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THL Evidence-Based Practice

Guides, Tutorials and Presentations offered by Taubman Health Sciences Library on Evidence-Based Practice

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What type of question is this? 

Describes the differences between background and foreground questions.

Resources for Background Questions

Provides links to two textbook collections that are helpful for background questions. 

What type of question is this?

Asking an answerable question may seem easy - we ask questions about all kinds of things regularly. Asking a question whose answer can be found in the medical journal literature or in a textbook starts with understanding the question type being asked. Questions can be categorized as either background or foreground-type questions to help with targeting the best resources for finding relevant information.

Background questions

Background questions ask for general information, usually about a disorder, condition, illness, or injury. Examples of background questions are:

  • What is the disorder?
  • What causes it?
  • How does it manifest?
  • What are treatment options?

Background questions often contain the words what or how and seek general facts. This information forms the background knowledge base.

Foreground questions

Foreground questions typically are more specific questions, usually focused on a patient. For example, foreground questions might seek information about:

  • Intervention/prevention
  • Etiology/risk
  • Diagnosis
  • Prognosis

Understanding your information need by question type is important to the Evidence Based Practice process. Here is a schematic showing where this step, Identifying question type, fits between Asking a question related to the clinical scenario and Acquiring the information in resources.

Diagram demonstrating that you ask a question based on a clinical scenario, identify the type of question (background or foreground), and the resources used to aquire information.

Resources for Background Questions are included in the next box on this page.

The next steps in the EBP process for Foreground Questions (including how to 1. ASK a question and strategies and resources to 2. ACQUIRE the information) can be found on the numbered tabs on the left side navigation.

Resources for Background Questions

Textbooks and narrative reviews are good sources of information for background questions because they provide general overviews of the topic of your question. U-M Library provides access to several textbook collections where you can search for answers to background questions. Two great starting points are:

Each textbook collection offers downloadable chapter PDFsSection outlines provide quick navigation to relevant portions, and some textbooks contain relevant images, charts, and tables.

Narrative reviews, which gather and synthesize prior knowledge on a topic, are another source of background information. Narrative reviews can be found in article databases, like PubMed, by searching for the topic and applying the Review filter. Depending on the topic, this filter will return results with a number of different types of reviews. If you still aren't finding the answer to your background question after exploring the resources described here, contact thlibrary@umich.edu for a consultation.

Example

Searching for an answer to the background question What is diabetes mellitus? in each of these textbook collections yields a number of options for answering this need for information, including these textbook chapters: 

 

The Color Atlas and Synopsis of Family Medicine, 3e Chapter 228: Diabetes Overview 

Henry's Clinical Diagnosis and Management by Laboratory Methods, Chapter: Carbohydrates: Diabetes Mellitus