Welcome Pack - Keele University

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Generating Cat Questions - Proforma to encourage questions Musculoskeletal Research Facilitation Group Proforma to facilitate questions asked The aim of our Musculoskeletal Research Facilitation Group is to facilitate that our practice is based on the best quality evidence available. Questions arising in our practice need answers and if you want help finding out what the evidence says, this group exists to assist you. This document has been designed to help clinicians formulate detailed questions that will help our Musculoskeletal Research Facilitation group in their search for the evidence, using a tried and tested process. We anticipate the process will be used: by individual clinicians or groups to generate clinical questions to facilitative discussions in groups of staff at training or staff meetings to facilitate discussion between managers and clinicians on evidence based practice The aim of the process is to produce a clinical bottom line with a summary of the evidence for each question identified. We have produced 31 to date and our results to date can be found online at: http://www.keele.ac.uk/research/pchs/pcmrc/EBP/MRF/search/bank_full.htm Example of the types of questions that have been put to the group: Question examples Are shoulder exercises effective for treating shoulder pain? Does being overweight increase the risk of knee arthritis? How reliable is an MRI scan at detecting a lumbar disc herniation? How likely is that people over 50 will develop neck pain? How common is plantar fascitis? What are the barriers to lifestyle change such as increase activity levels Question types Intervention Aetiology and risk factors Diagnosis Prognosis and prediction Frequency and rate Phenomena and thoughts (Glasziou P, Mar C, Salisbury J 2007 Evidence Based Practice Workbook 2 nd Edition BMY Books Blackwell Publishing) We would welcome questions in any of the above categories. Please use the table below to help formulate any questions you have and send to any member of the Research Facilitation Group (or Chairperson Kay.stevenson@uhns.nhs.uk). We are happy to receive broad questions, but prefer it if you are able to give us slightly more detail if possible, by producing a „refined question‟. For example a general question might be: “Are stability exercises effective at treating patients with shoulder pain?” Musculoskeletal Research Facilitation Group – Welcome Pack January 2011- Kay Stevenson
To help you further refine your question and to assist group members undertaking the search we recommend the use of an evidence-based model for formulating a clinical question known as the PICO model (Richardson, 1995). By dividing your concepts into a few specific categories, you will provide the groundwork for developing the search strategy. The PICO model is particularly appropriate for intervention topics, but there are alternatives such as ECLIPSE model (Wildridge, 2002), which is expanded below. You may also prefer to adapt the PICO headings to fit the type of research question you are interested in. Patient/Population and/or Problem - any characteristics that define your patient or population, e.g. target clinical condition, coexisting condition, ethnicity, age group etc…. Intervention/Investigation - what you want to do with the patient/population or problem e.g. form of treatment, diagnostic test, education programme, type of service delivery. This can also include any exposures (e.g. asbestos) or factors influencing prognosis. Comparison/Control Intervention - alternatives to the main intervention e.g. placebo, usual care etc…. Outcomes or effects - any outcomes or effects relating to the intervention e.g. prevention, side effects, morbidity, quality of life, cost-effectiveness PICO Table (example question): Question type Population Intervention Comparison Outcome Provide details about the exact population, any comparison/ control groups & the outcomes you are interested in Adults with shoulder impingement tendonitis Shoulder stability exercises, scapular stabilization exercises, postural correction Normal care, routine physiotherapy Reduced shoulder pain, function An example of a “refined question” that would emerge from completing this PICO is: “In adults with shoulder joint impingement is the intervention of stabilization exercises and/or postural correction versus any treatment or no intervention effective in reducing pain and increasing function?” For questions that are not about treatments, you may wish to use the ECLIPSE model (Wildridge, 2002): Expectation – what does the search requester want the information for? Client group. Location. Impact – what is the change in the service, if any, which is being looked for? What would constitute success? How is this being measured? Professionals. Service – for which service are you looking for information? For example, outpatient services, nurse-led clinics, intermediate care. Musculoskeletal Research Facilitation Group – Welcome Pack January 2011- Kay Stevenson
Page 1 and 2: Research Facilitation Group Welcome
Page 3 and 4: Aims of the group and your commitme
Page 5 and 6: Group membership and professional b
Page 7 and 8: Example of a Critically Appraised t
Page 9 and 10: Example of minutes of a typical mee
Page 11 and 12: Update on current CAT work CAT for
Page 13: Testimonials from group members “
Page 17 and 18: Proforma to complete (return to kay
Page 19 and 20: The next steps A CAT is completed w
Page 21: Reference List Foster N Barlas P Ch

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