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Studies designed to provide insight into clinical practice in the real world are known as pragmatic trials. They are often characterized by their focus on practical aspects of design, including the recruitment and consent process, as well as adherence and the use routinely available equipment.
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A pragmatic trial that uses various 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 to reduce bias in the results is also essential. However, too much heterogeneity can cause problems with the design of the trial.
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Pragmatic trials are designed to replicate real-life situations and attain maximum external validity. They are typically commissioned by practitioners and policy makers to guide their decision-making. They are also a good method of determining the causality between an intervention and its outcomes. However, they shouldn't be used in lieu for explanatory studies.
The concept of pragmatism is controversial and there are doubts about whether pragmatic trials should replace explanatory tests or if they are an alternative to them. Schwartz and Lellouch1 suggested a distinction between explanatory studies, which prove a physiological hypothesis or clinical hypothesis, and 프라그마틱 순위 pragmatic trials that aid in the practice and policy decision-making. They also suggested the framework for pragmatic trials, called PRECIS.2 This tool sought to define the elements of a pragmatic trial that include the recruitment process, the design and implementation of the intervention, and follow-up.
The number of pragmatic trials is increasing. A recent Medline search using the keywords pragmatic and naturalistic, restricted to controlled trials randomized to control (RCTs) resulted in 34 articles, shown in red in Figure 2. This indicates that the health science community is becoming increasingly sensitized to the subject of pragmatic thinking. However, it is important to keep in mind that the majority of these studies were conducted in primary care settings.