Manuel B. Garcia

Manuel B. Garcia serves as the Senior Director for Educational Technology and Digital Learning at FEU Institute of Technology, Manila, Philippines. Read More

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Should You Preregister Participant Inclusion and Exclusion Criteria?

Preregistering inclusion and exclusion criteria helps establish who is eligible for a study and which observations will contribute to its analyses. Learn how to write operational criteria, distinguish eligibility from data-quality exclusions, and manage necessary amendments without introducing avoidable bias.

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01 · The Question

Should Participant Eligibility Be Decided Before Recruitment Begins?

You plan to investigate the effectiveness of a digital learning intervention among university students. You know the population you want to study, but several questions remain unresolved. Should students with prior experience using the intervention be eligible? Should participants who miss several sessions be excluded? What happens if someone completes the baseline assessment but not the posttest?

These decisions can influence the composition of the sample and, potentially, the study's conclusions. When researchers establish or modify eligibility rules after observing participant characteristics or outcomes, it may become difficult to distinguish legitimate methodological decisions from selective exclusion.

Preregistration offers a way to document the intended rules before relevant results are available. The challenge is determining which criteria belong in the original plan, how precisely they should be defined, and what flexibility remains when unforeseen circumstances arise.

02 · The Short Answer

Yes, Prespecify Eligibility and Consequential Exclusion Rules

In Brief

You should generally preregister participant inclusion and exclusion criteria before recruitment or before accessing relevant participant-level data. Specify who is eligible, how eligibility will be assessed, when the criteria will be applied, and which conditions may lead to exclusion from particular analyses.

Eligibility criteria and post-enrollment analysis exclusions serve different purposes and should be distinguished. Criteria may require justified amendments, but changes should be documented with their timing, rationale, and possible implications for selection bias, generalizability, and statistical inference.

03 · What You Need to Know

How to Preregister Inclusion and Exclusion Criteria Properly

What Is the Difference Between Inclusion and Exclusion Criteria?

Inclusion criteria define the characteristics required for a person or observational unit to participate in a study. Exclusion criteria identify conditions that disqualify an otherwise potentially eligible person or unit.

For example, a study of first-year university students might require current enrollment in a specified course. It might exclude students who previously completed that course if prior exposure would compromise the intended comparison.

Both types of criteria contribute to defining the target study population. Their purpose is not simply to produce a convenient sample. They should reflect the research question, design, participant protection requirements, and relevant practical constraints.

Inclusion criterion A condition that must be satisfied for participation or entry into the eligible study population.
Exclusion criterion A condition that disqualifies a potentially eligible participant or observational unit.

The terminology is sometimes used differently across disciplines. What matters most is that the operational rules are unambiguous and their application can be reconstructed.

Why Should Eligibility Criteria Be Prespecified?

Eligibility criteria influence who enters the study, which characteristics are represented, and the population to which findings may reasonably apply.

For example, excluding participants with limited prior technology experience may make an educational intervention easier to administer. However, it may also restrict the relevance of the findings to students who are already comfortable with digital tools.

Prespecification makes these restrictions visible before the results are known. It also helps researchers avoid changing the sample composition in response to observed findings.

There are several methodological benefits:

  • Recruitment personnel can apply consistent screening procedures.
  • Eligibility decisions can be checked against documented criteria.
  • Researchers can explain how the final sample relates to the intended population.
  • Readers can distinguish planned restrictions from later exclusions.
  • Analysts can assess whether departures may have introduced selection bias.

Prespecification does not guarantee representativeness. A consistently applied eligibility rule can still produce an unnecessarily restricted or systematically unrepresentative sample.

What Information Should Each Criterion Include?

A useful criterion should identify the relevant characteristic, the operational definition, the method of assessment, and the stage at which it will be applied.

Consider the statement, "Participants must have sufficient digital literacy." It leaves unanswered what counts as sufficient, how literacy will be assessed, and who will make that judgment.

A more reproducible specification might require completion of a particular digital-skills screening assessment using a predefined threshold, provided the threshold is justified and the instrument is suitable for the population.

Element Question to resolve Example
Characteristic What determines eligibility? Enrollment in a designated course.
Operational definition What exactly satisfies the criterion? Official enrollment on the screening date.
Verification How will the criterion be assessed? Institutional enrollment record, with authorized access.
Timing When is eligibility determined? Before random assignment.
Responsibility Who applies the rule? A trained recruitment team member.
Exceptions Are any exceptions permitted? Only those explicitly justified and approved under the protocol.

Not every criterion requires a complicated verification procedure. Self-report may be appropriate for some characteristics. The chosen method should be proportionate to the consequences of an incorrect eligibility decision.

Should Inclusion Criteria Be as Broad as Possible?

Not necessarily. Broad eligibility may improve the relevance of findings to a wider population, but some restrictions are essential for scientific validity, feasibility, or participant safety.

A study of a specialized instructional intervention may reasonably require participants to have completed a prerequisite course. A clinical intervention may require particular diagnostic or safety-related conditions.

The central issue is justification. Each restriction should have a defensible relationship to the research objective or study procedures.

Unnecessary restrictions can reduce external validity and limit the diversity of participants represented in the evidence. Conversely, removing scientifically necessary restrictions may introduce substantial heterogeneity or compromise the intended comparison.

Researchers should therefore evaluate the trade-off between a clearly defined study population and the broader applicability of the findings.

Are Eligibility Exclusions the Same as Data Exclusions?

No. This distinction is particularly important when preparing a preregistration.

Eligibility criteria determine whether a person or unit qualifies for participation. Data exclusion rules determine whether information from an enrolled participant or collected observation will contribute to a particular analysis.

Type of decision Typical timing Example
Eligibility screening Before enrollment or assignment. Excluding someone who is not enrolled in the target course.
Post-enrollment protocol deviation During study implementation. A participant receives the wrong instructional condition.
Analysis exclusion During data preparation or analysis. Removing a verified duplicate record under a prespecified rule.
Missing outcome data Identified during follow-up or analysis. A participant does not complete the posttest.

These situations should not automatically receive the same treatment. In particular, a protocol deviation or missing outcome does not necessarily justify removing a participant from every analysis.

The separate question of preregistering data exclusion rules concerns how collected observations will be retained, corrected, or excluded during analysis.

Should Participants Be Excluded for Noncompliance or Incomplete Participation?

That depends on the study design and the estimand, meaning the precise effect or quantity the analysis is intended to estimate.

In a randomized trial, excluding participants after assignment because they did not follow the intervention can undermine the comparability created by randomization. Such exclusions may introduce bias when adherence is related to participant characteristics or outcomes.

An intention-to-treat approach generally seeks to analyze participants according to their assigned groups, although its precise implementation and the handling of missing outcomes require further specification.

Per-protocol or adherence-based analyses may answer different questions, but they require careful definition and appropriate methods. They should not automatically replace the primary randomized comparison.

In other research designs, minimum participation or exposure requirements may be appropriate. Researchers should explain why those thresholds are scientifically meaningful rather than choosing them after observing the outcomes.

Watch Out

Excluding participants because their outcomes are inconvenient, unexpected, or inconsistent with the hypothesis can distort the evidence. Even apparently objective post-enrollment exclusions may introduce bias if the reasons for exclusion are related to treatment assignment or outcomes.

How Should You Handle Participants Who Withdraw or Have Missing Data?

Withdrawal, loss to follow-up, and missing observations should not be treated as interchangeable with initial ineligibility.

A participant may have satisfied every inclusion criterion but later withdraw from the intervention. Another may remain enrolled yet fail to complete a particular assessment.

The preregistration should distinguish continued participation, permission to use previously collected information, and the statistical treatment of missing measurements. Applicable consent terms, ethics approvals, and data-protection requirements may constrain what information can be retained or analyzed.

Statistical handling should be planned according to the design and plausible missing-data mechanisms. Complete-case analysis, multiple imputation, and likelihood-based methods involve different assumptions and are not universally interchangeable.

Where possible, specify how missingness will be described and which sensitivity analyses will assess the robustness of conclusions.

Can Eligibility Criteria Be Changed After Recruitment Begins?

Yes, when justified, but changes deserve careful evaluation because they may alter the recruited population or introduce differences between earlier and later participants.

Suppose a recruitment criterion proves unnecessarily restrictive. Researchers may consider broadening it to improve recruitment or external validity. Before doing so, they should assess whether the change affects the research question, study design, or comparability of participants.

Document the original criterion, revised rule, reason for the change, date of implementation, and number or characteristics of participants potentially affected, where appropriate and permissible.

Changes involving participant protection or approved recruitment procedures may require ethics or governance approval before implementation.

Importantly, the principles for amending preregistered decisions require preservation of the original record rather than retrospective replacement of the original eligibility rules.

How Do Eligibility Criteria Affect Generalizability?

Eligibility rules determine the boundaries of the population directly represented by the study. Their implications for generalizability depend on how participants are selected within those boundaries and how the sample compares with the population of interest.

For example, findings from students who have reliable home internet access may not readily generalize to students experiencing unstable connectivity.

This limitation does not automatically invalidate the study. It does mean that conclusions should be framed consistently with the recruited population and the assumptions required for broader application.

When planning criteria, consider whether excluding particular groups is scientifically necessary and whether the resulting population remains aligned with the intended use of the findings.

What About Secondary Data and Existing Datasets?

Preregistration can also be useful when researchers analyze previously collected data. In such studies, eligibility criteria may determine which records, institutions, time periods, or observations enter the analytic sample.

For example, a researcher using institutional learning analytics data might specify that records must correspond to students enrolled during a defined academic period and contain a valid course identifier.

However, researchers should disclose what they already know about the dataset. If they have inspected outcome patterns before defining inclusion criteria, the resulting plan cannot be treated as fully prospective with respect to those outcomes.

Prespecification is still valuable for documenting subsequent decisions, but its evidential interpretation must reflect prior data access.

04 · A Practical Example

Defining Eligibility for a Study of Online Learning Support

Hypothetical Example

A Randomized Study of Digital Academic Support

A university research team plans to evaluate whether a structured online academic support program improves achievement in an introductory statistics course. The intervention will run for six weeks, with students randomly assigned to the support program or a comparison condition.

The team initially proposes recruiting "students who regularly attend classes and are willing to participate." This wording creates ambiguity because regular attendance is undefined and willingness alone does not establish academic eligibility.

Define the eligible population

Participants must be enrolled in one of the designated introductory statistics course sections during the study period and provide valid informed consent before random assignment.

Identify justified exclusions

Students who previously completed the same course using substantially equivalent instructional content will be excluded if prior completion would compromise the intended comparison. This restriction and its rationale will be documented before recruitment.

Specify the screening procedure

Authorized recruitment personnel will verify enrollment and prior course completion using approved institutional records. Eligibility decisions will be recorded before randomization.

Separate eligibility from adherence

Students who miss intervention sessions after randomization will not automatically become ineligible. The primary analysis will follow the prespecified assignment-based approach, while any adherence-focused analysis will be separately defined.

Plan for missing assessments

Students who do not complete the posttest will be recorded as having missing outcome data rather than retrospectively classified as ineligible. The team will apply its prespecified missing-data strategy, subject to consent and data-use requirements.

Report participant flow

The final report will distinguish students screened, found eligible, enrolled, randomized, followed up, and included in each analysis, with reasons for exclusions or missing data where available.

The resulting protocol allows recruitment personnel and analysts to apply consistent rules. It also prevents the researchers from redefining eligibility simply because some participants show unexpectedly low achievement or limited engagement.

The example does not imply that previous course completion must always be an exclusion criterion. Its appropriateness would depend on the intervention, intended population, and scientific rationale.

05 · What Researchers Often Get Wrong

Common Mistakes When Defining Participant Eligibility

Misconception

Eligibility Criteria Can Be Finalized After Recruitment

Defining criteria retrospectively may allow observed participant characteristics or outcomes to influence who is included. Criteria should ordinarily be established before screening and documented prospectively when possible.

Misconception

More Restrictive Criteria Always Improve Research Quality

Restrictions may reduce unwanted heterogeneity, but unnecessary exclusions can limit generalizability, reduce recruitment feasibility, and exclude populations relevant to the research question.

Misconception

Participants Who Do Not Complete the Intervention Must Be Excluded

Nonadherence does not automatically justify exclusion from the primary analysis. In randomized studies, post-assignment exclusions can undermine the intended comparison and require careful methodological justification.

Misconception

Missing Data Mean a Participant Was Ineligible

Eligibility and missingness concern different stages of research. A participant may be eligible and enrolled while having incomplete outcome information. Missing-data procedures should address that situation directly.

Misconception

Objective-Sounding Criteria Are Automatically Reproducible

Terms such as adequate attendance, sufficient experience, or poor-quality responses can remain subjective unless thresholds, assessment methods, and decision procedures are clearly defined.

Misconception

Preregistration Prevents All Selection Bias

Preregistering a criterion makes the decision transparent but does not establish that it is unbiased. Selection bias may arise from recruitment, participation, attrition, or conditioning on variables related to exposure and outcomes.

06 · What This Means for You

How to Choose and Apply Defensible Eligibility Criteria

Begin by defining the population needed to answer the research question. Then evaluate each proposed criterion according to its scientific purpose, operational clarity, and potential effect on representativeness.

A useful criterion should not exist merely because it makes recruitment or analysis more convenient. It should help define the intended population, protect participants, or address a genuine design requirement.

A simple decision framework

If a characteristic is essential to the research question
Define it as an inclusion criterion with a reproducible screening procedure.
If a characteristic creates a genuine safety or methodological concern
Consider a justified exclusion criterion and document how it will be assessed.
If a criterion primarily makes the sample more convenient or homogeneous
Reconsider whether the restriction is necessary and evaluate its implications for generalizability.
If a participant becomes nonadherent or has missing data after enrollment
Apply the prespecified analysis-population and missing-data rules rather than automatically redefining eligibility.
If an eligibility rule must change during recruitment
Document the amendment, assess selection implications, and obtain required approvals before implementation.

Eligibility criteria should also align with the study's primary outcome and intended analysis population. For example, requiring participants to possess a particular level of baseline proficiency may substantially change the interpretation of an intervention's effect.

Finally, coordinate eligibility planning with sample-size and recruitment stopping rules. Restrictive criteria can affect recruitment rates, the number of eligible participants, and the precision of the resulting estimates.

07 · A Quick Checklist

Before Preregistering Participant Eligibility Rules

Before recruitment begins, check:
Define the target population and the units eligible for participation.
Specify every necessary inclusion criterion using operational definitions.
Justify each exclusion criterion in relation to the research question, design, or participant protection.
Identify how and when eligibility will be assessed and who will make the decision.
Distinguish initial eligibility criteria from post-enrollment analysis exclusions.
Specify how nonadherence, withdrawals, and missing outcome data will be handled.
Assess whether restrictions unnecessarily exclude relevant participant groups.
Confirm consistency with the planned analysis population and sample-size justification.
Check applicable ethics and governance requirements for recruitment and eligibility amendments.
Plan to report participant screening, enrollment, exclusions, and analysis populations transparently.
08 · Frequently Asked Questions

Frequently Asked Questions About Preregistering Eligibility Criteria

Is it mandatory to preregister inclusion and exclusion criteria?

Requirements vary by study type, registry, journal, and regulatory context. Nevertheless, prospective specification is generally good practice because it makes participant selection transparent and reduces ambiguity about subsequent exclusions.

Can I add an exclusion criterion after recruitment has started?

Yes, when scientifically or ethically justified, but the change should be documented with its timing, rationale, and effects on recruitment or analysis. Relevant ethics or governance approval may be required.

Should participants who fail to complete all assessments be excluded?

Not automatically. Missing assessments should be handled according to the study's analysis plan and relevant missing-data assumptions. Excluding incomplete cases without justification can introduce bias and reduce precision.

Can attendance be an inclusion or exclusion criterion?

Yes, if attendance is substantively relevant and the threshold is justified. Distinguish attendance requirements assessed before enrollment from attendance or adherence measured after assignment, since these can have different implications for inference.

Do I need to specify the exact age range of participants?

If age determines eligibility, define the relevant range and how age will be established. The chosen limits should be justified by the research objective, population, or applicable ethical and legal requirements rather than adopted arbitrarily.

Can I exclude outliers through participant exclusion criteria?

Statistical outlier handling is generally an analysis-stage data decision rather than an initial participant eligibility criterion. Specify objective data-quality and outlier procedures separately, including whether unusual but valid observations will be retained.

Should eligibility criteria be the same across multiple research sites?

Core criteria should ordinarily be consistent when sites are intended to recruit from the same defined population. Any justified site-specific differences should be documented because they may affect comparability and generalizability.

What if my preregistered criteria make recruitment too difficult?

Reassess whether the restrictions are scientifically necessary. If revision is justified, document the amendment and evaluate its implications for the target population, study design, and sample-size plan. Obtain any required approvals before applying revised recruitment procedures.

09 · The Bottom Line

Define Eligibility Before Participant Selection Can Influence the Results

The Bottom Line

Preregister inclusion and exclusion criteria whenever they determine who enters the study or which observations contribute to its principal analyses. Define the rules operationally, justify their purpose, and distinguish initial eligibility from post-enrollment exclusions.

The strongest criteria are scientifically defensible and consistently applied, not merely restrictive. When changes become necessary, preserve the original specification and explain how the revisions may affect selection, generalizability, and interpretation.

10 · Sources and Further Reading

Authoritative Resources on Eligibility Criteria and Participant Selection

11 · Cite this Guide

How to Cite This Guide

This guide is intended to be read, shared, and used in research, teaching, and academic work. If you draw on its ideas, explanations, or other content, please acknowledge the source by citing the guide. Doing so gives appropriate credit and helps your readers locate the original resource.

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