Pragmatic trials and implementation science: grounds for divorce?
Background: The paper opens with a brief history of two of the major intellectual components of the recent utilitarian turn in clinical research, namely 'pragmatic trials' and 'implementation science'. The two schools of thought developed independently and the paper scrutinises their mutual compatib...
| Publicado en: | BMC Medical Research Methodology Vol. 19; no. 1 |
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| Autor principal: | |
| Formato: | Journal Article |
| Publicado: |
BioMed Central
8/16/2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138108344&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138108344 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712288 1CI1 jtl: BMC Medical Research Methodology issn: 14712288 maglogo: N pubinfo: dt: 8/16/2019 vid: 19 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 138108344 138108344 NLM31420024 10.1186/s12874-019-0814-9 NLM31420024 138108344 ppct: 1 formats: tig: atl: Pragmatic trials and implementation science: grounds for divorce? aug: au: Pawson, Ray affil: School of Sociology and Social Policy, University of Leeds, LS2 9JT, Leeds, UK sug: subj: Research, Medical Methods Study Design Randomized Controlled Trials Methods Professional Practice, Evidence-Based Methods Research, Medical Standards Professional Practice, Evidence-Based Standards Randomized Controlled Trials Randomized Controlled Trials Standards Reproducibility of Results Research, Medical Professional Practice, Evidence-Based Statistics and Numerical Data Clinical Assessment Tools Scales ab: Background: The paper opens with a brief history of two of the major intellectual components of the recent utilitarian turn in clinical research, namely 'pragmatic trials' and 'implementation science'. The two schools of thought developed independently and the paper scrutinises their mutual compatibilities and incompatibilities, asking: i) what do the leading advocates of pragmatic trials assume about the transfer of research findings to real-world practice and ii) what role pragmatic trials can and should play in the evaluation of implementation science strategies.Methods: The paper utilises 'explication de texte': i) providing a close reading of the inferential logics contained in major published expositions of the two paradigms, and ii) interrogating the conclusions of a pragmatic trial of an intervention providing guidelines on retinal screening aimed at family practitioners.Results: The paper is in two parts. Part 1 unearths some significant incommensurability - the pragmatic trial literature retains an antiquated view of knowledge transfer and is overly optimistic about the wide applicability the findings of pragmatic trials to 'real world' conditions. Part 2 of the paper outlines an empirical strategy to better penetrate the mechanisms of knowledge transfer and to tackle the issue of the generalisabilty of research findings in implementation science.Conclusions: Pragmatism, classically, is about problem solving and the melding of perspectives. The core research requirement in implementation science is a fundamental shift from the narrow shoulders of pragmatic trials to a model of explanation building based upon a multi-case, multi-method body of evidence. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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