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How to write a Research
protocol?
Dr.S.Kalpana Ph.D., MBA
Research Officer
Department of Epidemiology
The TN Dr.M.G.R.Medical University
.
Research ā€¦ā€¦ā€¦.
Research is to see what everybody else
has seen, and to think what nobody
else has thought.
&
Research is a systematic process of
collection, analysis and interpretation of
data for generating new knowledge or to
answer certain questions.
Dr.S.Kalpana, DoE. TNMGRMU 2
ā€œTo steal ideas from one person is
plagiarism, to steal ideas from
many is researchā€.ā€
Dr.S.Kalpana, DoE. TNMGRMU 3
What is protocol?
ā€œā€œA document that describes the research
question, hypothesis, objective(s), design,question, hypothesis, objective(s), design,
methodology, statistical considerations and
organization of a trial with budget and
expected outcome.ā€ā€
Dr.S.Kalpana, DoE. TNMGRMU 4
Reasons for Not Writing
ā€¢ Difficulty knowing
where to start
ā€¢ Not knowing how to
start
ā€¢ Anxiety about writingā€¢ Anxiety about writing
skills
ā€¢ Lack of confidence
Dr.S.Kalpana, DoE. TNMGRMU 5
Why Research protocol?
Scientific community
Colloborators
Funding agency
Administrators, health
To communicate
and convince the Administrators, health
policy makers
public
Ethical committee
approval
Dr.S.Kalpana, DoE. TNMGRMU 6
and convince the
need and nature
of the study in a
simple sentence
Steps in conduct of research
Designing
Planning andPlanning and
Execution
Dr.S.Kalpana, DoE. TNMGRMU 7
WHEN should I start planning my research project?
CONTENTS OF THE PROPOSAL
(i) Topic
(ii) Introduction
(iii)Review of literature
(iv) Aims and objectives(iv) Aims and objectives
(v) Research design and methods
(vi) Ethical considerations
(vii)Budget
(viii) Appendices and
(ix) Citations
INITIAL STEPā€¦ā€¦ā€¦ā€¦ā€¦.
Dr.S.Kalpana, DoE. TNMGRMU 10
What,Where,When,Why and How?
How to choose a research topic?
Topic
FINER Criteria
ā€¢ Feasible (can be done),ā€¢ Feasible (can be done),
ā€¢ Interesting,
ā€¢ Novel,
ā€¢ Ethical and Relevant (has an implication).
If your topic is broadā€¦ā€¦ā€¦ā€¦ā€¦ā€¦ā€¦..
Narrow the topic down
Interest
ā€¢ Topic must be of interest to the investigators and
to the scientific community
Novelty
ā€¢ The question should not be about whether the study
has been done before, but whether it will add to the
existing body of knowledge. The addition to
previous studies may be confirmatory, contradictory,
or extend previous findings.
Feasibility of topic
ā€¢ Possible to recruit the number of subjects within the
timeframe
ā€¢ The research facility available to the investigators
should have the equipment, supplies and othershould have the equipment, supplies and other
requirements
ā€¢ The investigators must have the required expertise.
ā€¢ The cost of doing the research must be affordable
and the financial resources available.
Choosing a topic -Give Yourself
Ample Time
Understanding your Audience
Think about Audience and Time
Background/Introduction
ā€¢ What do we already know about the topic?
ā€¢ What has not been answered adequately in
previous research and practice?
ā€¢ How will this research add to knowledge, practice
and policy in this area?
ā€¢ The hypothesis behind the research design
Rationale & background
information
ā€¢ The Rationale specifies the reasons for conducting
the research.
ā€¢ It should answer : why the research needs to beā€¢ It should answer : why the research needs to be
done and what will be its relevance.
ā€¢ The magnitude, frequency, affected geographical
areas, ethnic and gender considerations, etc by a
brief description of the most relevant studies.
Research Question
The fully refined research question should indicate
Objective of the study,
Specify the major outcome and predictive variables
The setting
Study subjects.
Study design
Study Period
Dr.S.Kalpana, DoE. TNMGRMU 22
Refining Research Question
ā€œDo vitamin A protect against human cancer?ā€
Is the risk of developing lung cancer low among
cohorts with high vitamin A dietary intake,
Fully refined Research Question
cohorts with high vitamin A dietary intake,
compared to cohorts with low vitamin A dietary
intake among male smokers residing in Chennai?
Dr.S.Kalpana, DoE. TNMGRMU 23
Cohort Study
Goals Objectives
A goal is a broad statement of what you wish to
accomplish.
The objective represents a step toward
accomplishing a goal.
METHODOLOGY
RESEARCH DESIGN
RESEARCH POPULATION
RESEARCH AREARESEARCH AREA
DATA COLLECTION
DATAANALYSIS
ETHICAL ISSUES
RESEARCH LIMITATIONS
RESEARCH DESIGN
Research Designs
Purpose Study Design
To determine frequency &
burden of a disease
* Cross sectional survey (Prevalence)
* Cohort study (Incidence)
To identify the risk factors * Cohort study
* Case-Control study* Case-Control study
To determine prognosis of a
disease
* Cohort study
To determine efficacy/
effectiveness of new
treatment
ā€¢* Clinical trials
ā€¢*Community intervention
To evaluate community
programs
* Evaluation
Dr.S.Kalpana, DoE. TNMGRMU 27
Research population
Selection criteria
Inclusion Exclusion
Sampling Technique
Simple random sampling
Systematic sampling
Stratified sampling
Multi-stage sampling
Cluster samplingCluster sampling
Data collection tool
Sample size
SAMPLE SIZE
ā€¢ Denotes the number of subjects to be used in the study
Generally, the sample size for any study depends on the:
ā€¢ Acceptable level of significance
ā€¢ Power of the study
ā€¢ Expected effect sizeā€¢ Expected effect size
ā€¢ Underlying event rate in the population
ā€¢ Standard deviation in the population
Incorrect sample size will lead to:
i) Wrong Conclusion ii) Poor quality research
iii) Wastage of resources iv) Ethical problem.
Sample size calculation
The range (measured as
a percentage) that your
populationā€™s responses
may deviate from your
sampleā€™s.
The probability that
your sample
accurately reflects the
attitudes of your
population. The
industry standard is
95%.
The total
number of
people whose
opinion or
behavior your
sample will
represent.
Clinical trial study
ā€¢ Who qualifies to participate (selection criteria)
ā€¢ How many people will be part of the study
ā€¢ How long the study will last
ā€¢ Whether there will be a control group and other
ways to limit research bias
ā€¢ How the drug will be given to patients and at what
dosage
ā€¢ How the data will be reviewed and analyzed
Phases in clinical Trial
Methods (contd.,)
Plan of Analysis
ā€¢ How exposures, outcome variables and other
variables are going to be measured should bevariables are going to be measured should be
described in detail
ā€¢ A brief description of how the data will be
analyzed and the statistical package if any
should be given
37
What test to use when?
Ethics and Relevance
ā€¢ Ethics: Experimentation on human subjects,
involving experimentation on animals should be
justified.
ā€¢ Relevance(So what): It must have the potential to
advance scientific knowledge, influence clinical
management, influence health policy, or guide
further research.
Ethical issues
Researchers have a duty to
ā€˜Protect the life, health, dignity, integrity, right to
self-determination, privacy and confidentiality of
personal information of research subjectsā€™.
Beneficence - first do no harm, maximise
possible benefits and minimise possible harms
ā€˜Informed consent is a process by which a subject
voluntarily confirms his or her willingness to participate
in a particular trial, after having been informed of all
aspects of the trial that are relevant to the subject's
decision to participateā€™
Pilot study
Dr.S.Kalpana, DoE. TNMGRMU 41
Time management
Budget
Items Total 1st year 2nd year 3rd year Balance10% of the
total
Salary (research
fellow)
7,19,200 2,30,000 2,30,000 2,59,200
Equipment 6,40,000 6,40,000 ā€“ ā€“
Books 15,000 15,000 ā€“
Other non-recurring
expenditure
ā€“ ā€“ ā€“
Recurring
expenditure
9,95,000 3,92,000 5,87,000 16,000
TA/DA 90,000 30,000 30,000 30,000
Institutional support 97,260 ā€“ ā€“ 97,260
Fee of PI and CoI 90,000 ā€“ 90,000
Miscellaneous
expenses
36,000 18,000 18,000
Total 26,82,460 13,25,000 8,65,000 4,92,460 2,68,246
Common reasons for rejection
ā€¢ Too ambitious: too many questions
ā€¢ Insufficient attention to literature search
ā€¢ Poor justification
why is it important to answer this question?
what impact does it have on public health?what impact does it have on public health?
ā€¢ Poorly formulated objectives! Unspecific.
ā€¢ Inappropriate analysis
ā€¢ Inadequate description of sampling, study
subject etc
ā€¢ Absence of pilot test
Dr.S.Kalpana, DoE. TNMGRMU 44
The protocol should indicate how the study will
contribute to advancement of knowledge, how
the results will be utilized, not only in
Expected Outcomes of the Study
the results will be utilized, not only in
publications but also how they will likely affect
health care, health systems, or health policies.
References
ā€¢ Books
ā€¢ Journal articles
ā€¢ News papers
ā€¢ Magazine etc.,
ā€¢ Web address
Dr.S.Kalpana, DoE. TNMGRMU 46
RP- Check List
1 Does your question reflect a sound rationale? Yes/No
2 Does your question specify the study population ? Yes/No
3 Does your question refer to the exposure variable?
Yes/No
4 Does your question reflect the outcome of interest? Yes/No
5 Does your question specify the nature of5 Does your question specify the nature of
comparisons to be made? Yes/No
6 Does your question provide sufficient information to
suggest the study design? Yes/No
7 Is your study relevant? Yes/No
8 Is your study feasible? Yes/No
9 Is your study ethical? Yes/No
Dr.S.Kalpana, DoE. TNMGRMU 47
Dr.S.Kalpana, DoE. TNMGRMU 48

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Proposal writing by dr.s.kalpana

  • 1. How to write a Research protocol? Dr.S.Kalpana Ph.D., MBA Research Officer Department of Epidemiology The TN Dr.M.G.R.Medical University .
  • 2. Research ā€¦ā€¦ā€¦. Research is to see what everybody else has seen, and to think what nobody else has thought. & Research is a systematic process of collection, analysis and interpretation of data for generating new knowledge or to answer certain questions. Dr.S.Kalpana, DoE. TNMGRMU 2
  • 3. ā€œTo steal ideas from one person is plagiarism, to steal ideas from many is researchā€.ā€ Dr.S.Kalpana, DoE. TNMGRMU 3
  • 4. What is protocol? ā€œā€œA document that describes the research question, hypothesis, objective(s), design,question, hypothesis, objective(s), design, methodology, statistical considerations and organization of a trial with budget and expected outcome.ā€ā€ Dr.S.Kalpana, DoE. TNMGRMU 4
  • 5. Reasons for Not Writing ā€¢ Difficulty knowing where to start ā€¢ Not knowing how to start ā€¢ Anxiety about writingā€¢ Anxiety about writing skills ā€¢ Lack of confidence Dr.S.Kalpana, DoE. TNMGRMU 5
  • 6. Why Research protocol? Scientific community Colloborators Funding agency Administrators, health To communicate and convince the Administrators, health policy makers public Ethical committee approval Dr.S.Kalpana, DoE. TNMGRMU 6 and convince the need and nature of the study in a simple sentence
  • 7. Steps in conduct of research Designing Planning andPlanning and Execution Dr.S.Kalpana, DoE. TNMGRMU 7
  • 8. WHEN should I start planning my research project?
  • 9. CONTENTS OF THE PROPOSAL (i) Topic (ii) Introduction (iii)Review of literature (iv) Aims and objectives(iv) Aims and objectives (v) Research design and methods (vi) Ethical considerations (vii)Budget (viii) Appendices and (ix) Citations
  • 12. How to choose a research topic?
  • 13. Topic FINER Criteria ā€¢ Feasible (can be done),ā€¢ Feasible (can be done), ā€¢ Interesting, ā€¢ Novel, ā€¢ Ethical and Relevant (has an implication).
  • 14. If your topic is broadā€¦ā€¦ā€¦ā€¦ā€¦ā€¦ā€¦..
  • 16. Interest ā€¢ Topic must be of interest to the investigators and to the scientific community Novelty ā€¢ The question should not be about whether the study has been done before, but whether it will add to the existing body of knowledge. The addition to previous studies may be confirmatory, contradictory, or extend previous findings.
  • 17. Feasibility of topic ā€¢ Possible to recruit the number of subjects within the timeframe ā€¢ The research facility available to the investigators should have the equipment, supplies and othershould have the equipment, supplies and other requirements ā€¢ The investigators must have the required expertise. ā€¢ The cost of doing the research must be affordable and the financial resources available.
  • 18. Choosing a topic -Give Yourself Ample Time
  • 19. Understanding your Audience Think about Audience and Time
  • 20. Background/Introduction ā€¢ What do we already know about the topic? ā€¢ What has not been answered adequately in previous research and practice? ā€¢ How will this research add to knowledge, practice and policy in this area? ā€¢ The hypothesis behind the research design
  • 21. Rationale & background information ā€¢ The Rationale specifies the reasons for conducting the research. ā€¢ It should answer : why the research needs to beā€¢ It should answer : why the research needs to be done and what will be its relevance. ā€¢ The magnitude, frequency, affected geographical areas, ethnic and gender considerations, etc by a brief description of the most relevant studies.
  • 22. Research Question The fully refined research question should indicate Objective of the study, Specify the major outcome and predictive variables The setting Study subjects. Study design Study Period Dr.S.Kalpana, DoE. TNMGRMU 22
  • 23. Refining Research Question ā€œDo vitamin A protect against human cancer?ā€ Is the risk of developing lung cancer low among cohorts with high vitamin A dietary intake, Fully refined Research Question cohorts with high vitamin A dietary intake, compared to cohorts with low vitamin A dietary intake among male smokers residing in Chennai? Dr.S.Kalpana, DoE. TNMGRMU 23 Cohort Study
  • 24. Goals Objectives A goal is a broad statement of what you wish to accomplish. The objective represents a step toward accomplishing a goal.
  • 25. METHODOLOGY RESEARCH DESIGN RESEARCH POPULATION RESEARCH AREARESEARCH AREA DATA COLLECTION DATAANALYSIS ETHICAL ISSUES RESEARCH LIMITATIONS
  • 27. Research Designs Purpose Study Design To determine frequency & burden of a disease * Cross sectional survey (Prevalence) * Cohort study (Incidence) To identify the risk factors * Cohort study * Case-Control study* Case-Control study To determine prognosis of a disease * Cohort study To determine efficacy/ effectiveness of new treatment ā€¢* Clinical trials ā€¢*Community intervention To evaluate community programs * Evaluation Dr.S.Kalpana, DoE. TNMGRMU 27
  • 29. Sampling Technique Simple random sampling Systematic sampling Stratified sampling Multi-stage sampling Cluster samplingCluster sampling
  • 31. Sample size SAMPLE SIZE ā€¢ Denotes the number of subjects to be used in the study Generally, the sample size for any study depends on the: ā€¢ Acceptable level of significance ā€¢ Power of the study ā€¢ Expected effect sizeā€¢ Expected effect size ā€¢ Underlying event rate in the population ā€¢ Standard deviation in the population Incorrect sample size will lead to: i) Wrong Conclusion ii) Poor quality research iii) Wastage of resources iv) Ethical problem.
  • 32. Sample size calculation The range (measured as a percentage) that your populationā€™s responses may deviate from your sampleā€™s. The probability that your sample accurately reflects the attitudes of your population. The industry standard is 95%. The total number of people whose opinion or behavior your sample will represent.
  • 33. Clinical trial study ā€¢ Who qualifies to participate (selection criteria) ā€¢ How many people will be part of the study ā€¢ How long the study will last ā€¢ Whether there will be a control group and other ways to limit research bias ā€¢ How the drug will be given to patients and at what dosage ā€¢ How the data will be reviewed and analyzed
  • 35.
  • 36.
  • 37. Methods (contd.,) Plan of Analysis ā€¢ How exposures, outcome variables and other variables are going to be measured should bevariables are going to be measured should be described in detail ā€¢ A brief description of how the data will be analyzed and the statistical package if any should be given 37
  • 38. What test to use when?
  • 39. Ethics and Relevance ā€¢ Ethics: Experimentation on human subjects, involving experimentation on animals should be justified. ā€¢ Relevance(So what): It must have the potential to advance scientific knowledge, influence clinical management, influence health policy, or guide further research.
  • 40. Ethical issues Researchers have a duty to ā€˜Protect the life, health, dignity, integrity, right to self-determination, privacy and confidentiality of personal information of research subjectsā€™. Beneficence - first do no harm, maximise possible benefits and minimise possible harms ā€˜Informed consent is a process by which a subject voluntarily confirms his or her willingness to participate in a particular trial, after having been informed of all aspects of the trial that are relevant to the subject's decision to participateā€™
  • 43. Budget Items Total 1st year 2nd year 3rd year Balance10% of the total Salary (research fellow) 7,19,200 2,30,000 2,30,000 2,59,200 Equipment 6,40,000 6,40,000 ā€“ ā€“ Books 15,000 15,000 ā€“ Other non-recurring expenditure ā€“ ā€“ ā€“ Recurring expenditure 9,95,000 3,92,000 5,87,000 16,000 TA/DA 90,000 30,000 30,000 30,000 Institutional support 97,260 ā€“ ā€“ 97,260 Fee of PI and CoI 90,000 ā€“ 90,000 Miscellaneous expenses 36,000 18,000 18,000 Total 26,82,460 13,25,000 8,65,000 4,92,460 2,68,246
  • 44. Common reasons for rejection ā€¢ Too ambitious: too many questions ā€¢ Insufficient attention to literature search ā€¢ Poor justification why is it important to answer this question? what impact does it have on public health?what impact does it have on public health? ā€¢ Poorly formulated objectives! Unspecific. ā€¢ Inappropriate analysis ā€¢ Inadequate description of sampling, study subject etc ā€¢ Absence of pilot test Dr.S.Kalpana, DoE. TNMGRMU 44
  • 45. The protocol should indicate how the study will contribute to advancement of knowledge, how the results will be utilized, not only in Expected Outcomes of the Study the results will be utilized, not only in publications but also how they will likely affect health care, health systems, or health policies.
  • 46. References ā€¢ Books ā€¢ Journal articles ā€¢ News papers ā€¢ Magazine etc., ā€¢ Web address Dr.S.Kalpana, DoE. TNMGRMU 46
  • 47. RP- Check List 1 Does your question reflect a sound rationale? Yes/No 2 Does your question specify the study population ? Yes/No 3 Does your question refer to the exposure variable? Yes/No 4 Does your question reflect the outcome of interest? Yes/No 5 Does your question specify the nature of5 Does your question specify the nature of comparisons to be made? Yes/No 6 Does your question provide sufficient information to suggest the study design? Yes/No 7 Is your study relevant? Yes/No 8 Is your study feasible? Yes/No 9 Is your study ethical? Yes/No Dr.S.Kalpana, DoE. TNMGRMU 47