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. 2025 Aug 25;25:1129. doi: 10.1186/s12913-025-13184-9

Table 2.

Frequency of optimisation constraints (%) by optimisation target and study design

Optimisation target Constraint (n %)
Study design N studies Cost Time Complexity Burden All active components Other
Implementation 39 18 (46%) 6 (15%) 8 (21%) 5 (13%) 15 (38%) 2 (5.1%)
 Factorial 9 2 0 2 0 8 0
 Fractional factorial 1 0 0 0 0 1 0
 Cluster RCT1 3 2 2 1 0 1 0
 RCT1 3 3 1 0 1 0 0
 Crossover 2 1 0 0 0 1 0
 Pre-post 18 9 2 5 2 4 2
 Other 3 1 1 0 2 0 0
Intervention 142 60 (42%) 14 (9.9%) 7 (4.9%) 50 (35%) 53 (37%) 2 (1.4%)
 Factorial 58 17 2 2 10 38 1
 Fractional factorial 7 2 0 0 0 5 1
 Cluster RCT1 4 2 1 0 1 1 0
 RCT1 43 30 6 2 21 2 0
 Crossover 14 2 1 0 11 2 0
 Pre-post 4 2 2 2 4 0 0
 SMART 5 2 2 1 2 1 0
 Other 7 3 0 0 1 4 0
Both 2 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (50%) 0 (0%)
 Factorial 2 0 0 0 0 1 0
Total 183 78 (43%) 20 (11%) 15 (8.2%) 55 (30%) 69 (38%) 4 (2.2%)

1RCT Randomised control trial