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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 often focused on the practical aspects of the research design, like the recruitment and consent process, 프라그마틱 슬롯 무료체험 adherence, and 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 type of heterogeneity is required for pragmatic trials to be able to prove their validity, and it also reduces the chance of bias in the results. However excessive heterogeneity could cause issues with the design of the trial.

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The goal of pragmatic trials is to simulate real-life situations and achieve maximum credibility externally. Usually, they are requested by practitioners and policymakers to guide their decisions. They are also a good way to identify the causal relationship between an intervention and its outcomes. They should not, however be used to replace explanation studies.

The concept of pragmatism is controversial, and there are questions about whether pragmatic trials should replace explanatory trials or complement them. Schwartz and Lellouch1 suggested the distinction between explanation trials, which prove a physiological or clinical hypothesis, and pragmatic trials, which guide the policy and practice of. They also suggested an approach to pragmatic trials, dubbed PRECIS.2 This tool was designed to define the elements of a practical trial that include the recruitment process, the design and implementation of the intervention, as well as the 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. These are highlighted in red on Figure 2. This suggests that the health sciences community is becoming more aware of the importance of pragmatism. It is important to note, however, that the majority of these studies were conducted in primary-care settings.%ED%94%84%EB%9D%BC%EA%B7%B8%EB%A7%88%ED%8B%B1-%EC%95%84%EC%A6%88%ED%85%8D-%ED%8C%8C%EC%9B%8C%EB%84%9B%EC%A7%80.jpg