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Pragmatic trials are studies designed to inform the real-world practice of clinical. They are typically characterized by a focus on the practical aspects of study design, 프라그마틱 정품확인방법 such as the recruitment process and consent, adherence, and the use of commonly available equipment.
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Another example of a pragmatic trial is the Home Blood Pressure Management (HBPM) study, which utilized a variety of investigators and included participants from various geographical areas. This type of heterogeneity is required for practical trials to be valid, and it also helps to reduce bias in the results. Too much heterogeneity, however, can cause problems with the trial design.
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The purpose of pragmatic trials is to mimic real-life scenarios and to achieve maximum credibility externally. They are usually requested by practitioners and policy makers to guide their decision-making. They can also be a great method of determining the cause-effect relationship between an intervention and its outcomes. However, they shouldn't be used as a substitute for explanatory trials.
The concept of pragmatism is controversial and there are concerns about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and Lellouch1 suggested a distinction between explanatory trials, which prove the clinical or physiological hypothesis and pragmatic trials that inform the practice and policy decisions. They also suggested the framework for pragmatic trials, dubbed PRECIS.2 This tool attempted to define the characteristics of a pragmatic study which includes the recruitment process, the design and delivery of the intervention, as well as monitoring.
There is a growing trend in the number of pragmatic trials that are published. A recent Medline search using the words naturalistic and pragmatic, restricted to randomised controlled trials (RCTs), returned 34 articles. These are shown in red on Figure 2. This suggests that the health sciences community is becoming more aware of the importance of pragmatism. However, it is important to note that the majority of these trials were conducted in primary care settings.