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Studies designed to provide insight into clinical practice in the real world are known as pragmatic trials. They are typically characterized by a focus on the practical aspects of research design, like recruitment and consent, adherence, and the use of standard equipment.
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A pragmatic study that involves a variety investigators and includes participants from diverse geographical locations is the Home Blood Pressure Management study (HBPM). This kind of heterogeneity is essential for pragmatic trials to be valid, and it also reduces the chance of bias in the results. However, too much heterogeneity can lead to issues with the design of the trial.
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The purpose of pragmatic trials is to mimic real-life scenarios and 프라그마틱 카지노 gain maximum credibility externally. Usually, they are ordered by policymakers and practitioners in order to inform their decisions. They can also be used to determine the cause-effect relationship of an intervention and its results. However, they shouldn't be used in lieu for explanatory trials.
The pragmatism concept is controversial and there are concerns about whether pragmatic trials should replace or complement them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which prove the validity of a clinical or physiological hypothesis as well as pragmatic trials, which inform the policy and practice of. They also suggested a framework dubbed PRECIS for pragmatic trials.2 This tool attempted to define the elements of a pragmatic research study which includes recruitment, design, delivery of the intervention and its follow-up.
The number of pragmatic trials is increasing. A recent Medline search using the terms naturalistic and pragmatic, limited to controlled trials randomized to control (RCTs) produced 34 articles, shown in red in Figure 2. This suggests that the health sciences community is becoming more aware of the importance of pragmatic thinking. It is important to remember, however, that the majority were conducted in primary-care settings.