Report writing REPORT WRITING CLEAR AND LOGIC Principles of writing up research 1) Define readership and their requirements If dissertation, then examiners, if for a journal, peer reviewers, health professionals 2) Be concise Limit words, but write everything that needs to be said 3) Enough time Allow enough time for reviewing and editing Principles of writing up research 4) Coherent, logic narrative Not a complete summary of everything done; focus on take home message while remaining honest; sentences and arguments linked logically 5) Objectives drives the ‘write-up’ Problem statement; literature review, methods, results discussion; test report against objectives 6) Clear meaning, logic structure, ERROR free Sections of Report 1) Abstract –concise first impression, why research was done, method used, main findings, conclusion 2) Introduction short statement of existing knowledge, gap identified & why study was done (relevant, up-to-date references) also how the study findings will be implemented-- funnel Sections of Report 3) Literature Review should flow from objectives, not precede them –WHAT IS KNOWN ABOUT THE QUESTION BEING POSED get to point of review asap use relevant, recent and credible sources not just a summary, be critical, thus evaluate articles and state how it contributed to existing knowledge Sections of Report 4) Methods used setting of study, study design, population, sampling strategy, sample size, calculations, measurement instruments and their validity and reliability, was pilot study done (contributed to final quality), statistical analyses in detail (so that a knowledgeable person should be able to verify the results), software used, ethical clearance Valid Instrument This study made use of self-administered questionnaires. The questionnaire used was based on several other questionnaires used in epidemiological studies on respiratory diseases. These are the ATS-DLD-78-A questionnaire, used for respondents of 13 or more years of age (Ferris, 1978), the Canadian Air Quality and Health Study questionnaire (NHW/HPB-190-03040), the Harvard School of Public Health’s Children’s Health Study Questionnaire (NHW/HPB-190-03210) and the Vaal Triangle Air Pollution and Health Study questionnaire. All of these questionnaires have been extensively tested and reviewed by a large body of experts. An example of the questionnaire used is attached as Appendix A. Sections of Report 5) Results start with response rate (how many approached, how many participated, or how many records sought, how many found), tables and figures to follow logically, start with descriptive characteristics stats. (age, gender, location, socio-economic status) then exposure variables (independent variables), outcomes variables (dependent variables) Selection Process of Study Population Sections of Report • Descriptive studies stop here. Analytical studies continue with stats analyses to compare groups or find associations between variables • Univariate analyses compare two groups (malnourished vs nourished) for risk of TB = bivariate (2 groups) Determine unadjusted OR/RR because other variables not taken into account yet Sections of the Report Multivariate or adjusted analyses adjusted OR (other variables, confounding taken into account) Results section should direct the reader to main findings and point out interesting and or surprising results Decide on presenting results – tables or graphs NOT both Tables must be informative enough to stand on its own Presentation of data The gender distribution of a class of grade 5 Students is presented as a table and a graph below. Gender Male Female Total n (%) 56 (39) 87 (61) 143 (100) Male 39% Female 61% Descriptive stats – categorical variables The proportion of each race group in the South African population is presented below. Indians 2% 100 White 9% 80 80 60 Coloured 9% 40 9 20 Black 80% 2 9 0 Black Coloured Indians White STATISTICAL ANALYSIS • The data collected by questionnaire are categorical (nominal/ordinal) in nature and were summarised by means of frequencies, percentages and cross-tabulations. At a univariate level the data from 1990 were compared with that of 2003 by employing McNemer’s test for symmetry, while for 2003 outcome variables (upper respiratory and lower respiratory variables) were tested for association with demographic/risk/environmental factors using Pearson’s chisquare test or, when applicable, Fisher’s exact test. The crude (unadjusted) odd ratios (ORs) along with their 95% confidence intervals were also found. Following the within 2003 analyses demographic/risk/environmental factors “significant” at a 0.20 level of significance, were studied in a multivariate data analysis using logistic regression. CRUDE Odds Ratios UPPER RESPIRATORY ILLNESSES Risk Factor Cases Controls CrudeOR 95% c i of OR P value Sinusitis Allergy (being allergic) 45/102 19/70 2.119 1.051; 4.341 0.026 47/86 18/87 4.619 2.253; 9.601 <0.001 21/36 41/133 3.141 1.377; 7.221 0.003 Hay fever Allergy (being allergic) Earache, hay fever and sinusitis Allergy (being allergic) ADJUSTED Odds Ratios • In stepwise logistic regression, the following risk factors were identified for sinusitis: • Being allergic – adjusted OR 2.3 (1.13; 4.74) p = 0.022 • Living outside the Vaal Triangle was found to being slightly protective – adjusted OR 0.71 (0.48; 1.04) p = 0.07 marginally significant • Being overweight. Adjusted OR 2.17 (1.03; 4.61) p = 0.04 SECTIONS OF REPORT • In results section, do not discuss or compare with other studies, or give limitations or interpret results 6) Discussion Most difficult section, needs interpretation so have to draw info from other sources as well and have to refer back to analyses, do NOT include anything new, that were not in result SECTIONS OF REPORT • Be objective in the discussion, not focus on what you would have liked the results to show • Discuss with peers and have it reviewed by colleagues – leave enough time for this discussion section 7) Conclusion (may be left out) short, focus on main findings, implications and recommendations SECTIONS OF REPORT 9) References follow a single known style – Harvard or Vancouver Grey literature: – reports from commissions, organisations, government Internet: URL (Uniform Resource Location) not sufficient SECTIONS OF REPORT 10) Appendices In a dissertation/thesis – questionnaire; consent form In a journal – Tables, figures, documents relevant to an argument in the article, technical detail