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Trials designed to inform clinical practice in the real world are referred to as pragmatic trials. They are typically characterized by a focus on the practical aspects of study design, including the recruitment and consent process as well as adherence to 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, which is vital for a pragmatic trial to be reliable and reduce bias in results, is also necessary. Too much heterogeneity, however could cause issues with the design of the trial.
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Pragmatic trials seek to replicate real-world situations and 프라그마틱 홈페이지 have the highest external validity. They are usually ordered by policymakers and practitioners in order to guide their decisions. They also provide a useful method to determine the cause-effect relationship between an intervention and its outcomes. However, they shouldn't be used to substitute for the use of explanation trials.
The pragmatism concept is controversial, and there are concerns about whether pragmatic trials should replace or complement them. Schwartz and Lellouch1 suggested a distinction between explanatory trials, which prove the validity of a clinical or physiological hypothesis and pragmatic trials that inform the practice and policy decisions. They also proposed a framework called PRECIS for pragmatic trials.2 This tool tried to define the traits of a practical study, including recruitment, design, implementation of the intervention, and follow-up.
The number of pragmatic trials is growing. A recent Medline search using the terms naturalistic and pragmatic, which was limited to controlled trials that are randomized (RCTs) produced 34 articles, shown in red in Figure 2. This is an indication that the health science community is becoming more sensitive to the issue of pragmatism. It is important to keep in mind that the majority of these trials were conducted in primary care settings.