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Clinical trials that are designed to help inform practice in the real world are referred to as pragmatic trials. They are usually focused on the practical aspects of the research design, like the recruitment process and consent as well as adherence to the use of commonly available equipment.
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Another example of a practical trial is the Home Blood Pressure Management (HBPM) study, which utilized different investigators and participants from different geographic areas. This type of heterogeneity which is vital for pragmatic trials to be valid and reduce bias in results is also essential. However too much heterogeneity could result in issues with the design of the trial.
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The purpose of pragmatic trials is to mimic real-life scenarios and to achieve maximum validity externally. Usually, they are requested by practitioners and policymakers to help inform their decisions. They are also a good method to determine the causal relationship between an intervention and its results. They should not, however, be used to replace explanation studies.
The pragmatism concept is controversial, and there are doubts about whether pragmatic trials should replace or complement them. Schwartz and Lellouch1 made the distinction between explanation studies, which prove a physiological hypothesis or clinical hypothesis, and 프라그마틱 슬롯 하는법 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 traits of a practical study which includes recruitment, design, delivery of the intervention and follow-up.
The number of pragmatic trials is growing. A recent Medline search using the words pragmatic and naturalistic, which was restricted to randomised controlled trials (RCTs) returned 34 articles. These are highlighted in red on Figure 2. This is an indication that the health science community is becoming increasingly sensitized to the subject of pragmatics. It is important to remember that the majority of studies were conducted in primary care settings.