A health system evaluates whether a text message reminder program reduces missed insulin follow-up visits among adults with type 2 diabetes (mean age 58 years). The intervention is embedded into routine clinic workflow with broad eligibility criteria, minimal protocol-driven study visits, and uses usual clinic staff. Baseline HbA1c averages 8.2%. The program shows no significant effect on medication adherence rates. No additional safety monitoring beyond standard care is required. Which type of clinical trial design is being conducted?
- A)Nested case control study
- B)Equivalence trial
- C)Case crossover study
- D)Explanatory efficacy trial
- E)Pragmatic trialGABARITO
Explicação
Pragmatic trials evaluate how an intervention performs under real world clinical conditions. Broad eligibility, usual care delivery, and routine workflow integration all indicate a pragmatic design. These trials prioritize external validity and implementation ... Ver explicação completa e trilha adaptativa →