Now that we have a well-formulated question and know where to search, it's time to build a search strategy. We'll start with a basic strategy for quick searching, before moving on to a more advanced and comprehensive search strategy.
If you need to do a more comprehensive search for a thorough literature review, you'll need to come up with a more complete search strategy. This involves identifying key concepts, brainstorming synonyms and related terms, and combining these with Boolean operators (AND/OR).
This step is an expansion of your PICO framework (see Step 1: Ask a Searchable Question for more on PICO). In some cases, you may have multiple concepts for a PICO element. For example, if your population (P) is pediatric cerebral palsy patients, pediatric and cerebral palsy would be two key concepts. Use the PICO framework to map out your key concepts.
QUESTION:What physical therapy strengthening interventions are recommended for pediatric cerebral palsy patients? |
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Population/Patients |
Intervention |
Comparison |
Outcome |
Pediatric cerebral palsy |
Strengthening |
n/a |
Gait and balance |
KEY CONCEPTS |
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Pediatric |
Strengthening |
--- |
Gait |
Cerebral palsy
|
Balance
|
Next, think of synonyms and other terms that might be used to describe your topic. Thesauri and dictionaries are useful resources for synonyms.
Also, as with all aspects of your search, don’t hesitate to contact KRS if you need a hand!
Let's brainstorm synonyms and related terms for our pediatric cerebral palsy strengthening question:
As part of this, we will want to consider: related keywords, synonyms, acronyms and spelling (British versus American).
KEY CONCEPTS |
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Pediatric Paediatric Child |
Strengthening Muscle strengthening Resistance Training Resistance exercise Progressive resistance |
--- |
Gait Walking |
Cerebral palsy CP** |
Balance Weight distribution |
**Always use the abbreviation and the full spelling when both are common
Truncating a term searches for the root and allows for variation in the suffix. This is a great strategy for singular, plural, -isms, -ions, -ologies, etc. It broadens your search using only one root, making your searches more thorough. Most databases will truncate your term with an *. If you are unsure if the truncation is working properly, check the database help section for details on how to truncate.
KEY CONCEPTS |
||
Pediatric* Paediatric* Child* |
Strength* Muscle strength* Resistance Training Resistance exercise* Progressive resistance |
Improved gait Walk* |
Cerebral palsy CP |
Balanc* Weight distribut* |
Most databases use Boolean operators, a means of combining key concepts, to search for results. Some basic search boxes will automatically put an AND between all terms entered and others require the searcher to tell the database what to do. Understanding how the OR & AND work in a database is essential to understanding how a search will be treated by the database and what to expect from the results.
For example, a search for Child* OR Pediatric* will find all instances of the root child, all instances of the root pediatric, and all instances where both appear. This leads to more results with better coverage of that concept.
We can continue to use our PICO/key concepts table to help us organize and plan our search strategy. We’ll use this table to identify how we will use the OR for our search.
KEY CONCEPTS |
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Pediatric* OR Paediatric* OR Child* |
Strength* OR Muscle strength* OR Resistance Training OR Resistance exercise* OR Progressive resistance |
Improved gait OR Walk* |
Cerebral palsy OR CP |
Balanc* OR Weight distribut* |
AND is used to combine different terms. It finds instances where overlap occurs and all terms appear in the same results.
For example, a search for Cerebral Palsy AND Strength* will find instances where both terms appear in the same results. This leads to fewer, more relevant and focused results.
* OR searches should be completed first, and then combined using AND
We can continue to use our PICO/key concepts table to help us organize and plan our search strategy. We’ll use this table to identify how we will use the AND for our search.
KEY CONCEPTS |
||||
Pediatric* OR Paediatric* OR Child* |
AND |
Strength* OR Muscle strength* OR Resistance Training OR Resistance exercise* OR Progressive resistance |
AND |
Improved gait OR Walk* |
AND |
AND |
|||
Cerebral palsy OR CP |
Balanc* OR Weight distribut* |