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Step 1. Ask a Searchable Question

Our work, our practices, our teams are driven by questions. It's often the case that these questions start out as ideas that need to be refined in order for them to yield meaningful answers.

 

In this section, you'll:
  • Recognize the value of asking a searchable question
  • Identify common types of questions (background/foreground)
  • Describe different frameworks that help to identify key concepts within your research topic
  • Construct a searchable question using a standard framework (e.g. PICO, SPICE, SPIDER)

Using a question framework to help identify key concepts

Developing a searchable question can be tough! Using a question framework can help you think through your topic, identify key concepts and develop a searchable question.

 

Background Question Framework

 

Components

Who, what, where, when, how 
+ verb 
+ aspect of a condition or area of interest                  

Examples

What is folic acid and why is it important in prenatal care?
What are the side effects of St. John's Wart?
How many people are infected with Lyme disease each year in Canada?

Foreground Question Framework

One technique you can use to focus and refine your foreground questions is called the PICO framework. PICO can be helpful for research topics that are more clinically oriented. Other types of questions, like program design or qualitative research, might lend themselves to the SPICE or SPIDER frameworks. 
 

PICO

Population/Patient

Intervention

Comparison/Control

Outcome

What are the characteristics (age, sex) of the population of interest and what are the health issue(s)?

What program, policy, medication, medical treatment, etc.… are you interested in investigating?

Is there a current practice that you want to compare?

What result(s) will you consider to know if the intervention is working?

Seniors (>65)


Young Adults (18-23)


Adults with atrial fibrillation

Influenza Vaccine


Social Marketing Campaign


Dabigatran (Pradaxa)

-


-


Warfarin

Pneumonia

Sexually Transmitted Infections

Stroke

Example of questions formulated using PICO framework:

 

SPICE & SPIDER

 

Setting   

Perspective/
Population

Intervention
(Program/
Service)

Comparison (Optional)

Evaluation
(Outcome)

What is the care setting of interest? What is the context?

Who are the users, potential users, or stakeholders of the service?

What is being done for the users, potential users, or stakeholders?

What are the alternatives? 

What measurement will determine the intervention’s success?

Neonatal Intensive Care Unit

Nursing Staff

Mindfulness

Control Group Professional Resilience,
Burnout

 

       

Sample

Phenomenon
of Interest

Design

Evaluation

Research Type

The group of people being looked at

Looks at the reasons for behaviour and decisions, rather than an intervention.

The form of research used, such as interview or survey.

The outcome measures.

Qualitative, quantitative and/or mixed methods.

Cohort of breast cancer survivors Supportive Care Needs Mixed Methods Types of care needs post-treatment

Grounded theory

Example of questions formulated using the SPICE & SPIDER frameworks:

These frameworks are intended to get you thinking about some of the important parameters of your research question.You'll find that by using these templates you're left with the elements for a focused and searchable question. Don't fret if these frameworks don't quite fit - the intent is merely to outline the details of your question with sufficient specificity. You can also just ask yourself if you've outlined the WHO, WHAT, WHERE, WHEN, WHY, and HOW, as they apply, to your research topic.

 

If you had listed a foreground question in the last activity, which of the frameworks help to elicit the most detail?
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To help you practice turning these key elements into questions, we've got some example scenarios for you to try next. 

For additional information on developing PICO questions, try these tutorials:

http://library.medicine.yale.edu/tutorials/753

http://medlib.bu.edu/tutorials/ebm/pico/

For other models to help with question formation, check out the following sites:

https://medhealth.leeds.ac.uk/info/639/information_specialists/1500/search_concept_tools