The first step when attempting research is to ask the right question. That isn’t always easy!
A good way to frame questions to make sure they include PICO:
¡P – Patient, Problem, or Population
¡I – Intervention
¡C – Comparison
¡O – Outcomes
¡(T) – Time element or Type of Study
Comparison and Time or Type are typically the only optional components. You might not want to look for alternatives or there may be none. You may not care about time or type of study.
Sample Question Outlines
For an intervention/therapy:
¡In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
For etiology:
¡Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?
Diagnosis or diagnostic test:
¡Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?
Prevention:
¡For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?
Prognosis/Predictions
¡Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?
Meaning
¡How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?
Based on Melnyk B., & Fineout-Overholt E. (2010). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins.
PICO Scenarios
Read the following clinical scenarios and create a research question using the PICO format. Remember, Comparison might be optional!
Scenario 1
Jane, who is 65, has been suffering from chronic lower back pain. She recently watched a documentary about acupuncture and wants to know if acupuncture might offer any relief.
Scenario 2
Debbie has recently been diagnosed with Parkinson’s disease. She is depressed and struggling with traditional gait training. The senior center in her community has recently started offering dance therapy classes. Would that help Debbie?