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in a crossover trial design participants a randomly assigned to the intervention or control and then after their outcomes are measured they cross over into the other study arm and then have their outcomes measured again these studies are good for investigating chronic conditions with continuous outcome measures with this study however there is a problem the intervention has carryover effects which is confounding the results in the control arm participants are still experiencing the effects of the intervention when they should just be experiencing the effects of the control when the intervention has carryover effects it is important in this type of study design to have an appropriate washout period in order to avoid biased results with an appropriate washout period participants are able to return to their approximate baseline level on the outcome prior to crossing over into the other study arm