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NIH Collaboratory
Living Textbook of
Pragmatic Clinical Trials

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Rethinking Clinical Trials

A Living Textbook of Pragmatic Clinical Trials

  • Design
    • What is a Pragmatic Clinical Trial?
    • Decentralized Pragmatic Clinical Trials
    • Developing a Compelling Grant Application
    • Experimental Designs and Randomization Schemes
    • Endpoints and Outcomes
    • Analysis Plan
    • Using Electronic Health Record Data
    • Building Partnerships and Teams to Ensure a Successful Trial
    • Intervention Delivery and Complexity
    • Patient Engagement
  • Data, Tools & Conduct
    • Assessing Feasibility
    • Acquiring Real-World Data
    • Assessing Fitness-for-Use of Real-World Data
    • Study Startup
    • Participant Recruitment
    • Monitoring Intervention Fidelity and Adaptations
    • Patient-Reported Outcomes
    • Clinical Decision Support
    • Mobile Health
    • Electronic Health Records–Based Phenotyping
    • Navigating the Unknown
  • Dissemination & Implementation
    • Data Sharing and Embedded Research
    • Dissemination Approaches for Different Audiences
    • Implementation
    • End-of-Trial Decision-Making
  • Ethics & Regulatory
    • Privacy Considerations
    • Identifying Those Engaged in Research
    • Collateral Findings
    • Consent, Disclosure, and Non-Disclosure
    • Data and Safety Monitoring
    • Ethical Considerations of Data Sharing in Pragmatic Clinical Trials
    • Ethics for AI and ML
    • IRB Responsibilities and Procedures

Developing the Trial Documentation

CHAPTER SECTIONS

Assessing Feasibility


Section 2


Developing the Trial Documentation

Expand Contributors

Lynn L. DeBar, PhD, MPH
Jeffrey G. Jarvik, MD, MPH
Leah Tuzzio, MPH
Miguel A. Vazquez, MD

Contributing Editor
Liz Wing, MA

The checklist below suggests documents needed for fulfilling regulatory requirements as well as other comprehensive records of the trial’s conduct. Note that the required or recommended documents will vary depending on the particulars of the intervention and related contractual agreements, but it will be beneficial to be as thorough as possible at this feasibility phase. Also, teams should expect that these documents will undergo modifications, possibly multiple times, both before and during the trial.

Pilot testing informs the trial’s needs and how to plan for challenges with staffing, recruitment, data collection, intervention timing, and other elements. In large healthcare systems, conditions may shift or new initiatives may be disseminated within the system and thus require flexibility in, for example, committee membership, modes of communication, staffing, or training. Such ongoing considerations are important for study teams involved in implementing embedded PCTs in real-world settings.

Documentation Checklist

Download as Word or PDF

Document Completed
Study-related
Protocol
Staffing plan, including multisite organization chart
Recruitment plan
Statistical analysis plan
Budget
Contractual documents (e.g., memorandum of understanding [MOU], reliance agreement)
Electronic health record use plan and IT-facilitated updates as needed  
Study plan and timeline  
Communication plan
Committee membership and meeting plan, including advisory and steering committees  
Manual of procedures
Data coordinating activities (e.g., data dictionary, data quality assessment, data harmonization across sites)
Patient recruitment and intervention materials
Clinical staff training and intervention materials
Interviewer/research staff training
Vendor contracts
Specimen management plan
Site initiation plan
Dissemination and sustainability plan
Regulatory
Data sharing plan including data use agreements between parties
IRB review and approval
Registry in ClinicalTrials.gov
Informing participants; consent process and documentation
Oversight
Data and safety monitoring plan/committee
Data management plan
Quality management plan

Previous Section Next Section

SECTIONS

CHAPTER SECTIONS

sections

  1. Introduction
  2. Developing the Trial Documentation
  3. Establishing Close Partnerships With Participating Healthcare System Leaders and Staff
  4. Delineating the Roles of All Interest Holders to Determine Training Needs
  5. Pilot Testing
  6. Feasibility Assessment Scenarios From the NIH Collaboratory Trials
  7. Spotlight on NIH Collaboratory Trials
  8. Additional Resources

Resources

NIH provides toolkits, checklists, and sample documents to assist study teams with planning; for example, National Institute of Dental and Craniofacial Research.

The Health Care Systems Research Network (HCSRN) has materials focused on planning and fielding research.

The Research Toolkit contains information and links related to all phases of research, especially starting a study.


Version History

December 10, 2018: Made minor additions to the Documentation Checklist (changes made by L. Wing).

Published August 25, 2017

current section :

Developing the Trial Documentation

  1. Introduction
  2. Developing the Trial Documentation
  3. Establishing Close Partnerships With Participating Healthcare System Leaders and Staff
  4. Delineating the Roles of All Interest Holders to Determine Training Needs
  5. Pilot Testing
  6. Feasibility Assessment Scenarios From the NIH Collaboratory Trials
  7. Spotlight on NIH Collaboratory Trials
  8. Additional Resources

Citation:

DeBar LL, Jarvik JG, Tuzzio L, Vazquez MA. Assessing Feasibility: Developing the Trial Documentation. In: Rethinking Clinical Trials: A Living Textbook of Pragmatic Clinical Trials. Bethesda, MD: NIH Pragmatic Trials Collaboratory. Available at: https://rethinkingclinicaltrials.org/chapters/conduct/assessing-feasibility/developing-the-trial-documentation/. Updated September 25, 2025. DOI: 10.28929/054.

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