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PICO Framework Builder

Free

Structure your systematic review question using the PICO framework and generate a Boolean search string for major databases. Enter your terms, add synonyms with OR, and combine elements with AND.

How to Use

Fill in each PICO element with your primary term, then click "+ Add Synonym" to add alternative terms (e.g., MeSH terms, abbreviations, alternate spellings). Synonyms within each element are joined with OR; elements are combined with AND. Copy the generated search string into PubMed, Scopus, or Web of Science.

P

Population

Who is the population of interest? Include conditions, age groups, and settings.

I

Intervention

What is the intervention or exposure being studied?

C

Comparison

What is the comparison or control? Leave empty if not applicable.

O

Outcome

What outcomes are you measuring?

Structured Research Question

In [Population], what is the effect of [Intervention] on [Outcome]?

Boolean Search String

Enter terms above to generate a search string.

Paste this string into PubMed, Scopus, Web of Science, or CINAHL. Add field tags (e.g., [tiab]) and MeSH terms as needed for your specific database.

Frequently Asked Questions

What is the PICO framework?

PICO is a structured approach to formulating clinical research questions. It stands for Population (who), Intervention (what treatment), Comparison (against what), and Outcome (what result). Well-defined PICO elements make your review question focused and your search strategy efficient.

Do I need all four PICO elements?

Not always. Some review types omit the Comparison (e.g., prevalence reviews), use PICOS (adding Study design), or PECO (Exposure instead of Intervention for observational reviews). At minimum, you need Population and either Intervention or Exposure.

How do synonyms work in the search string?

Synonyms for each element are combined with OR (broadening the search within that element). Then the PICO elements are combined with AND (narrowing to studies that match all elements). This is standard Boolean logic for systematic review searches.

Can I use this search string directly in PubMed?

Yes. Copy the generated string and paste it into PubMed's search box. For best results, also consider adding MeSH terms and field tags (e.g., [tiab] for title/abstract). The tool gives you a solid starting point that you can refine.

Need Help Designing Your Search Strategy?

Our information specialists can build comprehensive search strategies across multiple databases, with MeSH terms, field codes, and peer-reviewed methodology.

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