Discussion
RECRUITMENT
A key emphasis of the current article is on recruitment and how a pragmatic design can positively affect the conduct and reach of a clinical trial. The centralized EHR-based recruitment model developed for DCP specifically enhanced recruitment capacity and efficiency, expanding the coverage of underrepresented patients (especially those living in remote and rural areas). In many cases, such participants may not have adequate financial, transportation, or mobility resources. Insufficient support for sensory impairments also may be challenging. The success of enrolling a diverse study population in DCP highlights the generalizability of study results and serves as a model for future research to inform evidence-based clinical practice.Pragmatic trials typically are embedded within routine clinical practice. They can take full advantage of the technical advances that are widely available for increasing outreach to rural populations.Utilizing EHR technology to complete trial requirements helps to offset tasks traditionally performed during in-person visits.