Some N of 1 trials involve randomized assignment and blinding, but the order of experimental and control interventions can also be fixed by the researcher.
Many consider this framework to be a proof of concept or hypothesis generating process to inform subsequent, larger clinical trials.
[9] This design can be successfully implemented to determine optimal treatments for patients with diseases as diverse as osteoarthritis, chronic neuropathic pain and attention deficit hyperactivity disorder.
[11] There has also been work to adapt causal inference counterfactual methods for using N of 1 observational studies to design subsequent N of 1 trials.
[14] A famous proponent and active experimenter was Seth Roberts, who reported on his self-experimental findings on his blog, and later published The Shangri-La Diet based on his conclusions from these self-experiments.