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Trials designed to inform clinical practice in the real world are called pragmatic trials. They are often described as a focus on the practical aspects of design that include recruitment and consent, adherence and the use of routinely available equipment.
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A practical trial that employs a variety investigators and includes participants from different geographical areas is the Home Blood Pressure Management study (HBPM). This type of heterogeneity, which is essential for pragmatic trials to be valid and to reduce bias in the results is also essential. However too much heterogeneity could lead to problems with the design of the trial.
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The aim of pragmatic trials is to mimic real-life scenarios and gain maximum validity externally. Usually, they are ordered by policymakers and practitioners to help guide their decisions. They can also be used to determine the cause-effect relationship of an intervention and its results. They should, however, not be used to replace explanation studies.
The idea of pragmatism is controversial and there are concerns about whether pragmatic trials can replace explanatory tests or if they are an addition to them. Schwartz and Lellouch1 suggested a distinction between explanatory studies, which support the validity of a physiological or clinical hypothesis, as well as pragmatic trials that aid in the practice and policy decision-making. They also proposed the framework for pragmatic trials, dubbed PRECIS.2 This tool sought to define the elements of a pragmatic trial that include the recruitment process, the design and 프라그마틱 공식홈페이지 delivery of the intervention, and monitoring.
There is a positive trend in the number of pragmatic trials that are published. A recent Medline query that used the words naturalistic and 프라그마틱 게임 pragmatic, restricted to randomised controlled trials (RCTs), returned 34 articles. These are shown in red on Figure 2. This indicates that the health science community is becoming more sensitive to the issue of pragmatism. It is important to remember that the majority of studies were conducted in primary care settings.