Before you start developing your research question, think about your research objectives:
Watch the following video (6:26) to get you started:
The benefits of doing a background search:
Note: You can do background searches at any stage of the development of your question. |
Pick an area of interest and explore its different aspects to identify a topic.
In this step, a background search will help you identify articles and books which can inspire more ideas and reveal aspects of your research interest that you may not have considered. |
The resources linked below are a good place to start:
Now you have explored different aspects of your topic, you may construct more focused questions (you can create a few questions and pick one later).
A background search will show you how others formulate their questions, hence expand your research direction. |
Once you have a few questions to choose from, pick one and refine it even further.
A background search may help you identify additional keywords in this step. |
The PICO framework (or other variations) can be useful for developing an answerable clinical question.
The example question used in this guide is a PICO question:
How does speech therapy compare to cognitive behavioural therapy in improving speech fluency in adolescents?
P | Population OR Patient OR Problem What are the characteristics of the patient or population? OR What is the condition or disease you are interested in? |
teenager with a stutter |
I/E | Intervention OR Exposure What do you want to do with the patient (e.g. treat, diagnose, observe etc.)? |
speech therapy |
C | Comparison OR Comparator What is the alternative to the treatment (e.g.placebo, different drug, surgery)? |
cognitive behavioural therapy |
O | Outcome What is the relevant outcome (e.g. morbidity, complications)? |
speech fluency |
Note: PICO is one option, there are other frameworks you can use too! |
Use the interactive PICO worksheet to get started with your question, or you can download the worksheet document.
Here are some different frameworks you may want to use:
PICO(T) | Population (patient), Intervention, Comparison (control) and Outcome. Add a Timeframe if required. Used particularly for treatment type questions. |
PECO(T) | A variation of PICO where E= Exposure and T=Timeframe if required. |
PIPOH | Developed in the context of practice guideline adaptation. Includes P= Professionals/Patients, O= Outcome and H= Healthcare Setting. |
SPICE | S= Setting (where), P= Perspective (for whom), I= Intervention (what), C= Comparison (compared with what), E= Evaluation (Booth 2006). |
SPIDER | S= Sample, P= Phenomenon of interest, D= Design, E= Evaluation, R= Research type. Useful for qualitative or mixed method studies (Cooke, Smith and Booth 2012). |
ECLIPSE | E= Expectations, C= Client group, L= Location, I= Impact, P= Profession, SE= Service (Wildridge & Bell 2002). |
PESTLE | P= Political, E= Economic, S= Social, T= Technological, E= Environmental, L= Legal (CIPD 2010). |
There are a number of PICO variations which can be used for different types of questions, such as qualitative, and background and foreground questions. Visit the Evidence-Based Practice (EBP) Guide to learn more: