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Clinical trials that are designed to help inform practice in the real world are referred to as pragmatic trials. They are typically described as a focus on the practical aspects of design that include the recruitment and consent process, as well as adherence and the use of 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, which is essential for pragmatic trials to be valid and to reduce bias in the results, is also necessary. Too much heterogeneity, however can result in problems with the design of the trial.
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The purpose of pragmatic trials is to mimic real-life situations and achieve maximum validity externally. Usually, they are requested by practitioners and policymakers to guide their decisions. They can also be used to determine the cause-effect relationship of an intervention and its effects. However, they should not be used to replace explanation studies.
The pragmatism idea is controversial, and there are questions about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and Lellouch1 suggested an distinction between explanation-based studies, which support the physiological hypothesis or clinical hypothesis, as well as pragmatic trials that aid in the decision-making process for policy and practice. They also suggested a framework known as PRECIS for pragmatic trials.2 This tool attempted to define the elements of a practical study, including the recruitment, 무료슬롯 프라그마틱 design, and delivery of the intervention and follow-up.
There is a positive trend in the number of pragmatic trials that are published. A recent Medline query using the keywords naturalistic and pragmatic, restricted to randomised controlled trials (RCTs), returned 34 articles. These are shown in red on Figure 2. This is an indication that the health sciences community is becoming more sensitive to the subject of pragmatic thinking. It is important to note that the majority of these trials were conducted in primary care settings.