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Research Made Easy
Assoc. Prof. Dr. Jamalludin Ab Rahman MD MPH
Department of Community Medicine
Kulliyyah (Faculty) of Medicine
Effective strategies
to produce
good research.
MedicalResearchSymposium2015
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Good research is
not just producing new
information but it should
contribute new knowledge.
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Start with end in mind
(Bijaksana)
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Idea
Justify Explore Strategize
Collect
Analyse Report Publish
Initiation
Planning &
strategize (proposal)
Data collection
Reporting & sharing
Study design
Sampling plan
Sample size determination
Plan for data collection
Plan for statistical analysis
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The 4 easy steps
1. Clear conceptual framework
2. SMART objectives
3. Detail data dictionary
4. Expected dummy table
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10Dec2015
Clear conceptual framework
Preparing the blue print of your research
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10Dec2015
What is conceptual framework?
 Visual representation of your problem statement and
research gap
 End product of literature review and your assumptions
 No specific format
 But I propose using ‘causality’ approach
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Constructing objective
Specific, Measurable, Attainable, Relevant & Timely
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Criteria Explanation
Specific Who is the target population? What is actually done?
Measurable State the measurement done
Attainable Realistic in term of time & expertise
Relevant Relevant to the whole study (title)
Timely Defined time
10Dec2015
Example
 To find prevalence of hypertension among school
children
 To measure prevalence of high blood pressure
among secondary school children in Pahang from
January to June 2016
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SpecificMeasurable Specific
Timely
Specific
10Dec2015
Approach
1. General – Specific
 Specific objectives are subsets of the general objective
 Specific objectives determine the order of the
analysis/report
2. Primary – Secondary
 Primary & secondary are independent objectives
 Primary = main outcome, not necessary to be
analysed/reported first
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Example
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Specific objective is the
backbone of your study
10Dec2015
It determines:
1. What variables to collect
2. The sequence for reporting results
3. How you discuss the study
Detail data dictionary
Nothing hidden
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Data
dictionary
Definition
used
Protocol for
measurement
Codebook
Statistics
operational
definition &
code
Linkage to
source of data
e.g.
• anthropometric
measurements (weight,
height etc.)
• clinical examination
• laboratory
investigation (e.g. blood
glucose, HbA1c)
• QOL (SF36, HRQOL etc)
• DASS questionnaire
For categorical data e.g.
• Sex, 1=Male, 2=Female
• Pregnancy, 1=Yes, 0=No,
99=Not applicable (for male
respondent)
Operational definition for
statistics purpose e.g.
• AsthmaYes if, Q1=1 and
Q2=1 and Q3=2 or Q4=1
(based on the questionnaire form)
Source of data for certain
variables e.g.
• BMI is calculated from
variable Weight (in kg) and
Height (in cm) defined
elsewhere
What’s the info for?
 Standardisation of data collection
 Proper declaration of instruments &
measurement used
 For statistical analysis
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Describe clearly all the variables used
 Definition
 Operation definition
 Instrument used to measure the variable
 How it will be measured?
 What is the instrument used?
 How precise will you measure it?
 How will you categorise it (if relevant)?
MedicalResearchSymposium2015
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Definition vs. Operational definition
 e.g. Obese
 Definition: A condition of abnormal or excessive fat
accumulation in adipose tissue, to the extent that health
may be impaired (WHO 1998)
 Operational: BMI ≥ 30 kg/m2 (WHO 1998)
MedicalResearchSymposium2015
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Definition vs. Operational definition
 e.g. Hypertension
 Definition: A chronic medical condition in which the blood
pressure in the arteries is persistently elevated
 Operational: BP ≥ 140/90 (JNC7 2004)
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Example of a data dictionary
Name Label Tool Level of
measurement
Code Unit Precision Link
age Age (years) Questionnaire Numerical N/A Years Nearest 1 year
sex Sex Questionnaire Categorical 1=Male
2=Female
N/A N/A
weight Body weight
(kg)
Seca 762 Numerical N/A kg Nearest 0.1 kg
height Height (cm) Seca 206 Numerical N/A cm Nearest to 1 cm
obese Obesity Based on BMI
calculation. BMI
≥ 30 kg/m2
(WHO 1998)
Categorical 1=Yes
2=No
N/A N/A Refer to
Weight &
Height
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Adapt & adopt known scale
 How valid is the scale – Refer to original paper
 You may need to translate & validate it
 Even if had been validated, you need to pre-test it
 Easier to validate a known tool rather than to create one
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Produce your dummy table
Based on your specific objectives
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Mock table (or graph) create
PRIOR to data collection
Dummy table is a smart table
10Dec2015
How will you present the results?
 Table or graph or even texts
 Answer for each objective
 Can include your expected results
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How to report your research?
 Clinical study – CONSORT (www.consort-statement.org)
 Observational study – STROBE (www.strobe-statement.org)
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The 4 steps that will ease your
research are:
1. Clear conceptual framework
2. SMART objectives
3. Detail data dictionary
4. Expected dummy table
MedicalResearchSymposium2015
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Research Made Easy

  • 1. Research Made Easy Assoc. Prof. Dr. Jamalludin Ab Rahman MD MPH Department of Community Medicine Kulliyyah (Faculty) of Medicine
  • 2. Effective strategies to produce good research. MedicalResearchSymposium2015 2 10Dec2015
  • 3. MedicalResearchSymposium2015 3 Good research is not just producing new information but it should contribute new knowledge. 10Dec2015
  • 4. MedicalResearchSymposium2015 4 Start with end in mind (Bijaksana) 10Dec2015
  • 5. MedicalResearchSymposium2015 5 Idea Justify Explore Strategize Collect Analyse Report Publish Initiation Planning & strategize (proposal) Data collection Reporting & sharing Study design Sampling plan Sample size determination Plan for data collection Plan for statistical analysis 10Dec2015
  • 6. The 4 easy steps 1. Clear conceptual framework 2. SMART objectives 3. Detail data dictionary 4. Expected dummy table MedicalResearchSymposium2015 6 10Dec2015
  • 7. Clear conceptual framework Preparing the blue print of your research MedicalResearchSymposium2015 7 10Dec2015
  • 8. What is conceptual framework?  Visual representation of your problem statement and research gap  End product of literature review and your assumptions  No specific format  But I propose using ‘causality’ approach MedicalResearchSymposium2015 8 10Dec2015
  • 11. Constructing objective Specific, Measurable, Attainable, Relevant & Timely MedicalResearchSymposium2015 11 10Dec2015
  • 12. MedicalResearchSymposium2015 12 Criteria Explanation Specific Who is the target population? What is actually done? Measurable State the measurement done Attainable Realistic in term of time & expertise Relevant Relevant to the whole study (title) Timely Defined time 10Dec2015
  • 13. Example  To find prevalence of hypertension among school children  To measure prevalence of high blood pressure among secondary school children in Pahang from January to June 2016 MedicalResearchSymposium2015 13 SpecificMeasurable Specific Timely Specific 10Dec2015
  • 14. Approach 1. General – Specific  Specific objectives are subsets of the general objective  Specific objectives determine the order of the analysis/report 2. Primary – Secondary  Primary & secondary are independent objectives  Primary = main outcome, not necessary to be analysed/reported first MedicalResearchSymposium2015 14 10Dec2015
  • 16. MedicalResearchSymposium2015 16 Specific objective is the backbone of your study 10Dec2015 It determines: 1. What variables to collect 2. The sequence for reporting results 3. How you discuss the study
  • 17. Detail data dictionary Nothing hidden MedicalResearchSymposium2015 17 10Dec2015
  • 18. 10Dec2015MedicalResearchSymposium2015 18 Data dictionary Definition used Protocol for measurement Codebook Statistics operational definition & code Linkage to source of data e.g. • anthropometric measurements (weight, height etc.) • clinical examination • laboratory investigation (e.g. blood glucose, HbA1c) • QOL (SF36, HRQOL etc) • DASS questionnaire For categorical data e.g. • Sex, 1=Male, 2=Female • Pregnancy, 1=Yes, 0=No, 99=Not applicable (for male respondent) Operational definition for statistics purpose e.g. • AsthmaYes if, Q1=1 and Q2=1 and Q3=2 or Q4=1 (based on the questionnaire form) Source of data for certain variables e.g. • BMI is calculated from variable Weight (in kg) and Height (in cm) defined elsewhere
  • 19. What’s the info for?  Standardisation of data collection  Proper declaration of instruments & measurement used  For statistical analysis MedicalResearchSymposium2015 19 10Dec2015
  • 20. Describe clearly all the variables used  Definition  Operation definition  Instrument used to measure the variable  How it will be measured?  What is the instrument used?  How precise will you measure it?  How will you categorise it (if relevant)? MedicalResearchSymposium2015 20 10Dec2015
  • 21. Definition vs. Operational definition  e.g. Obese  Definition: A condition of abnormal or excessive fat accumulation in adipose tissue, to the extent that health may be impaired (WHO 1998)  Operational: BMI ≥ 30 kg/m2 (WHO 1998) MedicalResearchSymposium2015 21 10Dec2015
  • 22. Definition vs. Operational definition  e.g. Hypertension  Definition: A chronic medical condition in which the blood pressure in the arteries is persistently elevated  Operational: BP ≥ 140/90 (JNC7 2004) MedicalResearchSymposium2015 22 10Dec2015
  • 23. Example of a data dictionary Name Label Tool Level of measurement Code Unit Precision Link age Age (years) Questionnaire Numerical N/A Years Nearest 1 year sex Sex Questionnaire Categorical 1=Male 2=Female N/A N/A weight Body weight (kg) Seca 762 Numerical N/A kg Nearest 0.1 kg height Height (cm) Seca 206 Numerical N/A cm Nearest to 1 cm obese Obesity Based on BMI calculation. BMI ≥ 30 kg/m2 (WHO 1998) Categorical 1=Yes 2=No N/A N/A Refer to Weight & Height MedicalResearchSymposium2015 23 10Dec2015
  • 24. Adapt & adopt known scale  How valid is the scale – Refer to original paper  You may need to translate & validate it  Even if had been validated, you need to pre-test it  Easier to validate a known tool rather than to create one MedicalResearchSymposium2015 24 10Dec2015
  • 27. Produce your dummy table Based on your specific objectives MedicalResearchSymposium2015 27 10Dec2015
  • 28. MedicalResearchSymposium2015 28 Mock table (or graph) create PRIOR to data collection Dummy table is a smart table 10Dec2015
  • 29. How will you present the results?  Table or graph or even texts  Answer for each objective  Can include your expected results MedicalResearchSymposium2015 29 10Dec2015
  • 30. How to report your research?  Clinical study – CONSORT (www.consort-statement.org)  Observational study – STROBE (www.strobe-statement.org) MedicalResearchSymposium2015 30 10Dec2015
  • 33. The 4 steps that will ease your research are: 1. Clear conceptual framework 2. SMART objectives 3. Detail data dictionary 4. Expected dummy table MedicalResearchSymposium2015 33 10Dec2015