The PRECIS-2 tool has good interrater reliability and reasonable discriminant validity

Kirsty Loudon (Lead / Corresponding author), Merrick Zwarenstein, Frank Sullivan, Peter Donnan, Ildikó Gágyor, Hans Hobbelen, Fernando Althabe, Jerry A. Krishnan, Shaun Treweek

    Research output: Contribution to journalArticlepeer-review

    46 Citations (Scopus)
    155 Downloads (Pure)


    Objectives: PRagmatic Explanatory Continuum Indicator Summary (PRECIS)-2 is a tool that could improve design insight for trialists. Our aim was to validate the PRECIS-2 tool, unlike its predecessor, testing the discriminant validity and interrater reliability.

    Study Design and Setting: Over 80 international trialists, methodologists, clinicians, and policymakers created PRECIS-2 helping to ensure face validity and content validity. The interrater reliability of PRECIS-2 was measured using 19 experienced trialists who used PRECIS-2 to score a diverse sample of 15 randomized controlled trial protocols. Discriminant validity was tested with two raters to independently determine if the trial protocols were more pragmatic or more explanatory, with scores from the 19 raters for the 15 trials as predictors of pragmatism.

    Results: Interrater reliability was generally good, with seven of nine domains having an intraclass correlation coefficient over 0.65. Flexibility (adherence) and recruitment had wide confidence intervals, but raters found these difficult to rate and wanted more information. Each of the nine PRECIS-2 domains could be used to differentiate between trials taking more pragmatic or more explanatory approaches with better than chance discrimination for all domains.

    Conclusion: We have assessed the validity and reliability of PRECIS-2. An elaboration study and web site provide guidance to help future users of the tool which is continuing to be tested by trial teams, systematic reviewers, and funders.
    Original languageEnglish
    Pages (from-to)113-121
    Number of pages9
    JournalJournal of Clinical Epidemiology
    Early online date8 Jun 2017
    Publication statusPublished - Aug 2017


    • Randomized controlled trials
    • Clinical trial methodology
    • Validity and reliability
    • Face validity
    • Pragmatic clinical trial
    • Trial design


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