Kate Courtright
speaker
701 appearances
3 recordings
1 series
first heard Jun 2022
last heard Mar 2024
Kate Courtright’s voice in public audio — every appearance, attributed to the second.
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And it is embedded or in or sort of rolled out into routine practice that's already happening and you aren't um requiring
people to administer, be part of, enroll, recruit, do all the things.
And that your outcomes are pragmatically captured from data that exists.
That's sort of the far end of the pragmatic spectrum, but it is a spectrum.
I think we talked about that on the last podcast.
By and large, your goal would be to make it as generalizable as possible within the confines of how different hospital A, B, and C are, even when you try to make it as diverse of an environment.
You want to take that one, Scott, or was that to me?
Uh
I've I've been uh Okay.
Depth wedge is it's easier with a visual, but simply means that uh at its core with two groups, that every hospital in our case starts in routine care or whatever the usual care definition is, and will ultimately in a randomized fashion transition to adopt the intervention in steps, meaning over time.
And so for us it was a two to three month step, um forget two point seven months, excuse me.
And so that everybody by the end of the trial has the intervention and is in the intervention phase, if you will, or period.
There are virtues, um, you didn't ask me this, but there are virtues and drawbacks to that um in contrast to what might be more familiar to people, which is a parallel trial in which you would just assign half the hospitals to receive to keep usual care in our case, or half the hospitals randomly assigned to adopt the default order.
And then the cluster part.
is simply that we that's our randomization unit.
And for us it was a hospital.
And again, for a number of reasons.
But you could have clustering um in within clinics, clustering on uh within clinicians who care for a panel of patients, that sort of thing.
Well, so the hospital assignment as to when they transition um on a calendar day is is randomly assigned.
So they didn't get a choice about that.
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