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Clinical trials that are designed to help inform practice in the real world are referred to as pragmatic trials. They are usually characterized by a focus on the practical aspects of the research design, like the recruitment process and consent in adherence, as well as the use of routinely available equipment.
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Another example of a trial that is pragmatic is the Home Blood Pressure Management (HBPM) study, which used a variety of investigators and had participants from different geographical regions. This type of heterogeneity which is essential for a pragmatic trial to be valid and lessen the chance of bias, 라이브 카지노 is also necessary. However too much heterogeneity could result in problems with the design of the trial.
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Pragmatic trials aim to mimic real-life situations and attain maximum external validity. Usually, 프라그마틱 슬롯버프 they are ordered by policymakers and practitioners to guide their decisions. They can also be used to assess the cause-effect relationship of an intervention with its outcomes. However, they shouldn't be used in lieu for explanatory trials.
The idea of pragmatism is controversial and there are doubts regarding whether pragmatic trials could be used to replace explanation tests or if they should serve as an alternative to them. Schwartz and Lellouch1 suggested an distinction between explanation-based studies, which prove the validity of a physiological or clinical hypothesis, and pragmatic trials, which inform the decision-making process for policy and practice. They also suggested a framework dubbed PRECIS for pragmatic trials.2 The tool was designed to define the characteristics of a pragmatic research study which includes the recruitment, design, and delivery of the intervention and its follow-up.
The number of pragmatic trials is increasing. A recent Medline search using the words naturalistic and pragmatic, restricted to randomised controlled trials (RCTs) returned 34 articles. They are displayed in red on Figure 2. This is a sign that the health sciences community is becoming more acquaint to the issue of pragmatic thinking. It is important to keep in mind that the majority of studies were conducted in primary care settings.