RESEARCH
Professor Syed Amin Tabish
FRCP (London), FRCP (Edin.), FAMS, MD (AIIMS)
Postdoc Fellowship, Bristol University (England)
Doctorate in Educational Leadership (USA)
Research
Research is an
ORGANIZED and
SYSTEMATIC way of
FINDING ANSWERS to
QUESTIONS
Research - II
SYSTEMATIC
 Because there is a definite set of
procedures and steps which you will
follow.
 There are certain things in the
research process which are always
done in order to get the most
accurate results.
Research - III
ORGANIZED
 in that there is a structure or
method in going about doing
research.
 It is a planned procedure, not
a spontaneous one. It is
focused and limited to a
specific scope.
Research - IV
FINDING ANSWERS
 is the end of all research.
 Whether it is the answer to a
hypothesis or even a simple
question, research is successful
when we find answers
 Sometimes the answer is no, but
it is still an answer.
Research - V
QUESTIONS
 Are central to research. If there
is no question, then the answer
is of no use
 Research is focused on relevant,
useful, and important questions
 Without a question, research
has no focus, drive, or purpose.
Research - VI
It is an attempt by careful enquiry,
experimentation, study,
observation, analysis and
recording to:
 discover new facts, knowledge
and information,
 develop new interpretations of
facts, knowledge or information,
or discover new means of
applying existing knowledge.
Types of Research
 Disciplinary research (focus on
Theory)
 Biomedical Research (focus on
Organisms)
 Clinical Research (focus on
Individuals)
 Health Services Research (focus on
Systems)
 Public Health Research (focus on
Community)
Basic (Primary) Research
 A theoretical or
experimental investigation
to advance scientific
knowledge where
immediate practical
application is not a direct
objective.
Secondary Research
An experimental
investigation to
advance scientific
knowledge where
immediate practical
application is a direct
objective
Applied Research
An experimental
investigation which
makes use of existing
knowledge for new
applications or to
significantly improve
existing applications
Quality Research
 Quality of any research study
depends on how well both
design and execution phases of
the project are accomplished.
 There is a positive relationship
between the research protocol
and overall quality and
acceptance of the resulting
research study
Components of a Research Protocol
 A descriptive title
 The name, titles, degrees,
addresses and affiliations of the
investigators and co-investigators
 Introduction & Background
 Literature review
 Justification/ Rationale
 Study objective and /or research
questions
The Components of Protocol-II
Study Methodology
Study population and its
recruitment
Study design
Study setting
Study duration
Components (contd.)
Sample size determination
Sampling strategy
Variable list
Methods of data collection
Data collection tools
Plan of Analysis
The components (contd.)
 Ethical considerations & humane
subject protection
 Quality control
 Expected benefits from the study
 Operational plan & budgeting
 Plan of dissemination of results
 References
 Biographical information on
investigator and institution
Study Title
 It should be brief and
explanatory.
 Better to include type of study
and setting.
 Like `A case-control study of
risk factors of acute hepatitis
B in Al-Qassim`.
Introduction & Background
Relevant details about
the problem.
The pathophysiology of
the disease, global
burden, similar settings
and then local (if
available)
Literature Review
 A description about what other
in this field in other countries
and in your country has done.
 Literature review should be in
depth to identify potential
cofounders and effect
modifiers and to determine the
areas in which knowledge is
needed.
Justification/Rationale
It should tell that why
you want to do this
study.
Is there any gap in the
existing knowledge that
you want to fill?
Study Objective/Research Question
 It should identify the
immediate purpose of study
and be very clear.
 Objective always start with
`to` (word of accomplishment)
 Like `To identify the risk
factors of acute Hepatitis B in
Qassim`
Research Question
 The Research Question is
expressed in ideas & concepts
 Research Design is the plan of
how the research will be carried
out
 Hypothesis: sets of ideas or
concepts
 Question comes as a flash of
inspiration; or may arise from
routine observed events
Exploring the Question
 Having identified a Question
 Investigate the Background of
question
 Has someone else had a go at
answering it
 Is the answer known
 Has someone formulated it in a
better way
Sample Questions
 Do Non-Steroidal anti-inflammatory
agents cause cancer
 Are patients who complain of
dizziness likely to suffer from a
serious disease
 Is Asthma more common in only
children
 Is there an association between H.
Pylori and Coronary artery disease
Methodology
It should include the detail
description of methods
with reasoning.
Design
What you want to do, how you are
going to recruit subject, & how
to follow :
 Randomized controlled clinical trial
 Cohort Study
 Case Control Study
 Cross-sectional Study
 Case series
 Case reports
Study population & its recruitment
 Description of study
population
 Inclusion and exclusion
criteria (Exclusion criteria
apply after those who are
included in study).
Study Setting
 Description of the setting whether
it is a community or a hospital
 In case of hospital what are the
important characteristic of
this/these hospital which type of
patient visit this; what is its
catchment area, how big it is and
what diagnostic and treatment
facilities it have. Is it a special
centre for some specific disease.
Study Duration
If you are mentioning
the field work duration
specify it
Sampling strategy
How sampling will be
done; whether is random
(type of random sampling)
or convenient sampling.
How cases and controls
will be identified.
Variables List
What variables you want
to measure.
Methods of Data Collection
 What method you are going to
apply as records, questionnaire
and in person interview, mailed
questionnaire etc
 What test you are applying and
what is reason for applying this
test.
 Specificity & sensitivity of the
test, if some new test is to be
applied.
Plan of analysis
 How you are going to analyze your
data. For what you are looking for
and which statistical method will
apply.
 Whether you run descriptive
analysis or go for hypothesis
testing and may be multivariate
analysis.
 It is better to get help from
biostatistician for sample size and
data analysis.
Other Considerations
 Expected benefits from the study
 Who will and how benefit from the study
 Operational plan & budgeting
 Detail time line and budget for the study
 Plan of dissemination of results
 How the findings will be shared
with others: presentations, publishing
results in journal etc.
Dissemination of Results
How the findings will be
shared with others
presentations,
publishing results in
journal etc.
SUMMARY
STEPS IN
RESEARCH
METHODOLOGY
STEP 1
 Statement of :
 What is bothering you or what are you
interested in
 An idea that needs to be verified
 A problem that needs to be solved
 A technique that needs improvement
 A hypothesis that needs to be proved
 A solution that needs to be bettered
 A gap in knowledge that needs to be
filled
STEP 2
 Review of literature
 What has been written or done on the
subject
 Helps you understand your concern /
questions better
 Tells you how other people have done
the study
 Also tells you what the results of other
studies were
 If review already answers your
question (s) then you may not need to
do the study on this subject
STEP 3
Defining the objectives
precisely and concisely
in the light of what has
been done or what is
known (literature
review)
STEP 4
How to achieve the
objectives
The methodology
STEP 5
 What is the hypothesis (statement
of belief)?
 Are you seeking a hypothesis by
trying to find a relationship
between many variables or are
you testing a hypothesis?
 Your study question or
hypothesis will determine the
methodology including the study
design
STEP 6
 Determine the importance of the
study
 Rationale of the study….why do
you want to do the study
How will your study benefit
New discovery?
Add to existing knowledge?
Improve services?
STEP 7
 Develop a detail methodology in
consultation with a statistician and
other disciplines you plan to use
 Where……site of study
 What……..study subjects
 When…….Sequence of work
 How
 Study design
 Data collection instrument
 Data collection methods
 Data analysis method
 Quality check of data collected
STEP 8
 Can valid conclusions be drawn by
the methods you plan to use?
 In other words, what is the validity of
the measuring instruments/methods?
 Is the number of subjects,
observations statistically adequate
and is the method of sampling used
correct
 Has all the possible effort been made
to remove / reduce bias in the
designing and sampling of the study?
STEP 9
Determine the feasibility of the study
Can the study be done
In the time available
In the resources available
Will it require help from other
disciplines (laboratory, radiology,
medical records dept etc)…..will this
help be available
Will you require help to gain
permission from other sources….will
permission be given etc etc
Thank you
very much

Research Overview

  • 1.
    RESEARCH Professor Syed AminTabish FRCP (London), FRCP (Edin.), FAMS, MD (AIIMS) Postdoc Fellowship, Bristol University (England) Doctorate in Educational Leadership (USA)
  • 3.
    Research Research is an ORGANIZEDand SYSTEMATIC way of FINDING ANSWERS to QUESTIONS
  • 4.
    Research - II SYSTEMATIC Because there is a definite set of procedures and steps which you will follow.  There are certain things in the research process which are always done in order to get the most accurate results.
  • 5.
    Research - III ORGANIZED in that there is a structure or method in going about doing research.  It is a planned procedure, not a spontaneous one. It is focused and limited to a specific scope.
  • 6.
    Research - IV FINDINGANSWERS  is the end of all research.  Whether it is the answer to a hypothesis or even a simple question, research is successful when we find answers  Sometimes the answer is no, but it is still an answer.
  • 7.
    Research - V QUESTIONS Are central to research. If there is no question, then the answer is of no use  Research is focused on relevant, useful, and important questions  Without a question, research has no focus, drive, or purpose.
  • 8.
    Research - VI Itis an attempt by careful enquiry, experimentation, study, observation, analysis and recording to:  discover new facts, knowledge and information,  develop new interpretations of facts, knowledge or information, or discover new means of applying existing knowledge.
  • 9.
    Types of Research Disciplinary research (focus on Theory)  Biomedical Research (focus on Organisms)  Clinical Research (focus on Individuals)  Health Services Research (focus on Systems)  Public Health Research (focus on Community)
  • 10.
    Basic (Primary) Research A theoretical or experimental investigation to advance scientific knowledge where immediate practical application is not a direct objective.
  • 11.
    Secondary Research An experimental investigationto advance scientific knowledge where immediate practical application is a direct objective
  • 12.
    Applied Research An experimental investigationwhich makes use of existing knowledge for new applications or to significantly improve existing applications
  • 13.
    Quality Research  Qualityof any research study depends on how well both design and execution phases of the project are accomplished.  There is a positive relationship between the research protocol and overall quality and acceptance of the resulting research study
  • 14.
    Components of aResearch Protocol  A descriptive title  The name, titles, degrees, addresses and affiliations of the investigators and co-investigators  Introduction & Background  Literature review  Justification/ Rationale  Study objective and /or research questions
  • 15.
    The Components ofProtocol-II Study Methodology Study population and its recruitment Study design Study setting Study duration
  • 16.
    Components (contd.) Sample sizedetermination Sampling strategy Variable list Methods of data collection Data collection tools Plan of Analysis
  • 17.
    The components (contd.) Ethical considerations & humane subject protection  Quality control  Expected benefits from the study  Operational plan & budgeting  Plan of dissemination of results  References  Biographical information on investigator and institution
  • 18.
    Study Title  Itshould be brief and explanatory.  Better to include type of study and setting.  Like `A case-control study of risk factors of acute hepatitis B in Al-Qassim`.
  • 19.
    Introduction & Background Relevantdetails about the problem. The pathophysiology of the disease, global burden, similar settings and then local (if available)
  • 20.
    Literature Review  Adescription about what other in this field in other countries and in your country has done.  Literature review should be in depth to identify potential cofounders and effect modifiers and to determine the areas in which knowledge is needed.
  • 21.
    Justification/Rationale It should tellthat why you want to do this study. Is there any gap in the existing knowledge that you want to fill?
  • 22.
    Study Objective/Research Question It should identify the immediate purpose of study and be very clear.  Objective always start with `to` (word of accomplishment)  Like `To identify the risk factors of acute Hepatitis B in Qassim`
  • 23.
    Research Question  TheResearch Question is expressed in ideas & concepts  Research Design is the plan of how the research will be carried out  Hypothesis: sets of ideas or concepts  Question comes as a flash of inspiration; or may arise from routine observed events
  • 24.
    Exploring the Question Having identified a Question  Investigate the Background of question  Has someone else had a go at answering it  Is the answer known  Has someone formulated it in a better way
  • 25.
    Sample Questions  DoNon-Steroidal anti-inflammatory agents cause cancer  Are patients who complain of dizziness likely to suffer from a serious disease  Is Asthma more common in only children  Is there an association between H. Pylori and Coronary artery disease
  • 26.
    Methodology It should includethe detail description of methods with reasoning.
  • 27.
    Design What you wantto do, how you are going to recruit subject, & how to follow :  Randomized controlled clinical trial  Cohort Study  Case Control Study  Cross-sectional Study  Case series  Case reports
  • 28.
    Study population &its recruitment  Description of study population  Inclusion and exclusion criteria (Exclusion criteria apply after those who are included in study).
  • 29.
    Study Setting  Descriptionof the setting whether it is a community or a hospital  In case of hospital what are the important characteristic of this/these hospital which type of patient visit this; what is its catchment area, how big it is and what diagnostic and treatment facilities it have. Is it a special centre for some specific disease.
  • 30.
    Study Duration If youare mentioning the field work duration specify it
  • 31.
    Sampling strategy How samplingwill be done; whether is random (type of random sampling) or convenient sampling. How cases and controls will be identified.
  • 32.
  • 33.
    Methods of DataCollection  What method you are going to apply as records, questionnaire and in person interview, mailed questionnaire etc  What test you are applying and what is reason for applying this test.  Specificity & sensitivity of the test, if some new test is to be applied.
  • 34.
    Plan of analysis How you are going to analyze your data. For what you are looking for and which statistical method will apply.  Whether you run descriptive analysis or go for hypothesis testing and may be multivariate analysis.  It is better to get help from biostatistician for sample size and data analysis.
  • 35.
    Other Considerations  Expectedbenefits from the study  Who will and how benefit from the study  Operational plan & budgeting  Detail time line and budget for the study  Plan of dissemination of results  How the findings will be shared with others: presentations, publishing results in journal etc.
  • 36.
    Dissemination of Results Howthe findings will be shared with others presentations, publishing results in journal etc.
  • 37.
  • 38.
    STEP 1  Statementof :  What is bothering you or what are you interested in  An idea that needs to be verified  A problem that needs to be solved  A technique that needs improvement  A hypothesis that needs to be proved  A solution that needs to be bettered  A gap in knowledge that needs to be filled
  • 39.
    STEP 2  Reviewof literature  What has been written or done on the subject  Helps you understand your concern / questions better  Tells you how other people have done the study  Also tells you what the results of other studies were  If review already answers your question (s) then you may not need to do the study on this subject
  • 40.
    STEP 3 Defining theobjectives precisely and concisely in the light of what has been done or what is known (literature review)
  • 41.
    STEP 4 How toachieve the objectives The methodology
  • 42.
    STEP 5  Whatis the hypothesis (statement of belief)?  Are you seeking a hypothesis by trying to find a relationship between many variables or are you testing a hypothesis?  Your study question or hypothesis will determine the methodology including the study design
  • 43.
    STEP 6  Determinethe importance of the study  Rationale of the study….why do you want to do the study How will your study benefit New discovery? Add to existing knowledge? Improve services?
  • 44.
    STEP 7  Developa detail methodology in consultation with a statistician and other disciplines you plan to use  Where……site of study  What……..study subjects  When…….Sequence of work  How  Study design  Data collection instrument  Data collection methods  Data analysis method  Quality check of data collected
  • 45.
    STEP 8  Canvalid conclusions be drawn by the methods you plan to use?  In other words, what is the validity of the measuring instruments/methods?  Is the number of subjects, observations statistically adequate and is the method of sampling used correct  Has all the possible effort been made to remove / reduce bias in the designing and sampling of the study?
  • 46.
    STEP 9 Determine thefeasibility of the study Can the study be done In the time available In the resources available Will it require help from other disciplines (laboratory, radiology, medical records dept etc)…..will this help be available Will you require help to gain permission from other sources….will permission be given etc etc
  • 47.