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In practice, especially if the sample design involves clustering, we can expect the generalized design effect...

In practice, especially if the sample design involves clustering, we can expect the generalized design effect to be smaller than 1, so failing to make the adjustment could lead to erroneous inferences, typically in which you fail to identify an effect that is truly present.

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Note-if there is any understanding problem regarding this please feel free to ask via comment box...thank you

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