The PICO framework is commonly used to formulate the clinical question. Each of the 4 letters identifies a key component of the question:
P |
Patient/Population/Problem |
Start with the patient, or group of patients, or problem. |
I |
Intervention |
What is the proposed intervention? |
C |
Comparison |
What is the main alternative, to compare with the intervention? (May be just the status quo) |
O |
Outcome |
What is the anticipated or hoped-for outcome? |
PICO is commonly used when one intervention is being compared with another, or with no intervention at all.
Sometimes this is expanded to PICOTT, which adds on extra letters for:
T Type of Question - Such as a diagnosis, prognosis, therapy, aetiology/harm, or prevention question
T Type of Study - Includes the study design that would best answer the question: randomised controlled trial; cohort study; case controlled study; case series; case report etc. See also Levels of Evidence.
There's a good outline of this, including some self-testing, on the National Library of Medicine's PubMed information site: Using PICO to frame clinical questions.
You won't need to use every element of the PICO as concepts to search. Often there is no C (Comparison) and the Outcome will come out of the results of your search.
There are many other frameworks that can be used for different types of questions e.g. PCC and SPIDER. You should use the framework that best suits your type of question. Discussion and examples are in the other frameworks section.