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OT 769: Capstone Project and Experience Development - Review Option

Essential Features of Comprehensive & Systematic Searches

  • Systematic search design is based on structured “concept” searching
  • Comprehensive searching is as sensitive as possible but as precise as necessary
    • Always uses both keywords AND controlled vocabulary, when available
    • Uses the database syntax (field tags, Boolean, modifiers, proximity operators) to balance sensitivity and precision
    • Relies on database searching for structure and additional methods for comprehensiveness
  • Systematic searches should always be peer reviewed
  • Search design and process should be transparently reported

Research Question Concept Frameworks

Systematic and comprehensive searches are based on structured concept searches. Using a research question framework can help start this process. Select a framework based on your review type (or, for a structured review, the most similar review type).

Focused Questions - PICO (systematic review) Broad Questions - PCC (scoping review)

Population = population characteristics, condition/problem, patient situation                                            

Intervention = what is occurring to the 'population'

Comparison = alternative intervention or control

Outcome = measurable (clinical) outcomes of interest

Population = population characteristics, condition/problem, patient situation

Concept = the core concept of the review. May be interventions and/or phenomena of interest and/or outcomes. Often there are multiple concepts.

Context = setting of study, geographic location, specific racial or gender-based interests

Sometimes there is no comparison (PIO)

Interventions may be: a treatment, exposure, diagnostic test, prognostic factor, patient perception, etc

Add Time = duration of treatment, length of time to measurement

Add Type = the evidence type (e.g. study/research design like Controlled Trial or RCT)

Add Setting = setting of the study or applicable real word situation

There is often multiple Concepts or Contexts, and sometimes no Population or Context.

This framework is applied flexibly, but all parts must ultimately be defined clearly.

Add Study Type = types of study/research design/evidence type

These framework concepts form the core structure of your search. You will ultimately connect multiple search terms for each concept into a structure similar to:

(PopulationTerm OR PopulationTerm) AND (InterventionTerm OR InterventionTerm) AND (OutcomeTerm)

As you plan this, be wary of:

  • One framework component (population, intervention, etc.) including multiple, unique search concepts
  • One search concept appears in multiple framework components
  • You (usually) will not include ALL of your framework concepts in your search design. Often you focus the search on population and intervention/exposure/concept.

Select Databases

Select (usually) 3-8 databases total. These include:

  • Primary databases for your topic/field
    • Select one of these for your “main search design" database
    • Select this database based on coverage and inclusion of subject headings
  • General databases that include that topic/field (Google Scholar does not count)

Potential Primary Search Design Databases

  • PubMed (Medline) is the most common main search design database for health, biomedical, veterinary medicine, public health and many other review topics. You can alternatively use Medline via EBSCO which is almost exactly the same content. Select this option if you will be searching many databases via EBSCO.
  • ERIC is a common main search design database for education topics.
  • CINAHL is a common main search design database for occupational therapy or any allied health topics.
  • PsycInfo is a common main search design database for psychology or if the topical focus is on behavior or mental health.
  • CAB Abstracts is a common main search design database for animal sciences, veterinary medicine, and natural resources.
  • Business Source Complete is a common main search design database for business and leadership topics.

There are many more to pick from. Ask for librarian assistance if you are not sure which to select.

Harvesting Terms

Term Types

There are two types of essential search terms: keywords and subject headings (also known as controlled vocabulary).

Keywords Subject Headings

Language used, without standardization, to describe concepts

  • Synonyms
  • Antonyms
  • Plurals
  • Phrases
  • Alternate spellings (e.g. US and UK English)
  • Acronyms
  • Jargon

One word/phrase tagged to all articles about that concept (in that database)

  • Like a hashtag but standardized
  • Collected in a “thesaurus” for the database
  • Most (but not all) databases have subject headings
  • Each database has their own unique subject headings

For each of your search concepts, you need to build a comprehensive list that includes both types of terms.

For subject headings, start in your primary search design database first. Gather equivalent subject headings from other databases later. Always keep track of which database a subject heading is used in - they are unique to that database in most cases.

Use Seed Articles to Harvest Search Terms

Starting in your primary search design database, look up the record for each seed article you have found. Check the record's title, abstract, author supplied keywords, and subject headings.

Remember, you don't need every subject heading on the article, just the ones that directly relate to a concept in your own search design.

Example of what a record looks like in EBSCO databases (like PsycInfo), pointing to the title, abstract, author supplied keywords and subject headings (just called 'Subjects" in the record).

Example of a PubMed record , pointing to the title, abstract, author supplied keywords and (after scrolling near to the bottom of the record) the subject headings which are labeled MeSH Terms.

Brainstorm or Make a Concept Map

Relying on seed articles alone can lead to bias (under or over representation of a term) in your search. As you do exploratory searching, keep a list of keywords you notice and brainstorm or make a concept map to identify additional terms to try.

Use a Tool for Term Analysis

There are a variety of online tools for term analysis. Some of the best are specifically meant for PubMed and look at both keywords and subject headings. Other tools just focus on keywords.

Modifying Keyword to Enhance Your Search

Use these common modifiers to enhance your keywords.

 

Truncation

Rather than repeatedly including one term with many word endings, put a star * after the word root.

Concept* = concept, concepts, conception

 

Phrase Searching

If you want to search for a phrase, make sure to add quotations around it. If you don't add quotation marks, the database does not know that those two words should be connected to each other.

"Quotation marks" = only that exact set of words in that exact order. You will not retrieve 'marks of quotation' or 'quotation mark'

 

Wildcards

Many databases have 'wildcards' which are symbols that represent the potential addition of 0, 1, 2, or 3 letters in the middle of a word. This is especially useful for UK and US spelling.

These symbols are database specific! PubMed does not have wildcards, but all EBSCO databases and Web of Science do.

EBSCO

P#ediatric = pediatric or paediatric

Web of Science

P$ediatric = pediatric or paediatric

Special Considerations for Subject Headings

Unlike a keyword, you should never alter or modify a subject heading!

  1. Subject headings are unique to each individual database
  2. Do not change the order or terms, add or remove commas, change plural to singular (or vice versa), or use truncation (the *)
  3. On a PubMed article record, the * after a MeSH term on an article record indicates it is the major focus of the article. It is NOT part of the MeSH term and should be left off.
  4. On a PubMed article record, the structure "Term / Term" indicated a MeSH term with a subheading. Subheadings are the second part after the slash, and they make a MeSH term more specific. Generally, just use the MeSH term before the / in a comprehensive search design.

Database Syntax

What is '"Database Syntax"?

Database syntax refers to the specific structures and codes that a database uses to form search queries in a systematic manner. These can be both universal (search syntax) and database specific (database syntax). Core aspects of syntax are: field tags, Boolean operators, and proximity operators.

When working on database syntax, always check the "Help" documentation for the database you are using!!

 

Field Tags

Field tags are always used in systematic searches to increase reproducibility and transparency.

Field tags tell the database to search for that term in only a specific field of the article records. That field could be the title of the article, the abstract, author supplied keywords, the subject headings, etc.

Keyword Field Tags
Keyword field tags for EBSCO databases, PubMed and Web of Science. Field tags are case sensitive in EBSCO databases, but not in PubMed or Web of Science
Database Article Title Abstract Author Supplied Keywords Title, Abstract, and Keywords Structure of Multiple Keywords in Multiple Fields for One Concept
EBSCO TI Keyword AB Keyword

KW Keyword

 

TI Term OR AB Term OR KW Term

(TI (KeywordA OR KeywordB) OR AB (KeywordA OR KeywordB) OR KW (KeywordA OR KeywordB) )

PubMed Keyword [TI] Keyword [AB] Keyword [OT] Keyword [TIAB] (KeywordA [TIAB] OR KeywordB [TIAB])
Web of Science TI=Keyword AB=Keyword AK=Keyword

TS=Keyword

*Also includes Keyword Plus

TS=(KeywordA OR KeywordB)
Subject Heading Field Tags
Subject heading field tags in EBSCO and PubMed. Web of Science does not have subject headings. Field tags are case sensitive in EBSCO databases, but not in PubMed.
Database Single Subject Heading Multiple Subject Headings

EBSCO Most Databases

EBSCO CINAHL or Medline

DE "SubjectHeadingA"

MH "SubjectHeadingA"

DE ("SubjectHeadingA" OR "SubjectHeadingB")

MH ("SubjectHeadingA" OR "SubjectHeadingB")

PubMed "SubjectHeading" [MH] ("SubjectHeading" [MH] OR "SubjectHeading" [MH])
Web of Science No Subject Headings N/A

 

Boolean Operators

Boolean operators are a universal type of database syntax used to group together terms and define the order of operations for a search.

AND = combine two different concepts; all results must include both concepts

OR = combine alternative terms for the same concept; all results must include at least one of those terms

Do not use NOT in systematic search design except with a validated search hedge.

Parenthesis group terms together so it is clear to the database, which 'calculations' are run in which order.

As syntax this looks like:

(PopulationTermA OR PopulationTermB OR PopulationTermC) AND (InterventionTermX OR InterventionTermY OR InterventionTermZ)

 

Proximity Operators

Some databases have operators that connect terms loosely by being close to each other but not necessarily in a perfect phrase structure. If "quotation marks" make a phrase highly precise, proximity operators allow for a little more natural variation in how those words are connected.

Only use these with keywords, not subject headings.

Proximity operators for EBSCO, PubMed and Web of Science.
Database Structure Description
EBSCO Near Operator N# (KeywordA N4 KeywordB) = finds the keywords words if there are a maximum of 4 words between them, regardless of the order they appear in.
EBSCO Within Operator W# (KeywordA W4 KeywordB) = finds the keywords words if they are a maximum of 4 words between them, but only in the order in which you enter them E.g. KeywordA must come before KeywordB.
PubMed Proximity Search "search terms"[field:~N] "keyword phrase"[tiab:~5] Search terms = your keyword phrase, field = TIAB for title, abstract and keywords, and N = the maximum number of words between the keyword phrase terms (5 in my example). If you're confused (don't worry, this confuses me a lot, too), this website explains more or you can email me.
Web of Science Near Operator NEAR/#

NEAR/8 find records where the terms joined by the operator are within eight words of each other.

Additional Methods

Searching using additional methods beyond database searches enhances the comprehensiveness of the project.

In order to maintain the structure and systematic process, plan these methods in the protocol phase, identify methods that are as reproducible as possible, and transparently report all steps taken.

Where Else Do I Search?

 

References (backward in time)

Check all references from the papers you include in your final analysis against your selection criteria.

Cited By (forward in time)

Use Google Scholar, Web of Science or special tool like Citationchaser on all articles you selected for analysis to check for articles that cited them since they were published. Check all these articles against your selection criteria.

 

"Hand" Search Specific Journals

Select a set of journals that publish regularly on the topic of interest in your review. This may be done in consultation with research advisors, knowledgeable colleagues or consultation with a librarian. Use BrowZine, journal websites or databases to scan the titles and abstracts of all issues of that journal (either in a selected time frame or as far back as possible).

 

Dissertations and Thesis

Many valuable sources of evidence are published as dissertations or thesis. They are also often working in newer and emerging areas of study. Try running your search design through ProQuest Dissertation and Thesis (it will need to be translated to the proper database syntax). Or try DART-Europe E-theses Portal or Networked Digital Library of Dissertations & Theses (NDLT) for more international coverage.

 

Clinical Trial Registries

Clinical trial registries collect the registrations of the intention and research plan for conducting a clinical trial. Not all of these end up being published, even if they produced results. It can be valuable to find records of clinical trials that were planned on your topic to see if you collected the published result or potentially contact authors to see if they are able to provide you with results for your project.

 

Google Scholar

You can just design and run a search in Google Scholar. Google Scholar does not have field tags and the search syntax is limited, so results tend to be large. It is also difficult to export results from a search. Generally, in evidence synthesis projects, you test a search in Google Scholar and review the results, decide the how many results from Google Scholar you will screen, then use a tool like Publish or Perish to run and export the search and number of results you selected.

 

Grey Literature

Grey literature is a term for publications that do go through the scholarly publication process (peer review, particularly). Large amounts of research and other data are produced and published outside scholarly channels, so try one or more relevant databases, like Mednar or OAIster.

Evidence Synthesis Librarian

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Anna Ferri
she/her/hers
Contact:
Morgan Library
Colorado State University
Fort Collins, CO 80523-1019
(970) 491-1146
anna.ferri@colostate.edu

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