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Clinical trials that are designed to help inform practice in the real world are known as pragmatic trials. They are often characterized by a focus on practical aspects of the research design, like recruitment and consent as well as adherence to the use of standard equipment.
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Another example of a trial that is pragmatic is the Home Blood Pressure Management (HBPM) study, which used various investigators and participants from various geographical areas. This type of heterogeneity, which is essential for a pragmatic trial to be reliable and reduce bias in results is also essential. A high degree of heterogeneity, however could cause issues with the design of the trial.
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Pragmatic trials seek to replicate real-world situations and have the highest external validity. They are typically ordered by policymakers and practitioners in order to inform their decisions. They also provide a useful method of determining the causality between the intervention and its effects. They should, however, not, be used to replace explanatory studies.
The concept of pragmatism is controversial and there are concerns about whether pragmatic trials can replace explanatory tests or if they should serve as an alternative to them. Schwartz and 프라그마틱 무료체험 슬롯버프 Lellouch1 suggested an distinction between explanation-based studies, which confirm the validity of a physiological or clinical hypothesis, as well as pragmatic trials, which inform the practice and policy decision-making. They also proposed an approach to pragmatic trials, dubbed PRECIS.2 This tool was designed to define the features of a pragmatic trial, including the recruitment process, the design and implementation of the intervention, and monitoring.
There is a growing increase in the number of pragmatic trials published. A recent Medline search using the keywords naturalistic and pragmatic, which was limited to controlled trials that are randomized (RCTs) resulted in 34 articles, as shown in red in Figure 2. This is an indication that the health sciences community is becoming more acquaint to the subject of pragmatism. It is important to keep in mind that the majority of these studies were conducted in primary care settings.