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Maria E. Suarez-Almazor, MD, PhD and Barry R. Davis, MD, PhD

In this course, experts will discuss the options a researcher must consider when embarking on clinical research. What research design should I choose? How do I start the process of getting my research approved? How will I analyze the data I collect? These are all important questions that a researcher faces.

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In this course, experts will discuss the options a researcher must consider when embarking on clinical research. What research design should I choose? How do I start the process of getting my research approved? How will I analyze the data I collect? These are all important questions that a researcher faces.

We will discuss the key decisions a researcher needs to make when preparing for and conducting research, as well as tools for data analysis. You will learn what a pragmatic clinical trial is and how to calculate power and sample size for your study. You will also be exposed to more complex study designs sometimes used in pragmatic clinical trials, such as Bayesian and adaptive designs.

This course includes the following 11 lectures:

  1. Overview of Design Options for Pragmatic Clinical Trials
  2. Outcome Measures in Clinical Trials
  3. Non-inferiority Trials
  4. Basic Analytic Methods
  5. Basic Power and Sample Size Calculations
  6. SMART: Adaptive Treatment Strategies
  7. Introduction to Bayesian Methods
  8. Bayesian Designs
  9. Quasi-Experiment in Health Services Research
  10. Adaptive Trial Design
  11. Logistics of Clinical Trials

This course is intended for anyone interested in comparative effectiveness research (CER) and patient-centered outcomes research (PCOR) methods.

This course is supported by grant number R25HS023214 from the Agency for Healthcare Research and Quality.

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What's inside

Learning objectives

  • Describepragmatic clinical trial designs
  • Identify and classify clinical trial designs
  • Describe the statistical methods used to analyze pragmatic clinical trial data

Syllabus

Overview of Design Options for Pragmatic Clinical Trials
Types of trial designs including randomized clinical trials
Sources of errors that could lead to erroneous trial results
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Outcome Measures in Clinical Trials
Measuring health status and disease
Characteristics of a good outcome measure
Types of outcome measures in clinical trials
Non-inferiority Trials
Non-inferiority trial designs and how they differ from other designs
Interpretation and reporting of results
Basic Analytic Methods
Matching research questions with statistical analysis methods
Interpreting results
Distinguishing intent to treat from per protocol analyses
Problems with missing data
Basic Power and Sample Size Calculations
Relevant issues to estimate sample size in clinical trials
Interpreting study power
Calculating sample size using online calculators
SMART: Adaptive Treatment Strategies
Research questions which can benefit from an adaptive design
Analytic methods for adaptive designs
Interpreting results of adaptive designs
Introduction to Bayesian Methods
Statistical inference
Comparison of frequentist and Bayesian approaches and inference
Bayesian Designs
Bayesian method and adaptive design introduction
Adaptive randomization and predictive probability
Bayesian design trial interpretation
Software tools for conducting Bayesian designs
Quasi-Experiment in Health Services Research
Need for quasi-experiments and their limitations
Difference-in-Differences (DID) estimators and models
Adaptive Trial Design
Limitations of randomized traditional trials
Common adaptive approaches and their challenges
Covariate and outcome adaptive randomization
Logistics of Clinical Trials
Assessing impact, feasibility and funding
Scientific review process
Study initiation, continuing review and audits
Working with sponsors

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Develops skills and methodologies for the design and execution of pragmatic clinical trials, which are relevant in both industry and academia
Taught by leading experts with a strong reputation in clinical trial design
Offers certification upon completion, attesting to participants' knowledge and skills in pragmatic clinical trial methodology
Provides hands-on examples and case studies to reinforce learning and demonstrate practical applications of the taught principles
Covers a comprehensive range of topics essential for pragmatic clinical trial design, including outcome measures, non-inferiority trials, and adaptive designs

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Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in CERTaIN: Pragmatic Clinical Trials and Healthcare Delivery Evaluations with these activities:
Review 'Introduction to Clinical Trials' by Michael J. Campbell
Reviewing this book will provide a strong foundation for understanding the fundamentals of clinical trials, which will be essential for success in this course.
Show steps
  • Read the book
  • Take notes on key concepts
  • Summarize the main points of each chapter
Volunteer at a clinical research organization
Volunteering will give you hands-on experience in the clinical research process and allow you to contribute to important research studies.
Browse courses on Clinical Research
Show steps
  • Find a clinical research organization that is looking for volunteers
  • Apply to volunteer
  • Complete the required training
Discuss a clinical trial design with a peer
Discussing your ideas with a peer will help you to refine your thinking and identify any potential flaws in your design.
Browse courses on Clinical Trial Design
Show steps
  • Find a peer who is also taking this course
  • Schedule a time to meet
  • Discuss your clinical trial design
Six other activities
Expand to see all activities and additional details
Show all nine activities
Calculate sample size and power for a clinical trial
Practicing these calculations will ensure that you have a solid understanding of this essential aspect of clinical trial design.
Show steps
  • Find an online sample size calculator
  • Enter the relevant parameters
  • Interpret the results
Develop a data analysis plan for a clinical trial
Creating a data analysis plan will help you to ensure that your data is analyzed in a rigorous and systematic way.
Browse courses on Data Analysis
Show steps
  • Identify the research questions that you will be addressing
  • Choose the appropriate statistical methods
  • Develop a plan for data cleaning and management
Develop a research question for a pragmatic clinical trial
This activity will help you develop the critical thinking skills necessary to design and conduct a successful clinical trial.
Browse courses on Research Question
Show steps
  • Identify a clinical problem or issue
  • Formulate a specific, measurable, achievable, relevant, and time-bound question
  • Write a research proposal
Learn about Bayesian statistics for clinical trials
Bayesian statistics is becoming increasingly popular in clinical trials, and this tutorial will provide you with the basics of this powerful approach.
Browse courses on Bayesian Statistics
Show steps
  • Find a tutorial on Bayesian statistics
  • Follow the tutorial
  • Apply your new knowledge to a clinical trial design
Attend a workshop on clinical trial design
Attending a workshop will provide you with the opportunity to learn from experts in the field and network with other professionals.
Browse courses on Clinical Trial Design
Show steps
  • Find a workshop that is relevant to your interests
  • Register for the workshop
  • Attend the workshop
Contribute to an open-source clinical trial software project
Contributing to an open-source project will give you practical experience in clinical trial software development.
Browse courses on Open Source
Show steps
  • Find an open-source clinical trial software project
  • Identify an area where you can contribute
  • Make a contribution

Career center

Learners who complete CERTaIN: Pragmatic Clinical Trials and Healthcare Delivery Evaluations will develop knowledge and skills that may be useful to these careers:
Epidemiologist
Epidemiologists investigate the causes and patterns of disease in populations. They design and conduct studies to identify risk factors for disease, and they develop and evaluate public health interventions to prevent and control disease. This course can help epidemiologists gain a better understanding of pragmatic clinical trial design and data analysis. The course can help epidemiologists develop the skills they need to design and conduct pragmatic clinical trials and other population-based health research studies.
Statistician
Statisticians use statistical methods to analyze data and draw conclusions from it. They work in a variety of fields, including medicine, science, and business. This course can help Statisticians gain a better understanding of pragmatic clinical trial design and data analysis. The course can help Statisticians develop the skills they need to design and analyze pragmatic clinical trials and other research studies.
Biostatistician
Biostatisticians use statistical methods to design, analyze, and interpret data from clinical trials and other health research studies. They work with researchers to develop study designs, collect and analyze data, and draw conclusions from the results. This course can help biostatisticians gain a better understanding of pragmatic clinical trial design and data analysis. The course can help biostatisticians develop the skills they need to design and analyze pragmatic clinical trials and other health research studies.
Health Economist
Health economists use economic principles to analyze the costs and benefits of health care interventions. They work with policymakers and other stakeholders to develop and evaluate health care policies and programs. This course can help health economists gain a better understanding of pragmatic clinical trial design and data analysis. The course can help health economists develop the skills they need to design and analyze pragmatic clinical trials and other health economics studies.
Clinical Research Associate
Clinical Research Associates (CRAs) manage clinical trials, ensuring that they are conducted according to Good Clinical Practice (GCP) guidelines. They work with investigators, study coordinators, and other members of the research team to ensure that the trial is conducted safely and efficiently. This course can help CRAs gain a better understanding of pragmatic clinical trial design and data analysis. The course can help CRAs develop the skills they need to effectively manage clinical trials and ensure that the data collected is accurate and reliable.
Research Scientist
Research Scientists conduct research to develop new knowledge about the world around us. They work in a variety of fields, including medicine, science, and engineering. This course may be useful for Research Scientists who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help Research Scientists develop the skills they need to design and conduct pragmatic clinical trials and other research studies.
Medical Science Liaison
Medical Science Liaisons (MSLs) serve as a link between pharmaceutical companies and healthcare providers. They provide medical information about new and existing products, conduct clinical trials, and help develop educational programs for healthcare professionals. This course may be useful for MSLs who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help MSLs develop the skills they need to effectively communicate clinical trial results to healthcare providers and patients.
Physician Assistant
Physician Assistants (PAs) are licensed healthcare professionals who work under the supervision of physicians. They provide a variety of medical services, including diagnosing and treating illnesses, prescribing medications, and performing minor surgeries. This course may be useful for PAs who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help PAs develop the skills they need to evaluate the effectiveness and safety of treatments and to provide evidence-based care to patients.
Pharmacist
Pharmacists dispense medications and provide advice on their use. They also work with physicians and other healthcare professionals to develop and implement medication therapy plans for patients. This course may be useful for pharmacists who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help pharmacists develop the skills they need to evaluate the effectiveness and safety of medications and to counsel patients on their use.
Veterinarian
Veterinarians diagnose and treat diseases in animals. They also work with animal owners to develop and implement preventive care plans. This course may be useful for Veterinarians who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help Veterinarians develop the skills they need to design and conduct pragmatic clinical trials and other research studies to improve the health of animals.
Registered Nurse
Registered Nurses (RNs) provide a variety of nursing care to patients in hospitals, clinics, and other healthcare settings. They work with physicians and other healthcare professionals to develop and implement care plans for patients. This course may be useful for RNs who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help RNs develop the skills they need to evaluate the effectiveness and safety of nursing interventions and to provide evidence-based care to patients.
Medical Writer
Medical writers develop and write a variety of materials for the healthcare industry, including clinical trial protocols, patient education materials, and marketing materials. They work with medical experts to ensure that the information they produce is accurate and up-to-date. This course may be useful for medical writers who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help medical writers develop the skills they need to write clear and concise medical documents.
Teacher
Teachers plan and deliver instruction to students in a variety of settings, including schools, colleges, and universities. They work with students to develop their knowledge and skills in a variety of subjects. This course may be useful for Teachers who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help Teachers develop the skills they need to teach students about clinical research and to evaluate the effectiveness of teaching interventions.
Science Writer
Science Writers develop and write a variety of materials for the public, including articles, books, and website content. They work with scientists and other experts to ensure that the information they produce is accurate and up-to-date. This course may be useful for Science Writers who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help Science Writers develop the skills they need to write clear and concise science-based articles and other materials.
Technical Writer
Technical Writers develop and write a variety of technical documents, including user manuals, training materials, and marketing materials. They work with subject matter experts to ensure that the information they produce is accurate and up-to-date. This course may be useful for Technical Writers who want to gain a better understanding of pragmatic clinical trial design and data analysis. The course can help Technical Writers develop the skills they need to write clear and concise technical documents about clinical research.

Reading list

We've selected 11 books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in CERTaIN: Pragmatic Clinical Trials and Healthcare Delivery Evaluations.
Provides a practical guide to adaptive trial design, which flexible approach to clinical trial design that can be used to improve the efficiency and effectiveness of trials. It would be a valuable resource for anyone interested in learning more about this approach.
Provides a practical guide to statistical methods for health care research. It would be a valuable resource for anyone interested in learning more about how to use statistical methods to analyze data from health care studies.
Provides a comprehensive overview of the fundamentals of clinical trials, including their design, conduct, and analysis. It would be a valuable resource for anyone interested in learning more about this topic.
Provides a comprehensive overview of statistical analysis for clinical trials, including the different types of analyses, how to perform them, and how to interpret the results. It would be a valuable resource for anyone interested in learning more about this topic.
Provides a practical guide to applied logistic regression analysis, which powerful statistical method that can be used to analyze data from health care studies. It would be a valuable resource for anyone interested in learning more about this method.
Provides a detailed overview of Bayesian analysis, which powerful statistical method that can be used to analyze data from health care studies. It would be a valuable resource for anyone interested in learning more about this method.
Provides a practical guide to power and sample size for health care research. It would be a valuable resource for anyone interested in learning more about how to calculate the power and sample size for a health care study.
Provides a detailed overview of quasi-experimental designs, which are often used in health research. It would be a valuable resource for anyone interested in learning more about this type of design.
Provides a practical guide to clinical trial logistics, which is essential for the successful conduct of clinical trials. It would be a valuable resource for anyone involved in the planning or conduct of clinical trials.

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