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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 the study design, such as the recruitment and consent process in adherence, as well as 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 vital for pragmatic trials to be valid and lessen the chance of bias, is also necessary. Too much heterogeneity, however, can cause problems with the trial design.
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Pragmatic trials seek to replicate real-world situations and have the highest external validity. They are usually commissioned by practitioners and policy makers to inform their decision making. They are also a good method to determine the causal relationship between the intervention and its effects. They should, however, not, be used to replace the need for explanation studies.
The idea of pragmatism is controversial and there are concerns about whether pragmatic trials can replace explanatory tests or if they should be a complement to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which confirm the clinical or physiological hypothesis as well as pragmatic trials that inform the policy and practice of. They also proposed a framework called PRECIS for pragmatic trials.2 This tool attempted to define the elements of a practical study which includes recruitment, design, implementation of the intervention and its follow-up.
The number of pragmatic trials is growing. A recent Medline search using the terms naturalistic and pragmatic, 프라그마틱 플레이 (Https://Www.Google.Ci/) limited to controlled trials randomized to control (RCTs), yielded 34 articles, which are shown in red in Figure 2. This is an indication that the health science community is becoming more acquaint to the subject of pragmatics. It is important to keep in mind, however, that the majority of these studies were conducted in primary-care settings.