Clinical Trials
Leadership Program
About
Featured Module
Featured Module · Module 1–1Week of Oct 6, 2026

Explanatory and Pragmatic Trials

An introduction to the choices that place a trial along the explanatory–pragmatic continuum.

Primary ContentModule 1–1
ThemeIntent & QuestionFormatVideo moduleDuration10 minutes

Explore how trial intent influences design decisions and where a study sits on the explanatory–pragmatic continuum. The module introduces PRECIS-2 and considers how choices about participants, settings, delivery, follow-up, and outcomes affect both internal validity and real-world relevance.

Key ideas

  • How a trial's purpose shapes its design choices
  • The distinction between efficacy and effectiveness questions
  • How eligibility, setting, delivery, follow-up, and outcomes affect applicability
  • How PRECIS-2 supports deliberate, fit-for-purpose trial design
Watch the Module 1–1 video on YouTube ↗
Optional Content
01
Recommended Reading · 11 Pages

The PRECIS-2 tool: designing trials that are fit for purpose

Loudon and colleagues describe the nine PRECIS-2 domains and a practical scoring approach for aligning trial design with its intended purpose. The paper offers a useful framework for discussing how pragmatic or explanatory each design choice should be.

Read the PRECIS-2 paper ↗
Keep Exploring

Looking for an earlier module?

Browse archived modules →
Clinical Trials Leadership ProgramWestern University · London, Ontario
trialservices@uwo.ca