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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 described as focusing on practical aspects of designing a study, including the recruitment and consent process, as well as adherence and the use routinely available equipment.
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Another example of a practical trial is the Home Blood Pressure Management (HBPM) study, which utilized a variety of 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 necessary. However, too much heterogeneity can result in issues with the design of the trial.
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The aim of pragmatic trials is to replicate real-life situations and achieve maximum validity externally. They are usually commissioned by policymakers and practitioners in order to guide their decisions. They are also a good way to identify the cause-effect relationship between an intervention and its results. However, they should not, be used to replace explanatory studies.
The pragmatism idea is controversial, and there are questions about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which prove the validity of a clinical or physiological hypothesis, 프라그마틱 무료체험 슬롯버프 and pragmatic trials, which inform the policy and practice of. They also suggested a framework known as PRECIS for pragmatic trials.2 This tool attempted to define the elements of a pragmatic study that includes recruitment, design, implementation of the intervention and its follow-up.
There is a growing trend in the number of 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 sciences community is becoming more aware of the importance of pragmatism. It is important to remember that the majority of these studies were conducted in primary care settings.