The Anatomy of Research Presented by: Shahrzad Bazargan-Hejazi, PhD September 2013 1 Objectives: • Outline tangible element of a research question • Identify decisions to be made for selection of • • • research design Describe the purpose of literature review Identify decisions to be made in choosing the study subjects Identify decisions to be made in choosing study variables 2 The Research Process The steps of any population health research project are: 3 What Is Research made of ? Study Question! Identifying a study topic is often the most challenging part of a research project. Each of the possible study topics has its own set of virtues and shortcomings. 4 Brainstorming • Review of previous scholarly work • Meeting experts • Attending conferences • Participating in meetings • Building relationship with an expert/mentor 5 Brainstorming Questions 6 Key Words: Example Initial brainstorming about aging Osteoporosis Falls Bedsores Physical therapy Calcium Rehabilitation Prevention Home safety Bone density 7 Topic Mapping • Begin by creating a long list of possible study topics: – Jot down areas of personal interest – Ask friends / colleagues for ideas – Skim abstracts, journals, and books for inspiration • What topics emerge as a repeating theme? • What might be enjoyable to explore? 8 MeSH (Medical Subject Headings) 9 Exposure, Disease, Population Most topics in population health research can be expressed in terms of: [exposure] and [disease/outcome] in [population] 10 Examples of Types of Exposures 11 Examples of Types of Diseases 12 Examples of Types of Populations 13 “EDP” Study Questions • Are exercise habits [exposure] related to the risk • • of bone fractures [disease] in adults with diabetes [population]? Is reproductive history [exposure] related to the risk of stroke [disease] among women living in rural Ontario [population]? Is household wealth [exposure] related to the risk of hospitalization for asthma [disease] in Australian children younger than 5 years old [population]? 14 FINER Criteria for a Research Question • F = Feasible – Adequate # of subjects, – Adequate technical expertise, – Affordable in time, money, – Manageable in scope. – It helps to know your limits early on to avoid wasting time and effort over something that is not going to work. 15 FINER Criteria for a Research Question (cont.) • I = Interesting – Answering the question is interesting, not because, you have to do it. – Confirm the interest of the question with your mentor before investing energy and time in development of research protocol 16 FINER Criteria for a Research Question (cont.) • N = Novel – It contributes to new information by: • confirming or refuting previous findings, • extends previous findings, • provides new findings – you should be able to answer the “so what” question 17 FINER Criteria for a Research Question (cont.) • E = Ethical – A good research question should be ethical – It should not posses unacceptable physical risk to the subjects or invasion of their privacy – If so you need to find some other ways to answer your research question 18 FINER Criteria for a Research Question (cont.) • R = Relevant Is the outcome of the study: – relevant to scientific knowledge, – clinical management, – health policy, and/or – guides future research direction 19 Problems & Solutions The RQ is not FINER 1. Not feasible (too broad) • Not enough subject available • Method beyond your skills • Too expensive 2. Not interesting, novel, or relevant • Consult with your mentor • Modify RQ 20 Problems & Solutions 3. • Uncertain ethical suitability • Consult with IRB • Modify RP 4. The study plan is vague • Write the outline of the RP as soon as you can 21 Exercise • What is the relationship between • • • depression and health? Write in a single sentence a predictor, outcome, and population. Discuss whether it meets the FINER criteria Rewrite the sentence in a form that overcomes any problems in meeting criteria. 22 Points to Consider • Is the question important and relevant? • Can the question be answered the way it is • • written? To answer the question what needs to be defined? Is the answer to the question population sensitive? 23 Possible Answer • Among college freshmen, does depression assessed by the CES-D predict health status measured by the Rand General Health Questionnaire four years later? 24