ELI5: Explain Like I'm 5

Randomized controlled trials

Randomized controlled trials (RCTs) are a way for scientists to test if a new medicine or treatment works. Think of it like making a cake - you want to see if a new ingredient makes the cake better. So you divide the people who will eat the cake into two groups. One group gets to try the new ingredient and the other group gets to try the old recipe without the new ingredient. This way, you can see if the cake with the new ingredient really does taste better, or if it's just in your head.

In an RCT, scientists do the same thing but with treatments for people who are sick. They choose two groups of people who are similar, like twins. One group takes the new medicine or treatment, and the other group takes an inactive treatment called a placebo. This is like a sugar pill or a pretend treatment that doesn't have any real medicine in it. This way, scientists can see if the new medicine or treatment really does work, or if it's just people feeling better because they think they are taking something that will help.

To make sure the test is fair, the scientists choose who gets to be in which group randomly. It's like picking team captains for a game - if you pick randomly, no one can say it was unfair. The people in the study don't know which group they are in, and neither do the scientists. This is called a "double-blind" study, and it helps make sure that the scientists don't accidentally give more help or attention to one group than the other.

After everyone has taken the medicine or treatment for a certain amount of time, the scientists compare the results. They look at things like how many people got better, how long it took them to get better, or if they had any bad side effects. This helps them know for sure if the new medicine or treatment is really better than the old one. And if it is, they might be able to use it to help lots of other people who are sick too!