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PICO: Creating a PICO Query

Describes the PICO interface and how to use it effectively.

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CINAHL Guide

Creating a PICO Query

Begin with your research question, such as:

In adults with chronic migraine pain, will meditation or relaxation exercises manage pain better than major over-the-counter pain relievers?

PICO, an acronym for "patient, intervention, comparison, outcome," is a technique for formulating a question and inputting it into medical databases, such as Medline or CINAHL. It helps you think more clearly and input a better query. Some databases have a PICO interface, such as Medline. Others, like CINAHL, do not.

 

Explanation of the PICO structure
Definition Description
P=Patient or Problem       Adults with chronic migraine pain

 

 
I=Intervention Meditation or relaxation exercises

 

 
C=Comparative intention    Over-the-counter pain relievers

 

 
O=Outcome manage pain

 

Now expand on your ideas with additional terms, as able. Consider synonyms or specific drugs, procedures, etc.

 

Implementing the PICO structure
Definition Description Example
P=Patient or Problem     Adults with chronic migraine pain Chronic migraine

 

   
I=Intervention Meditation or relaxation exercises Meditation or relaxation or biofeedback

 

   
C=Comparative intention   Over-the-counter pain relievers Aspirin or ibuprofen or naproxen or acetaminophen

 

   
O=Outcome   manage pain pain management or pain control

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