free sandbox with every feature. No credit card, and you pay only when you go live.

Build your stepped-wedge study free