Research Lecture 1 by Ma'am Jasmen Pasia

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    What is research?

    Research starts with a question.

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    RESEARCH often defined as systematicinquiry about asubject

    (systematic - points to the need to examinetopics methodically in a step-by-step

    procedure )

    the application of the scientific method

    a systematic process of collecting andlogically analyzing information (data)

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    The systematic collection, analysis andinterpretation of data to answer a certainquestion or solve a problem

    HEALTH RESEARCHThe process of obtaining systematic knowledge

    and technology which can be used for theimprovement of the health of individual groups(Davies 1991)

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    The generation ofinformation

    and understanding

    (perhaps)

    consisting of

    as opposed to

    unsupported

    opinion

    New concepts

    New models

    New theories

    So we need evidence

    as opposed to

    anecdote

    Determinants arevalidity

    reliability

    generalisability

    What is research?

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    Why is research important? Searching for useful medical knowledge

    Determine magnitude of a health

    problem

    Factors associated with a health

    problem

    Determining appropriate intervention

    EVIDENCE-BASED MEDICINE

    Evaluating a health intervention

    Effectiveness of a treatment regimen

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    CHARACTERISTICS OFRESEARCH

    Systematic

    Objective

    Reproducible

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    FREQUENTLY USED TYPES OF

    RESEARCH

    1. Descriptive research

    2. Analytical research

    3. Applied research

    4. Basic research

    5. Quantitative research6. Qualitative research

    7. Conceptual research

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    DESCRIPTIVE RESEARCH

    Surveys & fact finding inquiries of

    different kinds

    Purpose is description of the state of affairs as it exists at present.

    Researcher has no control over the

    variables; he can only report what hashappened or what is happening.

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    SUBIVISIONS OF DESCRIPTIVE RESEARCH

    Survey research

    The case study

    Job analysis Observational research

    Correlation study

    Comparative study

    Epidemiological research

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    ANALYTICAL RESEARCH

    Involves in-depth study and evaluation ofavailable information in an attempt to explain

    complex phenomenon.

    The researcher has to use facts or informationalready available and analyze these to make a

    critical evaluation of the material.

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    SUBDIVISIONS OF ANALYTICAL RESEARCH

    Historical research

    Philosophical research

    Review Research synthesis ( meta analysis i.e.

    analysis the review that already

    published)

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    APPLIED / ACTION RESEARCH

    Finding a solution an immediate problem

    Say a solution

    SUBTYPES

    Marketing research

    Evaluation research

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    BASIC /PURE/ FUNDAMENTAL RESEARCH

    generalization and with the formulation of

    theory

    Natural phenomenon and mathematics are

    the examples of basic research

    Finding information in broad base.

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    Quantitative Research

    Burns & Grove (1987)

    ... a formal, objective, systematic process in

    which numerical data are utilized to obtain

    information about the world" and "a

    research method which is used to describe

    and test relationships and to examine cause-

    and-effect relationships".

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    QUANTITATIVE RESEARCH

    Based on measurement of quantity

    or amount

    Weighing, measuring are theexamples of quantitative research

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    QUALITATIVE RESEARCH

    Phenomena relating quality or kind

    Character, personality and man kind are the

    examples of variable used to measure the

    qualitative research

    Word association test, Sentence completion

    test are the examples of qualitative research

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    QUALITATIVE RESEARCH

    Not measurements, but WORDS!

    Instead of asking how many times

    someone purchased an item, you ask

    "WHY...?"

    Typically the samples are small, and not"random"

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    Strengths

    Cant extrapolate to the whole population

    Volume of data

    Complexity of analysis

    Time-consuming nature of the clerical efforts require

    Good for examining feelings and motivations

    Allows for complexity and depth of issues

    Provides insights

    Weaknesses

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    Experimental Research

    Experimental research is an attempt by

    the researcher to maintain control overall factors that may affect the result of an

    experiment. In doing this, the researcher

    attempts to determine or predict whatmay occur.

    /

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    CONCEPTUAL / EXPERIMENTAL

    RESEARCH

    Related to some abstract ideas /

    theory experiment

    Attempt to establish cause and effectrelationship

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    Experimental Design

    Experimental design is a blueprint

    of the procedure that enables theresearcher to test his hypothesis

    by reaching valid conclusions

    about relationships betweenindependent and dependent

    variables.

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    Experimental Research Essentials

    Manipulation of an independent

    variable.

    All variables except the dependentvariable are held constant

    (control).

    Manipulation of the dependent

    variable by the independent

    variable is observed (observation).

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    UNSCIENTIFIC METHODS OF PROBLEM

    SOLVING

    Tenacity

    Intuition

    Authority

    The Rationalistic method

    The Empirical method

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    TENACITY

    Sometime cling to certain beliefs

    despite lack of supporting evidence

    Superstitions are good examples ofthis method called tenacity.

    Coaches and athletes wearing samedress

    Black cat brought bad luck

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    INTUITION

    Intuitive knowledge is sometimes

    considered to be common sense or

    self evident Factual evidence

    Self evident truth sometime mayfound to be false

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    AUTHORITY

    Reference to some authority has

    long been used as a source of

    knowledge.Galileos telescope

    Ptolemys explanation about worldand heaven

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    THE RATIONALISTIC METHOD

    Derive knowledge through reasoning

    Basket ball players are tall.

    Tony is a basket ball playerTherefore, tony is tall

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    THE EMPIRICAL METHOD

    Describes data or a study that is

    based on objective observation

    Gathering data is scientific method

    but here experience plays major role.

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    2. Conduct a Review of Related Literature

    1. Identify the Research Problem and Objectives

    3. Define the Actual Problem and Objectives in Clear Specific Terms

    4. Formulate the Hypothesis and Define the Study Variables

    5. Construct the Research Design

    6. Design the Tools for Data Collection

    7. Design the Plan for Data Analysis

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    8. Collect the Data

    9. Process the Data

    10. Analyze the Data

    11. Write the Research Report

    12. Disseminate and Utilize the Result

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    Identify the Research Problem

    and Objectives

    A. Select topics for research

    Criteria for selection

    1. Researcher characteristics

    personal interest and inclination

    training previous experience

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    Identify the Research Problem

    and Objectives

    Criteria for selection

    2. Nature of topic

    timeliness: internet, literature

    relevance

    duplication

    applicability/utilizability

    cost- effectiveness

    1

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    Identify the Research Problem

    and Objectives

    Criteria for selection

    3. Feasibility

    availability of subjects

    availability of specific equipment

    necessity for special working

    conditions

    degree of sponsorship /

    administrative cooperation

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    Identify the Research Problem

    and Objectives

    Criteria for selection

    3. Feasibility (cont)

    hazards, handicaps to beencountered

    time requirements / duration

    availability of research fund

    1

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    Identify the Research Problem

    and Objectives

    Criteria for selection

    3. Ethical considerations

    risks involved to investigator and

    subjects

    4. Significance of the study

    1

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    Identify the Research Problem

    and Objectives

    Sources of research problems

    own experiences, communication with

    other people assessment of needs and practices

    patterns and trends

    somebody elses completed research

    investigators intellectual and

    scientific interests

    1

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    Identify the Research Problem

    and Objectives

    Sources of research problems (contn)

    critical reading of literature

    intellectual curiosity, intuitive hunch

    serendipity

    1

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    Identify the Research Problem

    and Objectives

    Characteristics of a good research

    question

    FI

    N

    E

    R

    easiblenteresting

    ovel

    thical

    elevant

    1

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    Identify the Research Problem

    and Objectives

    F easible - # of subjects, technical expertise,resources, manageable

    I nteresting

    N ovel - confirms and refutes previous

    findings, extends previous research, provides

    new findings

    E thical

    R elevant - to scientific knowledge, clinical and

    health policies, future research direction

    1

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    Identify the Research Problem

    and Objectives

    B. Formulate research objectives

    A question well-phrased is a

    question half-answered

    indicates the direction of theresearch

    - clearly reflects the question that

    the researcher wants to answer

    1

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    Identify the Research Problem

    and Objectives

    can be expressed in the form of a

    statement or a question

    > To determine the relationship of

    smoking and Lung Cancer.

    > What is the relationship of smoking

    and Lung Cancer?

    1

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    Identify the Research Problem

    and Objectives

    PROGRAM vs. RESEARCH Objective

    > A Prog ram ob ject ivereflects the

    purpose or desired output of the

    intervention being considered.

    > A Research ob ject ivereflectsquestions which need to be answered

    in order to know if the program

    objective was attained.

    1

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    Identify the Research Problem

    and Objectives

    > To decrease the prevalence of severe

    malnutrition among preschoolers by

    80% within a 2 year period

    > To determine and compare the

    baseline level of the prevalence of

    severe malnutrition amongpreschoolers with the corresponding

    value 2 years after program

    implementation

    1

    Id if h R h P bl

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    Identify the Research Problem

    and Objectives

    Formulating objectives

    use action verbs specific enough to

    be measuredto determine

    to compare

    to calculateto describe

    1

    Id tif th R h P bl

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    Identify the Research Problem

    and Objectives

    Formulating objectives

    Dont use vague non-action verbs

    to appreciate

    to understand

    to explore

    1

    Id tif th R h P bl

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    Identify the Research Problem

    and Objectives

    General objective

    identifies in general terms what is to

    be accomplished by the study

    Specific objective

    identifies in specific details on how toaccomplish the research by using

    measurable parameters

    1

    Id tif th R h P bl

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    Identify the Research Problem

    and Objectives

    General Objective

    To determine the effectiveness of a nutrition

    education program for schoolchildren

    1

    Specific Objectives

    To determine and compare the prevalence of

    malnutrition among schoolchildren before and

    after the nutrition program

    To determine and compare the level of

    nutrition knowledge among schoolchildren

    before and after the nutrition program

    Id tif th R h P bl

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    Identify the Research Problem

    and Objectives

    Characteristic of Research Objectives

    Phrased clearly, unambiguously andspecifically

    Stated in measurable and operational

    terms

    S.M.A.R.T.

    1

    Id tif th R h P bl

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    Identify the Research Problem

    and Objectives

    Examples of Objectives:

    To study diarrhea To determine the role of infant

    feeding in diarrhea

    To compare the incidence of diarrhea

    between bottle, breast and mixed-fed

    infants

    1

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    Not a patchwork

    Critical assessment

    What is known?

    What is not known?

    How strong is the evidence?

    56

    Conduct a Review of Related

    Literature2

    C d t R i f R l t d

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    Conduct a Review of Related

    Literature

    Activities undertaken in review of lit

    1. Research about previous studies done

    related to the topic of interest

    Who have conducted similar researches

    Research designs utilized

    Study results

    Gaps in the knowledge

    Problems encountered

    2

    C d t R i f R l t d2

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    Conduct a Review of Related

    Literature

    Activities undertaken in review of lit

    2. To establish theoretical or conceptual

    framework for the research based on

    results of previous studies

    3. Integration / critique of previous

    researches done

    4. Build bridges between related topics

    5. Draw overall conclusions

    2

    C d t R i f R l t d2

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    Conduct a Review of Related

    Literature

    SOURCES of Review of Related Literature

    Medical and public health journalsStatistical reports (Phil Health Stat,

    Demographic Yearbook)

    Indexes (Index Medicus)

    Publications of Abstracts (Excerpta Medica)Databases (Medline, Ovid, Herdin)

    2

    D fi th A t l P bl d3

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    Define the Actual Problem and

    Objectives in Clear Specific Terms

    Make them more specific or limit the scope!!

    To determine the impact of continuing education

    for health workers

    To determine the effect of continuing education activities

    conducted by the DOH for its staff on their performance

    To determine the effect of the Master Trainers Course

    conducted by the DOH on the capabilities of the

    participants to plan, implement and evaluate training

    programs they conduct in the field

    3

    Form late the H pothesis and4

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    Hypothesis a proposition or statement about

    the relationship of variables being investigated

    Variables independent,dependent,control

    Independent variable- Presumed to cause, influence or stimulate the

    outcome

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    Formulate the Hypothesis and

    Define the Study Variables4

    Formulate the Hypothesis and4

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    Dependent variable

    - the output, outcome or response variable

    Control Variable

    - produces changes which may be mistaken to be

    the effect of the independent variables being

    considered- controlled, held constant or randomized so the

    effects are neutralized, cancelled out or equated

    for all conditions

    - also called confounders or covariates 62

    Formulate the Hypothesis and

    Define the Study Variables4

    Formulate the Hypothesis and4

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    Conceptual Framework shows the

    relationships of the different variables

    being studied

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    Example:

    obesity hypertension

    age

    Formulate the Hypothesis and

    Define the Study Variables4

    5

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    Plan of attack

    Includes subject selection, sample size,control and manipulation of variables,

    outcome evaluation, instrumentation,plan of analysis

    Consider the objectives, feasibility,

    economy and efficiency, ethics Important to achieve internal and

    external validity

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    Construct the Research Design5

    5

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    INTERNAL validity

    - extent to which the investigator is able tocontrol the different biases that may affectthe study to be able to measure what hereally intends to measure

    EXTERNAL validity- extent to which the investigator is able togeneralize the results of the study

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    Construct the Research Design5

    5

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    Construct the Research Design

    1. Non-intervention studies

    Exploratory study Descriptive study

    Analytical Study (cross-sectional,

    case-control, cohort)

    5

    C5

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    Construct the Research Design

    2. Intervention studies

    Experimental

    Quasi-experimental Before-After study

    5

    6

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    Design the Data Collection Tools

    Data Collection Techniques Data-collection Tools

    Using available

    information

    Checklist, data-compilation forms

    Observing Eyes and other senses, pen andpaper, watch, scales, microscopes

    Interviewing Interview schedule, checklist,

    questionnaire, tape recorderAdministering written

    questionnaires

    Questionnaire

    , data colln form

    / abstraction form

    *Pre-testing of Questionnaire

    6

    Design the Plan for7

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    Design the Plan forData Analysis

    should be done before data

    collection

    construct dummy tables to help you

    conceptualize how data is going to

    be organized and presented aftercollection

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    8

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    Collect the Data

    Use of tools earlier developed

    Permission to collect data

    Administrative concernsMeeting with community leaders

    Social preparation: proper orientation

    of population to the study prior to datacollection

    Training of data collectors

    8

    9

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    Data Processing

    Phases of Data Processing

    1. Editing of data collection forms

    for completeness

    legibility of entries

    consistency of

    responses

    9

    9

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    Data Processing

    Phases of Data Processing

    2. Coding and encoding of responses

    precoding of difficult information

    coding the data in analyzable form

    encoding the data in the computer

    9

    10

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    Analyze the Data

    Involves quantification,

    description and determination

    of relationships of variables

    Statistics play an importantrole

    10

    10

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    Analyze the Data

    1. Descriptive statistics

    Frequency distributions

    Mean, median, std deviation, range

    graphical presentations

    Two methods of statistical data analysis

    10

    10

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    Analyze the Data

    2. Inferential statisticsa. estimation of parameters

    b. hypothesis testing

    tests for means (t-test, ANOVA) tests for proportions (chi-square)

    tests for associations (Prevalenceratios, Odds Ratios, Relative Risks)

    Regression (linear, logistic, Coxsurvival, poisson)

    10

    11

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    Write the Research Report

    organized presentation ofactivities and findings

    make conclusions: answer theresearch question and objectives

    follow basic principles oftechnical

    report writing (form and style)

    11

    Di i t & Utili th R lt12

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    Disseminate & Utilize the Results

    publication in scientific journals

    news releases

    presentation in scientific meetings

    Dissemination

    basis for determining changes as a

    result of intervention

    information-based decision-making

    clinical trial therapeutic intervention

    Utilization

    12

    C

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    Research and Cooking

    Menu planningResearch planning

    Marketing

    Data Collection

    Cooking

    Data processing and analysis, conclusion

    Table setting and eating

    Report writing and utilization

    78

    References

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    References

    Balaccua, G.P. 2002. Lecture notes in research methods.

    Mendoza,O.M., et al. Foundations of Statistical Analysis for theHealth Sciences. College of Public Health, U.P. Manila. 2000.

    Good, C.V., A.S. Barr and D.E. Scates. 1941. The methodology of

    educational research. D. Appleton-Century Company, New York.890p.

    Lozano, J.P. 1999. Lecture notes in research methods.

    Rubbin, R. B. A.M. Rubin and L.J. Piele. 1986. Communicationresearch: strategies and sources. Wadsworth, Inc. BelmontCalifornia.233p.