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Clinical trials that are designed to help inform practice in the real world are known as pragmatic trials. They are often described as focusing on practical aspects of study design, including the recruitment process and consent, adhering and the use of routinely available equipment.
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A pragmatic study that involves different investigators and participants from various geographical regions is the Home Blood Pressure Management study (HBPM). This type of heterogeneity is required for practical trials to be valid and also helps to reduce bias in the results. However excessive heterogeneity could result in 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. Usually, they are requested by practitioners and policymakers in order to inform their decisions. They can also be a great way to identify the cause-effect relationship between the intervention and its effects. However, they should not be used to replace the need for explanation studies.
The concept of pragmatism is controversial, and there are questions about whether pragmatic trials should replace or complement them. Schwartz and Lellouch1 suggested a distinction between explanatory studies, which prove a physiological hypothesis or clinical hypothesis, as well as pragmatic trials, that inform the practice and policy decision-making. They also proposed a framework for pragmatic trials, called PRECIS.2 This tool was designed to define the elements of a practical trial which includes the recruitment process, the design and 프라그마틱 체험 무료슬롯 (Images.google.Ad) implementation of the intervention, as well as the follow-up.
There is a growing trend in the number of pragmatic trials that are published. A recent Medline query that used the words naturalistic and pragmatic, restricted to randomised controlled trials (RCTs) returned 34 articles. They are displayed in red on Figure 2. This is a sign that the health science community is becoming more sensitive to the issue of pragmatic thinking. However, it is important to keep in mind that the majority of these trials were conducted in primary care settings.