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Trials designed to inform clinical practice in the real world are known as pragmatic trials. They are often characterized by their focus on practical aspects of study design that include recruitment and consent, 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 employed different investigators and participants from different geographical regions. This type of heterogeneity is essential for pragmatic trials to be able to prove their validity, and it also reduces the chance of bias in the results. However excessive heterogeneity could result in issues with the design of the trial.
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The aim of pragmatic trials is to simulate real-life scenarios and to achieve maximum validity externally. They are typically ordered by policymakers and practitioners in order to inform their decisions. They can also be a great method of determining the causality between the intervention and its effects. However, they shouldn't be used in lieu for explanatory trials.
The pragmatism concept is controversial, and 프라그마틱 추천 슬롯 환수율 - Git.Panggame.com, there are concerns about whether pragmatic trials should replace or complement them. Schwartz and Lellouch1 suggested the distinction between explanation trials, which validate a physiological or clinical hypothesis, and pragmatic trials, which guide policy and practice decisions. They also suggested a framework for 프라그마틱 무료스핀 pragmatic trials, which they called PRECIS.2 This tool sought to define the elements of a practical trial that include recruitment, design and delivery of the intervention, and the follow-up.
There is an encouraging increase in the number of pragmatic trials that are published. A recent Medline search using the keywords naturalistic and pragmatic, limited to controlled trials that are randomized (RCTs) produced 34 articles, shown in red in Figure 2. This indicates that the health science community is becoming increasingly sensitized to the subject of pragmatism. It is important to keep in mind that the majority of these studies were conducted in primary care settings.