Validity
Validity refers to the soundness or rigour of a study. A study is valid if the way it is designed and carried out means that the results are unbiased – that is, it gives you a more trustworthy estimate of clinical effectiveness.”
Internal validity
An RCT is internally valid if it truthfully reports the intervention effect
External validity
An RCT is externally valid if the findings can be generalised to other contexts
How do RCTs attempt to limit bias?
Randomly allocating participants to groups
Blinding participants, investigators and outcome assessors to that allocation (where possible)
Including a control or comparison group