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Clinical trials that are designed to help inform practice in the real world are called pragmatic trials. They are usually characterized by a focus on the practical aspects of study design, such as the recruitment and consent process as well as adherence to the use of routinely available equipment.
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A pragmatic study that involves various investigators and participants from diverse geographical locations is the Home Blood Pressure Management study (HBPM). This type of heterogeneity, which is essential for a pragmatic trial to be reliable and lessen the chance of bias, is also necessary. However, too much heterogeneity, 프라그마틱 불법 프라그마틱 무료 슬롯 팁 (navigate to this site) can cause problems with the design of the trial.
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The purpose of pragmatic trials is to simulate real-life scenarios and to achieve maximum credibility externally. Usually, they are ordered by policymakers and practitioners to guide their decisions. They are also a good method to determine the causal relationship between the intervention and its effects. However, they should not be used to substitute for explanatory studies.
The pragmatism idea is controversial and there are concerns regarding whether pragmatic trials could replace tests for explanations or if they are an addition to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which validate the clinical or physiological hypothesis and pragmatic trials, which inform policy and practice decisions. They also suggested an approach to pragmatic trials, called PRECIS.2 This tool was designed to define the characteristics of a pragmatic trial, including the recruitment process, the design and delivery of the intervention, as well as monitoring.
The number of pragmatic trials is growing. A recent Medline search using the terms naturalistic and pragmatic, which was limited to controlled trials randomized to control (RCTs) resulted in 34 articles, which are shown in red in Figure 2. This suggests that the health sciences community is becoming more aware of the importance of pragmatism. However, it is important to keep in mind that the majority of these trials were conducted in primary care settings.