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Clinical trials that are designed to help inform practice in the real world are known as pragmatic trials. They are typically focused on the practical aspects of study design, including the recruitment process and consent, adherence, and the use of standard equipment.
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Another example of a practical trial is the Home Blood Pressure Management (HBPM) study, which used a variety of investigators and had participants from different geographical regions. This type of heterogeneity, that is crucial for a pragmatic trial to be reliable and lessen the chance of bias is also essential. Too much heterogeneity, however, can cause problems with the trial design.
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The aim 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 be used to determine the cause-effect relationship of an intervention with its outcomes. However, they shouldn't be used in lieu for explanatory studies.
The concept of pragmatism is controversial and there are questions about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and 프라그마틱 데모 정품확인방법 (just click Justpin) Lellouch1 suggested the distinction between explanatory trials, which confirm a physiological or clinical hypothesis, and pragmatic trials, which inform the practice and policy decisions. They also suggested a framework dubbed PRECIS for pragmatic trials.2 This tool attempted to define the elements of a practical study, including the recruitment, design, 프라그마틱 불법 and delivery of the intervention, and follow-up.
There is a growing increase in the number of pragmatic trials that are published. A recent Medline query using the keywords pragmatic and naturalistic, which was restricted to randomised controlled trials (RCTs), returned 34 articles. They are displayed in red on Figure 2. This suggests that the health sciences community has become more aware of the importance of pragmatic thinking. It is important to keep in mind, however, that the majority of studies were conducted in primary care settings.