PICO(T) is a question formula that allows you to define your research question and determine the key components of your research. It allows you to develop focused relevant questions.
PICO(T) stands for:
P - Patient, Population or Problem
I - Intervention or Indicator
C - Comparison or Outcome
O - Outcome
(T) - Time, Type of Study, or Type of Question (This is optional, depending on your research question)
The Centre for Evidence Based Medicine (CEBM) states that "one of the fundamental skills required for practising EBM is the asking of well-built clinical questions. To benefit patients and clinicians, such questions need to be both directly relevant to patients' problems and phrased in ways that direct your search to relevant and precise answers" PICO model assists you in organizing and developing your question to be able to search our databases effectively.
Characteristics of PICO Questions include:
(Duke University, 2014; Upstate Medical University, 2010)
The following are the four specific PICO(T) question components that will promote developing an answerable clinical questions and developing an efficient search strategy.
Patient or Problem
Describe the population or clinical problem? What are the most important characteristics of the patient or problem?
Intervention, Prognostic Factor, or Exposure
What is the main intervention, prognostic factor, or exposure being considered? What do you want to do with this patient?
What is the main alternative to compare with the intervention, if any?
What are you trying to accomplish, improve, or affect?
Time / Type of Study
Time element or type of study.
(Centre for Evidence-Based Medicine, 2014; Duke University, 2014; Occupational Therapy Evidence-Based Practice in Western New York, n.d.; Upstate Medical University, 2010)
Clinical questions are often classified as either background or foreground.
A. Background questions - questions that ask for general knowledge about an illness, disease, condition, or process (who, what, when, where, how, and why about disorders, tests, or treatments). Questions like: What is considered overweight in a 45 year old male? What are some symptoms of diabetes? Background questions are often answerable by using "background resources" such as textbooks, manuals, and narrative reviews in scholarly articles.
B. Foreground questions - questions that ask for specific knowledge that
1) affect clinical decisions and
2) include a broad range of issues, including psychological, biologic, and sociologic issues.
These questions will usually concern a specific patient/particular population and tend to be more complex. Often, foreground questions require investigation and comparison between two treatments and/or outcomes. These questions ask for specific knowledge to be able to make informed clinical decisions. These are questions that require a search of current medical literature.
PICO allows you to formulate articulate foreground questions to be able to effectively research your topic.
Below are some websites and tutorials showing PICO examples: