Study design · Pragmatic trialsUpdated September 28, 2026

Pragmatic trial software that fits into routine care

Pragmatic trials run in ordinary clinics, where research is nobody's full-time job. The data system has to be minimal for sites, simple for participants and affordable across many sites. Capture is built for exactly that.

  • Short forms for busy clinics
  • No per-site fee
  • Outcomes reported from home

Free sandbox · No credit card · 21 CFR Part 11 aligned

Enrolment · Practice 014
Routine clinic visit · 2 minutesSubmitted

Meets eligibility (checklist complete)

YesNo

Consent obtained

YesNo

Participant email or mobile for questionnaires

Recorded in site view only
Then outcomes come from the participant

What pragmatic trials need

  • Minimal site burden: a few short forms at enrolment, not a full casebook per visit.
  • Many sites, often general practices or community clinics, which makes per-site fees and complex site setup prohibitive.
  • Patient-relevant outcomes collected directly from participants, often remotely, instead of at research visits.
  • Simple, robust randomisation, individual or by cluster, applied the same way everywhere.
  • The PRECIS-2 framework helps teams decide how pragmatic each design choice should be.

Site burden

Every extra field is a reason for a clinic to stop recruiting

In a pragmatic trial, recruitment happens during normal clinical work. A clinician who has to spend fifteen minutes on a research form will stop enrolling, and the trial will end up with only the most research-enthusiastic sites, which undermines the point of a pragmatic design. The data system should ask sites for the minimum: eligibility confirmation, consent, a few baseline items and contact details for follow-up.

Outcomes then come from participants, by questionnaires sent to their phones, or from routine records where the protocol allows. Capture sends secure links by email or SMS that open in the phone browser with no app to install, with reminders and completion windows, so follow-up does not depend on the site.

Randomisation

Individually randomised pragmatic trials use randomisation at enrolment, often stratified by site. In Capture allocation happens automatically at enrolment with block size and stratification set once at setup. Cluster randomised designs allocate whole sites; record each site's allocation in the study documentation and carry it into the analysis dataset.

Study landing page

Now recruiting

Sleep and Recovery Study

A 12-week study of sleep quality after surgery. Takes 5 minutes a day on your phone.

Check if you can take part
12 weeks5 min a dayNo app needed

Scan to join

Print it on posters and clinic flyers

Many sites

Add a practice with an invitation, not a contract amendment

There is no per-site fee in Capture. Adding a site means inviting a coordinator and sharing a site-specific QR code or enrolment link. Each site sees only its own participants, and sponsor-side users see coded IDs.

  • Site-specific QR enrolment, no app.
  • Site-level participant numbering.
  • Site activation checklist before recruitment.
Multi-site clinical trial management
Phase 3 · Study overview by site

Randomized

166 / 240

Open queries

24

Fields verified

84%

Site 01 · Boston48/60

3 open queries · 92% SDV

Active
Site 02 · Madrid41/60

7 open queries · 85% SDV

Active
Site 03 · Riga22/60

14 open queries · 61% SDV

At risk
Site 04 · Toronto55/60

0 open queries · 100% SDV

Frozen

Site risk

Site 03 query backlog

Data lock

Site 04 ready to lock

Build a two-form pragmatic trial

Enrolment at the site, outcomes from the participant. Free sandbox.

Build your pragmatic trial free

PRECIS-2

Explanatory versus pragmatic, domain by domain

PRECIS-2 domainMore explanatoryMore pragmatic
EligibilityNarrow criteria, selected participantsBroad criteria, like usual care
RecruitmentExtra effort beyond usual practiceThrough usual appointments
SettingSpecialist research centresOrdinary clinics and practices
OrganisationExtra staff and resourcesExisting staff and resources
Flexibility: deliveryStrict protocol for the interventionDelivered as in usual care
Flexibility: adherenceAdherence monitored and enforcedNo special measures
Follow-upFrequent research visitsMinimal, often remote or from records
Primary outcomeMechanistic or surrogateDirectly relevant to participants
Primary analysisPer-protocol emphasisIntention to treat with all data

Each domain is scored separately; most trials sit somewhere between the two ends.

Cluster designs

What cluster randomisation changes in the data

Many pragmatic trials randomise practices, wards or hospitals rather than individuals, because the intervention is delivered at that level. Every participant record then needs the cluster identifier and the cluster's allocation, and the analysis must account for outcomes being more alike within a cluster than between clusters, measured by the intra-cluster correlation coefficient.

Cluster trials also carry a specific risk: if participants are identified and enrolled after the cluster knows its allocation, recruitment can differ between arms. Mitigations include identifying participants before allocation is revealed, using routine records to find eligible people, and monitoring recruitment by arm. Enrolment dates and site numbers in the study database make that monitoring straightforward. See sample size calculation for how clustering inflates the numbers needed.

Study build

Pragmatic trial build checklist

Site forms under five minutes

Eligibility, consent, minimal baseline and contact details.

Outcomes from participants

Scheduled questionnaires with reminders, no app.

Randomisation

Individual at enrolment, or cluster allocation documented.

Site onboarding

Short training and an activation checklist per practice.

Routine data linkage

Approvals and identifiers in place if outcomes come from records.

Consent approach

Agreed with ethics, including any simplified or cluster consent models.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

What makes a trial pragmatic?

Testing an intervention under routine care conditions, with broad eligibility, usual settings and patient-relevant outcomes.

How much data should sites collect in a pragmatic trial?

The minimum: eligibility, consent, a few baseline items and contact details. Outcomes should come from participants or routine records where possible.

Are there per-site fees in Capture?

No. Adding a site means inviting a coordinator and sharing an enrolment link.

Can participants report outcomes from home?

Yes, through questionnaires in the phone browser with reminders.

Can I try it free?

Yes, in the free sandbox.

Trials that fit into real clinics

Minimal site burden, no per-site fees. Free sandbox.

Build your pragmatic trial free