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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 typically described by their focus on practical aspects of design, 프라그마틱 프라그마틱 슬롯 하는법 체험 (https://minecraftcommand.science/Profile/chalknancy0) including the recruitment and consent process, as well as adherence and the use routinely available equipment.
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Another example of a pragmatic trial is the Home Blood Pressure Management (HBPM) study, which used different investigators and included participants from various geographical areas. This type of heterogeneity, which is vital for pragmatic trials to be valid and lessen the chance of bias, is also necessary. Too much heterogeneity, however, can cause problems with the trial design.
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Pragmatic trials seek to replicate real-world situations and 프라그마틱 불법 have the highest external validity. They are usually commissioned by policymakers and practitioners in order to guide their decisions. They are also a good method of determining the cause-effect relationship between the intervention and its effects. However, they should not be used as a substitute for explanatory trials.
The concept of pragmatism is controversial and there are concerns about whether pragmatic trials should replace explanatory trials or complement them. Schwartz and Lellouch1 suggested an distinction between explanation-based studies, which prove the validity of a physiological or clinical hypothesis, and pragmatic trials that aid in policy and practice decision-making. They also suggested a framework dubbed PRECIS for pragmatic trials.2 The tool was designed to define the elements of a practical study which includes recruitment, design, implementation of the intervention, and follow-up.
There is a growing increase in the number pragmatic trials that are published. A recent Medline search using the terms pragmatic and naturalistic, restricted to randomized controlled trials (RCTs) produced 34 articles, which are shown in red in Figure 2. This is an indication that the health science community is becoming more sensitive to the issue of pragmatism. It is important to keep in mind that the majority of these studies were conducted in primary care settings.