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Trials designed to inform clinical practice in the real world are called pragmatic trials. They are often characterized by a focus on the practical aspects of study design, such as the recruitment process and consent as well as adherence to the use of routinely available equipment.
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A pragmatic trial that uses various investigators and participants from various geographical regions is the Home Blood Pressure Management study (HBPM). This kind of heterogeneity, that is crucial for
프라그마틱 체험 pragmatic trials to be valid and reduce bias in results is also essential. However, too much heterogeneity can cause issues with the design of the trial.
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The aim of pragmatic trials is to simulate real-life scenarios and to achieve maximum credibility externally. Usually, they are requested by practitioners and policymakers in order to guide their decisions. They can also be a great method to determine the causality between the intervention and its effects. However, they should not be used to substitute for explanatory studies.
The pragmatism idea is controversial, and there are doubts about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and Lellouch1 suggested a distinction between explanatory trials, which confirm the clinical or physiological hypothesis and pragmatic trials, which guide the practice and policy decisions. They also suggested a framework dubbed PRECIS for pragmatic trials.2 The tool was designed to define the elements of a pragmatic study which includes recruitment, design, implementation of the intervention, and follow-up.
There is a positive trend in the number of pragmatic trials that have been published. A recent Medline search using the keywords pragmatic and naturalistic, restricted to controlled trials randomized to control (RCTs), yielded 34 articles, shown in red in 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 studies were conducted in primary care settings.