RT Journal Article SR Electronic T1 Randomised controlled trials in primary care: scope and application. JF British Journal of General Practice JO Br J Gen Pract FD British Journal of General Practice SP 746 OP 751 VO 52 IS 482 A1 Aziz Sheikh A1 Liam Smeeth A1 Richard Ashcroft YR 2002 UL http://bjgp.org/content/52/482/746.abstract AB There is now widespread acknowledgement of the absence of a sound evidence base underpinning many of the decisions made in primary care. Randomised controlled trials represent the methodology of choicefor determining efficacy and effectiveness of interventions, yet researchers working in primary care have been reluctant to use intervention studies, favouring observational study designs. Unfamiliarity with the different trial designs now available, and the relative advantages and disadvantages conferred by each, may be one factor contributing to this paradox. In this paper, we consider the principal trial designs available to primary care researchers, discussing the contexts in which a particular design may prove most useful. This information will, we hope, also prove useful to primary care clinicians attempting to interpret trial findings.