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Clinical trials that are designed to help inform practice in the real world are known as pragmatic trials. They are typically focused on practical aspects of the study design, including recruitment and consent in adherence, as well as the use of commonly available equipment.
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A practical trial that employs various investigators and participants from various geographical regions is the Home Blood Pressure Management study (HBPM). This kind of heterogeneity is essential for pragmatic trials to be able to prove their validity and also helps to reduce the chance of bias in the results. However, too much heterogeneity can cause issues with the design of the trial.
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Pragmatic Play offers not only mobile-friendly slot machines but also table games and live casino. The company is licensed by several regulatory bodies, including Malta Gaming Authority and UK Gambling Commission. The games are protected by top-of-the-line encryption technology and the security team is ready to assist players resolve any issues they might face.
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Pragmatic Play has earned a reputation for providing top-notch games and an exceptional user experience. The software is available on mobile devices as well as in various languages. It has been recognized as one of the top casino gaming platforms despite its relative youth. Wolves is one of the most recent releases that is a 5-reel slot machine with a hefty RTP and stunning graphics. Other notable games include Wolf Gold and Chilli Heat.
The purpose of pragmatic trials is to simulate real-life situations and achieve the highest level of validity externally. They are usually commissioned by practitioners and policy makers to aid in their decision-making. They can be used to determine the causality of an intervention and its results. They should, however, not be used to replace explanation studies.
The concept of pragmatism is controversial, and there are questions about whether pragmatic trials should replace explanatory trials or complement them. Schwartz and Lellouch1 suggested a distinction between explanatory studies, which confirm the physiological hypothesis or clinical hypothesis, as well as pragmatic trials, which inform the practice and policy decision-making. They also suggested a framework dubbed PRECIS for pragmatic trials.2 This tool attempted to define the elements of a pragmatic study that includes the recruitment, design, and delivery of the intervention and its follow-up.
There is an encouraging increase in the number pragmatic trials that are published. A recent Medline search using the terms pragmatic and naturalistic, restricted to controlled trials randomized to control (RCTs) resulted in 34 articles, shown in red in Figure 2. This is an indication that the health science community is becoming more acquaint to the subject of pragmatics. However, it is important to keep in mind that the majority of these studies were conducted in primary care settings.