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Studies designed to provide insight into clinical practice in the real world are known as pragmatic trials. They are typically described as focusing on practical aspects of study design that include the recruitment process and consent, adhering and the use routinely available equipment.
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A practical trial that employs various investigators and participants from diverse geographical locations is the Home Blood Pressure Management study (HBPM). This kind of heterogeneity is essential for pragmatic trials to be able to prove their validity and reduces bias in the results. A high degree of heterogeneity, however could cause issues with the trial design.
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Pragmatic trials are designed to replicate real-world situations and have the highest external validity. They are usually requested by practitioners and policy makers to guide their decision-making. They are also a good method to determine the causal relationship between an intervention and its outcomes. They should, however, not be used to replace explanation studies.
The idea of pragmatism is controversial and there are concerns regarding whether pragmatic trials could be used to replace explanation tests or if they are an addition to them. Schwartz and Lellouch1 made a distinction between explanatory studies, which prove the validity of a physiological or clinical hypothesis, as well as pragmatic trials, which inform the practice and policy decision-making. They also proposed a framework called PRECIS for pragmatic trials.2 This tool attempted to define the traits of a pragmatic study that includes recruitment, design, implementation of the intervention and its follow-up.
The number of pragmatic trials is growing. A recent Medline search using the keywords naturalistic and pragmatic, which was limited to randomized controlled trials (RCTs),
프라그마틱 무료체험 메타 홈페이지 [
Wearethelist.Com] yielded 34 articles, which are shown in red in Figure 2. This is a sign that the health sciences community is becoming increasingly sensitized to the issue of pragmatics. It is important to note that the majority were conducted in primary care settings.