# The Digital Paradox: Research Sites and the Clinical Trial Protocol

> Read analysis and conclusions from the 2020 Tufts CSDD-Teckro collaboration study capturing feedback from 228 clinical staff on how they interact with protocol.

**Published:** Jul 21, 2020  
**Updated:** Aug 28, 2024

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Teckro teamed up with the Tufts Center for the Study of Drug Development (CSDD) to capture feedback from research site staff on how they interact with the clinical trial protocol. 

In addition to the official report published by Tufts CSDD, we prepared a companion analysis. This analysis is broken into three observations from research:

- The conduct of clinical trials is guided by “electronic paper”
- There is a degree of separation between the protocol and the patient
- Study design complexity presents challenges for staff to find answers in the protocol