PICO: A mnemonic device to help formulate a clinical question and search strategy by identifying key concepts.
P | Patient/Population/Problem | Describe your patient or the problem - be specific |
I | Intervention/Indicator | Treatment, cause, prognostic factor, etc. |
C | Comparison/Control | Compared to another treatment or standard of care (optional) |
O | Outcome | Improvement or negative effects? |
MOST COMMON TYPE OF CLINICAL QUESTIONS:
THERAPY | determining the effect of interventions on patient-important outcomes |
DIAGNOSIS | establishing the power of a test to differentiate between those with and without a target condition or disease |
HARM | ascertaining the effects of potentially harmful agents on patient-important outcomes |
PROGNOSIS | estimating a patient's future course |
4 ELEMENTS OF THE CLINICAL QUESTION (PICO) - use for therapy questions |
QUESTION/STUDY DESIGN |
PICO Tutorial |
What are their most important characteristics?
Describe your patient specifically:
ALWAYS include this piece in your search.
What do you want to do for the patient?
Other considerations:
Almost always include this piece in your search.
What is the alternate intervention, if any?
It is less common to include this piece in a search.
What are you hoping to achieve, measure, or change for the patient?
Could also be the result NOT desired.
Sometimes include this piece in your search.
1. Does Constraint-induced Aphasia Therapy (intervention) improve aphasia (outcome) in stroke patients (patient)?
2. In kindergarteners (patient), is individual pull-out treatment (intervention) more effective than group pull-out treatment (comparison) for improving articulation disorders (outcome)?