前回FINERのチェックリストを書き出した。シンガポールの家庭医大学The College of Family Physicians of Singaporeで「落とし穴(注意点)」もふまえたいいまとめが報告されている。

 FM Research Bites Series(1): The Research Question

 College Mirror, Vol 30 No. 4/ Oct – Dec 2004

 *日本語の部分は私のメモ

1.リサーチクエスチョンのはじまり THE ORIGIN OF THE RESEARCH QUESTION

→現場から、特異的なリサーチクエスチョンにしぼれ。

 Research originates with an idea about some general problem or question.This problem or question is narrowed down to a more specific research question, which then represents the central issue being addressed. Is it an answerable question?

2.質問を形にする FIRST STEPS IN FORMULATING YOUR QUESTION

→臨床の問題を書き出して、1~2日おいてなぜ重要か方法も考えて、仲間に相談してみる

The best ideas for research come from everyday clinical problems. When an idea comes up, write it down. Let it lie for a day or two and see if it is worth pursuing. Once you can describe your idea clearly and explain why it is important and how it could be done, you have the beginnings of a research proposal. Let your idea/ proposal mature for a few weeks. Talk it through with a colleague.

3.よく形作られたクリニカルクエスチョン FOUR ELEMENTS OF WELL-BUILT CLINICAL QUESTIONS

(略)いわるるPICO。Well-built clinical questions usually contain four elements (Centre for EBM, 2002)を参照のこと

4.ここでFINERのチェックリストが登場 THE FINER CRITERIA FOR A GOOD RESEARCH QUESTION A good research question

→FINERのリストは、あくまで3)のPICOを倫理面や方法面、目新しさで補うものというのが私の印象。

A good research question is described by the acronym FINER (Hulley & Cummings,1998, p14):

  • Feasible (adequate subjects, technical expertise, time and money, and scope)
  • Interesting to the investigator
  • Novel (confirms or refutes previous findings, provides new findings)
  • Ethical
  • Relevant (to scientific knowledge, clinical and health policy, future research directions)

5.落とし穴 PITFALLS TO AVOID IN DEVELOPING THE RESEARCH QUESTION

→やさしい研究を難しくしない、十分にコミットメントをとる、実現可能性を見積もる。このメッセージは貴重。

The most common pitfalls to avoid in developing the research are:

  • Don’t make a simple study difficult
  • Have sufficient commitment
  • Assess practicalities.

 Don’t make a simple study difficult. Don’tadd to the study design unwanted questions leading to the collection of unnecessary data. Avoid unfocused questions, which will lead you to collect large amounts of data. The solution is to clarify in detail the purposes of the study, the patient group to be studied or the measurements to be made and prune the less important questions.

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カテゴリー: EBM

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