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Studies designed to provide insight into clinical practice in the real world are known as pragmatic trials. They are often characterized by their focus on practical aspects of designing a study which include the recruitment process and consent, adhering and the use routinely available equipment.
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A pragmatic study that involves different investigators and participants from different geographical areas is the Home Blood Pressure Management study (HBPM). This kind of heterogeneity, which is essential for a pragmatic trial to be reliable and to reduce bias in the results, is also necessary. Too much heterogeneity, however could cause issues with the design of the trial.
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Pragmatic trials seek to replicate real-life situations and attain maximum external validity. They are usually requested by policy makers and practitioners to aid in their decision-making. They can also be used to determine the causality of an intervention with its outcomes. However, they should not be used in lieu for the use of explanation trials.
The idea of pragmatism is controversial, and there are questions about whether pragmatic trials can replace explanatory tests or if they should be an addition to them. Schwartz and Lellouch1 suggested the distinction between explanation studies, which support the physiological hypothesis or 프라그마틱 게임 clinical hypothesis, and pragmatic trials that aid in the practice and policy decision-making. They also proposed the framework for pragmatic trials, dubbed PRECIS.2 This tool sought to define the elements of a pragmatic study which includes the recruitment process, the design and implementation of the intervention, as well as monitoring.
The number of pragmatic trials is growing. A recent Medline query using the keywords pragmatic and naturalistic, limited 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 sensitive to the subject of pragmatics. It is important to keep in mind, however, that the majority of these studies were conducted in primary-care settings.