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Pragmatic trials are those that are designed to provide information for real-world clinical practice. They are typically described by their focus on practical aspects of designing a study which include the recruitment and consent process, as well as adherence and the use of standard equipment.
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Pragmatic is a software development company that offers a broad range of casino games available on online gambling platforms. Its iGaming software is used by top operators and land based casinos. The company offers front-end tools for design, analysis, marketing, promotions and payment systems, as well as security, customer support and bug reporting. The company also provides an environment that is safe and secure with high-quality graphics, games and security.
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A pragmatic trial that uses various investigators and participants from different geographical areas is the Home Blood Pressure Management study (HBPM). This type of heterogeneity which is essential for a pragmatic trial to be reliable and lessen the chance of bias is also essential. Too much heterogeneity, however, can cause problems with the design of the trial.
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Legality
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The goal of pragmatic trials is to mimic real-life situations and achieve maximum credibility externally. They are usually ordered by policymakers and practitioners in order to inform their decisions. They can be used to determine the causality of an intervention and its results. They should not, however be used to replace explanation studies.
The pragmatism concept is controversial and there are concerns about whether pragmatic trials should be used to replace explanatory trials or complement them. Schwartz and Lellouch1 suggested a distinction between explanatory studies, which prove the physiological hypothesis or clinical hypothesis, as well as pragmatic trials that aid in the decision-making process for policy and practice. They also suggested a framework dubbed PRECIS for pragmatic trials.2 This tool tried to define the elements of a pragmatic research study which includes recruitment, design, delivery of the intervention and follow-up.
There is a growing trend in the number of pragmatic trials that have been published. A recent Medline search using the words pragmatic and naturalistic, limited 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 pragmatism. It is important to keep in mind that the majority of these studies were conducted in primary care settings.