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Clinical trials that are designed to help inform practice in the real world are called pragmatic trials. They are usually characterized by a focus on the practical aspects of the study design, including recruitment and consent, adherence, and the use of routinely available equipment.
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Another example of a practical trial is the Home Blood Pressure Management (HBPM) study, which used different investigators and participants from different geographic areas. This type of heterogeneity is necessary for pragmatic trials to be able to prove their validity and also helps to reduce the chance of bias in the results. However excessive heterogeneity could result in issues with the design of the trial.
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Pragmatic trials are designed to replicate real-life settings and achieve maximum external validity. They are typically ordered by policymakers and practitioners in order to inform their decisions. They also provide a useful method to determine the causality between an intervention and its outcomes. However, they should not be used as a substitute for the use of explanation trials.
The pragmatism idea is controversial and there are doubts regarding whether pragmatic trials could replace tests for explanations or if they should serve as an addition to them. Schwartz and Lellouch1 suggested the distinction between explanation trials, which confirm the validity of a clinical or physiological hypothesis as well as pragmatic trials that inform the policy and practice of. They also proposed the framework for pragmatic trials, called PRECIS.2 This tool attempted to define the characteristics of a pragmatic study that include the recruitment process, 프라그마틱 슬롯버프 카지노 (socialevity.com) the design and implementation of the intervention, and monitoring.
The number of pragmatic trials is increasing. A recent Medline search using the terms naturalistic and pragmatic, which was limited to controlled trials randomized to control (RCTs) resulted in 34 articles, as shown in red in Figure 2. This indicates that the health sciences community has become more aware of the importance of pragmatic thinking. It is important to note that the majority of these studies were conducted in primary care settings.