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.