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Pragmatic trials are those that are designed to inform the real-world practice of clinical. They are typically described as a focus on the practical aspects of designing a study that include recruitment and consent, adherence and the use of standard equipment.
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A pragmatic study that involves various investigators and participants from diverse geographical locations is the Home Blood Pressure Management study (HBPM). This kind of heterogeneity, which is vital for a pragmatic trial to be valid and reduce bias in results, 프라그마틱 플레이 (glamorouslengths.com) is also necessary. Too much heterogeneity, however, can cause problems with the design of the trial.
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The goal of pragmatic trials is to replicate real-life scenarios and to achieve maximum validity externally. They are usually commissioned by practitioners and policy makers to inform their decision making. They can also be used to assess the causality of an intervention with its outcomes. However, they shouldn't be used to substitute for explanation studies.
The concept of pragmatism is controversial, and there are questions about whether pragmatic trials can replace explanatory tests or if they are an alternative to them. Schwartz and Lellouch1 made the distinction between explanation studies, which confirm a physiological hypothesis or clinical hypothesis, as well as pragmatic trials that aid in policy and practice decision-making. They also proposed the framework for pragmatic trials, dubbed PRECIS.2 This tool attempted to define the characteristics of a pragmatic trial that include the recruitment process, the design and implementation of the intervention, and follow-up.
There is an encouraging trend in the number of pragmatic trials that have been published. A recent Medline search using the words pragmatic and naturalistic, limited to randomised controlled trials (RCTs), returned 34 articles. They are displayed in red on Figure 2. This is an indication that the health sciences community is becoming increasingly sensitized to the subject of pragmatic thinking. It is important to remember that the majority of studies were conducted in primary-care settings.