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NIH Pragmatic Trials Conducted in Health Care Systems

Funds large pragmatic or implementation trials that test how well interventions work inside real health care settings.

A treatment that works in a research clinic does not always work in a busy emergency department or an under-resourced primary care practice. This notice funds finding out in the settings that actually matter to patients, clinicians and the people who pay for care.

Two kinds of trial are supported. Pragmatic trials that test whether an intervention is effective in routine clinical care. And implem

Large-scale pragmatic trials testing intervention effectiveness in routine clinical care, and implementation trials testing strategies for delivering interventions within health care settings — spanning emergency departments, primary care, public health clinics, academic centers, federally qualified health centers, integrated networks and VA Medical Centers. Funded as a milestone-driven, phased cooperative agreement: a planning phase, then full trial execution.

CycleiHow often this grant runs — e.g. annually, on a rolling basis, or a one-off call.Multiple per year
Next deadlineiThe next date applications are due. Rolling means you can apply any time.23 Feb 2027
Decision timeiTypical time from the deadline to the funder's decision.26 weeks
Project durationiHow long the funded work is expected to run.
Award typeiThe form of funding — grant, equity, loan, tax credit, etc.Cooperative agreement
Match fundingiThe share of project costs you must cover yourself. 0% = fully funded.
Funding pooliThe total budget available across all awards in this round.

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Last verified: 25 Aug 2026Funder reference: PAR-28-010Source: www.grants.gov