Best Practices Evaluation Rubric

The DTRA Best Practices Evaluation Rubric provides a consistent framework which may aid in evaluating DCT best practices across the trial lifecycle.

The rubric dimensions are interrelated and need to be considered holistically. To be considered a best practice, all expectations of the rubric should be met.

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Why Develop a Best Practices Rubric?

This initiative presents a multi-dimensional framework called the Decentralized Research Best Practices Rubric. This process assessment tool includes core guiding principles related to evidence of success, improving patient experience, site impact, operational and technical feasibility, and regulatory and ethical compliance.

This rubric aims to:

  • Help researchers understand and track the success of their DCT processes
  • Improve patient experience
  • Understand the impact of DCTs on sites, operations, and technologies
  • Ensure regulatory and ethical compliance

The DTRA Best Practices Evaluation Rubric provides a consistent framework by which DCT practices may be evaluated to be considered a "best practice." Best practices are organized across the trial lifecycle:

Program Planning | Trial Planning | Trial Set-up | Trial Conduct | Trial Close and Analysis

The following best practices rubrics are not intended to be explicit instructions for use. Instead, these rubrics are intended to aid DCT stakeholders as they interpret and apply them to their projects and trial needs. The rubric dimensions are interrelated and need to be considered holistically.

To be considered a "best practice," expectations in the five dimensions of the rubric should be met.

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2. Improving Patient Experience

DCTs, at their core, should address the needs of patients, caregivers, and therapeutic experts. Improving the experience and engagement with these key stakeholder groups should be demonstrable as a requirement for DCT best practices.

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3. Site Impact

Sites will be essential stakeholders in DCT adoption. The impact on sites should be considered with any new practice, including the practical implications of adoption and change from today's working practices to increase DCT implementation.

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4. Operational and Technical Feasibility 

DCT practices will often involve the use of new operational processes and technologies. This dimension is intended to ensure that operational and technical aspects have been considered fully for ongoing support, resilience, security, integrity, scaling, and reuse.

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5. Regulatory and Ethical Compliance

Best practices should appropriately consider global and local regulations and guidance. In doing so, they should also adhere to appropriate privacy, consent, and sharing guidelines. Safeguards are essential to protecting stakeholders' sensitive or personal data and to ensure ethical conduct, safety oversight, and regulatory compliance for patients and caregivers.

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