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Trials designed to inform clinical practice in the real world are called pragmatic trials. They are often described by their focus on practical aspects of study design which include recruitment and consent, adherence and the use routinely available equipment.
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A practical trial that employs different investigators and participants from various geographical regions is the Home Blood Pressure Management study (HBPM). This type of heterogeneity is essential for pragmatic trials to be valid and also helps to reduce the chance of bias in the results. However, too much heterogeneity can lead to problems with the design of the trial.
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The aim of pragmatic trials is to simulate real-life scenarios and to achieve the highest level of validity externally. They are typically commissioned by practitioners and policy makers to guide their decision-making. They can also be used to assess the causality of an intervention with its outcomes. However, they shouldn't be used to substitute for explanation trials.
The pragmatism idea is controversial and there are concerns about whether pragmatic trials should replace explanatory tests or if they should be an addition to them. Schwartz and Lellouch1 suggested the distinction between explanation studies, which prove the validity of a physiological or clinical hypothesis, and pragmatic trials, that inform the practice and policy decision-making. They also suggested a framework known as PRECIS for pragmatic trials.2 This tool attempted to define the elements of a pragmatic research study, including recruitment, design, delivery of the intervention and 프라그마틱 무료체험 슬롯버프 슬롯버프 (learn more) its follow-up.
There is an encouraging trend in the number of pragmatic trials that are published. A recent Medline search using the terms naturalistic and pragmatic, which was limited to controlled trials randomized to control (RCTs) produced 34 articles, which are shown in red in Figure 2. This indicates that the health sciences community is becoming more aware of the importance of pragmatic thinking. However, it is important to remember that the majority of these trials were conducted in primary care settings.