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Pragmatic trials are trials designed to provide information for the practice of clinical trials in real life. They are usually characterized by a focus on the practical aspects of the study design, including recruitment and consent as well as adherence to the use of commonly available equipment.
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Another example of a pragmatic trial is the Home Blood Pressure Management (HBPM) study, which employed different investigators and had participants from various geographical areas. This kind of heterogeneity, that is crucial for pragmatic trials to be valid and to reduce bias in the results, is also necessary. However excessive heterogeneity could result in issues with the design of the trial.
Pragmatic Play is also a major player on the live casino market, providing a wide selection of table games like as Blackjack and Roulette in a variety of versions. Pragmatic Play's live studios in Romania and Malta offer an authentic gambling experience for customers and offer an extensive selection of virtual betting options. The company has also developed various interactive games to make online gambling enjoyable. Some of these shows are broadcast live and others are hosted by famous personalities from the industry.
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Pragmatic Play is renowned for its top-notch games, and for offering an exceptional user experience. Its software is designed to work with mobile devices and supports different languages. Despite its relative youth it has established itself as a premier casino gaming platform. Wolves is one of the most recent releases that is a 5-reel slot machine with a healthy RTP and impressive graphics. Other notable games include Wolf Gold and Chilli Heat.
Pragmatic trials are designed to replicate real-life settings and achieve maximum external validity. They are usually requested by practitioners and policymakers in order to guide their decisions. They can also be a great method to determine the causal relationship between an intervention and its outcomes. However, they should not be used to replace explanation studies.
The concept of pragmatism is controversial and there are concerns regarding whether pragmatic trials could replace tests for explanations or if they are an alternative to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which confirm a physiological or clinical hypothesis and pragmatic trials, which guide the policy and practice of. They also proposed a framework called PRECIS for pragmatic trials.2 This tool tried to define the characteristics of a pragmatic research study, including the recruitment, design, and delivery of the intervention and follow-up.
There is a growing increase in the number pragmatic trials that are published. A recent Medline search using the keywords naturalistic and pragmatic, which was limited to controlled trials randomized to control (RCTs), yielded 34 articles, shown in red in Figure 2. This is an indication that the health science community is becoming more sensitive to the issue of pragmatism. It is important to remember that the majority were conducted in primary care settings.