Asking the Clinical Question: Diabetes Management Techniques Start with the patient and identify the clinical problems or issues that arise from clinical care. Consider the research and writing you completed in Topics
This article has been cited by other articles in PMC. Abstract Developing a researchable question is one of the challenging tasks a researcher encounters when initiating a project. Both, unanswered issues in current clinical practice or when experiences dictate alternative therapies may provoke an investigator to formulate a clinical research question.
This article will assist researchers by providing step-by-step guidance on the formulation of a research question. This paper also describes PICO population, intervention, control, and outcomes criteria in framing a research question.
Finally, we also assess the characteristics of a research question in the context of initiating a research project. The underlying questions of a research project provide important information to decide whether the topic is relevant, researchable, and significant.
A well-formulated research question needs extreme specificity and preciseness which guides the implementation of the project keeping in mind the identification of variables and population of interest.
Here we will present a clinical scenario and see how clinical questions arise and help us in finding the evidence to answer our question. He has a history of recurrent ear infections, and his mother expresses a concern that he has been on the antibiotic amoxicillin for the past few weeks.
She is worried about the consequences of the long-term antibiotic use. She is also concerned about the outcome associated with recurrent ear infections. She wants to know if the prescribed amoxicillin is effective, or it can be substituted with another antibiotic because of its side effects such as frequent diarrhea.
Several questions arise from this case which can be broadly classified into background and foreground questions.
These types of questions can be answered by going through review articles or text books. The patient-oriented questions involving interpretation of a therapy or disease and consideration of risk vs. These questions mostly compare the two, either two drugs or treatments or two diagnostic methods, etc.
Feasibility Suffi cient resources in terms of time, staff, and funding Use of appropriate study design Manageable in scope Adequate sample size Trained research staff I: Novel Thorough literature search New fi ndings or extension of previous findings Guidance from mentors and experts E: Relevant Open in a separate window Population or problem- addressing a specific population, its important characteristics and demographic information.
From the above case, you can identify pediatric population with otitis media, the age range, sex, presenting complaint, and history. Intervention or treatment of interest- the intervention can be a treatment, procedure, diagnostic test, and risk or prognostic factors.
In this case, the intervention will be your plan to treat the patient which can be a new therapy, a diagnostic test, prognostic factor, or a procedure.
For example, based on your observation in clinic, cefuroxime is another better treatment option as compared to amoxicillin in treating otitis media but you are not sure about its efficacy in pediatric population with otitis media.
Comparator or control-when a new therapy is compared with the existing one. Outcome- is the effect of the intervention. For example, its effectiveness in controlling pain.Walter Arnold Kaufmann (July 1, – September 4, ) was a German-American philosopher, translator, and poet.A prolific author, he wrote extensively on a broad range of subjects, such as authenticity and death, moral philosophy and existentialism, theism and atheism, Christianity and Judaism, as well as philosophy and urbanagricultureinitiative.com served more than 30 years as a professor at .
THE PICO STRATEGY FOR THE RESEARCH QUESTION CONSTRUCTION AND EVIDENCE SEARCH Cristina Mamédio da Costa Santos1 Cibele Andrucioli de Mattos Pimenta2 Moacyr Roberto Cuce Nobre3 Santos CMC, Pimenta CAM, Nobre MRC.
Humanity lives today in a “global village” where no people or nation can live in isolation from and indifference to what goes on elsewhere. Our study reveals prevalent structural patterns for the four types of clinical questions: therapy, diagnosis, prognosis, and etiology.
We found that the PICO framework is primarily centered on therapy questions, and is less suitable for representing other types of clinical information needs.
DRDH, in collaboration with architecten DVVT, are published in the new issue of architektur aktuell – The Social Agenda. PICO Framework Without a well-focused question, it can be very difficult and time consuming to identify appropriate resources and search for relevant evidence.
Practitioners of Evidence-Based Practice (EBP) often use a specialized framework, called PICO, to form the question and facilitate the literature search. 1 PICO stands for.