Using a framework to develop your research question can help to identify the main concepts of your review topic (see further down the page). Whether you use a framework or not, the goal is to identify the main concepts of your question and the synonyms / similar terms that might be used to describe each of those concepts:
Use AND to combine different main concepts of your search: Childhood AND Asthma. Narrows results (see gray overlapping section of Venn diagram).
Venn diagram of Childhood AND Asthma:
Use OR to include similar terms / synonyms (and sometimes antonyms) for a concept: childhood OR adolescence. Fertility OR infertility. Broadens results (see Venn diagram with all sections shaded in gray).
Venn diagram of Childhood OR Adolescence:
When you use synonyms and different concepts, you will need parentheses similar to the order of operations in math. Example: (childhood OR adolescence OR children) AND (asthma OR wheezing). This tells the database that any of the child terms must be in the article along with any of the asthma terms, but an article may not have just a child term or just an asthma term.
Use the Boolean operator NOT with caution. You will miss out on articles that talk about both concepts. For example: Child NOT Adult will miss articles that talk about children and adults, which may mean you don't see a key piece of information about your topic. To find information about children, the safer method is to include Child as a concept (e.g., AND (child OR childhood OR children OR kids)) to your search instead of 'NOTting' out Adults.
Venn diagram of NOT Adult when you want to see information about children; the center slice could contain relevant information about children that you would miss by using NOT Adult:
Another example from Slippery Rock University Bailey Library using Peanut Butter and Jelly may further clarify the use of Boolean operators and parentheses.
It is not always necessary to include all of your main concepts in the search. In some PICO questions, the outcome (O) is implied and does not need to be included. In other cases, any and all outcomes might of interest and so the search strategy can leave this out to keep it open.
Example research question: In seniors with dementia, does a falls prevention program, compared to no falls prevention program, result in decreased falls?
Applying a framework when developing a research question can help to identify the key concepts and determine inclusion and exclusion criteria.
P (Patient, Population, Problem) | I (Intervention) | C (Comparison) | O (Outcome) |
---|---|---|---|
How would I describe a group of patients similar to mine? | What main interventions, prognostic factors or exposure are you considering? | What is the main alternative to compare with the intervention? | What can you hope to accomplish, measure, improve or effect? |
In: Otherwise healthy children… |
Does: exposure to in utero cocaine… |
Versus: children not exposed to in utero cocaine… |
Result in: increased risk of learning disabilities? |
In: Primary school children |
Does: school-based physical activity |
Versus: no school-based physical activity |
Result in: a decrease in obesity |
S (Setting) | P (Perspective) | I (Intervention) | C (Comparison) | E (Evaluation) |
---|---|---|---|---|
Where? | For whom? | What? | Compared with what? | With what result? |
In the setting of rural communities | From the perspective of a pregnant woman | How does facility-based care | Compare with traditional birth attendants at home | In relation to the woman’s perceptions and experiences? |
Example from: Booth, A., Noyes, J., Flemming, K., Moore, G., Tunçalp, Ö., & Shakibazadeh, E. (2019). Formulating questions to explore complex interventions within qualitative evidence synthesis. BMJ Global Health, 4(Suppl 1), e001107.
Search strategy development in the Food Systems, Nutrition, and Health Guide.
What interventions help against vaping in youth?
What strategies are effective for preventing nicotine vaping in youth?
The content of this page is almost entirely from Queen's University Library's Public Health Guide.