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Pragmatic trials are studies designed to inform real-world clinical practice. They are often described as focusing on practical aspects of study design that include the recruitment and consent process, as well as adherence and the use of routinely available equipment.
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A pragmatic study that involves 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 reliable and to reduce bias in the results, is also necessary. Too much heterogeneity, however, can cause problems with the design of the trial.
Pragmatic Play Pragmatic Play, a major player on the live casino market offers an array of traditional table games like Blackjack and Roulette. The company's live studios in Romania and Malta provide a genuine gambling experience for players and offer a full suite of virtual betting options. The company has also created several interactive game shows to make gambling online enjoyable. Some of these shows are telecast live and others are hosted by famous personalities from the industry.
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Pragmatic trials are designed to replicate real-life settings and achieve maximum external validity. Usually, they are requested by practitioners and policymakers to guide their decisions. They can be used to determine the causal relationship between an intervention with its outcomes. They should, however, not, be used to replace the need for explanation studies.
The pragmatism idea is controversial, and there are questions regarding whether pragmatic trials could replace tests for explanations or if they should serve as a complement to them. Schwartz and Lellouch1 suggested the distinction between explanation trials, which confirm a physiological or clinical hypothesis, and pragmatic trials, which guide the policy and practice of. They also proposed a framework for pragmatic trials, which they called PRECIS.2 This tool attempted to define the features of a practical trial that include the recruitment process, the design and implementation of the intervention, and the follow-up.
The number of pragmatic trials is growing. A recent Medline query using the keywords naturalistic and pragmatic, restricted to randomised controlled trials (RCTs) returned 34 articles. These are shown in red on Figure 2. This is an indication that the health sciences community is becoming increasingly sensitized to the subject of pragmatic thinking. However, it is important to note that the majority of these studies were conducted in primary care settings.