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They are usually commissioned by practitioners and policy makers to inform their decision making. They can be used to determine the causality of an intervention and its results. They should not, however, be used to replace explanatory studies.<br><br>The idea of pragmatism is controversial and there are concerns regarding whether pragmatic trials could replace explanatory tests or if they should be a complement to them. Schwartz and Lellouch1 made the distinction between explanation studies, which support a physiological hypothesis or clinical hypothesis, and  [https://bookmarklogin.com/story18401873/how-the-10-most-disastrous-pragmatic-casino-fails-of-all-time-could-have-been-avoided 프라그마틱 무료스핀] pragmatic trials that aid in the decision-making process for policy and practice. They also suggested a framework dubbed PRECIS for pragmatic trials.2 This tool tried to define the elements of a pragmatic research study that includes recruitment, design, delivery of the intervention, and follow-up.<br><br>There is a growing increase in the number pragmatic trials published. A recent Medline search using the words naturalistic and pragmatic, restricted to randomised controlled trials (RCTs) returned 34 articles. They are displayed in red on Figure 2. This indicates that the health science community is becoming increasingly sensitized to the issue of pragmatics. It is important to note that the majority of these trials were conducted in primary care settings.