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Occupational Therapy

Creating a PICO(T) Question

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Use the resources in this guide to learn about PICO(T) questions and how to create and use them effectively. If you are having trouble finding sources for your assignment, ask a librarian for help.

What is a PICO(T) Question?

PICO(T) is a process used for framing a research question that allows for more effective location, assessment, and evaluation of sources. It is a popular model used within evidence-based practice research. The PICO(T) question is composed of different segments: Population/Patient, Intervention, Comparison/Control, Outcome, and Time.

P Population/Patient Who are the relevant parties? Be sure to consider factors such as age, sex, geographic location, or those with a particular condition that are relevant to your question.
I Intervention What is the medication, management strategy, diagnostic test, or exposure that you would like to focus on?
C Comparison/Control Other than your own intervention, is there an alternative management strategy, diagnostic test, or exposure that you would like to use as a comparison? Note: there may not always be a comparison/control
O Outcome What are the applicable patient-related results of the intervention?
T Time What is the time frame? Note: this element is not always included

 

PICO(T) Segment Examples

Below are examples of the different segments of a PICO(T) question. Note that, when combined, a PICO(T) question becomes quite specific. Keep in mind that this chart constructs a PICO(T) question with the elements in the same order every time. This does not always need to be the case. Depending on how you structure the sentence, the intervention can come before the population, or the outcome can be placed at the beginning.

  Population/Patient Intervention Comparison/Control Outcome Time
Example #1 in patients with arthritis does physical therapy none reduce joint inflammation within a year
Example #2 in elderly patients with throat cancer what are the current treatments in the management of fever and infection none none
Example #3 in high school children what is the effect of a nurse-led presentation on bullying compared to intervention decreased reporting in bullying within a 6-month time frame
Example #4 in adults over age 50 is a yearly mammogram compared to a mammogram every 3 years more effective in detecting breast cancer none

 

Search strategies

Example #1 (from segment examples)

PICO(T) elements Keywords Search Terms  Search Strategies
Patient or Problem patients with arthritis arthritis, joint pain, inflammation (arthritis OR "joint pain" OR inflammation)
Intervention physical therapy "physical therapy," arthritis, inflammation "physical therapy" AND (arthritis OR "joint pain")
Comparison none    
Outcome reduce joint inflammation "reduce joint inflammation," "relieve arthritis" "reduce joint inflammation" OR "treat arthritis"
Time within a year "one year," "twelve months," "a year" ("one year" OR "twelve months") AND result

 

Example #4 (from segment examples)

PICO Elements Keywords Search Terms Search Strategies
Patient or Problem adults over age 50 "adults over 50," "senior citizens," geriatrics ("adults over 50" OR "senior citizens")
Intervention yearly mammogram mammogram, screening, mammography "older adults" AND (mammogram OR screening)
Comparison a mammogram every 3 years "mammogram every 3 years" ("mammogram every 3 years" OR "annual mammogram")
Outcome more effective in detecting breast cancer "breast cancer detection," "more effective breast cancer detection," "early cancer detection" "more effective breast cancer detection" AND ("mammogram every 3 years" OR "annual mammogram")
Time none