BIOMEDICINSKA BIBLIOTEKET Systematisk skning Gteborgs universitetsbibliotek Biomedicinska biblioteket

BIOMEDICINSKA BIBLIOTEKET Systematisk sökning Göteborgs universitetsbibliotek Biomedicinska biblioteket Eva Hessman & Helen Sjöblom

BIOMEDICINSKA BIBLIOTEKET En BRA frågeställning är extra viktigt! Din frågeställning ska ge svar på frågorna: • VEM? • VAD? • HUR? + ev NÄR?

BIOMEDICINSKA BIBLIOTEKET Bryt upp din fråga! • PICO/S/C Population, Intervention, Control, Outcome/Study design/Context • PEO Population, Exposure, Outcome. - bättre för kvalitativa frågeställningar. • SPICE Setting, Perspective, Intervention, Comparison, Evaluation. • CIMO Context, Intervention, Mechanisms, Outcomes - för frågor kring management

BIOMEDICINSKA BIBLIOTEKET

BIOMEDICINSKA BIBLIOTEKET Objectives We assess interventions for tobacco cessation offered by oral We assessthe theeffectivenessofof interventions tobacco cessation offered byhealth oral professionals to cigarette smokers and smokeless tobacco users in the dental office or health professionals cigarette smokers and smokeless users the to community setting. Wetowere interested in testing the followingtobacco hypotheses in in regards dental office or community setting. We were interested increasing tobacco abstinence rates among tobacco users: in testing the following hypotheses in regards increasingcessation tobacco abstinence among tobacco • In dental settings, brieftocounselling interventionsrates are more effective than users: usual care. Brief counselling cessation interventions conducted by dental professionals combined • • In dental settings, brief counselling cessation interventions are more effective with nicotine replacement therapy (NRT) are more effective than NRT alone than usual care. • Tobacco use interventions incorporating personalized feedback from an oral examination are more effective than interventions without personalized feedback from an oral examination. • Tobacco use interventions conducted by dental health professionals are more effective than interventions conducted by other healthcare professionals.

BIOMEDICINSKA BIBLIOTEKET Frågeställning uppbruten enligt PICOC • P cigarette smokers and smokeless tobacco users • I brief counselling cessation interventions • C usual care • O tobacco cessation • C dentists; dental; hygienists; dentalpatient relations; oral health

BIOMEDICINSKA BIBLIOTEKET

BIOMEDICINSKA BIBLIOTEKET Val av källor 1. The Cochrane Central Register of Controlled Trials (CENTRAL) 2. MEDLINE (1966 - November 2011) 3. EMBASE (1988 - November 2011) 4. CINAHL (1982 - November 2011) 5. Healthstar (1975 - November 2011) 6. ERIC (1967 - November 2011) 7. Psyc. INFO (1984 - November 2011) 8. National Technical Information Service database (NTIS, 1964 - November 2011) 9. Dissertation Abstracts Online (1861 - November 2011) 10. Database of Abstract of Reviews of Effectiveness (DARE, 1995 - November 2011) 11. Web of Science (1993 - November 2011)

BIOMEDICINSKA BIBLIOTEKET Hitta sökord Godkända ämnesord – deskriptorer i ERIC, svensk Me. SH, CINAHL headings och andra tesaurer Fritext – begrepp som används i tal och texter Synonymer och alternativa stavningar

BIOMEDICINSKA BIBLIOTEKET The following terms were used to describe the participants: smokers smoking cigarettes smokeless tobacco chewing tobacco oral tobacco spit tobacco snuff quid chew plug tobacco use(rs)

BIOMEDICINSKA BIBLIOTEKET The following terms described the interventions: randomized dentists dental hygienists dental-patient relations behavior modification conditioning therapy behavior conditioning group therapy cognitive therapy counselling behavioral intervention pharmacotherapy drug patient education health promotion

BIOMEDICINSKA BIBLIOTEKET The following terms were used to describe the outcomes: tobacco use cessation smoking abstinence tobacco abstinence

BIOMEDICINSKA BIBLIOTEKET Blocksökning • Synonymer • Fritext • Godkända ämnesord Kombineras med OR inom blocken Blocken i sin tur kombineras med AND

BIOMEDICINSKA BIBLIOTEKET Kombinera block In general, records were searched by conducting searches the following way: (participants OR outcomes) AND interventions. B(P): smokers, smoking, cigarettes … B(O): tobacco use cessation, smoking abstinence … B(I): group therapy, cognitive therapy, counselling …

BIOMEDICINSKA BIBLIOTEKET Sökkommandon ”…” Frassökning, för begrepp som består av flera ord ex: ”tobacco use cessation” OR Sökning efter synonymer eller komplementära begrepp ex: smokers OR smoking AND Villkorar förekomst av flera ord (eller ord ur olika block) ex: smokers AND abstinence (…) Håller ihop sökbegrepp som tillhör samma block ex: (smokers OR smoking) AND ”tobacco use cessation”

BIOMEDICINSKA BIBLIOTEKET Vårt exempel: Fear of Childbirth (FOC) Research question: What are the core/main predisposing causes of Fear of Childbirth in childbearing women, and the outcomes of such fear? P Childbearing women (defined as the period covering pregnancy, labour and birth, and the first year post partum) I Fear of childbirth C Childbearing women with no FOC O Identification of pre-disposing causes of FOC, maternal or infant health outcome S Surveys, Cross-sectional studies, Experimental studies (RCTs), Quasiexperimental studies, Observational studies, Systematic reviews, Meta-analyses, Qualitative studies

BIOMEDICINSKA BIBLIOTEKET Pub. Med (fear OR anxiety OR "birth trauma" OR PTSD OR stress disorders) AND (birth OR childbirth OR "post partum" OR postpartum OR "post natal" OR postnatal OR puerperium OR antenatal OR prenatal OR perinatal OR parturition OR delivery, obstetric OR cesarean section OR Extraction, Obstetrical OR labor, induced) AND ("Randomized Controlled Trial"[Publication Type] OR "Observational Study"[Publication Type] OR "Clinical Trial"[Publication Type] OR "Randomized Controlled Trials as Topic"[Mesh Terms] OR "Placebos"[Mesh Terms] OR (random* AND trial*[tiab]) OR "randomized"[tiab] OR "randomly"[tiab] OR placebo* OR "Review" OR "meta-analysis" OR questionnaire OR interview OR survey OR cohort study OR focus group) • language: English, swedish

BIOMEDICINSKA BIBLIOTEKET

BIOMEDICINSKA BIBLIOTEKET Criteria Include Exclude Population Women in childbearing period Any age Men, partners, Women who are not in childbearing period, Professionals, Working environment Intervention/ Indicator/ Exposure FOC, Anxiety (as exchangeable for FOC) Comparison No FOC Study design May include some or all of: Surveys, Cross-sectional studies, Experimental studies (RCTs), Quasi-experimental studies, Observational studies, Systematic reviews, Metaanalyses, Qualitative studies Case studies Study protocols Non-systematic reviews Outcomes Health outcomes (risks and complications) for the pregnancy and postpartum, for the mother and baby – related to FOC Identification of pre-disposing causes Experiences, views Outcomes not related to FOC, or to pregnancy/ postpartum/childbearing period Other Peer-reviewed English and Swedish language only Studies from any country Published any time Ph. D theses Papers not written in English or Swedish, Reports, Position papers, Conference abstracts, editorials, book sections, debate papers, Reconsider later. Lots of papers talked about anxiety and it just seemed to be what might be called “normal” anxiety.

BIOMEDICINSKA BIBLIOTEKET Kriterier för inklusion och exklusion • Datumbegränsningar (inte äldre än …) • Studietyp (RCT, prospektiva, kohortstudier. . . ) • Begränsa till människor, kön och/eller vissa åldersgrupper • Språkområden