PRECIS-2 used as an implementation science tool for global environmental health: A cross-sectional evaluation of the Ecolectivos study protocol to reduce burning of household plastic waste in rural Guatemala

By evaluating the degree of pragmatism within the nine domains, PRECIS-2 guides investigators to think about the applicability of potential results. Investigator assessment and communication regarding intervention protocols for community-level environmental interventions, their degree of pragmatism, and external validity are important for identifying strategies to address complex community problems. Our findings contribute to the growing body of literature that addresses greater research utility through pragmatic trial design, tying community environmental health interventions to the rigor of implementation science strategies.