Inference in Cluster Randomized Trials with Matched Pairs

This paper considers the problem of inference in cluster randomized trials where treatment status is determined according to a "matched pairs" design. Here, by a cluster randomized experiment, we mean one in which treatment is assigned at the level of the cluster; by a "matched pairs" design we mean that a sample of clusters is paired according to baseline, cluster-level covariates and, within each pair, one cluster is selected at random for treatment. We study the large sample behavior of a weighted difference-in-means estimator and derive two distinct sets of results depending on if the matching procedure does or does not match on cluster size. We then propose a variance estimator which is consistent in either case. We also study the behavior of a randomization test which permutes the treatment status for clusters within pairs, and establish its finite sample and asymptotic validity for testing specific null hypotheses.