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Pragmatic trials are those that are designed to provide information for the real-world practice of clinical. They are often characterized as a focus on the practical aspects of designing a study, including recruitment and 프라그마틱 사이트 (mouse click the next site) consent, adherence and the use of standard equipment.
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A pragmatic study that involves various investigators and participants from diverse geographical locations is the Home Blood Pressure Management study (HBPM). This type of heterogeneity which is essential for a pragmatic trial to be reliable and reduce bias in results is also essential. A high degree of heterogeneity, however can result in problems with the design of the trial.
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The goal of pragmatic trials is to mimic real-life situations and achieve maximum validity externally. They are usually requested by practitioners and policy makers to aid in their decision-making. They can be used to determine the causality of an intervention with its outcomes. However, they should not be used to substitute for explanatory studies.
The pragmatism idea is controversial and there are doubts about whether pragmatic trials can replace tests for explanations or if they are a complement to them. Schwartz and Lellouch1 suggested the distinction between explanation trials, which validate the clinical or physiological hypothesis, and pragmatic trials, which guide policy and practice decisions. They also suggested a framework for pragmatic trials, which they called PRECIS.2 This tool sought to define the features of a practical trial that include the recruitment process, the design and implementation of the intervention, and monitoring.
There is a positive increase in the number of pragmatic trials published. A recent Medline search using the keywords pragmatic and naturalistic, restricted to controlled trials that are randomized (RCTs), yielded 34 articles, shown in red in Figure 2. This indicates that the health sciences community has become more aware of the importance of pragmatism. It is important to note, however, that the majority were conducted in primary-care settings.