Decomposing variables into between and within components are often required in multilevel analysis. This method of decomposition should not ignore possible unreliability of an observed group mean (i.e., arithmetic mean) that is due to small cluster sizes and can lead to substantially biased estimates. Adjustment procedures that allow unbiased…

We investigated methods of including covariates in two-level models for cluster randomized trials to increase power to detect the treatment effect. We compared multilevel models that included either an observed cluster mean or a latent cluster mean as a covariate, as well as the effect of including Level 1 deviation scores in the model. A Monte…