10 Pragmatic Free Trial Tricks All Experts Recommend
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Pragmatic trials are those that are designed to inform real-world clinical practice. They are typically described as a focus on the practical aspects of study design that include recruitment and consent, adherence and the use routinely available equipment.
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A pragmatic trial that uses different investigators and participants from different geographical areas is the Home Blood Pressure Management study (HBPM). This type of heterogeneity that is crucial for pragmatic trials to be valid and reduce bias in results is also essential. However, too much heterogeneity can result in problems with the design of the trial.
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Legality
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The goal of pragmatic trials is to mimic real-life situations and achieve maximum credibility externally. They are usually ordered by policymakers and practitioners to help guide their decisions. They can also be a great method to determine the causality between the intervention and its effects. However, they should not, be used to replace explanation studies.
The concept of pragmatism is controversial, and there are questions regarding whether pragmatic trials could replace explanatory tests or if they should be an alternative to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which prove the clinical or physiological hypothesis, and pragmatic trials, which inform policy and practice decisions. They also proposed the framework for pragmatic trials, called PRECIS.2 This tool attempted to define the features of a pragmatic study that include the recruitment process, the design and delivery of the intervention, and the follow-up.
There is a growing increase in the number of pragmatic trials that have been published. A recent Medline query that used the words pragmatic and naturalistic, limited to randomised controlled trials (RCTs) returned 34 articles. These are highlighted in red on Figure 2. This is an indication that the health sciences community is becoming more acquaint to the issue of pragmatism. It is important to remember that the majority were conducted in primary-care settings.