2. Research methodologyā¦..
Learning objectives:
At the end of this session, students will be able to:
1. Define what a 'Health Research' is.
2. Recognize benefits of engaging medical
students in health research.
3. List the major characteristics of research.
4. Describe steps of conducting a health
research.
5. Prepare and present a brief summary of a
health research proposal.
6. Describe the main components of a
research report.
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3. Introduction: Scientific research
- important role in our efforts to maintain health
and combating diseases.
-Research helps us create new knowledge
- tools for the use of existing knowledge.
-provides evidence for policies and decisions on
health and development.
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4. Benefits of Engaging Medical Students in Health
Research:
-Targeting medical students early in their careers
is a long-term strategy for promoting health
research in general.
-Most of the research to date, on the
effectiveness of such a strategy, has shown that
research experience, as a medical student, is
strongly associated with postgraduate research
involvement.
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6. ā¢searching and critically appraising the
medical literature.
ā¢independent continued learning.
ā¢writing research papers.
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7. Research is the systematic collection, analysis and
interpretation of data to answer a certain question or
solve a problem.
Characteristics of research:
1. It demands a clear statement of the problem.
2. It requires clear objectives and a plan
3. It builds on existing data, using both positive and
negative findings.
4. New data should be systematically collected and
analyzed to answer the original research
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What is research?
8. Basic vs Applied Research
ā¢ Basic ā to determine or establish fundamental
facts and relationships within a discipline or
field of study. Develop theories .
ā¢ Applied ā undertaken specifically for the
purpose of obtaining information to help
resolve a particular problem-Basic has little
application to real world policy and
management but could be
done to guide applied research
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9. Steps of conducting a health research:
A. Prioritizing and selecting a research topic- research
questions.
B. Review of literature and other existing information
C. Development of a research proposal
D. Implementation of study:
i. Data collection
ii. Data processing and analysis
iii. Interpretation of results
iv. Final report writing
v. Presenting the results: Scientific
publication, presentation at meetings,
seminars, workshops or conferences, and
presentation for administrators and policy-
makers
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10. A. Prioritizing and selecting a research topic
Criteria for selecting a research topic:
1. Relevance: The topic you choose should be a priority
problem.
2. Avoidance of duplication: it is important that you find out
whether the suggested topic has been investigated before,
If the topic has been researched, the results should be
reviewed to explore whether major questions that deserve
further investigation remain unanswered. If not, another
topic should be chosen.
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11. B. Literature review
Why is it important to review already available
information when preparing for a research?
ā¢It prevents you from duplicating work that has been
done before.
ā¢It helps you to find out what others have learned and
reported on the problem you want to study. This may
assist you in refining your statement of the problem.
ā¢It helps you to become more familiar with the various
research methods that might be used in your study.
ā¢It should provide you with convincing arguments for
why your particular research project is needed.
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12. C. Development of a research proposal
Contents
I. Title of the research
II. Introduction: Background information and
Statement of the research problem
(Scientific justification for the study)
III. Research objectives
IV. Research hypothesis
V. Methodology
VI. Work plan
VII. Plan for utilization and dissemination of
research results
VIII. References
IX. Annexes
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13. I. Title of the research
ā¢A good title should be short, accurate, and
concise.
ā¢It should make the central objectives of the
study clear to the reader.
ā¢It is important to specify what population will be
investigated, and where it will be conducted.
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14. II. Introduction (Background information and
Statement of the research problem)
This section should convince the reader of the
relevance of the study (magnitude, severity of the
problem). It should provide enough background
data for an outsider to understand the different
aspects of the problem, or the different factors
influencing the problem and the context in which it
occurs. Your review of available literature and
reports should further illustrate why the problem is
important, not only in your own working area but
probably also beyond.
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15. III. Research objectives
Research objectives are the goal to be achieved by a
research.
- Why should research objectives be developed? The
formulation of objectives will help you to:
1. Focus the study (narrowing it down to essentials)
2. Avoid the collection of data which are not strictly
necessary for understanding and solving the problem you
have identified
3. Organize the study in clearly defined parts or phases
- Properly formulated, specific objectives will facilitate the
development of your research methodology and will help
to orient the collection, analysis, interpretation and
utilization of data.
- How should you state your objectives?
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16. IV. Research hypothesis
A hypothesis can be defined as a prediction or
explanation of the relationship between one or more
independent variables (PREDISPOSING/RISK FACTORS)
and one dependent variable
(OUTCOME/CONDITION/DISEASE)). A hypothesis, in
other words, translates the problem statement into a
precise, clear prediction of expected outcomes. It must
be emphasized that hypotheses are not meant to be
haphazard guesses, but should reflect the depth of
knowledge, imagination and experience of the
investigator. Therefore, in the process of formulating
hypotheses, all variables relevant to the study should be
identified.
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17. V. Methodology
This section summarizes the most important points of
the research design including:
ā¢ Variables: It is necessary to identify the variables that
will be involved in the research project being designed.
Four types of variable are important in research:
Independent (predisposing/risk factors), Dependent
(outcome/condition/disease), Confounding, and
Background variables. It is also necessary to specify
whether these variables are Numerical
(continuous/discrete), or Categorical (ordinal/nominal).
Operational definition of different study variables should be
clearly phrased.
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18. VI. Work plan
- A work plan is a schedule that summarizes, in a
clear fashion, various components of a research
project and how they fit together.
- It should include:
1. The various tasks to be performed
2. When the tasks will be performed
3. Who will perform the tasks
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19. VII. Plan for utilization and dissemination of research
results
- The proposal should indicate what reports or other
means of disseminating research findings are
planned.
- Any or all of the following are appropriate for
disseminating the results of the study:
ā Progress reports
ā Final report
ā Publications
ā Seminars, workshops, and conferences
ā Discussion with policymakers and program
managers
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20. VIII. References
The references in your text can be numbered
in the sequence in which they appear in the
report and then listed in this order in the list
of references (Vancouver system).
Please refer to the 'Reference' section of the
final report described below.
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21. IX. Annexes
These may include:
- Interview schedule/ questionnaires
(and/or other data collection tools).
- Informed consent form
- Institutional/Ethical approval for the study
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22. D. Final Report Writing
Main components of a research report:
I. Title or cover page
II. Abstract
III. Introduction
IV. Objectives
V. Methodology
VI. Research results (findings)
VII. Discussion
VIII. Conclusions
IX. Recommendations
X. References
XI. Annexes or appendices (data collection
tools, tables)
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23. I. TITLE OR COVER PAGE
Cover page includes: research title, names of the
authors with their titles and positions, and the
institution that is publishing the report.
The research title could consist of a challenging
statement or question, followed by an informative
subtitle covering the content of the study and
indicating the area where the study was
implemented.
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24. II. ABSTRACT (SUMMARY)
The abstract/summary should be written only after the
final draft of the report has been completed.
It should contain:
- a very brief description of the problem (WHAT)
- the main objectives (WHY)
- the place of study (WHERE)
- the type of study and methods used (HOW)
- major findings and conclusions
- the major recommendations
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25. III. INTRODUCTION
It should certainly contain some relevant
background data related to the problem, then the
statement of the problem should follow. It should
contain a paragraph on what you hoped to
achieve with the results of the study.
Note: Be selective, remembering that this section
serves to justify your study, not to display your
ability to read literature.
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26. IV. RESEARCH OBJECTIVES
The general and specific objectives should be
included as stated in the proposal.
If necessary, you can adjust them slightly for
style and sequence. However, you should not
change their basic nature.
If you have not been able to meet some of the
objectives, this should be stated in the
methodology section and in the discussion of the
findings.
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27. V. METHODOLOGY
The methodology you followed for the collection of
your data should be described in detail.
The methodology section should include a description
of:
ā the study type
ā major study variables on which data was collected
ā the study population, sampling method and the size
of the sample
ā data-collection techniques used
ā how the data was collected and by whom
ā procedures used for data analysis, including
statistical tests (if applicable)
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28. VI. RESEARCH RESULTS (FINDINGS)
- The systematic presentation of your findings in
relation to the research objectives is the crucial
part of your report.
- A description of the findings may be
complemented by a limited number of tables or
graphs that summarize the findings.
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29. VII. DISCUSSION
- The findings can now be discussed by objective
or by cluster of related variables.
- The discussion may include findings from other
related studies that support or contradict your
own.
- It is important to present and discuss the
limitations of the study.
- Some general conclusions may be included as
well.
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30. VIII. CONCLUSIONS
- The conclusions should follow logically from the
discussion of the findings.
- As the discussion will follow the sequence in
which the findings have been presented (which in
turn depends on your objectives) the conclusions
should logically follow the same order.
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31. IX. RECOMMENDATIONS
- The recommendations should follow logically from
the discussion of the findings.
- Recommendations may be summarized according to
the groups towards which they are directed, for
example:
ā policy-makers
ā health and health-related managers at different
levels
ā health and health-related staff who could
implement the activities
ā potential clients
ā the community at large
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32. X. REFERENCES
-References should be written in 'Vancouver style'.
-Citing References
1. Number references consecutively throughout the body
of the text in the order in which they are first mentioned.
2. DO NOT include references in your abstract. Identify
references in text, tables and legends by numerals in
parenthesis e.g. (1), (2,3) or (3-6).
3. Some journals require references to be indicated in
superscript which makes typing more difficult.
4. DO NOT use abstracts as your source of information,
you must consult the full text of the article before using it
as a cited reference.
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33. XI. ANNEXES OR APPENDICES
- The annexes should contain any additional
information needed to enable professionals to
follow your research procedures and data
analysis.
- Examples of information that can be presented
in annexes are:
ā Tables referred to in the text but not included
in order to keep the report short.
ā Interview schedule/ questionnaires (and/or
other data collection tools).
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36. Perception of medical students for
utility of mobile technology use in
medical education
The lessons learned from this study are-majority of the
students use Smartphone mainly for communication, learning,
and entertainment purpose. With increasing use of portable
devices by students, it is logical to expect the next step to
incorporate these devices in the learning environment and
should, therefore, be appropriately considered for curriculum.
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37. Ebola virus: Awareness about the
disease and personal protective
measures among junior doctors of a
tertiary hospital in Bangalore
The knowledge of junior doctors was sub-optimal and
despite the stress on universal work precautions, not
all felt the need to follow them for this disease which
has such a high case fatality rate.
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38. Association of body mass index
with perceived stress in male
students
Therefore, it is suggested that students reported a higher
level of perceived stress may be due to academic and peer
pressure. This emphasizes the need for measure to be
taken to control obesity in young undergraduates to control
the stress and anxiety.
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39. Waist circumference is an
important predictor of pulmonary
functions in medical students
There is a significant deteriorating effect of
smoking on lung function on lung age. WC
appears to be a better predictor of pulmonary
function and lung age than BMI in normal weight
young adults.
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Int jour of clin and expt physiology , 2015, vol2,
issue 4.
40. Prolonged use of mosquito coil,
mats, and liquidators: A review of
its health implications
Mosquito coils are burnt indoors and outdoors in India to control mosquitoes. Human beings
get exposed to a chemically complex mosquito coil smoke containing small particles (<1 Ī¼m),
metal fumes, and vapors that may reach the alveolar region of the lung. Coils consist of an
insecticide/repellant, organic fillers, binders, and additives such as synergists, dyes, and
fungicide. Thus, the smoke contains pollutants of health concern. The concentrations of
pollutants resulting from burning mosquito coils may exceed health-based air quality
standards and have ill effect on health. Hence, in this review, we have discussed the health
implications due to burning of mosquito coil, mats, and heating of mosquito refill
liquidators.
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41. Assessment of learning style preferences of
medical undergraduate students: A cross-
sectional study
visual, auditory, read/write, kinesthetic
questionnaire, version 7.3 developed by Neil
Fleming. The students were then scored to
assess the predominant learning modality
used
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Int jour of medicine and public health
42. Morning Blood Pressure vs Evening
blood pressure in students
Evaluated for Hypertension
Nice project to initiate
12/26/18 PATKI 42
43. http://www.gjmedph.org/uploads/o5-
vo2no4.pdf
ā¢ An assessment of communication skills of the
students of institute of medicine Bangalore .
ā¢ This base line study of MD/MS residents shows that
over all MD/MS residents are deficient in almost all
the components of interpersonal communication
skills. A communication skills training course in
postgraduate medical education could improve the
existing communication skills of the doctors in
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Engaging medical students in &apos;Health Research&apos; will assist them to:ļ·ļunderstand the role of research in quality medical practice.ļ·ļuse modern communication and information technology to access and manage medical information.ļ·ļapply the principles of evidence-based medicine in clinical decision making.ļ·ļsolve health problems.ļ·ļcontribute to the published research output of their faculty. ļ·ļidentify future careers, establish important contacts, and secure better residency positions.
3.Urgency of data needed (timeliness): Are data urgently needed for decision-making or developing interventions at various levels (from community to policy)?
4.Political acceptability of study: Is the topic acceptable to high level policymakers? Or has the topic been the interest and support of the local/national authorities?
5.Feasibility of study: Look at the project you are proposing and consider the complexity of the problem and the resources you will require carrying out your study. Thought should be given first to manpower, time, equipment and money that are locally available.
6.Applicability of results: Is it likely that the recommendations from the study will be applied?
7.Ethical acceptability: We should always consider the possibility that we may inflict harm on others while carrying out research. Therefore, review the study you are proposing and consider important ethical issues such as:
ļ·ļHow acceptable is the research to those who will be studied?
ļ·ļCan informed consent be obtained from the research subjects?
ļ·ļConfidentiality of data collected.
The sources of information may include the following:
ļ·ļText-books in libraries.
ļ·ļIndex Medicus, which identify journal articles by subject, author and title.
ļ·ļComputer-based literature searches such as MEDLINE.
ļ·ļBibliographies, such as those found at the end of books, articles and theses, or prepared as separate documents.
ļ·ļStatistics collected at national, provincial and/or departmental levels.
ļ·ļOpinions and beliefs of key informants (e.g. health managers and community leaders).
A logical sequence for presenting the statement would be:ļļMagnitude, frequency, and distribution: Affected geographical areas and population groups affected by the problem. ļļProbable causes of the problem: What is the current knowledge of the problem and its causes? Is there agreement? Is there controversy? ļļPossible solutions: In what ways have solutions to the problem been attempted? What has been proposed? What are the results?ļļUnanswered questions: What remains to be answered? What areas have not been possible to understand, determine, verify, or test?
Research objectives must be: S-M-A-R-T
Specific
Measurable
Attainable
Relevant
Time-bound
-Formulation of General and specific research objectives
Ā
ļļThe &apos;general objective&apos; of a study states what researchers expect to achieve by the study in general terms.
ļļIt is advisable to break down a general objective into smaller, logically connected parts. These are normally referred to as &apos;specific objectives&apos;.
ļļSpecific objectives should systematically address the various aspects of the problem, and the key factors that are assumed to influence or cause the problem. They should specify what you will do in your study, where and for what purpose.
Example: Health education involving active participation by mothers will produce more positive changes in child feeding than health education based on lectures.Independent variable (predisposing factor): types of health education.Dependent variable (outcome): changes in child feeding.
ļ·ļStudy design: Descriptive (e.g. cross-sectional surveys), Analytic (e.g. cohort and case-control), Experimental strategies (e.g. clinical and preventive trials).
ļ·ļStudy population, Selection Criteria, Sample Selection and Size, Sampling method.
ļ·ļStudy Setting.
ļ·ļData Collection Procedures, data collection tools (e.g. questionnaire or interview schedule, clinical examination, laboratory tests, screening procedures, records, etc.).
ļ·ļPlan of Data Processing and Analysis: This should include the plan for processing and coding data, either by manual sorting, machine sorting, or computer programme, and choice of statistical methods to be applied to each hypothesis.
ļ·ļEthical Considerations: e.g. Ethical approval, Informed consent form.
ļ·ļPre-Testing the methodology (Pilot Study): It may be possible to pre-test:
-The reactions of respondents to the research procedures and to questions related to sensitive issues.
-The appropriateness of study type and research tools selected for the purpose of the study.
-The appropriateness of format and wording of questionnaires and interview schedules and the accuracy of the translations.
-The time needed to carry out interviews, observations or measurements.
-The feasibility of the designed sampling procedures.
-The feasibility of the designed procedures for data processing and analysis.
Methodological limitations: If you have deviated from the original study design presented in your research proposal, you should explain to what extent you did so and why. The consequences of this deviation for meeting certain objectives of your study should be indicated under the heading ālimitations of the studyā.
- Remember that action-oriented groups are the most important in this section.- In making recommendations, use not only the findings of your study, but also supportive information from other sources.
5. When citing authors in the text, acknowledge only the first author where there are three or more authors, e.g. Williams et al.(1994) stated that .....(1). Where there are two authors cite both, e.g. Jones and Smith (1997) reported that ....(2). Note that a reference at the end of a sentence is included before the period. 6. The list of references must begin on a new page and they are cited by number and sequenced by order of citation. Include all authors in the list of references.
How to format various reference sources?
Journals
Harrison KL, Forster TH. Instruction to authors. Aust J Med Sci 1996; 17: 45-47.
Author(s) of a book
Murray-Smith S. Right Words: A guide to English usage in Australia. 2nd ed. Melbourne: Penguin Books; 1990.
Author(s) of a chapter in a book
Ā Bogduk N. Spinal pain: backache and neck pain. In: Gandevia SC, Burke D, Anthony M, editors. Science and practice in clinical neurology. Melbourne: Cambridge University Press; 1993; 39-57.
Internet referencing:
1.Document/Individual Work
Tyner R. Sink or Swim: Internet search tools and techniques (version 3) [WWW document]. Okanagan University College, 7 July 1998. http://oksw01.okanagan.bc.ca/libr/connect96/search.htm [accessed 19 July 1998].
2.Journals Zorn P, Emanoil M, Marshall L, Panek M. Advanced searching: Tricks of the trade. Online [WWW]. 1996 May; 9 pages. http://www.onlineinc.com/onlinemag/MayOL/zorn5.html [accessed 19 July 1998].Ā