Basic↦Statistic Methodology↦Research Question↦Definition
What is it? Why is it important?
The research question must be clear and answerable. A good way to build a research question is to use the PICO model.
PICO stands for:
- P – Population: describes the study population and its characteristics (e.g. age, gender, geographic location, health problem, diagnosis)
- I – Intervention: describes the treatment or exposure being studied. In the health care system, this could include the:
- Administration of a drug treatment
- Conduct of a diagnostic test (e.g. testing a new tool to measure blood pressure)
- Any other type of procedure (e.g. recommendation regarding life style changes)
- C – Comparison: describes a potential alternative or reference point to the intervention (e.g. a control or comparison group such as a placebo group)
- O – Outcome: describes the parameter(s) that will be measured to address the objective of the study (e.g. to assess the success of an intervention)
More
Example: A study with anaemic women and the objective of assessing the effect of iron intake on haemoglobin status.
- Population: adult women (age between 18 and 60) with anaemia living in Switzerland
- Intervention: daily intake of an iron tablet (e.g. iron dose = 320mg / tablet, ingested orally for 3 months)
- Comparison: daily intake of a placebo tablet (iron dose = 0 mg / tablet, ingested orally for 3 months)
- Outcome: change in haemoglobin values between study start (baseline) and study end (after 3 months of intervention)
What do I need to do?
As a SP-INV, describe your research question based on the PICO model.
Consult a statistician to ensure the research question is statistically:
- Answerable: the study outcome includes parameters that are measurable and that can be analysed statistically (e.g. blood parameters, various health scores such as pain scores or quality of life scores)
- Clear: complying with the PICO model will ensure that the research question becomes clear, as it contains all the required information for the set-up and planning of the study.
In some studies the aim is not to quantify the effect of an intervention (I) on an outcome (O). The aim is rather to describe a given population (e.g. frequency of patients with a cardiac event in the cancer department of a hospital). Thus, there is no actual intervention and no comparison is made to a control group. In these types of studies, I and C questions of the PICO model are not applicable. The research question is only built using the P and O questions (e.g. P: patients of the cancer department, O: occurrence of cardiac event during hospital stay).
Where can I get help?
Your local CTU↧ can support you with experienced staff regarding this topic
Basel, Departement Klinische Forschung, CTU, dkf.unibas.ch
Lugano, Clinical Trials Unit, CTU-EOC, www.ctueoc.ch
Bern, Clinical Trials Unit, CTU, www.ctu.unibe.ch
Geneva, Clinical Research Center, CRC, crc.hug.ch
Lausanne, Clinical Research Center, CRC, www.chuv.ch
St. Gallen, Clinical Trials Unit, CTU, www.kssg.ch
Zürich, Clinical Trials Center, CTC, www.usz.ch