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Trials designed to inform clinical practice in the real world are known as pragmatic trials. They are often focused on the practical aspects of the research design, like recruitment and consent, adherence, and 프라그마틱 무료 the use of standard equipment.
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A pragmatic study that involves various investigators and participants from various geographical regions is the Home Blood Pressure Management study (HBPM). This kind of heterogeneity is essential for pragmatic trials to be able to prove their validity, and it also helps reduce the chance of bias in the results. Too much heterogeneity, however could cause issues with the trial design.
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The purpose of pragmatic trials is to replicate real-life scenarios and gain maximum validity externally. They are usually requested by practitioners and policymakers in order to inform their decisions. They can be used to determine the causality of an intervention and its results. However, they should not be used as a substitute for explanation studies.
The pragmatism concept is controversial, and there are concerns about whether pragmatic trials should replace explanatory trials or complement them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which validate a physiological or clinical hypothesis as well as pragmatic trials, which inform policy and practice decisions. They also suggested an approach to 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 monitoring.
The number of pragmatic trials is increasing. A recent Medline search using the keywords naturalistic and pragmatic, limited to controlled trials that are randomized (RCTs) produced 34 articles, shown in red in Figure 2. This is a sign that the health science community is becoming increasingly sensitized to the subject of pragmatic thinking. It is important to note that the majority of these studies were conducted in primary care settings.