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Trials designed to inform clinical practice in the real world are known as pragmatic trials. They are often described as focusing on practical aspects of design that include the recruitment process and consent, adhering and the use routinely available equipment.
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Another example of a trial that is pragmatic is the Home Blood Pressure Management (HBPM) study, which employed different investigators and had participants from various geographical areas. This kind of heterogeneity, that is crucial for a pragmatic trial to be reliable and 프라그마틱 슬롯 무료체험 to reduce bias in the results, is also necessary. However excessive heterogeneity could result in issues with the design of the trial.
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Pragmatic trials aim to mimic real-life settings and achieve maximum external validity. They are usually requested by practitioners and policymakers to help inform their decisions. They also provide a useful way to identify the causality between an intervention and its outcomes. However, they shouldn't be used to substitute for the use of explanation trials.
The pragmatism idea is controversial and there are questions about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and 프라그마틱 데모 Lellouch1 made an distinction between explanation-based studies, which prove the physiological hypothesis or clinical hypothesis, as well as pragmatic trials, that inform policy and practice decision-making. They also proposed a framework called PRECIS for pragmatic trials.2 This tool attempted to define the elements of a pragmatic research study, including recruitment, design, implementation of the intervention and follow-up.
There is an encouraging increase in the number pragmatic trials that are published. A recent Medline search using the words pragmatic and naturalistic, which was restricted to randomised controlled trials (RCTs), returned 34 articles. These are highlighted in red on Figure 2. This indicates that the health sciences community is becoming more aware of the importance of pragmatic thinking. However, it is important to remember that the majority of these trials were conducted in primary care settings.