Part I Query
Think about a topic of interest or problem that is of interest.
1. Identify your problem using the PICOT:
Patient/Problem -Who is your patient? (Disease or Health status, age, race, sex):
Individuals in underserved communities with limited access to mental health services.
Intervention- What do you plan to do for the patient? (Specific tests, therapies,
medications): Implementation of targeted strategies, such as telehealth services or
mobile mental health clinics.
Comparison - What is the alternative to your plan? (i.e., No treatment, different type
of treatment, etc.): Standard access to mental health services (e.g., traditional clinic
visits).
Outcome - What outcome do you seek? (Less symptoms, no symptoms, full health,
etc.): Increased utilization of mental health services.
Time - What is the time frame? (This element is not always included.): Over a 6-month
period
2. Next, write out the PICO in a question format:
In individuals from underserved communities, how do targeted strategies such as
telehealth services or mobile mental health clinics, compared to the current standard
access to care, impact the utilization of mental health services over a 6-month period?
Your PICOT question will fall under one of these types:
Therapy/Prevention
Diagnosis
Etiology
Prognosis
3. Identify the PICO question type (depends on what and how the question is
formulated) This is a Therapy/Prevention type question.
Why it fits: The question is designed to evaluate the effectiveness of an intervention
(targeted strategies) aimed at improving health outcomes (increased service utilization)
, MSN 602 PICOT Worksheet
in a specific population. It seeks to assess whether the proposed strategies prevent gaps
in mental health service access.
4.
☒Therapy (best treatment for interventions)
☒Prevention (Prevent this problem)
☐ Diagnosis/Assessment (best way to assess or diagnostic test for patient)
☐ Causation (cause of the problem)
☐ Prognosis (long term effects of the problem)
☐ Meaning (meaning of the experience to the patient’s)
5. Once the PICO type is identified,it is easier to determine the type of primary research
that is specific to the type pf clinical question
Therapy: Randomized controlled trials (RCT), Controlled trials
Prevention: Randomized controlled trials (RCT), Controlled trials
Diagnosis/Assessment: Instrument development research
Causation: Cohort, Case control, Descriptive, or Qualitative studies
Prognosis: Cohort or descriptive studies.
Meaning: Qualitative studies
Part II PICO search
6. Identify terms/topics from PICO that can be searched
(P) Underserved communities, Low-income populations, Rural populations, Minority
groups, Vulnerable populations, Individuals with limited healthcare access (I):
Targeted strategies, Telehealth services, Telemedicine, Mobile mental health clinics.
Community-based mental health programs, Digital mental health interventions (C):
Standard access to care, Traditional mental health services, In-person mental health
care, Usual care models (O): Utilization of mental health services, Access to mental
health care, Appointment adherence, Mental health service engagement, Patient
follow-up rates, Treatment compliance
7. What terms might you exclude from your search?
Potential terms to exclude include: