So sánh phương pháp

	Thử nghiệm lâm sàng thực dụng	Thử nghiệm ngẫu nhiên theo cụm
Lĩnh vực	Nghiên cứu lâm sàng	Nghiên cứu lâm sàng
Họ	Process / pipeline	Process / pipeline
Năm ra đời	2009-2015	1999-2000
Người khởi xướng	Thorpe et al. (2009); PRECIS framework developed by international consortia	Campbell, Grimshaw, Elbourne et al.
Loại	Research Design	Research Design
Công trình gốc	Thorpe, K. E., Zwarenstein, M., Oxman, A. D., Treweek, S., Furberg, C. D., Altman, D. G., ... & Tugwell, P. (2009). A pragmatic-explanatory continuum indicator summary (PRECIS): a tool to help trial designers. CMAJ, 180(10), E47–E57.	Campbell, M. K., Grimshaw, J. M., & Elbourne, D. R. (2000). Intracluster correlation coefficients in cluster randomized trials: empirical insights into how should they be reported. BMC Medical Research Methodology, 4, 30.
Tên gọi khác	pragmatic trial, real-world trial, effectiveness trial, PRECIS-2	CRT, cluster RCT, cluster trial, group randomization
Liên quan	4	3
Tóm tắt	A pragmatic trial is designed to evaluate the real-world effectiveness of an intervention in typical clinical settings with diverse, representative patients, minimal exclusion criteria, and clinically relevant outcomes. Developed by Thorpe and colleagues (2009) and formalized via the PRECIS-2 framework (2015), pragmatic trials bridge the gap between explanatory efficacy trials (conducted in controlled research settings) and implementation science, answering the question 'Does this work in actual clinical practice?' rather than 'Can this work under ideal conditions?'	A cluster randomized trial (CRT) randomizes intact groups—schools, clinics, villages, or hospital wards—rather than individuals. Developed by Campbell, Grimshaw, and colleagues in the late 1990s to address real-world settings where intervention delivery or contamination occurs at the group level, CRTs are now standard for evaluating population-level, community-based, and policy interventions.