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起源年份1967 (pragmatic trial concept); multi-arm extensions 1990s–2000s1967
提出者Schwartz & Lellouch (pragmatic framing); extended to multi-arm settings in clinical and health services researchDaniel Schwartz and Joseph Lellouch
类型Experimental designExperimental design — pragmatic trial
开创性文献Thorpe, K. E., Zwarenstein, M., Oxman, A. D., Treweek, S., Furberg, C. D., Altman, D. G., ... & Chalkidou, K. (2009). A pragmatic-explanatory continuum indicator summary (PRECIS): a tool to help trial designers. Journal of Clinical Epidemiology, 62(5), 464-475. DOI ↗Schwartz, D., & Lellouch, J. (1967). Explanatory and pragmatic attitudes in therapeutical trials. Journal of Chronic Diseases, 20(8), 637–648. DOI ↗
别名pragmatic multi-arm trial, multi-arm pragmatic RCT, pragmatic multi-treatment experiment, PMATpRCT, pragmatic trial, practical clinical trial, real-world RCT
相关64
摘要A pragmatic multi-arm experiment is an experimental design that simultaneously compares three or more interventions (arms) under real-world conditions rather than tightly controlled laboratory settings. It combines the broad eligibility, flexible delivery, and effectiveness orientation of pragmatic trials with the statistical efficiency of multi-arm structures, allowing researchers to evaluate multiple treatments or treatment variants against each other or a control within a single study, minimizing the resources and time required relative to running separate pairwise trials.A pragmatic randomized controlled trial (pRCT) tests whether an intervention works under ordinary, real-world conditions — broad eligibility, flexible delivery, and routine care settings. Participants are still randomly assigned to treatment or control, preserving causal inference, but the study is designed to reflect the diversity and variability of actual practice rather than the ideal conditions of an explanatory trial. The defining framework is the PRECIS-2 tool, which maps any RCT along nine pragmatic-to-explanatory dimensions.
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ScholarGate方法对比: Pragmatic Multi-Arm Experiment · Pragmatic Randomized Controlled Trial. 于 2026-06-19 检索自 https://scholargate.app/zh/compare