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Trials designed to inform clinical practice in the real world are referred to as pragmatic trials. They are typically characterized by a focus on the practical aspects of research design, like the recruitment and consent process in adherence, as well as the use of commonly available equipment.
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A practical trial that employs a variety investigators and includes participants from diverse geographical locations is the Home Blood Pressure Management study (HBPM). This type of heterogeneity is required for pragmatic trials to be valid and helps reduce bias in the results. Too much heterogeneity, however, can cause problems with the trial design.
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The goal of pragmatic trials is to mimic real-life situations and achieve the highest level of validity externally. Usually, they are ordered by policymakers and practitioners in order to inform their decisions. They can also be a great method to determine the cause-effect relationship between an intervention and its outcomes. However, 프라그마틱 정품확인방법 슬롯 하는법 (this page) they should not be used in lieu for explanation trials.
The concept of pragmatism is controversial and there are doubts about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which confirm a physiological or clinical hypothesis, and pragmatic trials, which guide the policy and practice of. They also suggested a framework known as PRECIS for pragmatic trials.2 This tool attempted to define the elements of a practical study that includes recruitment, design, implementation of the intervention and its follow-up.
The number of pragmatic trials is increasing. A recent Medline query using the keywords naturalistic and pragmatic, restricted to randomised controlled trials (RCTs) returned 34 articles. These are shown in red on Figure 2. This is an indication that the health science community is becoming increasingly sensitized to the subject of pragmatism. It is important to note that the majority of these studies were conducted in primary care settings.