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Studies designed to provide insight into clinical practice in the real world are called pragmatic trials. They are typically focused on the practical aspects of the research design, like the recruitment and consent process in adherence, as well as 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 different investigators and had participants from different geographical regions. This kind of heterogeneity, which is vital for a pragmatic trial to be reliable and lessen the chance of bias, is also necessary. However, too much heterogeneity, can cause problems with the design of the trial.
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Pragmatic trials aim to mimic real-life situations and attain maximum external validity. They are typically commissioned by policy makers and practitioners to inform their decision making. They can also be used to assess the cause-effect relationship of an intervention and its effects. However, they should not be used as a substitute for the use of explanation studies.
The concept of pragmatism is controversial and 프라그마틱 슬롯 환수율 there are doubts about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and Lellouch1 suggested a distinction between explanatory trials, which confirm the validity of a clinical or physiological hypothesis as well as pragmatic trials, which inform policy and 프라그마틱 무료스핀 정품 (http://idea.Informer.com/users/slavepizza4/?what=personal) practice decisions. They also suggested the framework for pragmatic trials, which they called PRECIS.2 This tool sought to define the features of a practical trial which includes the recruitment process, the design and implementation of the intervention, as well as the follow-up.
There is a growing increase 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. These are highlighted in red on Figure 2. This indicates that the health science community is becoming more acquaint to the issue of pragmatics. It is important to remember, however, that the majority were conducted in primary care settings.