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More recently, the National Institute on Aging (NIA) and other stakeholders have sought to stimulate PCTs focused specifically on non-pharmacological dementia interventions, recognizing that few efficacious dementia interventions have been replicated. Since 2012, the National Institutes of Health (NIH) Common Fund has been strengthening national capacity to conduct PCTs in healthcare systems through its Health Care System Collaboratory, which captures and publishes best practices from more than a dozen NIH-funded PCTs. Because they can be undertaken relatively quickly and result in highly-generalizable findings, PCTs are gaining favor among interventionists and funding agencies.
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Pragmatic randomized, controlled trials (PCTs), which test effectiveness under real-world conditions, may help to address the need to accelerate the adoption of evidence-based interventions.
#RAPT MEANING HOW TO#
Scoring efficacious interventions using RAPT can inform research team discussions regarding whether or not to advance an intervention to effectiveness testing using a PCT and how to design that PCT. RAPT is the first model to help interventionists and funders assess the extent to which interventions are ready for PCTs. In this report, we provide assessment guidelines and examples of scored interventions. Individuals evaluating an intervention are asked to qualitatively assess each domain from low to high readiness. Domains reflect a range of considerations regarding the feasibility of successfully employing PCT methods and the prospect of an intervention’s widespread adoption, if proven effective. RAPT includes nine domains: implementation protocol, evidence, risk, feasibility, measurement, cost, acceptability, alignment, and impact. The Readiness Assessment for Pragmatic Trials (RAPT) model enables interventionists to assess an intervention’s readiness for PCTs. All workshop participants had an opportunity to review and comment on the resulting model three piloted it with their own interventions. Several other experts also provided input. Based on this discussion, we created a model with multiple domains, qualitative scoring guidelines for each domain, and a graphical summary of readiness assessments. We convened 30 interventionists and healthcare leaders to identify criteria to assess the readiness of non-pharmacological interventions for PCTs. PCTs could accelerate effectiveness testing and adoption, yet there are no established criteria to identify interventions ready for testing in a PCT. While many such non-pharmacological interventions have proven efficacious in small trials, most have not been widely adopted.
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Particular attention is being paid to non-pharmacological interventions, which are often complex and may be difficult to uniformly implement across multiple sites. Because PCT findings are generalizable, this approach is gaining momentum among interventionists and funding agencies seeking to accelerate the testing and adoption of evidence-based strategies to improve care and outcomes. We've arranged the synonyms in length order so that they are easier to find.Pragmatic randomized, controlled trials (PCTs) test the effectiveness of interventions implemented in routine clinical practice. Synonyms, crossword answers and other related words for RAPTWe hope that the following list of synonyms for the word rapt will help you to finish your crossword today.