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Pragmatic trials are studies designed to inform the practice of clinical trials in real life. They are often described as focusing on practical aspects of designing a study that include recruitment and consent, adherence and the use routinely available equipment.
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A pragmatic trial that uses a variety investigators and includes participants from various geographical regions is the Home Blood Pressure Management study (HBPM). This type of heterogeneity, which is vital for pragmatic trials to be valid and to reduce bias in the results is also essential. However, too much heterogeneity can result in issues with the design of the trial.
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The goal of pragmatic trials is to mimic real-life scenarios and gain the highest level of validity externally. They are usually requested by policy makers and practitioners to inform their decision making. They can also be a great way to identify the cause-effect relationship between an intervention and its outcomes. However, they should not be used to replace explanatory studies.
The concept of pragmatism is controversial and there are questions about whether pragmatic trials should replace explanatory trials or complement them. Schwartz and 프라그마틱 무료 슬롯 Lellouch1 made an distinction between explanation-based studies, which confirm the physiological hypothesis or clinical hypothesis, as well as pragmatic trials, which inform policy and practice decision-making. They also suggested a framework known as PRECIS for pragmatic trials.2 The tool was designed to define the characteristics of a pragmatic study that includes recruitment, design, delivery of the intervention, and follow-up.
There is a growing trend in the number of pragmatic trials that have been published. A recent Medline search using the terms naturalistic and pragmatic, limited to randomized controlled trials (RCTs) resulted in 34 articles, which are shown in red in Figure 2. This is a sign that the health sciences community is becoming more acquaint to the issue of pragmatism. It is important to note that the majority of these trials were conducted in primary care settings.