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Studies designed to provide insight into clinical practice in the real world are known as pragmatic trials. They are often described as a focus on the practical aspects of design that include the recruitment and consent process, as well as adherence and the use routinely available equipment.
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A pragmatic study that involves various investigators and participants from different geographical areas is the Home Blood Pressure Management study (HBPM). This type of heterogeneity is essential for practical trials to be valid and helps reduce the chance of bias in the results. However excessive heterogeneity could lead to issues with the design of the trial.
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The purpose of pragmatic trials is to replicate real-life scenarios and to achieve the highest level of validity externally. Usually, they are commissioned by policymakers and practitioners to inform their decisions. They can also be used to assess the causality of an intervention and its effects. They should not, however, be used to replace explanatory studies.
The concept of pragmatism is controversial and there are concerns about whether pragmatic trials should replace explanatory tests or if they should serve as an alternative to them. Schwartz and Lellouch1 proposed the distinction between explanation studies, which support a physiological hypothesis or clinical hypothesis, as well as pragmatic trials, which inform the decision-making process for 프라그마틱 공식홈페이지 카지노 (Vkorzina.Ru) policy and practice. They also suggested a framework known as PRECIS for pragmatic trials.2 The tool was designed to define the traits of a pragmatic study, including recruitment, design, implementation of the intervention and follow-up.
There is an encouraging trend in the number of pragmatic trials that are published. A recent Medline search using the terms pragmatic and naturalistic, restricted to controlled trials that are randomized (RCTs) resulted in 34 articles, which are shown in red in Figure 2. This indicates that the health sciences community is becoming more aware of the importance of pragmatic thinking. It is important to keep in mind, however, that the majority of these studies were conducted in primary-care settings.