We seek promising interventions that need to be proven effective. Moving along a continuum similar to the NIH’s Stage Model for Behavioral Intervention Development, we obtain grant funding for effectiveness testing.
“Pragmatic trials” – which involve providers implementing interventions, often as quality improvement interventions – are our gold standard, enabling us to test interventions under the real-world conditions and constraints in which providers operate.
We developed a model, the Readiness Assessment Model for Pragmatic Trials (RAPT), for use when discussing whether or not an intervention is ready for a pragmatic trial and, if so, how to design it. When conducting such a trial, we systematically capture data to understand the factors associated with providers’ ability to implement an intervention, continually refining our strategies based on what we learn.