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Trials designed to inform clinical practice in the real world are referred to as pragmatic trials. They are often characterized by their focus on practical aspects of design, including the recruitment process and consent, adhering and the use of routinely available equipment.
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Another example of a practical trial is the Home Blood Pressure Management (HBPM) study, which employed different investigators and had participants from various geographical areas. This type of heterogeneity, which is essential for pragmatic trials to be reliable and lessen the chance of bias is also essential. 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 simulate real-life situations and achieve the highest level of validity externally. Usually, they are ordered by policymakers and practitioners in order to inform their decisions. They also provide a useful method to determine the causal relationship between the intervention and its effects. However, they shouldn't be used in lieu for explanatory trials.
The pragmatism idea is controversial, and there are questions about whether pragmatic trials should be used to replace explanation tests or if they should serve as a complement to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which validate a physiological or clinical hypothesis, and pragmatic trials, which inform the practice and policy decisions. They also suggested a framework known as PRECIS for pragmatic trials.2 This tool attempted to define the characteristics of a pragmatic research study that includes the recruitment, design, and delivery of the intervention and follow-up.
The number of pragmatic trials is growing. A recent Medline query that used the words naturalistic and 프라그마틱 정품인증 슬롯 무료 (resource for this article) pragmatic, restricted to randomised controlled trials (RCTs) returned 34 articles. They are displayed in red on Figure 2. This is an indication that the health science community is becoming increasingly sensitized to the subject of pragmatic thinking. It is important to keep in mind that the majority were conducted in primary-care settings.