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PICOS Framework

Population, Intervention, Comparison, Study design

Last updated on 18 Jun, 2026

PICOS framework is used for intervention reviews, where the aim is to determine whether a treatment or intervention is effective compared to an alternative or control.

Example question: Does cognitive behavioral therapy reduce depression symptoms in adults compared to medication?

Criteria

Definitions

Inclusion example

Exclusion example

Population

Group(s) of individuals, organizations, or entities that are the primary focus of the study

e.g. Adults aged 18+ with a clinical diagnosis of depression

e.g. Children or adolescents under 18

Intervention

Treatments, procedures, assessments, programs, policy or other change being evaluated in the study

e.g. Cognitive behavioral therapy delivered by a trained practitioner

e.g. Self-guided or app-based CBT with no practitioner involvement

Comparison

Alternative(s) or reference point against which the intervention is being evaluated

e.g. Antidepressant medication such as SSRIs

e.g. Studies comparing two therapy types with no medication arm

Outcomes

Specific results or effects that are measured or assessed as a result of the intervention

e.g. Validated depression symptom scores (e.g. PHQ-9) at post-treatment

e.g. Patient satisfaction with the treatment process

Study design

Research design used in the study

e.g. Randomized controlled trial

e.g. Case reports or practitioner commentary

Other

Any additional information that affects a study's eligibility for your review or is helpful to consider during screening

e.g. Studies published in English from 2000 onwards

e.g. Studies with fewer than 20 participants per arm

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