healthcare research methods: more on reviewing the literature

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PHC215 By Dr. Khaled Ouanes Ph.D. E-mail: [email protected] Twitter: @khaled_ouanes INTRODUCTION TO HEALTHCARE RESEARCH METHODS

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PHC215

By Dr. Khaled Ouanes Ph.D.

E-mail: [email protected]

Twitter: @khaled_ouanes

INTRODUCTION TO

HEALTHCARE RESEARCH

METHODS

More on reviewing the

literature…

How should you read Research

literature in general?

1. Locate and read a few articles from within a field you are comfortable with.

2. Read studies that are of interest to you.

3. Read the abstract first.

4. Identify the research question and objectives.

5. Why did the researcher(s) choose a particular setting or sample?

How should you read Research

literature in general?

6. What were the methods chosen to collect data?

7. What were the most important findings?

8. Do not be over-concerned with statistical

analysis.

9. Be critical but objective.

Once you have a good idea about

the existing literature in general (Gather as many articles, reports and books as possible),

You can start digging into individual

articles.

How should you read an Article?

1. Re-read the abstract

2. Judiciously examine the tables and figures to have a quick idea about the important methods and results

3. Read the entire text of the article Take notes about which exposures, diseases, and populations the study examined …how they

might relate to a new research project, how can we base a new research the found results?

4. Review of the references lists for related papers

5. Repeat the previous steps with the chosen articles from the references

REMEMBER?THE CRITERIA FOR DEVELOPING A GOOD

RESEARCH QUESTION

Feasible Interesting Novel / Original Ethical Relevant

REMEMBER?THE CRITERIA FOR DEVELOPING A GOOD

RESEARCH QUESTION

Feasible Interesting Novel / Original Ethical Relevant

Original

In relation to previous results & findings: Confirm or refute?

New setting, new population, new

techniques…

A CENTRAL QUESTION:

What Exactly Makes

Research Original?

Just keep in mind that Originality

does not require the discovery of a

newly emergent disease in a

previously unrecognized people

group on a remote island

Just keep in mind that Originality

does not require the discovery of a

newly emergent disease in a

previously unrecognized people

group on a remote island

Originality often

consists in linking

up ideas whose

connection was

not previously

suspected.

Originality requires at least one

substantive difference from

previous works:

• a new exposure of interest

• a new disease of interest

• a new source population

• a new time period under study

• a new perspective on a field of exploration

IDEA

S F

OR

NE

W S

TUD

IES

Example: A literature review finds several studies that have

shown that older adults (the population) who take

30-minute walks several times a week (the

exposure) score higher on memory tests (the

disease or outcome) than adults who do not

routinely walk for exercise.

So What would a proposed new study

could examine?

Ideas?

- Is playing table tennis (a new exposure) equally effective

at improving memory in older adults (the same disease and population)?

- Do older adults who walk several times a week (the

same exposure and population) improve their balance

(a new disease or outcome)?

- Does walking improves memory (the same exposure and

disease) in children (a new population)?

The real challenge in reviewing the literature

and selecting a study question is not finding

a previously unexplored topic.

The main challenge is to limit the research

project to one solid idea out of the many

possibilities.

The aim of a research project is usually

to find and address gaps in the

literature (missing pieces of information

that a new study could fill) and to build

on previous work.

The balance between originality

and conformity

Sometimes, it may be difficult for the outside

examiners to appreciate the originality of your

research if it is too original.

This will be clear when you try to publish the results

as the rejection rate of highly original articles is

known to be unexpectedly high since the referees

are seemingly not ready yet to understand

comprehend the “shocking” new findings.

PHC215

By Dr. Khaled Ouanes Ph.D.

E-mail: [email protected]

Twitter: @khaled_ouanes

HEALTHCARE RESEARCH METHODS

Based on the textbook of introduction to health research methods – K.H. Jacobsen