Introduction to Clinical Research Chapter 1, 2 and 3 Questions I. Chapter 1: Read pages 1-5 and answer the following questions: Due date: 12/8/15 1. What is health research? The process of systematically investigating a single well-defined aspect of physical, mental, or social well-being. Research – the process of systematically and carefully investigating a subject in order to learn or discover new information about the world. The goal is often to identify trends or develop new theories or methods that can be more broadly applied. Health research: Lab research – immunology, microbiology, and molecular biology (conducted in controlled environments of a special research facility) Clinical trials – surgery, pharmacology, physical therapy (human subjects) Surveys – public health 2. Give at least 3 examples of health research from the text. - Is taking a daily multivitamin associated with a decreased risk of colon cancer? - According to women receiving mammograms, what factors most influenced their decision to seek out routine breast cancer screening? - What factors predict binge drinking behavior in college and university students? 3. What are the 4 goals of health research? - The identification of emerging or existing health problems - The testing of new interventions for preventing or treating diseases - Contribution of information to scientific literature that researchers and policymakers use when creating new plans/policies - The synthesis of existing knowledge so that it can be applied by others 4. What are the personal and societal benefits of health research? Societal Benefits Personal benefits ID of health concerns and/or methods Attainment of new knowledge by for promoting health and preventing systematically investigating a topic disease and disability Acquisition of evidence for improving Development/refinement of a new skill set clinical and public health practices and policies Expansion of scientific literature that Satisfaction of exploring an area of interest sets the foundation for future research, and seeing a project through to completion policies and practices 5. Make a flow chart of the 5 steps of health research. Identify a study question Select a study approach Design a study and collect data Analyze data Report findings approach II. Chapter 2: Read pages 7-13 and answer the following questions Due Date: 12/10/15 1. What are the four steps that are part of identifying a study question? - Selecting a general topic - Reviewing the literature - Focusing the research question - Assembling a support team 2. One of the first steps in selecting a topic is brainstorming and topic mapping. What does this mean and what types of questions can be asked during brainstorming sessions? Brainstorm to create a list of possible research topics - maybe list diseases or population groups – and do some research. Brainstorming questions: - What research topics are personally meaningful? - What knowledge and skills do I already have? - What skills do I want to develop? - Do I have connections- colleagues, professors, professional contacts – that I can get information from? - Where can I make a contribution? 3. Why would you use a key word search and what is the MeSH database? Make a key word list so that it is easier to search for information on your topic. MeSH database – (medical subject haedings) developed by the U.S. Library of Medicine and helpful in narrowing the scope of your research area and identifying the full extent of a research area. Focuses the researcher. 4. What is the formula for expressing most topics in population health research? (Exposure) and (disease/outcome) in (population) 5. What are the 4 main types of exposures? List them and give at least 3 examples for each. - Socioeconomic status (income, age, race) - Health-related behaviors (diet, exercise, hygiene) - Health status (immune status, genetics, existing health problems) - Environmental exposures (pollution, population density, travel) 6. What are the 4 main types of diseases? List them and give at least 3 examples for each. - Injuries (bone fractures, burns, poisonings) - Communicable/infectious diseases (cholera, malaria, syphilis) - Non-communicable/chronic diseases ( asthma, cancer, diabetes) - Neuropsychiatric diseases ( Alzheimer’s, depression, PTSD) 7. What is the population? Give 3 examples of a population that could be used in a clinical trial. Population – the group of individuals, communities, or organizations to be examined. Adults with diabetes Teachers with 10 years of classroom experience Women living in NJ III. Chapter 3: Read pages 15-20 and answer the following questions Due Date: 12/10/15 1. What does “reviewing the literature” encompass? To do background reading about a topic. 2. What are some ways you can use factsheets, websites, and informal sources? WHO and CDC have factsheets about various diseases where you can get information about diseases and risk factors. Governmental organizations (UN) have factsheets and websites with demographic, political, economic, and geographic information. Stick with the more formal, accepted sources of information. 3. How can you use statistical reports? Some statistical information is very relevant – prevalence of exposure in a world region, annual global incidence of disease, size of a population. 4. What is an abstract database and how is it used for clinical research? Database that has paragraph-length summaries of articles, chapters and books. Give brief descriptions of the study population, study design, and key findings (CINAH, Embase, MEDLINE). 5. How can you locate full-text articles? - Some available free online - Some available in digital archives (PubMed Central) - University libraries subscriptions - Write to the author 6. What makes research original? Give an example. For research to be considered original, it needs to have only one substantive difference from previous work…It could be a new exposure of interest, a new source population, a new time period under study, or a new perspective on a field of exploration. Example: Previous study – older adults (population) who take 30 minute walks several times a week (exposure) score higher on memory tests (outcome) New original study - do older adults (population) who take 30 minute walks several times a week (exposure) improve their balance (outcome)?