Health Researchers has designed many ways or frameworks of framing questions depending on the topic, discipline, or type of questions. Your research question may not fit perfectly in one framework; just using part is sufficient.
The selection of framework depends on the type of question and research approach. Details of the different frameworks other than PICOT, PICo, and PS can be seen below:
Used for qualitative questions evaluating experiences, meaningfulness etc.
Population |
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Exposure |
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Outcome or themes |
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Example
Are adults exposed to radon at risk for developing lung cancer?
Example Article with PEO question
Ortolan, A., Cozzi, G., Lorenzin, M., Galozzi, P., Doria, A., & Ramonda, R. (2021). The Genetic Contribution to Drug Response in Spondyloarthritis: A Systematic Literature Review. Frontiers in genetics, 12, 703911. https://doi.org/10.3389/fgene.2021.703911
Interested to learn more about this framework? Here are some resources for you
Munn, Z., Stern, C., Aromataris, E., Lockwood, C., & Jordan, Z. (2018). What kind of systematic review should I conduct? A proposed typology and guidance for systematic reviewers in the medical and health sciences. BMC medical research methodology, 18(1), 1-9. https://doi.org/10.1186/s12874-017-0468-4
PFO framework is used in prognosis related studies
Population |
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Prognostic Factor |
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Outcome |
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Example Article
Interested to learn more about this framework? Here are some resources for you
Munn, Z., Stern, C., Aromataris, E., Lockwood, C., & Jordan, Z. (2018). What kind of systematic review should I conduct? A proposed typology and guidance for systematic reviewers in the medical and health sciences. BMC medical research methodology, 18(1), 1-9. https://doi.org/10.1186/s12874-017-0468-4
CoCoPop framework is used to frame questions on the prevalence of a condition, disease, problem or symptom
Condition |
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Context |
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Population |
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Example
What is the prevalence of multiple sclerosis in female adults with PCOD?
Condition - multiple sclerosis
Condition - PCOD
Population - female adults
Example Article with CoCoPop Question
Ehtesham, N., Rafie, M. Z., & Mosallaei, M. (2021). The global prevalence of familial multiple sclerosis: an updated systematic review and meta-analysis. BMC neurology, 21(1), 246. https://doi.org/10.1186/s12883-021-02267-9
Interested to learn more about this framework? Here are some resources for you
Munn, Z., Moola, S., Lisy, K., Riitano, D., & Tufanaru, C. (2015). Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. International journal of evidence-based healthcare, 13(3), 147-153. https://doi.org/10.1097/XEB.0000000000000054
Munn, Z., Stern, C., Aromataris, E., Lockwood, C., & Jordan, Z. (2018). What kind of systematic review should I conduct? A proposed typology and guidance for systematic reviewers in the medical and health sciences. BMC medical research methodology, 18(1), 1-9. https://doi.org/10.1186/s12874-017-0468-4
ECLIPSE framework is used to frame questions related to management, service evaluation, service improvement, health policies, economical evaluation, and social care
Eexpectation |
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Client |
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Lcation |
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Impact |
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Professionals |
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Service |
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Example Article with ECLIPSE Question
Déry, J., Ruiz, A., Routhier, F., Gagnon, M. P., Côté, A., Ait-Kadi, D., ... & Lamontagne, M. E. (2019). Patient prioritization tools and their effectiveness in non-emergency healthcare services: a systematic review protocol. Systematic reviews, 8(1), 1-7. https://doi.org/10.1186/s13643-019-0992-x
Interested to learn more about this framework? Here are some resources for you
Wildridge, V., & Bell, L. (2002). How CLIP became ECLIPSE: a mnemonic to assist in searching for health policy/management information. Health Information & Libraries Journal, 19(2), 113-115. https://doi.org/10.1046/j.1471-1842.2002.00378.x
Munn, Z., Stern, C., Aromataris, E., Lockwood, C., & Jordan, Z. (2018). What kind of systematic review should I conduct? A proposed typology and guidance for systematic reviewers in the medical and health sciences. BMC medical research methodology, 18(1), 1-9. https://doi.org/10.1186/s12874-017-0468-4
CHIP framework is used to frame questions for qualitative psychological research
Context |
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How |
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Issues |
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Population |
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Interested to learn more about this framework? Here are some resources for you
Shaw, R. (2010). Conducting literature reviews. In M. A. Forester (Ed.), Doing Qualitative Research in Psychology: A Practical Guide (pp. 39-52). London, Sage.
SPIDER framework is used to frame questions exploring experiences or meaningfulness
Sample |
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Phenomenon of Interest |
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Design |
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Evaluation |
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Research Type |
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Example Article with SPIDER Question
Althumairy R. I. (2022). Exploring the Quality of Life for Saudi Patients Utilizing Dental Healthcare Services: A Systematic Review. Journal of multidisciplinary healthcare, 15, 309–315. https://doi.org/10.2147/JMDH.S344963
Interested to learn more about this framework? Here are some resources for you
Cooke, A., Smith, D., & Booth, A. (2012). Beyond PICO: The SPIDER tool for qualitative evidence synthesis. Qualitative Health Research, 22(10), 1435-1443. doi: 10.1186/s12874-017-0468-4
Methley, A. M., Campbell, S., Chew-Graham, C., McNally, R., & Cheraghi-Sohi, S. (2014). PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC health services research, 14(1), 1-10. https://doi.org/10.1186/s12913-014-0579-0
Munn, Z., Stern, C., Aromataris, E., Lockwood, C., & Jordan, Z. (2018). What kind of systematic review should I conduct? A proposed typology and guidance for systematic reviewers in the medical and health sciences. BMC medical research methodology, 18(1), 1-9. https://doi.org/10.1186/s12874-017-0468-4
PICO is the most common clinical question framework. If you like to explore more about other frameworks, here are some good resources for you!
Foster, M. & Jewell, S. (Eds). (2017). Assembling the pieces of a systematic review: Guide for librarians. Medical Library Association, Lanham: Rowman & Littlefield. p. 38, Table 3.
Booth, A., Noyes, J., Flemming, K., Moore, G., Tunçalp, Ö., & Shakibazadeh, E. (2019). Formulating questions to explore complex interventions within qualitative evidence synthesis. BMJ global health, 4(Suppl 1), e001107. https://gh.bmj.com/content/bmjgh/4/Suppl_1/e001107.full.pdf