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Clinical trials that are designed to help inform practice in the real world are called pragmatic trials. They are often described as focusing on practical aspects of designing a study that include the recruitment process and consent, adhering and the use of standard equipment.
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A practical trial that employs a variety investigators and includes participants from different geographical areas is the Home Blood Pressure Management study (HBPM). This kind of heterogeneity, which is essential for a pragmatic trial to be valid and reduce bias in results is also essential. However excessive heterogeneity could lead to 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 requested by practitioners and policymakers in order to guide their decisions. They can also be a great way to identify the causality between an intervention and its outcomes. They should, however, not, be used to replace the need for explanation studies.
The concept of pragmatism is controversial and there are doubts about whether pragmatic trials can be used to replace explanation tests or if they are an addition to them. Schwartz and Lellouch1 suggested the distinction between explanation trials, 프라그마틱 플레이 무료 슬롯버프 - redirect to bookmarkloves.com - which prove the clinical or physiological hypothesis, and pragmatic trials, 프라그마틱 슬롯 추천 (Bookmarkalexa.Com) which inform the practice and policy decisions. They also proposed a framework called PRECIS for pragmatic trials.2 This tool attempted to define the elements of a practical study which includes the recruitment, design, and delivery of the intervention and follow-up.
There is an encouraging increase in the number of pragmatic trials that have been published. A recent Medline search using the keywords pragmatic and naturalistic, restricted to controlled trials that are randomized (RCTs), yielded 34 articles, as shown in red in Figure 2. This indicates that the health sciences community is becoming increasingly sensitized to the subject of pragmatic thinking. It is important to keep in mind, however, that the majority were conducted in primary-care settings.