PICO(T) Question Example:
"In adult cancer patients experiencing fatigue (P), what is the effect of meditation (I), compared with standard care (C), on quality of life (O) within 6 months (T)?"
Building a Database Search Strategy for the PICO(T) Question:
- A well-built PICO(T) question forms the basis of a database search strategy for finding research literature.
- Concepts from the PICO(T) question are used to construct a comprehensive database search strategy with search terms describing each relevant component of the PICO(T).
- Relevant elements of your PICO(T) question can be used to develop a "starter" list of keywords (including synonyms) to use in a database search. Most commonly, the most important parts of a PICO(T) question for searching are the P, I, and O.
- After developing a "starter" list of search terms, you can then begin brainstorming your search strategy for combining terms with OR or AND, and using other techniques such as a truncation (i.e. a keyword search for letharg* will also find articles with the term lethargic or lethargy):
PICO(T) Elements |
Example |
Starter List of Synonyms and Search Terms |
Initial Keyword Search Strategy |
P - Patient/Population/Problem |
Adult cancer patients experiencing fatigue |
Cancer
Neoplasms
Oncology
Tumor
Tumour
Malignancy
Fatigue
Tiredness
Lethargy
Exhaustion |
cancer* OR neoplasm* OR oncolog* OR tumor* OR tumour* OR malignan*
AND
fatigue* OR tired* OR letharg* OR exhaust* |
I - Intervention/Variable of Interest |
Meditation |
Meditation
Mindfulness
Breathing
Relaxation
Yoga
Guided imagery |
meditat* OR mindful* OR breath* OR relax* OR yoga OR "guided imagery" |
C - Comparison (may be "standard care" or "usual care") |
Standard care |
Not needed as a search term |
|
O - Outcome(s) |
Improving quality of life |
Quality of life
Quality of living
Life quality
Well-being |
"quality of life" OR "quality of living" OR "life quality" OR well-being OR wellbeing OR "well being" |
T - Time |
6 months |
Not needed as a search term |