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Clinical trials that are designed to help inform practice in the real world are called pragmatic trials. They are often characterized by a focus on the practical aspects of the study design, including the recruitment and consent process as well as adherence to the use of commonly available equipment.
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Another example of a trial that is pragmatic is the Home Blood Pressure Management (HBPM) study, which employed different investigators and had participants from different geographic areas. This type of heterogeneity is required for pragmatic trials to be able to prove their validity and also helps to reduce bias in the results. A high degree of heterogeneity, however could cause issues with the trial design.
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Pragmatic trials seek to replicate real-life situations and attain maximum external validity. They are usually requested by policy makers and practitioners to inform their decision making. They also provide a useful method of determining the cause-effect relationship between an intervention and its results. They should not, however, be used to replace explanatory studies.
The idea of pragmatism is controversial and there are doubts about whether pragmatic trials should replace explanatory tests or 프라그마틱 공식홈페이지 if they should be an addition to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which confirm a physiological or 프라그마틱 이미지 프라그마틱 정품 사이트확인 (yogicentral.science) clinical hypothesis, and pragmatic trials that inform policy and practice decisions. They also proposed an approach to pragmatic trials, dubbed PRECIS.2 This tool was designed to define the characteristics of a practical trial which includes the recruitment process, the design and implementation of the intervention, as well as follow-up.
The number of pragmatic trials is growing. A recent Medline search using the terms naturalistic and pragmatic, which was limited to randomized controlled trials (RCTs) produced 34 articles, shown in red in Figure 2. This suggests that the health sciences community has become more aware of the importance of pragmatism. It is important to note that the majority of these trials were conducted in primary care settings.