How to Write a Case Study in APA Format

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Table of contents

  • 1 What Is a Case Study In APA Format?
  • 2.1 Sample Of APA Case Study Outline
  • 3.1 Title Page in APA for Case Study Project
  • 3.2 The Abstract for an APA case study

Whether you study social sciences or life sciences, you’re likely to encounter a case study analysis in your academic journey. These papers demand a lot from students. First, you must have impeccable research and analysis skills. Sample populations, particularly people, can be challenging to analyze. It’s easy to misinterpret data and come up with the wrong conclusions. Additionally, you’ll need to have a knack for writing to present your findings persuasively, backed up by evidence-based arguments that build confidence for your teacher to accept the results of your work. If you need to boost your paper, Papers Owl is here to help you with a wide range of guidelines on how to write a case study in APA.

What Is a Case Study In APA Format?

To make your success, first realize that a case study is detective work. Your research may have an unresolved question or to carry out some testing to validate a hypothesis; in this case, studies are born. Psychology, nursing, and business are common fields this method is applied. In this scientific method, you’ll approach an event, action, individual, etc. And apply a set of circumstances to observe outcomes. Most papers in this field are written in the APA format, which can be a burden for students, especially if they aren’t familiar with this style. If you lack time or motivation for writing, appeal to our professional writers to write a case study  in APA format, and we will ensure your paper is perfectly formatted and gets a high grade.

Structure of Case Study Report In APA

First, let’s look at the sections in writing a case study in APA, which shares a few similarities to a typical research paper.

Introduction: Introduce your topic to the reader. Be sure to include the state of current research and where you plan to develop the current state of knowledge. You should include an interesting fact to reinforce your work’s importance and develop an interest in your hypothesis. Finish off with a thesis statement that you’ll focus on your workaround.

Aims: In this section, you answer the questions regarding why you are conducting your research and any questions you’ll explore. Avid case study writer recommends focusing your questions around your thesis. You can develop a triangle with a diagram and drill down your questions in a logical format that matches your paper’s main purpose.

Methods: Writing a case study in APA requires a methods section that details how you conducted your research. Did you conduct any interviews, send out questionnaires, or observe any behaviors? Detail them in this section, and state the environment and circumstances surrounding your data collection.

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Results: Now that you’ve identified what you’d planned to accomplish and how you went about it in your APA case study format, it’s time to post the results. Don’t be shy if things don’t go swimmingly. Often in studies, we have unexpected results, which sometimes makes your paper more interesting to read.

Discussion: It’s time for the heart and soul of your paper. After all your research and observation, it is time to have a discourse on the results. The key to how to write a case paper in APA hangs on your ability to interpret the results in a meaningful way. Be sure to focus the discussion on your stated methods and how they pertain to your aims.

Recommendations: Here you want to detail what is to follow your research. Professional case study writers advise stating any knowledge gaps in your work and any unanswered or new questions you had found in the process. Your insights will be useful for others to follow in your footsteps and expand on your analysis.

Sample Of APA Case Study Outline

Example of writing a case study analysis in APA format:

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Writing a case study in APA Step By Step

Knowing how to write a case study in APA format is a common question for students. In addition to the typical academic standards, APA has its own requirements that must be adhered to. The first step is to create a heading, known as a running head, that will be present on each page of your paper. The running head includes:

  • The page number on the right margin
  • A shortened title of your paper in ALL-CAPS no longer than 50 characters to the right

Title Page in APA for Case Study Project

The title of a case study in an APA paper is a requirement. The purpose is to state the name of the work, who the author is, and the institution that sponsored the research. It has the following parts:

  • The words “running head” at the top, followed by the actual running head
  • The full title of your paper using APA titling no longer than 12 words
  • Your name without any designations (Dr/Ph.D./Rev/etc.) and the institution you attend

The Abstract for an APA case study

The abstract of your paper works as a summary to give a brief overview of what it contains. Include the running head at the top; the first line should have the word “abstract” centered. Follow the abstract with 150-250 words summarizing your paper. You may also index some keywords to help find the contents of your work in academic databases. At the end of your summary, indent once, and in italics, indicate keywords related to your work.

Writing an effective college paper requires a lot of planning and formatting to get it done right. Brush up on these guidelines for how to write your paper in APA format . If you need someone to review your work or write any parts of your paper, reach out to our professional writers, who are always willing to lend a hand.

Additionally, with the help of our blog, you can make sure you create a professional PowerPoint presentation that clearly outlines the main points of your paper. If you need help with this, our professional writers can provide guidance.

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does a case study need an abstract

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  • J Can Chiropr Assoc
  • v.52(4); 2008 Dec

Guidelines to the writing of case studies

Dr. brian budgell.

* Département chiropratique, Université du Québec à Trois-Rivières, 3351, boul des Forges, Trois-Rivières, Qc, Canada G9A 5H7

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Dr. Brian Budgell, DC, PhD, JCCA Editorial Board

  • Introduction

Case studies are an invaluable record of the clinical practices of a profession. While case studies cannot provide specific guidance for the management of successive patients, they are a record of clinical interactions which help us to frame questions for more rigorously designed clinical studies. Case studies also provide valuable teaching material, demonstrating both classical and unusual presentations which may confront the practitioner. Quite obviously, since the overwhelming majority of clinical interactions occur in the field, not in teaching or research facilities, it falls to the field practitioner to record and pass on their experiences. However, field practitioners generally are not well-practised in writing for publication, and so may hesitate to embark on the task of carrying a case study to publication. These guidelines are intended to assist the relatively novice writer – practitioner or student – in efficiently navigating the relatively easy course to publication of a quality case study. Guidelines are not intended to be proscriptive, and so throughout this document we advise what authors “may” or “should” do, rather than what they “must” do. Authors may decide that the particular circumstances of their case study justify digression from our recommendations.

Additional and useful resources for chiropractic case studies include:

  • Waalen JK. Single subject research designs. J Can Chirop Assoc 1991; 35(2):95–97.
  • Gleberzon BJ. A peer-reviewer’s plea. J Can Chirop Assoc 2006; 50(2):107.
  • Merritt L. Case reports: an important contribution to chiropractic literature. J Can Chiropr Assoc 2007; 51(2):72–74.

Portions of these guidelines were derived from Budgell B. Writing a biomedical research paper. Tokyo: Springer Japan KK, 2008.

General Instructions

This set of guidelines provides both instructions and a template for the writing of case reports for publication. You might want to skip forward and take a quick look at the template now, as we will be using it as the basis for your own case study later on. While the guidelines and template contain much detail, your finished case study should be only 500 to 1,500 words in length. Therefore, you will need to write efficiently and avoid unnecessarily flowery language.

These guidelines for the writing of case studies are designed to be consistent with the “Uniform Requirements for Manuscripts Submitted to Biomedical Journals” referenced elsewhere in the JCCA instructions to authors.

After this brief introduction, the guidelines below will follow the headings of our template. Hence, it is possible to work section by section through the template to quickly produce a first draft of your study. To begin with, however, you must have a clear sense of the value of the study which you wish to describe. Therefore, before beginning to write the study itself, you should gather all of the materials relevant to the case – clinical notes, lab reports, x-rays etc. – and form a clear picture of the story that you wish to share with your profession. At the most superficial level, you may want to ask yourself “What is interesting about this case?” Keep your answer in mind as your write, because sometimes we become lost in our writing and forget the message that we want to convey.

Another important general rule for writing case studies is to stick to the facts. A case study should be a fairly modest description of what actually happened. Speculation about underlying mechanisms of the disease process or treatment should be restrained. Field practitioners and students are seldom well-prepared to discuss physiology or pathology. This is best left to experts in those fields. The thing of greatest value that you can provide to your colleagues is an honest record of clinical events.

Finally, remember that a case study is primarily a chronicle of a patient’s progress, not a story about chiropractic. Editorial or promotional remarks do not belong in a case study, no matter how great our enthusiasm. It is best to simply tell the story and let the outcome speak for itself. With these points in mind, let’s begin the process of writing the case study:

  • Title: The title page will contain the full title of the article. Remember that many people may find our article by searching on the internet. They may have to decide, just by looking at the title, whether or not they want to access the full article. A title which is vague or non-specific may not attract their attention. Thus, our title should contain the phrase “case study,” “case report” or “case series” as is appropriate to the contents. The two most common formats of titles are nominal and compound. A nominal title is a single phrase, for example “A case study of hypertension which responded to spinal manipulation.” A compound title consists of two phrases in succession, for example “Response of hypertension to spinal manipulation: a case study.” Keep in mind that titles of articles in leading journals average between 8 and 9 words in length.
  • Other contents for the title page should be as in the general JCCA instructions to authors. Remember that for a case study, we would not expect to have more than one or two authors. In order to be listed as an author, a person must have an intellectual stake in the writing – at the very least they must be able to explain and even defend the article. Someone who has only provided technical assistance, as valuable as that may be, may be acknowledged at the end of the article, but would not be listed as an author. Contact information – either home or institutional – should be provided for each author along with the authors’ academic qualifications. If there is more than one author, one author must be identified as the corresponding author – the person whom people should contact if they have questions or comments about the study.
  • Key words: Provide key words under which the article will be listed. These are the words which would be used when searching for the article using a search engine such as Medline. When practical, we should choose key words from a standard list of keywords, such as MeSH (Medical subject headings). A copy of MeSH is available in most libraries. If we can’t access a copy and we want to make sure that our keywords are included in the MeSH library, we can visit this address: http://www.ncbi.nlm.nih.gov:80/entrez/meshbrowser.cgi

A narrative abstract consists of a short version of the whole paper. There are no headings within the narrative abstract. The author simply tries to summarize the paper into a story which flows logically.

A structured abstract uses subheadings. Structured abstracts are becoming more popular for basic scientific and clinical studies, since they standardize the abstract and ensure that certain information is included. This is very useful for readers who search for articles on the internet. Often the abstract is displayed by a search engine, and on the basis of the abstract the reader will decide whether or not to download the full article (which may require payment of a fee). With a structured abstract, the reader is more likely to be given the information which they need to decide whether to go on to the full article, and so this style is encouraged. The JCCA recommends the use of structured abstracts for case studies.

Since they are summaries, both narrative and structured abstracts are easier to write once we have finished the rest of the article. We include a template for a structured abstract and encourage authors to make use of it. Our sub-headings will be:

  • Introduction: This consists of one or two sentences to describe the context of the case and summarize the entire article.
  • Case presentation: Several sentences describe the history and results of any examinations performed. The working diagnosis and management of the case are described.
  • Management and Outcome: Simply describe the course of the patient’s complaint. Where possible, make reference to any outcome measures which you used to objectively demonstrate how the patient’s condition evolved through the course of management.
  • Discussion: Synthesize the foregoing subsections and explain both correlations and apparent inconsistencies. If appropriate to the case, within one or two sentences describe the lessons to be learned.
  • Introduction: At the beginning of these guidelines we suggested that we need to have a clear idea of what is particularly interesting about the case we want to describe. The introduction is where we convey this to the reader. It is useful to begin by placing the study in a historical or social context. If similar cases have been reported previously, we describe them briefly. If there is something especially challenging about the diagnosis or management of the condition that we are describing, now is our chance to bring that out. Each time we refer to a previous study, we cite the reference (usually at the end of the sentence). Our introduction doesn’t need to be more than a few paragraphs long, and our objective is to have the reader understand clearly, but in a general sense, why it is useful for them to be reading about this case.

The next step is to describe the results of our clinical examination. Again, we should write in an efficient narrative style, restricting ourselves to the relevant information. It is not necessary to include every detail in our clinical notes.

If we are using a named orthopedic or neurological test, it is best to both name and describe the test (since some people may know the test by a different name). Also, we should describe the actual results, since not all readers will have the same understanding of what constitutes a “positive” or “negative” result.

X-rays or other images are only helpful if they are clear enough to be easily reproduced and if they are accompanied by a legend. Be sure that any information that might identify a patient is removed before the image is submitted.

At this point, or at the beginning of the next section, we will want to present our working diagnosis or clinical impression of the patient.

It is useful for the reader to know how long the patient was under care and how many times they were treated. Additionally, we should be as specific as possible in describing the treatment that we used. It does not help the reader to simply say that the patient received “chiropractic care.” Exactly what treatment did we use? If we used spinal manipulation, it is best to name the technique, if a common name exists, and also to describe the manipulation. Remember that our case study may be read by people who are not familiar with spinal manipulation, and, even within chiropractic circles, nomenclature for technique is not well standardized.

We may want to include the patient’s own reports of improvement or worsening. However, whenever possible we should try to use a well-validated method of measuring their improvement. For case studies, it may be possible to use data from visual analogue scales (VAS) for pain, or a journal of medication usage.

It is useful to include in this section an indication of how and why treatment finished. Did we decide to terminate care, and if so, why? Did the patient withdraw from care or did we refer them to another practitioner?

  • Discussion: In this section we may want to identify any questions that the case raises. It is not our duty to provide a complete physiological explanation for everything that we observed. This is usually impossible. Nor should we feel obligated to list or generate all of the possible hypotheses that might explain the course of the patient’s condition. If there is a well established item of physiology or pathology which illuminates the case, we certainly include it, but remember that we are writing what is primarily a clinical chronicle, not a basic scientific paper. Finally, we summarize the lessons learned from this case.
  • Acknowledgments: If someone provided assistance with the preparation of the case study, we thank them briefly. It is neither necessary nor conventional to thank the patient (although we appreciate what they have taught us). It would generally be regarded as excessive and inappropriate to thank others, such as teachers or colleagues who did not directly participate in preparation of the paper.

A popular search engine for English-language references is Medline: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi

  • Legends: If we used any tables, figures or photographs, they should be accompanied by a succinct explanation. A good rule for graphs is that they should contain sufficient information to be generally decipherable without reference to a legend.
  • Tables, figures and photographs should be included at the end of the manuscript.
  • Permissions: If any tables, figures or photographs, or substantial quotations, have been borrowed from other publications, we must include a letter of permission from the publisher. Also, if we use any photographs which might identify a patient, we will need their written permission.

In addition, patient consent to publish the case report is also required.

Running Header:

  • Name, academic degrees and affiliation

Name, address and telephone number of corresponding author

Disclaimers

Statement that patient consent was obtained

Sources of financial support, if any

Key words: (limit of five)

Abstract: (maximum of 150 words)

  • Case Presentation
  • Management and Outcome

Introduction:

Provide a context for the case and describe any similar cases previously reported.

Case Presentation:

  • Introductory sentence: e.g. This 25 year old female office worker presented for the treatment of recurrent headaches.
  • Describe the essential nature of the complaint, including location, intensity and associated symptoms: e.g. Her headaches are primarily in the suboccipital region, bilaterally but worse on the right. Sometimes there is radiation towards the right temple. She describes the pain as having an intensity of up to 5 out of ten, accompanied by a feeling of tension in the back of the head. When the pain is particularly bad, she feels that her vision is blurred.
  • Further development of history including details of time and circumstances of onset, and the evolution of the complaint: e.g. This problem began to develop three years ago when she commenced work as a data entry clerk. Her headaches have increased in frequency in the past year, now occurring three to four days per week.
  • Describe relieving and aggravating factors, including responses to other treatment: e.g. The pain seems to be worse towards the end of the work day and is aggravated by stress. Aspirin provides some relieve. She has not sought any other treatment.
  • Include other health history, if relevant: e.g. Otherwise the patient reports that she is in good health.
  • Include family history, if relevant: e.g. There is no family history of headaches.
  • Summarize the results of examination, which might include general observation and postural analysis, orthopedic exam, neurological exam and chiropractic examination (static and motion palpation): e.g. Examination revealed an otherwise fit-looking young woman with slight anterior carriage of the head. Cervical active ranges of motion were full and painless except for some slight restriction of left lateral bending and rotation of the head to the left. These motions were accompanied by discomfort in the right side of the neck. Cervical compression of the neck in the neutral position did not create discomfort. However, compression of the neck in right rotation and extension produced some right suboccipital pain. Cranial nerve examination was normal. Upper limb motor, sensory and reflex functions were normal. With the patient in the supine position, static palpation revealed tender trigger points bilaterally in the cervical musculature and right trapezius. Motion palpation revealed restrictions of right and left rotation in the upper cervical spine, and restriction of left lateral bending in the mid to lower cervical spine. Blood pressure was 110/70. Houle’s test (holding the neck in extension and rotation for 30 seconds) did not produce nystagmus or dizziness. There were no carotid bruits.
  • The patient was diagnosed with cervicogenic headache due to chronic postural strain.

Management and Outcome:

  • Describe as specifically as possible the treatment provided, including the nature of the treatment, and the frequency and duration of care: e.g. The patient undertook a course of treatment consisting of cervical and upper thoracic spinal manipulation three times per week for two weeks. Manipulation was accompanied by trigger point therapy to the paraspinal muscles and stretching of the upper trapezius. Additionally, advice was provided concerning maintenance of proper posture at work. The patient was also instructed in the use of a cervical pillow.
  • If possible, refer to objective measures of the patient’s progress: e.g. The patient maintained a headache diary indicating that she had two headaches during the first week of care, and one headache the following week. Furthermore the intensity of her headaches declined throughout the course of treatment.
  • Describe the resolution of care: e.g. Based on the patient’s reported progress during the first two weeks of care, she received an additional two treatments in each of the subsequent two weeks. During the last week of care she experienced no headaches and reported feeling generally more energetic than before commencing care. Following a total of four weeks of care (10 treatments) she was discharged.

Discussion:

Synthesize foregoing sections: e.g. The distinction between migraine and cervicogenic headache is not always clear. However, this case demonstrates several features …

Summarize the case and any lessons learned: e.g. This case demonstrates a classical presentation of cervicogenic headache which resolved quickly with a course of spinal manipulation, supportive soft-tissue therapy and postural advice.

References: (using Vancouver style) e.g.

1 Terret AGJ. Vertebrogenic hearing deficit, the spine and spinal manipulation therapy: a search to validate the DD Palmer/Harvey Lillard experience. Chiropr J Aust 2002; 32:14–26.

Legends: (tables, figures or images are numbered according to the order in which they appear in the text.) e.g.

Figure 1: Intensity of headaches as recorded on a visual analogue scale (vertical axis) versus time (horizontal axis) during the four weeks that the patient was under care. Treatment was given on days 1, 3, 5, 8, 10, 12, 15, 18, 22 and 25. Headache frequency and intensity is seen to fall over time.

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How to write an abstract that will be accepted

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  • Peer review
  • Mary Higgins , fellow in maternal fetal medicine 1 ,
  • Maeve Eogan , consultant obstetrician and gynaecologist 2 ,
  • Keelin O’Donoghue , consultant obstetrician and gynaecologist, and senior lecturer 3 ,
  • Noirin Russell , consultant obstetrician and gynaecologist 3
  • 1 Mount Sinai Hospital, Toronto, Ontario, Canada
  • 2 Rotunda Hospital Dublin, Ireland
  • 3 Cork University Maternity Hospital, Ireland
  • mairenihuigin{at}gmail.com

Researchers do not always appreciate the importance of producing a good abstract or understand the best way of writing one. Mary Higgins and colleagues share some of the lessons they have learnt as both researchers and reviewers of abstracts

Effective abstracts reflect the time, work, and importance of the scientific research performed in the course of a study. A last minute approach and poor writing may not reflect the good quality of a study.

Between the four of us we have written over 150 published papers, as well as having reviewed numerous abstracts for national and international meetings. Nevertheless, we have all had abstracts rejected, and this experience has emphasised a number of teaching points that could help maximise the impact of abstracts and success on the world, or other, stage.

An abstract is the first glimpse an audience has of a study, and it is the ticket to having research accepted for presentation to a wider audience. For a study to receive the respect it deserves, the abstract should be as well written as possible. In practice, this means taking time to write the abstract, keeping it simple, reading the submission guidelines, checking the text, and showing the abstract to colleagues.

It is important to take the necessary time to write the abstract. Several months or years have been spent on this groundbreaking research, so take the time to show this. Five minutes before the call for abstracts closes is not the time to start putting it together.

Keep it simple, and think about the message that needs to be communicated. Some abstracts churn out lots of unrelated results and then have a conclusion that does not relate to the results, and this is just confusing. Plan what points need to be made, and then think about them a little more.

Read the submission guidelines and keep to the instructions provided in the call for abstracts. Don’t submit an unstructured abstract if the guidance has asked for a structured one. Comply with the word or letter count, and do not go over this.

An abstract comprises five parts of equal importance: the title, introduction and aims, methods, results, and conclusion. Allow enough time to write each part well.

The title should go straight to the point of the study. Make the study sound interesting so that it catches people’s attention. The introduction should include a brief background to the research and describe its aims. For every aim presented there needs to be a corresponding result in the results section. There is no need to go into detail in terms of the background to the study, as those who are reviewing the abstract will have some knowledge of the subject. The methods section can be kept simple—it is acceptable to write “retrospective case-control study” or “randomised controlled trial.”

The results section should be concrete and related to the aims. It is distracting and irritating to read results that have no apparent relation to the professed aims of the study. If something is important, highlight it or put it in italics to make it stand out. Include the number of participants, and ensure recognition is given if 10 000 charts have been reviewed. Equally, a percentage without a baseline number is not meaningful.

In the conclusion, state succinctly what can be drawn from the results, but don’t oversell this. Words like “possibly” and “may” can be useful in this part of the abstract but show that some thought has been put into what the results may mean. This is what divides the good from the not so good. Many people are capable of doing research, but the logical formation of a hypothesis and the argument of its proof are what make a real researcher.

Once you have written the abstract, check the spelling and grammar. Poor spelling or grammar can give the impression that the research is also poor. Show the abstract to the supervisor or principal investigator of the study, as this person’s name will go on the abstract as well. Then show the abstract to someone who knows nothing about the particular area of research but who knows something about the subject. Someone detached from the study might point out the one thing that needs to be said but that has been forgotten.

Then let it go; abstracts are not life and death scenarios. Sometimes an abstract will not be accepted no matter how wonderful it is. Perhaps there is a theme to the meeting, into which the research does not fit. Reviewers may also be looking for particular things. For one conference, we limited the number of case reports so that only about 10% were accepted. It may be that your research is in a popular or topical area and not all abstracts in that area can be chosen. On occasions, politics play a part, and individual researchers have little control over that.

Finally, remember that sometimes even the best reviewer may not appreciate the subtleties of your research and another audience may be more appreciative.

Competing interests: We have read and understood the BMJ Group policy on declaration of interests and have no relevant interests to declare.

does a case study need an abstract

The Writing Center • University of North Carolina at Chapel Hill

What this handout is about

This handout provides definitions and examples of the two main types of abstracts: descriptive and informative. It also provides guidelines for constructing an abstract and general tips for you to keep in mind when drafting. Finally, it includes a few examples of abstracts broken down into their component parts.

What is an abstract?

An abstract is a self-contained, short, and powerful statement that describes a larger work. Components vary according to discipline. An abstract of a social science or scientific work may contain the scope, purpose, results, and contents of the work. An abstract of a humanities work may contain the thesis, background, and conclusion of the larger work. An abstract is not a review, nor does it evaluate the work being abstracted. While it contains key words found in the larger work, the abstract is an original document rather than an excerpted passage.

Why write an abstract?

You may write an abstract for various reasons. The two most important are selection and indexing. Abstracts allow readers who may be interested in a longer work to quickly decide whether it is worth their time to read it. Also, many online databases use abstracts to index larger works. Therefore, abstracts should contain keywords and phrases that allow for easy searching.

Say you are beginning a research project on how Brazilian newspapers helped Brazil’s ultra-liberal president Luiz Ignácio da Silva wrest power from the traditional, conservative power base. A good first place to start your research is to search Dissertation Abstracts International for all dissertations that deal with the interaction between newspapers and politics. “Newspapers and politics” returned 569 hits. A more selective search of “newspapers and Brazil” returned 22 hits. That is still a fair number of dissertations. Titles can sometimes help winnow the field, but many titles are not very descriptive. For example, one dissertation is titled “Rhetoric and Riot in Rio de Janeiro.” It is unclear from the title what this dissertation has to do with newspapers in Brazil. One option would be to download or order the entire dissertation on the chance that it might speak specifically to the topic. A better option is to read the abstract. In this case, the abstract reveals the main focus of the dissertation:

This dissertation examines the role of newspaper editors in the political turmoil and strife that characterized late First Empire Rio de Janeiro (1827-1831). Newspaper editors and their journals helped change the political culture of late First Empire Rio de Janeiro by involving the people in the discussion of state. This change in political culture is apparent in Emperor Pedro I’s gradual loss of control over the mechanisms of power. As the newspapers became more numerous and powerful, the Emperor lost his legitimacy in the eyes of the people. To explore the role of the newspapers in the political events of the late First Empire, this dissertation analyzes all available newspapers published in Rio de Janeiro from 1827 to 1831. Newspapers and their editors were leading forces in the effort to remove power from the hands of the ruling elite and place it under the control of the people. In the process, newspapers helped change how politics operated in the constitutional monarchy of Brazil.

From this abstract you now know that although the dissertation has nothing to do with modern Brazilian politics, it does cover the role of newspapers in changing traditional mechanisms of power. After reading the abstract, you can make an informed judgment about whether the dissertation would be worthwhile to read.

Besides selection, the other main purpose of the abstract is for indexing. Most article databases in the online catalog of the library enable you to search abstracts. This allows for quick retrieval by users and limits the extraneous items recalled by a “full-text” search. However, for an abstract to be useful in an online retrieval system, it must incorporate the key terms that a potential researcher would use to search. For example, if you search Dissertation Abstracts International using the keywords “France” “revolution” and “politics,” the search engine would search through all the abstracts in the database that included those three words. Without an abstract, the search engine would be forced to search titles, which, as we have seen, may not be fruitful, or else search the full text. It’s likely that a lot more than 60 dissertations have been written with those three words somewhere in the body of the entire work. By incorporating keywords into the abstract, the author emphasizes the central topics of the work and gives prospective readers enough information to make an informed judgment about the applicability of the work.

When do people write abstracts?

  • when submitting articles to journals, especially online journals
  • when applying for research grants
  • when writing a book proposal
  • when completing the Ph.D. dissertation or M.A. thesis
  • when writing a proposal for a conference paper
  • when writing a proposal for a book chapter

Most often, the author of the entire work (or prospective work) writes the abstract. However, there are professional abstracting services that hire writers to draft abstracts of other people’s work. In a work with multiple authors, the first author usually writes the abstract. Undergraduates are sometimes asked to draft abstracts of books/articles for classmates who have not read the larger work.

Types of abstracts

There are two types of abstracts: descriptive and informative. They have different aims, so as a consequence they have different components and styles. There is also a third type called critical, but it is rarely used. If you want to find out more about writing a critique or a review of a work, see the UNC Writing Center handout on writing a literature review . If you are unsure which type of abstract you should write, ask your instructor (if the abstract is for a class) or read other abstracts in your field or in the journal where you are submitting your article.

Descriptive abstracts

A descriptive abstract indicates the type of information found in the work. It makes no judgments about the work, nor does it provide results or conclusions of the research. It does incorporate key words found in the text and may include the purpose, methods, and scope of the research. Essentially, the descriptive abstract describes the work being abstracted. Some people consider it an outline of the work, rather than a summary. Descriptive abstracts are usually very short—100 words or less.

Informative abstracts

The majority of abstracts are informative. While they still do not critique or evaluate a work, they do more than describe it. A good informative abstract acts as a surrogate for the work itself. That is, the writer presents and explains all the main arguments and the important results and evidence in the complete article/paper/book. An informative abstract includes the information that can be found in a descriptive abstract (purpose, methods, scope) but also includes the results and conclusions of the research and the recommendations of the author. The length varies according to discipline, but an informative abstract is rarely more than 10% of the length of the entire work. In the case of a longer work, it may be much less.

Here are examples of a descriptive and an informative abstract of this handout on abstracts . Descriptive abstract:

The two most common abstract types—descriptive and informative—are described and examples of each are provided.

Informative abstract:

Abstracts present the essential elements of a longer work in a short and powerful statement. The purpose of an abstract is to provide prospective readers the opportunity to judge the relevance of the longer work to their projects. Abstracts also include the key terms found in the longer work and the purpose and methods of the research. Authors abstract various longer works, including book proposals, dissertations, and online journal articles. There are two main types of abstracts: descriptive and informative. A descriptive abstract briefly describes the longer work, while an informative abstract presents all the main arguments and important results. This handout provides examples of various types of abstracts and instructions on how to construct one.

Which type should I use?

Your best bet in this case is to ask your instructor or refer to the instructions provided by the publisher. You can also make a guess based on the length allowed; i.e., 100-120 words = descriptive; 250+ words = informative.

How do I write an abstract?

The format of your abstract will depend on the work being abstracted. An abstract of a scientific research paper will contain elements not found in an abstract of a literature article, and vice versa. However, all abstracts share several mandatory components, and there are also some optional parts that you can decide to include or not. When preparing to draft your abstract, keep the following key process elements in mind:

  • Reason for writing: What is the importance of the research? Why would a reader be interested in the larger work?
  • Problem: What problem does this work attempt to solve? What is the scope of the project? What is the main argument/thesis/claim?
  • Methodology: An abstract of a scientific work may include specific models or approaches used in the larger study. Other abstracts may describe the types of evidence used in the research.
  • Results: Again, an abstract of a scientific work may include specific data that indicates the results of the project. Other abstracts may discuss the findings in a more general way.
  • Implications: What changes should be implemented as a result of the findings of the work? How does this work add to the body of knowledge on the topic?

(This list of elements is adapted with permission from Philip Koopman, “How to Write an Abstract.” )

All abstracts include:

  • A full citation of the source, preceding the abstract.
  • The most important information first.
  • The same type and style of language found in the original, including technical language.
  • Key words and phrases that quickly identify the content and focus of the work.
  • Clear, concise, and powerful language.

Abstracts may include:

  • The thesis of the work, usually in the first sentence.
  • Background information that places the work in the larger body of literature.
  • The same chronological structure as the original work.

How not to write an abstract:

  • Do not refer extensively to other works.
  • Do not add information not contained in the original work.
  • Do not define terms.

If you are abstracting your own writing

When abstracting your own work, it may be difficult to condense a piece of writing that you have agonized over for weeks (or months, or even years) into a 250-word statement. There are some tricks that you could use to make it easier, however.

Reverse outlining:

This technique is commonly used when you are having trouble organizing your own writing. The process involves writing down the main idea of each paragraph on a separate piece of paper– see our short video . For the purposes of writing an abstract, try grouping the main ideas of each section of the paper into a single sentence. Practice grouping ideas using webbing or color coding .

For a scientific paper, you may have sections titled Purpose, Methods, Results, and Discussion. Each one of these sections will be longer than one paragraph, but each is grouped around a central idea. Use reverse outlining to discover the central idea in each section and then distill these ideas into one statement.

Cut and paste:

To create a first draft of an abstract of your own work, you can read through the entire paper and cut and paste sentences that capture key passages. This technique is useful for social science research with findings that cannot be encapsulated by neat numbers or concrete results. A well-written humanities draft will have a clear and direct thesis statement and informative topic sentences for paragraphs or sections. Isolate these sentences in a separate document and work on revising them into a unified paragraph.

If you are abstracting someone else’s writing

When abstracting something you have not written, you cannot summarize key ideas just by cutting and pasting. Instead, you must determine what a prospective reader would want to know about the work. There are a few techniques that will help you in this process:

Identify key terms:

Search through the entire document for key terms that identify the purpose, scope, and methods of the work. Pay close attention to the Introduction (or Purpose) and the Conclusion (or Discussion). These sections should contain all the main ideas and key terms in the paper. When writing the abstract, be sure to incorporate the key terms.

Highlight key phrases and sentences:

Instead of cutting and pasting the actual words, try highlighting sentences or phrases that appear to be central to the work. Then, in a separate document, rewrite the sentences and phrases in your own words.

Don’t look back:

After reading the entire work, put it aside and write a paragraph about the work without referring to it. In the first draft, you may not remember all the key terms or the results, but you will remember what the main point of the work was. Remember not to include any information you did not get from the work being abstracted.

Revise, revise, revise

No matter what type of abstract you are writing, or whether you are abstracting your own work or someone else’s, the most important step in writing an abstract is to revise early and often. When revising, delete all extraneous words and incorporate meaningful and powerful words. The idea is to be as clear and complete as possible in the shortest possible amount of space. The Word Count feature of Microsoft Word can help you keep track of how long your abstract is and help you hit your target length.

Example 1: Humanities abstract

Kenneth Tait Andrews, “‘Freedom is a constant struggle’: The dynamics and consequences of the Mississippi Civil Rights Movement, 1960-1984” Ph.D. State University of New York at Stony Brook, 1997 DAI-A 59/02, p. 620, Aug 1998

This dissertation examines the impacts of social movements through a multi-layered study of the Mississippi Civil Rights Movement from its peak in the early 1960s through the early 1980s. By examining this historically important case, I clarify the process by which movements transform social structures and the constraints movements face when they try to do so. The time period studied includes the expansion of voting rights and gains in black political power, the desegregation of public schools and the emergence of white-flight academies, and the rise and fall of federal anti-poverty programs. I use two major research strategies: (1) a quantitative analysis of county-level data and (2) three case studies. Data have been collected from archives, interviews, newspapers, and published reports. This dissertation challenges the argument that movements are inconsequential. Some view federal agencies, courts, political parties, or economic elites as the agents driving institutional change, but typically these groups acted in response to the leverage brought to bear by the civil rights movement. The Mississippi movement attempted to forge independent structures for sustaining challenges to local inequities and injustices. By propelling change in an array of local institutions, movement infrastructures had an enduring legacy in Mississippi.

Now let’s break down this abstract into its component parts to see how the author has distilled his entire dissertation into a ~200 word abstract.

What the dissertation does This dissertation examines the impacts of social movements through a multi-layered study of the Mississippi Civil Rights Movement from its peak in the early 1960s through the early 1980s. By examining this historically important case, I clarify the process by which movements transform social structures and the constraints movements face when they try to do so.

How the dissertation does it The time period studied in this dissertation includes the expansion of voting rights and gains in black political power, the desegregation of public schools and the emergence of white-flight academies, and the rise and fall of federal anti-poverty programs. I use two major research strategies: (1) a quantitative analysis of county-level data and (2) three case studies.

What materials are used Data have been collected from archives, interviews, newspapers, and published reports.

Conclusion This dissertation challenges the argument that movements are inconsequential. Some view federal agencies, courts, political parties, or economic elites as the agents driving institutional change, but typically these groups acted in response to movement demands and the leverage brought to bear by the civil rights movement. The Mississippi movement attempted to forge independent structures for sustaining challenges to local inequities and injustices. By propelling change in an array of local institutions, movement infrastructures had an enduring legacy in Mississippi.

Keywords social movements Civil Rights Movement Mississippi voting rights desegregation

Example 2: Science Abstract

Luis Lehner, “Gravitational radiation from black hole spacetimes” Ph.D. University of Pittsburgh, 1998 DAI-B 59/06, p. 2797, Dec 1998

The problem of detecting gravitational radiation is receiving considerable attention with the construction of new detectors in the United States, Europe, and Japan. The theoretical modeling of the wave forms that would be produced in particular systems will expedite the search for and analysis of detected signals. The characteristic formulation of GR is implemented to obtain an algorithm capable of evolving black holes in 3D asymptotically flat spacetimes. Using compactification techniques, future null infinity is included in the evolved region, which enables the unambiguous calculation of the radiation produced by some compact source. A module to calculate the waveforms is constructed and included in the evolution algorithm. This code is shown to be second-order convergent and to handle highly non-linear spacetimes. In particular, we have shown that the code can handle spacetimes whose radiation is equivalent to a galaxy converting its whole mass into gravitational radiation in one second. We further use the characteristic formulation to treat the region close to the singularity in black hole spacetimes. The code carefully excises a region surrounding the singularity and accurately evolves generic black hole spacetimes with apparently unlimited stability.

This science abstract covers much of the same ground as the humanities one, but it asks slightly different questions.

Why do this study The problem of detecting gravitational radiation is receiving considerable attention with the construction of new detectors in the United States, Europe, and Japan. The theoretical modeling of the wave forms that would be produced in particular systems will expedite the search and analysis of the detected signals.

What the study does The characteristic formulation of GR is implemented to obtain an algorithm capable of evolving black holes in 3D asymptotically flat spacetimes. Using compactification techniques, future null infinity is included in the evolved region, which enables the unambiguous calculation of the radiation produced by some compact source. A module to calculate the waveforms is constructed and included in the evolution algorithm.

Results This code is shown to be second-order convergent and to handle highly non-linear spacetimes. In particular, we have shown that the code can handle spacetimes whose radiation is equivalent to a galaxy converting its whole mass into gravitational radiation in one second. We further use the characteristic formulation to treat the region close to the singularity in black hole spacetimes. The code carefully excises a region surrounding the singularity and accurately evolves generic black hole spacetimes with apparently unlimited stability.

Keywords gravitational radiation (GR) spacetimes black holes

Works consulted

We consulted these works while writing this handout. This is not a comprehensive list of resources on the handout’s topic, and we encourage you to do your own research to find additional publications. Please do not use this list as a model for the format of your own reference list, as it may not match the citation style you are using. For guidance on formatting citations, please see the UNC Libraries citation tutorial . We revise these tips periodically and welcome feedback.

Belcher, Wendy Laura. 2009. Writing Your Journal Article in Twelve Weeks: A Guide to Academic Publishing Success. Thousand Oaks, CA: Sage Press.

Koopman, Philip. 1997. “How to Write an Abstract.” Carnegie Mellon University. October 1997. http://users.ece.cmu.edu/~koopman/essays/abstract.html .

Lancaster, F.W. 2003. Indexing And Abstracting in Theory and Practice , 3rd ed. London: Facet Publishing.

You may reproduce it for non-commercial use if you use the entire handout and attribute the source: The Writing Center, University of North Carolina at Chapel Hill

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does a case study need an abstract

How to Write a Conference Abstract

  • Finding Conferences
  • Abstract Preparation
  • How to Write a Scientific or Research Abstract

What is a Case Report Abstract?

Author information, writing a title, introduction, case presentation.

  • How to Write a Quality Improvement Project Abstract
  • Writing Tips
  • Reasons for Rejection

Medical and clinical case reports (or “clinical vignettes”) are integral in recording unusual and rare cases of diseases, disorders, and injuries. They provide not only the details of a given case, but also briefly include background and establish the wider significance of a case in the medical literature.

  • You should aim for completeness; Use full names and formal credentials; department and institution worked. The author information usually does NOT count against the total word count but be sure you check the instructions.
  • There may be a limit on how many authors can be on the submission.
  • The first author is the one who conceived the study and did most of the work; will be the person who presents. Sometimes you have to be a member of an association to submit an abstract, so check for those rules as well.
  • Full disclosure on sponsors.
  • Check how your abstract is being reviewed. Is it blind? You may see instructions like, To ensure blinded peer-review, no direct references to the author(s) or institution(s) of origin should be made anywhere in the title, body, tables or figures.

Your best strategy in writing a title: Write the abstract first.  Then pull out 6-10 key words or key phrases found in the abstract, and string them together into various titles. Brainstorm lots of keywords to help find the best mix.

  • Ideally 10-12 words long
  • Title should highlight the case​
  • Avoid low-impact phrases like ‘effect of... ‘ or ‘influence of…’; Do not include jargon or unfamiliar acronyms
  • 2-4 sentences long
  • Give clinical context
  • Explain the relevance or importance of this case.  Describe whether the case is unique. If not, does the case have an​ unusual diagnosis, prognosis, therapy or harm? Is the case an unusual presentation of a common condition? Or an unusual complication of a disease or management?​
  • Describe the instructive or teaching points that add value to this case. Does it demonstrate a cost-effective approach to management or​alternative diagnostic/treatment strategy? Does it increase awareness of a rare condition? 
  • 8-10 sentences long
  • Use standard presentation format
  • Present the information chronologically​
  • Patient history; physical examination; investigations tried; clinical course
  • Describe the history, examination and investigations adequately. Is the cause of the patient's illness clear-cut? What are other plausible explanations?​
  • Describe the treatments adequately. Have all available therapeutic options been considered? Are outcomes related to treatments? Include the patient’s progress and outcome
  • 3-4 sentences long
  • ​Review the uniqueness of this case. Explain the rationale for reporting the case. What is unusual about the case? Does it challenge prevailing wisdom?​
  • Review any relevant literature. Describe how this case is different from those previously reported​
  • Impart any lessons learned. In the future, could things be done differently in a similar case
  • Case report abstract example
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The need to write an effective abstract: A case study

Title, Abstract & keywords

Video & Graphical Abstracts

Kakoli Majumder

The need to write an effective abstract: A case study

Case: An author submitted his manuscript to a journal, but was extremely disappointed when he received a rejection from the journal a few days later. It was clear from the status descriptions that this was a desk rejection and the paper had not been sent for peer review. The rejection email stated that the work did not add significantly to the existing literature.

The author, however, was very sure that the research findings were indeed valuable. The manuscript was the result of extensive research that had taken months to complete and the author’s professors had been very sure that the study had merit. The author could not understand why the paper had not even been sent for review and strongly felt that the editor had just read the abstract and had taken his decision based on it rather than reading the whole paper. The author approached Editage Insights asking whether he should request the editor to go through the entire paper and reconsider his decision.

Action: We informed the author that often journal editors do not have the time to go through the entire paper at the initial screening stage, and often screen manuscripts based on the title and abstract. We asked the author whether the title and abstract were very strong. The author admitted that the title could be slightly confusing and sent us the title and abstract for our opinion. After going through the abstract, we found that although it provided a good description of the methods and results, the purpose and objectives of the study were not described well, and hence, the conclusion drawn from the study was not clear.

We explained to the author that the paper might have been rejected because the abstract was not strong enough. We advised the author to submit the paper to another journal. However, we emphasized that before submitting the paper elsewhere, he should revise the title and abstract so that the novelty of the study is adequately conveyed through these elements.

does a case study need an abstract

We also recommended that the author should write a strong cover letter explaining the merits of the study and how it will benefit the journal’s target audience. The cover letter and abstract should impress the editor sufficiently to generate an interest in the paper. The author followed our advice and submitted the paper along with a revised title, abstract, and cover letter to another journal. This time, the paper cleared the initial editorial screening and was sent for peer review.

Do you have any questions related to writing and publishing your manuscript paper?

Summary: The cover letter and abstract are vital parts of a submission package and are crucial for clearing the initial editorial screening at the journal end. These are the elements that the editor reads first, and based on these, forms his or her impression of the manuscript. Some editors screen papers by reading the cover letter and abstract and do not read the entire paper if they do not find these interesting enough.

does a case study need an abstract

Often, the abstract and cover letter are written at the end, and authors do not spend adequate time on these as they are in a rush to submit. Authors should give sufficient time when writing the abstract and should also give an attractive title to the paper. Additionally, the cover letter should not be just a summary of the paper: it should also make a case for the paper by focusing on the novelty, highlighting the merits, and explaining why the target audience of the journal will find the paper interesting.  

You might also be interested in the following articles and videos:

  • A 10-step guide to making your research paper abstract more effective
  • Writing an effective cover letter for journal submission
  • How to write an Abstract: Some useful tips
  • Dos and don'ts for a great cover letter
  • What makes a great submission package?
  • The complete guide to writing a brilliant research paper

does a case study need an abstract

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An abstract summarizes, usually in one paragraph of 300 words or less, the major aspects of the entire paper in a prescribed sequence that includes: 1) the overall purpose of the study and the research problem(s) you investigated; 2) the basic design of the study; 3) major findings or trends found as a result of your analysis; and, 4) a brief summary of your interpretations and conclusions.

Writing an Abstract. The Writing Center. Clarion University, 2009; Writing an Abstract for Your Research Paper. The Writing Center, University of Wisconsin, Madison; Koltay, Tibor. Abstracts and Abstracting: A Genre and Set of Skills for the Twenty-first Century . Oxford, UK: Chandos Publishing, 2010;

Importance of a Good Abstract

Sometimes your professor will ask you to include an abstract, or general summary of your work, with your research paper. The abstract allows you to elaborate upon each major aspect of the paper and helps readers decide whether they want to read the rest of the paper. Therefore, enough key information [e.g., summary results, observations, trends, etc.] must be included to make the abstract useful to someone who may want to examine your work.

How do you know when you have enough information in your abstract? A simple rule-of-thumb is to imagine that you are another researcher doing a similar study. Then ask yourself: if your abstract was the only part of the paper you could access, would you be happy with the amount of information presented there? Does it tell the whole story about your study? If the answer is "no" then the abstract likely needs to be revised.

Farkas, David K. “A Scheme for Understanding and Writing Summaries.” Technical Communication 67 (August 2020): 45-60;  How to Write a Research Abstract. Office of Undergraduate Research. University of Kentucky; Staiger, David L. “What Today’s Students Need to Know about Writing Abstracts.” International Journal of Business Communication January 3 (1966): 29-33; Swales, John M. and Christine B. Feak. Abstracts and the Writing of Abstracts . Ann Arbor, MI: University of Michigan Press, 2009.

Structure and Writing Style

I.  Types of Abstracts

To begin, you need to determine which type of abstract you should include with your paper. There are four general types.

Critical Abstract A critical abstract provides, in addition to describing main findings and information, a judgment or comment about the study’s validity, reliability, or completeness. The researcher evaluates the paper and often compares it with other works on the same subject. Critical abstracts are generally 400-500 words in length due to the additional interpretive commentary. These types of abstracts are used infrequently.

Descriptive Abstract A descriptive abstract indicates the type of information found in the work. It makes no judgments about the work, nor does it provide results or conclusions of the research. It does incorporate key words found in the text and may include the purpose, methods, and scope of the research. Essentially, the descriptive abstract only describes the work being summarized. Some researchers consider it an outline of the work, rather than a summary. Descriptive abstracts are usually very short, 100 words or less. Informative Abstract The majority of abstracts are informative. While they still do not critique or evaluate a work, they do more than describe it. A good informative abstract acts as a surrogate for the work itself. That is, the researcher presents and explains all the main arguments and the important results and evidence in the paper. An informative abstract includes the information that can be found in a descriptive abstract [purpose, methods, scope] but it also includes the results and conclusions of the research and the recommendations of the author. The length varies according to discipline, but an informative abstract is usually no more than 300 words in length.

Highlight Abstract A highlight abstract is specifically written to attract the reader’s attention to the study. No pretense is made of there being either a balanced or complete picture of the paper and, in fact, incomplete and leading remarks may be used to spark the reader’s interest. In that a highlight abstract cannot stand independent of its associated article, it is not a true abstract and, therefore, rarely used in academic writing.

II.  Writing Style

Use the active voice when possible , but note that much of your abstract may require passive sentence constructions. Regardless, write your abstract using concise, but complete, sentences. Get to the point quickly and always use the past tense because you are reporting on a study that has been completed.

Abstracts should be formatted as a single paragraph in a block format and with no paragraph indentations. In most cases, the abstract page immediately follows the title page. Do not number the page. Rules set forth in writing manual vary but, in general, you should center the word "Abstract" at the top of the page with double spacing between the heading and the abstract. The final sentences of an abstract concisely summarize your study’s conclusions, implications, or applications to practice and, if appropriate, can be followed by a statement about the need for additional research revealed from the findings.

Composing Your Abstract

Although it is the first section of your paper, the abstract should be written last since it will summarize the contents of your entire paper. A good strategy to begin composing your abstract is to take whole sentences or key phrases from each section of the paper and put them in a sequence that summarizes the contents. Then revise or add connecting phrases or words to make the narrative flow clearly and smoothly. Note that statistical findings should be reported parenthetically [i.e., written in parentheses].

Before handing in your final paper, check to make sure that the information in the abstract completely agrees with what you have written in the paper. Think of the abstract as a sequential set of complete sentences describing the most crucial information using the fewest necessary words. The abstract SHOULD NOT contain:

  • A catchy introductory phrase, provocative quote, or other device to grab the reader's attention,
  • Lengthy background or contextual information,
  • Redundant phrases, unnecessary adverbs and adjectives, and repetitive information;
  • Acronyms or abbreviations,
  • References to other literature [say something like, "current research shows that..." or "studies have indicated..."],
  • Using ellipticals [i.e., ending with "..."] or incomplete sentences,
  • Jargon or terms that may be confusing to the reader,
  • Citations to other works, and
  • Any sort of image, illustration, figure, or table, or references to them.

Abstract. Writing Center. University of Kansas; Abstract. The Structure, Format, Content, and Style of a Journal-Style Scientific Paper. Department of Biology. Bates College; Abstracts. The Writing Center. University of North Carolina; Borko, Harold and Seymour Chatman. "Criteria for Acceptable Abstracts: A Survey of Abstracters' Instructions." American Documentation 14 (April 1963): 149-160; Abstracts. The Writer’s Handbook. Writing Center. University of Wisconsin, Madison; Hartley, James and Lucy Betts. "Common Weaknesses in Traditional Abstracts in the Social Sciences." Journal of the American Society for Information Science and Technology 60 (October 2009): 2010-2018; Koltay, Tibor. Abstracts and Abstracting: A Genre and Set of Skills for the Twenty-first Century. Oxford, UK: Chandos Publishing, 2010; Procter, Margaret. The Abstract. University College Writing Centre. University of Toronto; Riordan, Laura. “Mastering the Art of Abstracts.” The Journal of the American Osteopathic Association 115 (January 2015 ): 41-47; Writing Report Abstracts. The Writing Lab and The OWL. Purdue University; Writing Abstracts. Writing Tutorial Services, Center for Innovative Teaching and Learning. Indiana University; Koltay, Tibor. Abstracts and Abstracting: A Genre and Set of Skills for the Twenty-First Century . Oxford, UK: 2010; Writing an Abstract for Your Research Paper. The Writing Center, University of Wisconsin, Madison.

Writing Tip

Never Cite Just the Abstract!

Citing to just a journal article's abstract does not confirm for the reader that you have conducted a thorough or reliable review of the literature. If the full-text is not available, go to the USC Libraries main page and enter the title of the article [NOT the title of the journal]. If the Libraries have a subscription to the journal, the article should appear with a link to the full-text or to the journal publisher page where you can get the article. If the article does not appear, try searching Google Scholar using the link on the USC Libraries main page. If you still can't find the article after doing this, contact a librarian or you can request it from our free i nterlibrary loan and document delivery service .

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How to write an abstract

does a case study need an abstract

What is an abstract?

General format of an abstract, the content of an abstract, abstract example, abstract style guides, frequently asked questions about writing an abstract, related articles.

An abstract is a summary of the main contents of a paper.

The abstract is the first glimpse that readers get of the content of a research paper. It can influence the popularity of a paper, as a well-written one will attract readers, and a poorly-written one will drive them away.

➡️ Different types of papers may require distinct abstract styles. Visit our guide on the different types of research papers to learn more.

Tip: Always wait until you’ve written your entire paper before you write the abstract.

Before you actually start writing an abstract, make sure to follow these steps:

  • Read other papers : find papers with similar topics, or similar methodologies, simply to have an idea of how others have written their abstracts. Notice which points they decided to include, and how in depth they described them.
  • Double check the journal requirements : always make sure to review the journal guidelines to format your paper accordingly. Usually, they also specify abstract's formats.
  • Write the abstract after you finish writing the paper : you can only write an abstract once you finish writing the whole paper. This way you can include all important aspects, such as scope, methodology, and conclusion.

➡️ Read more about  what is a research methodology?

The general format of an abstract includes the following features:

  • Between 150-300 words .
  • An independent page , after the title page and before the table of contents.
  • Concise summary including the aim of the research, methodology , and conclusion .
  • Keywords describing the content.

As mentioned before, an abstract is a text that summarizes the main points of a research. Here is a break down of each element that should be included in an abstract:

  • Purpose : every abstract should start by describing the main purpose or aim of the research.
  • Methods : as a second point, the methodology carried out should be explained.
  • Results : then, a concise summary of the results should be included.
  • Conclusion : finally, a short outline of the general outcome of the research should be given.
  • Keywords : along with the abstract, specific words and phrases related to the topics discussed in the research should be added. These words are usually around five, but the number can vary depending on the journal's guidelines.

This abstract, taken from ScienceDirect , illustrates the ideal structure of an abstract. It has 155 words, it's concise, and it clearly shows the division of elements necessary to write a successful abstract.

This paper explores the implicit assumption in the growing body of literature that social media usage is fundamentally different in business-to-business (B2B) companies than in the extant business-to-consumer (B2C) literature. Sashi's (2012) customer engagement cycle is utilized to compare organizational practices in relation to social media marketing in B2B, B2C, Mixed B2B/B2C and B2B2C business models. Utilizing 449 responses to an exploratory panel based survey instrument, we clearly identify differences in social media usage and its perceived importance as a communications channel. In particular we identify distinct differences in the relationship between social media importance and the perceived effectiveness of social media marketing across business models. Our results indicate that B2B social media usage is distinct from B2C, Mixed and B2B2C business model approaches. Specifically B2B organizational members perceive social media to have a lower overall effectiveness as a channel and identify it as less important for relationship oriented usage than other business models.

The exact format of an abstract depends on the citation style you implement. Whether it’s a well-known style (like APA, IEEE, etc.) or a journal's style, each format has its own guidelines, so make sure you know which style you are using before writing your abstract.

APA is one of the most commonly used styles to format an abstract. Therefore, we created a guide with exact instructions on how to write an abstract in APA style, and a template to download:

📕 APA abstract page: format and template

Additionally, you will find below an IEEE and ASA abstract guide by Purdue Online Writing Lab :

📗 IEEE General Format - Abstract

📘 ASA Manuscript Formatting - Abstract

No. You should always write an abstract once you finish writing the whole paper. This way you can include all important aspects of the paper, such as scope, methodology, and conclusion.

The length of an abstract depends on the formatting style of the paper. For example, APA style calls for 150 to 250 words. Generally, you need between 150-300 words.

No. An abstract has an independent section after the title page and before the table of contents, and should not be included in the table of contents.

Take a look at APA abstract page: format and template for exact details on how to format an abstract in APA style.

You can access any paper through Google Scholar or any other search engine; pick a paper and read the abstract. Abstracts are always freely available to read.

How to give a good scientific presentation

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Writing a Clinical Vignette (Case Report) Abstract

Case reports represent the oldest and most familiar form of medical communication. Far from a "second-class" publication, many original observations are first presented as case reports. Like scientific abstracts, the case report abstract is governed by rules that dictate its format and length. This article will outline the features of a well-written case report abstract and provide an example to emphasize the main features.

Scientific forums have specific rules regarding how the abstract should appear. For the ACP, the rules are available on the electronic abstracts portal. Organizers of scientific meetings set explicit limits on the length of abstracts.

The most difficult decision to make is whether your case report is worth submitting as an abstract. Of course, rarity of a condition almost always meets the criterion of worthiness, but few of us have the opportunity to describe something that is completely new. Another reason to report a case is the lesson that it teaches. With this in mind, consider presenting a case if it increases awareness of a condition, suggests the proper diagnostic strategy, or demonstrates a more cost-effective approach to management. Alternatively, a case can be presented because it represents an unusual presentation of a relatively common condition. Other twists include an unusual complication of a disease and its management. Again, it's important to think about the message or lesson that the case can deliver.

Before you begin writing the abstract, present a quick summary of your case to colleagues or mentors to determine if they agree that the case is worthy of presentation. It is important to contribute something unique, but not if it depends on some trivial variation from previously presented cases. For example, if it is known that a certain cancer widely metastasizes, it is not worthwhile to report each new site. Similarly, drug reactions often merit a case report, but not if it is simply a report of a drug in a class whose other members are known to cause the same reaction.

Once you have decided to submit a case report abstract, describe it in such a way as to make it interesting, yet conform to the accepted format. The following paragraphs provide suggestions on both style and format.

Title and Author Information: The title is a summary of the abstract itself and should convince the reader that the topic is important, relevant, and innovative. However, don't tell everything about the case in the title, otherwise the reader's interest might lag. Make the title short, descriptive, and interesting. Some organizations require a special format for the title, such as all uppercase letters. Be sure to check the instructions. Following the title, include the names of authors followed by their institutional affiliations. Deciding upon the authorship of a case report can be tricky. In the past, it was acceptable to include as authors those contributing to the management of the patient, but this is no longer true. Currently, it is expected that the authors contribute significantly to the intellectual content of the case report. It is assumed that the first author will present the work if the abstract is accepted. The first author may need to meet certain eligibility requirements in order to present the abstract, for example, be a member of the professional society sponsoring the research meeting. This information is always included with the abstract instructions.

Introduction: Most case report abstracts begin with a short introduction. This typically describes the context of the case and explains its relevance and importance. However, it is perfectly acceptable to begin directly with the description of the case.

Case Description: When reporting the case, follow the basic rules of medical communication; describe in sequence the history, physical examination, investigative studies, and the patient's progress and outcome. The trick is to be complete without obscuring the essence of the case with irrelevant details.

Discussion: The main purpose of the discussion is to review why decisions were made and extract the lesson from the case. Not uncommonly, reports from the literature, or their absence, are cited that either directly support or contradict the findings of the case. Be wary of boasting that your case is the "first" to describe a particular phenomenon, since even the most thorough searches often fail to reveal all instances of similar cases. Keep in mind that the best case report abstracts are those that make a small number of teaching points (even just one) in clear and succinct language.

When writing the abstract, avoid the use of medical jargon and excessive reliance on abbreviations. Limit abbreviations to no more than three, and favor commonly used abbreviations. Always spell out the abbreviations the first time they are mentioned unless they are commonly recognized (e.g., CBC).

It typically takes several days to write a good abstract, and the process should not be undertaken alone. Get help from a mentor who is not familiar with the case; such mentors can quickly point out areas that are unclear or demand more detail. Make revisions based upon the feedback. Finally, have others read your draft in order to check for technical errors, such as spelling and grammar mistakes. Reading the abstract out loud is another good way to catch awkward phrasing and word omissions. Finally, a Clinical Vignette Abstract Checklist  and an example of a clinical vignette abstract  are available to help you with the process of writing a successful abstract.

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Writing an abstract - a six point checklist (with samples)

Posted in: abstract , dissertations

does a case study need an abstract

The abstract is a vital part of any research paper. It is the shop front for your work, and the first stop for your reader. It should provide a clear and succinct summary of your study, and encourage your readers to read more. An effective abstract, therefore should answer the following questions:

  • Why did you do this study or project?
  • What did you do and how?
  • What did you find?
  • What do your findings mean?

So here's our run down of the key elements of a well-written abstract.

  • Size - A succinct and well written abstract should be between approximately 100- 250 words.
  • Background - An effective abstract usually includes some scene-setting information which might include what is already known about the subject, related to the paper in question (a few short sentences).
  • Purpose  - The abstract should also set out the purpose of your research, in other words, what is not known about the subject and hence what the study intended to examine (or what the paper seeks to present).
  • Methods - The methods section should contain enough information to enable the reader to understand what was done, and how. It should include brief details of the research design, sample size, duration of study, and so on.
  • Results - The results section is the most important part of the abstract. This is because readers who skim an abstract do so to learn about the findings of the study. The results section should therefore contain as much detail about the findings as the journal word count permits.
  • Conclusion - This section should contain the most important take-home message of the study, expressed in a few precisely worded sentences. Usually, the finding highlighted here relates to the primary outcomes of the study. However, other important or unexpected findings should also be mentioned. It is also customary, but not essential, to express an opinion about the theoretical or practical implications of the findings, or the importance of their findings for the field. Thus, the conclusions may contain three elements:
  • The primary take-home message.
  • Any additional findings of importance.
  • Implications for future studies.

abstract 1

Example Abstract 2: Engineering Development and validation of a three-dimensional finite element model of the pelvic bone.

bone

Abstract from: Dalstra, M., Huiskes, R. and Van Erning, L., 1995. Development and validation of a three-dimensional finite element model of the pelvic bone. Journal of biomechanical engineering, 117(3), pp.272-278.

And finally...  A word on abstract types and styles

Abstract types can differ according to subject discipline. You need to determine therefore which type of abstract you should include with your paper. Here are two of the most common types with examples.

Informative Abstract

The majority of abstracts are informative. While they still do not critique or evaluate a work, they do more than describe it. A good informative abstract acts as a surrogate for the work itself. That is, the researcher presents and explains all the main arguments and the important results and evidence in the paper. An informative abstract includes the information that can be found in a descriptive abstract [purpose, methods, scope] but it also includes the results and conclusions of the research and the recommendations of the author. The length varies according to discipline, but an informative abstract is usually no more than 300 words in length.

Descriptive Abstract A descriptive abstract indicates the type of information found in the work. It makes no judgements about the work, nor does it provide results or conclusions of the research. It does incorporate key words found in the text and may include the purpose, methods, and scope of the research. Essentially, the descriptive abstract only describes the work being summarised. Some researchers consider it an outline of the work, rather than a summary. Descriptive abstracts are usually very short, 100 words or less.

Adapted from Andrade C. How to write a good abstract for a scientific paper or conference presentation. Indian J Psychiatry. 2011 Apr;53(2):172-5. doi: 10.4103/0019-5545.82558. PMID: 21772657; PMCID: PMC3136027 .

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How to Write an Abstract for a Research Paper | A Guide for Students

How to Write an Abstract for a Research Paper

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A professional writer with ten years of experience and a Ph.D. in Modern History, Catharine Tawil writes engaging and insightful papers for academic exchange. With deep insight into the impact of historical events on the present, she provides a unique perspective in giving students a feel for the past. Her writing educates and stimulates critical thinking, making her a treasure to those wading through the complexities of history.

Do you want to know how to write an abstract like a pro? Composing an abstract for a research paper is a very important stage of your research work. It is a compact and precise description of the main body of your paper, which is intended to help the readers understand the paper quickly. An abstract should be concise, well-organized, and contain all the important issues of your research paper. It enables readers to filter out and choose the rest of the document according to their interests. So, let us explain the details.

What Is an Abstract for a Research Paper?

An abstract is a short, concise summary of a research paper that provides a clear understanding of the paper. It is placed at the beginning of the paper and ranges from 150 to 300 words. It gives a synopsis of the major findings of your study, comprising the research aim, methods used, the most important findings, and the main conclusions.

The abstract gives readers a brief understanding of your paper, and they do not need to read the entire document. It is a complete text that shows why your work is important and summarizes your study's main findings. The quality of the abstract is important because it allows your paper to be picked out in academic databases and, thus, other researchers to read your full paper.

When to Write an Abstract

You should write the abstract and the remaining paper after you have completed your research. This is because the summary is essentially a collation of all the key points of your research, such as the results and conclusions, which are not known until you have conducted the research. An abstract should be written at the end to ensure that it adequately reflects your paper and that no important points are missed.

According to the University of Southern California, your abstract should reflect your research, be clear and concise, and show the main goal of your study and its outcome. Through the final stage of your writing cycle, you can be confident that your abstract has covered all aspects of your article and is consistent with its content.

Types of Abstract

Abstracts can be generally divided into two types, each distinct by purpose. Recognizing the gap in these categories from a researcher's perspective enables the design of an abstract that fits the study's aim and the reader's anticipations. Here is what you need to know about the main abstract types as a student.

Descriptive Abstract

Such an abstract introduces the research's information without giving a detailed account. It explains what the methods and the scope of the research are but won't include the results and conclusions. A descriptive abstract, which is usually very short, less than 100 words, and is often used for short papers or articles, is commonly used for brief papers or articles. Here is its purpose:

  • Provides the research's purpose and scope.
  • Highlights the methods used.
  • Does not include results or conclusions.

Following a descriptive abstract, the reader should have a decent comprehension of the research's purpose and a general idea of the topics covered. However, they should read the full paper to discover the findings and conclusions. It's often not used as much as its informative counterpart, but it can be useful for complex studies that don't require a detailed explanation in the abstract.

Informative Abstract

An informative abstract is a mini-version of the paper. It is a synopsis. It contains not only the study goals and research methods but also the results and conclusions. This type of abstract is more detailed and longer than a descriptive abstract, often going up to 200 to 300 words. The author presents an outline of the study's findings or proofs, the thesis or main arguments, and a brief argument of the implications. Besides, you can always say, "Write my paper." Do not hesitate to ask us for help!

An informative abstract provides enough detail about the content to help the reader decide whether to read the whole paper. We mostly use this type, which is especially convenient for technical or research-intensive documents where the reader does not necessarily need to read the whole paper to get the idea.

Descriptive & Informative Abstracts: Common Differences

The structure of the abstract: step-by-step instructions.

A well-organized abstract provides a concise and summarized overview of your research paper. Each component should be correctly written to provide the key points of your research. The structure typically follows the natural order of the research flow to present the motivation, problem, methods, results, and conclusion in an integrated and consistent manner.

Purpose and Motivation

In your abstract's introduction and purpose section, you explain why you commenced the research and your goals. This part should clearly and unambiguously explain the fact that the research question is crucial and justify the rationale for the study. It should start with giving the context by discussing the wider research field or a particular issue that is the focus of your paper.

The Problem of Research

The purpose statement of the abstract defines the specific problem or gap in understanding your research studies. To be effective, you have to be concise but make sure your message gets the idea across and is clear enough to convey the problem or question you are handling. Here is what you should do:

  • Clearly state the research problem.
  • Identify the gap in the literature.
  • Mention the implications of the problem.

After explaining the problem, you should identify the benefit of solving it for your discipline or the intended group. This defines the importance of your research and shows how your work relates to the ongoing academic debate in the field. By thoroughly identifying the problem, you help your readers comprehend the context and magnitude of the problem being investigated. So, check our research paper abstract guidelines to master your writing.

Researching Approach

The methodology section of your abstract elaborates on the techniques you applied to resolve the research question. A description of the research design, data collection techniques, and analysis methods should be carried out. It is important to summarize why these methods are appropriate for your analysis and how, by using them, you can accomplish your research goals.

Research Results

In the research results section of your abstract, highlight the main conclusions of your investigation. This section is supposed to be straight and concise, indicating major results without getting into an in-depth discussion of the analysis. State whether the results confirm or disprove your hypothesis or answer the research question.

Highlight any commonly occurring trends, relationships, or patterns you have discovered are a must. However, including concrete numbers to clarify the results and impact is important. This brief part should help the reader understand what your research unveiled and how these findings boost the scientific community. Besides, check our latest article on how to polish your reasearch paper format!

The final part of your abstract should stress the practical implications and importance of the findings. The second section of the report summarizes the research findings and describes the broader significance of the results obtained. Outline the study you intend to address, the gap you found in the research question, and what it means for the field. Besides, you need a research paper abstract example.

Tips for Writing an Abstract

A well-written abstract is imperative to stimulate interest in your research and explain it lucidly to readers. It will be your paper's window; it provides the reader with all the necessary information in an easy-to-understand way. Below are some simple tricks to guide you through writing a short abstract that will convey your research and be interesting to read.

Read Other Abstracts

Do you know all the components of a research paper abstract? If not, remember them ASAP! There's nothing wrong with reading abstracts written by other students. Think of it as an opportunity to analyze their thinking processes and approaches to crafting this section of the research paper. Here's what you should pay attention to:

  • Observe the language and terminology used.
  • Note the balance between conciseness and detail.
  • Identify common structures that seem effective.

After familiarizing yourself with each abstract example, write as clearly and concisely as possible. This will help you understand the abstract's nature and how to organize the information.

Reverse Outline

Here is how to craft a research paper abstract like a pro. Try reverse outlining. This technique involves outlining your completed paper and noting the key points from each section: introduction, methods, results, and conclusion. This makes it easier to detect if anything is missing from your abstract and if the content of your abstract accurately reflects the content of your paper.

Cech research paper abstract examples. Begin with the main goal and what you'll be studying, then continue with the methodology, the main findings, and the importance of these findings. The paper is broken down into essential sections so that you can rebuild them into a concise and informative abstract.

Write Clearly and Concisely

Clarity and shortness are vital when writing an abstract. It is the opener, the only part readers will read, so it must briefly tell your research story. Use simple sentences and don't use complex sentence structures to make reading easy for people, especially those outside of English-speaking countries.

Every sentence must accomplish a task, be it articulating the study, summarizing the methods, exhibiting the results, or discussing implications. Avoid telling details and concentrate on what is only important to study your research's range, importance, and consequences. This rigid but essential writing technique will make the abstract for research paper assignments clean and informative.

Check Your Formatting

Writing an abstract for a research paper may seem daunting. Finalizing correctly and adhering to your professor's key instructions is crucial. Ensure that you follow all formatting guidelines and avoid making any careless mistakes. Here's a typical checklist for students:

  • Confirm word count limits.
  • Check for specific structural requirements.
  • Verify if certain sections require bolding or subheadings.

Before submission, cross-check your abstract for consistency in style, like font and spacing, and make sure it meets all submission requirements. Proper formatting not only gives an excellent impression but also makes your work fit into the expected norms of your audience. And check at least one abstract example beforehand!

Things to Avoid in Your Abstract

The abstract is where you need to be as clear and to the point as possible. Do not bother adding unnecessary information or intricate details that will be included in the main body of the paper. So, here is how to write an abstract for a research paper without making mistakes.

Using Jargon

So, research paper abstract writing is not an easy task. Inserting jargon and super technical vocabulary in your abstract will prevent you from reaching readers who are not specialists in your specific area of research. Abstractions should be understandable to a wider audience, including laypersons who may not be literate. Clarify the meaning of the words that are not commonly known and replace the complicated words with those that are easier to understand whenever necessary.

Just check one abstract example! If ambiguous terminology should be avoided, define it as shortly and precisely as possible. Recollect that the main role of an abstract is to convey the main idea of the research briefly and understandably; wordiness can be an obstacle in this way and prevent readers from understanding the significance of your work.

Providing Too Much Detail

When writing an abstract, you should not lose sight of the fact that it is not the main body of the paper but introduces the research. As a summary, the abstract should state the main points and findings without being so detailed as to list all the data or the analysis. The main purpose of the abstract is to give the reader a brief and clear overview of your research and its main points.

Therefore, the abstract should not contain details that confuse readers and prevent them from understanding what you are trying to say. Your research paper abstract structure should be solid. Emphasize concisely addressing the research question, design, key findings, and conclusion. The way of writing this proposal is intended to help the reader keep their interest and motivate them to read the paper.

Introducing New Concepts

Writing an abstract is not an easy task. Here's another red flag you should avoid: introducing new concepts that may not yield the desired results or align with the typical approach to creating research papers. Here is your list of actions as a student:

  • Avoid mentioning studies or data not discussed in the paper.
  • Do not introduce new frameworks or theories.
  • Refrain from including references to literature not cited in the main body.

Ensuring the abstract contains details from the paper will keep it coherent and prevent confusing readers. An abstract summarizes your research, highlighting the major points and providing short and precise information about the research. Now, you know how to write an abstract for a research paper correctly.

Vague or Ambiguous Language

Do you need tips for writing a research paper abstract? Here you go. Being imprecise or ambiguous in an abstract can cause your research to be misinterpreted regarding its relevance and focus. It is significant to utilize accurate and understandable language to specifically convey your research's purpose, methodology, results, and implications. It is advisable not to use general statements that do not provide concrete information.

So, what is an abstract? It is a part of your paper where every sentence should effectively show the importance of your research. Having a clear and concise abstract not only improves readability but also ensures that the audience understands the aim and conclusion of your study without confusion.

Making Unsupported Claims

The argument or claim in an abstract should be supported by evidence presented in the abstract research paper. The lack of evidence backing unsupported claims may lead to the credibility loss of your research and the creation of false perceptions about its validity. It is essential to ensure that all the major paragraphs of the abstract are based on the data you obtained and the findings of your study.

This includes corroborating the results and only drawing conclusions related to them. Don't stretch the implications of your research or suggest a broader application unbacked by evidence. A trustworthy research paper abstract summarizes the research and its outcomes and is integral to the whole assignment and the research process.

Exceeding the Recommended Word Count

So, what is an abstract in a research paper? It is a crucial paper assignment! Sticking to the recommended word count for an abstract is significant. On the other hand, if the text is beyond this limit, it may be overly detailed and too much for your reader to handle. Also, being accepted for print or at conferences can be problematic since most of them have set word count requirements.

Writing an effective research paper abstract can be a game changer. A boxed summary compresses your research into its most important aspects, focusing on the problem, methodology, results, and implications without unnecessary details. Limiting the number of words ensures that your abstract remains clear and concise.

What should be included in a research paper abstract?

The research paper abstract should include a short introduction, the main research question, the methodology applied, the main findings, and finally, the concluding remarks.

How long should a research paper abstract take?

In most cases, a research paper abstract should be 150 words or more and up to 300 words.

What is the difference between a descriptive and informative abstract?

A descriptive abstract describes the paper's topic, providing only general information. On the contrary, an informative abstract describes the research topic in detail, including the purpose, methodology, and other aspects.

How can I make my abstract stand out to readers?

Your abstract should be clear, concise, and direct, focusing on the importance and uniqueness of your research.

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  • Published: 03 June 2024

The use of evidence to guide decision-making during the COVID-19 pandemic: divergent perspectives from a qualitative case study in British Columbia, Canada

  • Laura Jane Brubacher   ORCID: orcid.org/0000-0003-2806-9539 1 , 2 ,
  • Chris Y. Lovato 1 ,
  • Veena Sriram 1 , 3 ,
  • Michael Cheng 1 &
  • Peter Berman 1  

Health Research Policy and Systems volume  22 , Article number:  66 ( 2024 ) Cite this article

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The challenges of evidence-informed decision-making in a public health emergency have never been so notable as during the COVID-19 pandemic. Questions about the decision-making process, including what forms of evidence were used, and how evidence informed—or did not inform—policy have been debated.

We examined decision-makers' observations on evidence-use in early COVID-19 policy-making in British Columbia (BC), Canada through a qualitative case study. From July 2021- January 2022, we conducted 18 semi-structured key informant interviews with BC elected officials, provincial and regional-level health officials, and civil society actors involved in the public health response. The questions focused on: (1) the use of evidence in policy-making; (2) the interface between researchers and policy-makers; and (3) key challenges perceived by respondents as barriers to applying evidence to COVID-19 policy decisions. Data were analyzed thematically, using a constant comparative method. Framework analysis was also employed to generate analytic insights across stakeholder perspectives.

Overall, while many actors’ impressions were that BC's early COVID-19 policy response was evidence-informed, an overarching theme was a lack of clarity and uncertainty as to what evidence was used and how it flowed into decision-making processes. Perspectives diverged on the relationship between 'government' and public health expertise, and whether or not public health actors had an independent voice in articulating evidence to inform pandemic governance. Respondents perceived a lack of coordination and continuity across data sources, and a lack of explicit guidelines on evidence-use in the decision-making process, which resulted in a sense of fragmentation. The tension between the processes involved in research and the need for rapid decision-making was perceived as a barrier to using evidence to inform policy.

Conclusions

Areas to be considered in planning for future emergencies include: information flow between policy-makers and researchers, coordination of data collection and use, and transparency as to how decisions are made—all of which reflect a need to improve communication. Based on our findings, clear mechanisms and processes for channeling varied forms of evidence into decision-making need to be identified, and doing so will strengthen preparedness for future public health crises.

Peer Review reports

The challenges of evidence-informed decision-making Footnote 1 in a public health emergency have never been so salient as during the COVID-19 pandemic, given its unprecedented scale, rapidly evolving virology, and multitude of global information systems to gather, synthesize, and disseminate evidence on the SARS-CoV-2 virus and associated public health and social measures [ 1 , 2 , 3 ]. Early in the COVID-19 pandemic, rapid decision-making became central for governments globally as they grappled with crucial decisions for which there was limited evidence. Critical questions exist, in looking retrospectively at these decision-making processes and with an eye to strengthening future preparedness: Were decisions informed by 'evidence'? What forms of evidence were used, and how, by decision-makers? [ 4 , 5 , 6 ].

Scientific evidence, including primary research, epidemiologic research, and knowledge synthesis, is one among multiple competing influences that inform decision-making processes in an outbreak such as COVID-19 [ 7 ]. Indeed, the use of multiple forms of evidence has been particularly notable as it applies to COVID-19 policy-making. Emerging research has also documented the important influence of ‘non-scientific’ evidence such as specialized expertise and experience, contextual information, and level of available resources [ 8 , 9 , 10 ]. The COVID-19 pandemic has underscored the politics of evidence-use in policy-making [ 11 ]; what evidence is used and how can be unclear, and shaped by political bias [ 4 , 5 ]. Moreover, while many governments have established scientific advisory boards, the perspectives of these advisors were reportedly largely absent from COVID-19 policy processes [ 6 ]. How evidence and public health policy interface—and intersect—is a complex question, particularly in the dynamic context of a public health emergency.

Within Canada, a hallmark of the public health system and endorsed by government is evidence-informed decision-making [ 12 ]. In British Columbia (BC), Canada, during the early phases of COVID-19 (March—June 2020), provincial public health communication focused primarily on voluntary compliance with recommended public health and social measures, and on supporting those most affected by the pandemic. Later, the response shifted from voluntary compliance to mandatory enforceable government orders [ 13 ]. Like many other jurisdictions, the government’s public messaging in BC asserted that the province took an approach to managing the COVID-19 pandemic and developing related policy that was based on scientific evidence, specifically. For example, in March 2021, in announcing changes to vaccination plans, Dr. Bonnie Henry, the Provincial Health Officer, stated, " This is science in action " [ 14 ]. As a public health expert with scientific voice, the Provincial Health Officer has been empowered to speak on behalf of the BC government across the COVID-19 pandemic progression. While this suggests BC is a jurisdiction which has institutionalized scientifically-informed decision-making as a core tenet of effective public health crisis response, it remains unclear as to whether BC’s COVID-19 response could, in fact, be considered evidence-informed—particularly from the perspectives of those involved in pandemic decision-making and action. Moreover, if evidence-informed, what types of evidence were utilized and through what mechanisms, how did this evidence shape decision-making, and what challenges existed in moving evidence to policy and praxis in BC’s COVID-19 response?

The objectives of this study were: (1) to explore and characterize the perspectives of BC actors involved in the COVID-19 response with respect to evidence-use in COVID-19 decision-making; and (2) to identify opportunities for and barriers to evidence-informed decision-making in BC’s COVID-19 response, and more broadly. This inquiry may contribute to identifying opportunities for further strengthening the synthesis and application of evidence (considered broadly) to public health policy and decision-making, particularly in the context of future public health emergencies, both in British Columbia and other jurisdictions.

Study context

This qualitative study was conducted in the province of British Columbia (BC), Canada, a jurisdiction with a population of approximately five million people [ 15 ]. Within BC’s health sector, key actors involved in the policy response to COVID-19 included: elected officials, the BC Government’s Ministry of Health (MOH), the Provincial Health Services Authority (PHSA), Footnote 2 the Office of the Provincial Health Officer (PHO), Footnote 3 the BC Centre for Disease Control (BCCDC), Footnote 4 and Medical Health Officers (MHOs) and Chief MHOs at regional and local levels.

Health research infrastructure within the province includes Michael Smith Health Research BC [ 16 ] and multiple post-secondary research and education institutions (e.g., The University of British Columbia). Unlike other provincial (e.g., Ontario) and international (e.g., UK) jurisdictions, BC did not establish an independent, formal scientific advisory panel or separate organizational structure for public health intelligence in COVID-19. That said, a Strategic Research Advisory Council was established, reporting to the MOH and PHO, to identify COVID-19 research gaps and commission needed research for use within the COVID-19 response [ 17 ].

This research was part of a multidisciplinary UBC case study investigating the upstream determinants of the COVID-19 response in British Columbia, particularly related to institutions, politics, and organizations and how these interfaced with, and affected, pandemic governance [ 18 ]. Ethics approval for this study was provided by the University of British Columbia (UBC)’s Institutional Research Ethics Board (Certificate #: H20-02136).

Data collection

From July 2021 to January 2022, 18 semi-structured key informant interviews were conducted with BC elected officials, provincial and regional-level health officials, and civil society actors (e.g., within non-profit research organizations, unions) (Table 1 ). Initially, respondents were purposively sampled, based on their involvement in the COVID-19 response and their positioning within the health system organizational structure. Snowball sampling was used to identify additional respondents, with the intent of representing a range of organizational roles and actor perspectives. Participants were recruited via email invitation and provided written informed consent to participate.

Interviews were conducted virtually using Zoom® videoconferencing, with the exception of one hybrid in-person/Zoom® interview. Each interview was approximately one hour in duration. One to two research team members led each interview. The full interview protocol focused on actors’ descriptions of decision-making processes across the COVID-19 pandemic progression, from January 2020 to the date of the interviews, and they were asked to identify key decision points (e.g., emergency declaration, business closures) [see Additional File 1 for the full semi-structured interview guide]. For this study, we used a subset of interview questions focused on evidence-use in the decision-making process, and the organizational structures or actors involved, in BC's early COVID-19 pandemic response (March–August 2020). Questions were adapted to be relevant to a respondent’s expertise and particular involvement in the response. ‘Evidence’ was left undefined and considered broadly by the research team (i.e., both ‘scientific’/research-based and ‘non-scientific’ inputs) within interview questions, and therefore at the discretion of the participant as to what inputs they perceived and described as ‘evidence’ that informed or did not inform pandemic decision-making. Interviews were audio-recorded over Zoom® with permission and transcribed using NVivo Release 1.5© software. Each transcript was then manually verified for accuracy by 1–2 members of the research team.

Data analysis

An inductive thematic analysis was conducted, using a constant comparative method, to explore points of divergence and convergence across interviews and stakeholder perspectives [ 19 ]. Transcripts were inductively coded in NVivo Release 1.5© software, which was used to further organize and consolidate codes, generate a parsimonious codebook to fit the data, and retrieve interview excerpts [ 20 ]. Framework analysis was also employed as an additional method for generating analytic insights across stakeholder perspectives and contributed to refining the overall coding [ 21 ]. Triangulation across respondents and analytic methods, as well as team collaboration in reviewing and refining the codebook, contributed to validity of the analysis [ 22 ].

How did evidence inform early COVID-19 policy-making in BC?

Decision-makers described their perceptions on the use of evidence in policy-making; the interface between researchers and policy-makers; and specific barriers to evidence-use in policy-making within BC’s COVID-19 response. In discussing the use of evidence, respondents focused on ‘scientific’ evidence; however, they noted a lack of clarity as to how and what evidence flowed into decision-making. They also acknowledged that ‘scientific’ evidence was one of multiple factors influencing decisions. The themes described below reflect the narrative underlying their perspectives.

Perceptions of evidence-use

Multiple provincial actors generally expressed confidence or had an overall impression that decisions were evidence-based (IDI5,9), stating definitively that, "I don’t think there was a decision we made that wasn’t evidence-informed" (IDI9) and that "the science became a driver of decisions that were made" (IDI5). However, at the regional health authority level, one actor voiced skepticism that policy decisions were consistently informed by scientific evidence specifically, stating, "a lot of decisions [the PHO] made were in contrast to science and then shifted to be by the science" ( IDI6). The evolving nature of the available evidence and scientific understanding of the virus throughout the pandemic was acknowledged. For instance, one actor stated that, "I’ll say the response has been driven by the science; the science has been changing…from what I’ve seen, [it] has been a very science-based response" (IDI3).

Some actors narrowed in on certain policy decisions they believed were or were not evidence-informed. Policy decisions in 2020 that actors believed were directly informed by scientific data included the early decision to restrict informal, household gatherings; to keep schools open for in-person learning; to implement a business safety plan requirement across the province; and to delay the second vaccine dose for maximum efficacy. One provincial public health actor noted that an early 2020 decision made, within local jurisdictions, to close playgrounds was not based on scientific evidence. Further, the decision prompted public health decision-makers to centralize some decision-making to the provincial level, to address decisions being made 'on the ground' that were not based on scientific evidence (IDI16). Similarly, they added that the policy decision to require masking in schools was not based on scientific evidence; rather, "it's policy informed by the noise of your community." As parents and other groups within the community pushed for masking, this was "a policy decision to help schools stay open."

Early in the pandemic response, case data in local jurisdictions were reportedly used for monitoring and planning. These "numerator data" (IDI1), for instance case or hospitalization counts, were identified as being the primary mode of evidence used to inform decisions related to the implementation or easing of public health and social measures. The ability to generate epidemiological count data early in the pandemic due to efficient scaling up of PCR testing for COVID-19 was noted as a key advantage (IDI16). As the pandemic evolved in 2020, however, perspectives diverged in relation to the type of data that decision-makers relied on. For example, it was noted that BCCDC administered an online, voluntary survey to monitor unintended consequences of public health and social measures and inform targeted interventions. Opinions varied on whether this evidence was successfully applied in decision-making. One respondent emphasized this lack of application of evidence and perceived that public health orders were not informed by the level and type of evidence available, beyond case counts: "[In] a communicable disease crisis like a pandemic, the collateral impact slash damage is important and if you're going to be a public health institute, you actually have to bring those to the front, not just count cases" (IDI1).

There also existed some uncertainty and a perceived lack of transparency or clarity as to how or whether data analytic ‘entities’, such as BCCDC or research institutions, fed directly into decision-making. As a research actor shared, "I’m not sure that I know quite what all those channels really look like…I’m sure that there’s a lot of improvement that could be driven in terms of how we bring strong evidence to actual policy and practice" (IDI14). Another actor explicitly named the way information flowed into decision-making in the province as "organic" (IDI7). They also noted the lack of a formal, independent science advisory panel for BC’s COVID-19 response, which existed in other provincial and international jurisdictions. Relatedly, one regional health authority actor perceived that the committee that was convened to advise the province on research, and established for the purpose of applying research to the COVID-19 response, "should have focused more on knowledge translation, but too much time was spent commissioning research and asking what kinds of questions we needed to ask rather than looking at what was happening in other jurisdictions" (IDI6). Overall, multiple actors noted a lack of clarity around application of evidence and who is responsible for ensuring evidence is applied. As a BCCDC actor expressed, in relation to how to prevent transmission of COVID-19:

We probably knew most of the things that we needed to know about May of last year [2020]. So, to me, it’s not even what evidence you need to know about, but who’s responsible for making sure that you actually apply the evidence to the intervention? Because so many of our interventions have been driven by peer pressure and public expectation rather than what we know to be the case [scientifically] (IDI1).

Some described the significance of predictive disease modelling to understand the COVID-19 trajectory and inform decisions, as well as to demonstrate to the public the effectiveness of particular measures, which "help[ed] sustain our response" (IDI2). Others, however, perceived that "mathematical models were vastly overused [and] overvalued in decision-making around this pandemic" (IDI1) and that modellers stepped outside their realm of expertise in providing models and policy recommendations through the public media.

Overall, while many actors’ impressions were that the response was evidence-informed, an overarching theme was a lack of clarity and uncertainty with respect to how evidence actually flowed into decision-making processes, as well as what specific evidence was used and how. Participants noted various mechanisms created or already in place prior to COVID-19 that fed data into, and facilitated, decision-making. There was an acknowledgement that multiple forms of evidence—including scientific data, data on public perceptions, as well as public pressure—appeared to have influenced decision-making.

Interface between researchers and policy-makers

There was a general sense that the Ministry supported the use of scientific and research-based evidence specifically. Some actors identified particular Ministry personnel as being especially amenable to research and focused on data to inform decisions and implementation. More broadly, the government-research interface was characterized by one actor as an amicable one, a "research-friendly government", and that the Ministry of Health (MOH), specifically, has a research strategy whereby, "it’s literally within their bureaucracy to become a more evidence-informed organization" (IDI11). The MOH was noted to have funded a research network intended to channel evidence into health policy and practice, and which reported to the research side of the MOH.

Other actors perceived relatively limited engagement with the broader scientific community. Some perceived an overreliance on 'in-house expertise' or a "we can do that [ourselves] mentality" within government that precluded academic researchers’ involvement, as well as a sense of "not really always wanting to engage with academics to answer policy questions because they don’t necessarily see the value that comes" (IDI14). With respect to the role of research, an actor stated:

There needs to be a provincial dialogue around what evidence is and how it gets situated, because there’s been some tension around evidence being produced and not used or at least not used in the way that researchers think that it should be (IDI11).

Those involved in data analytics within the MOH acknowledged a challenge in making epidemiological data available to academic researchers, because "at the time, you’re just trying to get decisions made" (IDI7). Relatedly, a research actor described the rapid instigation of COVID-19 research and pivoting of academic research programs to respond to the pandemic, but perceived a slow uptake of these research efforts from the MOH and PHSA for decision-making and action. Nevertheless, they too acknowledged the challenge of using research evidence, specifically, in an evolving and dynamic pandemic:

I think we’ve got to be realistic about what research in a pandemic situation can realistically contribute within very short timelines. I mean, some of these decisions have to be made very quickly...they were intuitive decisions, I think some of them, rather than necessarily evidence-based decisions (IDI14).

Relatedly, perspectives diverged on the relationship between 'government' and public health expertise, and whether or not public health actors had an independent voice in articulating evidence to inform governance during the pandemic. Largely from Ministry stakeholders, and those within the PHSA, the impressions were that Ministry actors were relying on public health advice and scientific expertise. As one actor articulated, "[the] government actually respected and acknowledged and supported public health expertise" (IDI9). Others emphasized a "trust of the people who understood the problem" (IDI3)—namely, those within public health—and perceived that public health experts were enabled "to take a lead role in the health system, over politics" (IDI12). This perspective was not as widely held by those in the public health sector, as one public health actor expressed, "politicians and bureaucrats waded into public health practice in a way that I don't think was appropriate" and that, "in the context of a pandemic, it’s actually relatively challenging to bring true expert advice because there’s too many right now. Suddenly, everybody’s a public health expert, but especially bureaucrats and politicians." They went on to share that the independence of public health to speak and act—and for politicians to accept independent public health advice—needs to be protected and institutionalized as "core to good governance" (IDI1). Relatedly, an elected official linked this to the absence of a formal, independent science table to advise government and stated that, "I think we should have one established permanently. I think we need to recognize that politicians aren't always the best at discerning scientific evidence and how that should play into decision-making" (IDI15).

These results highlight the divergent perspectives participants had as to the interface between research and policy-making and a lack of understanding regarding process and roles.

Challenges in applying evidence to policy decisions

Perspectives converged with respect to the existence of numerous challenges with and barriers to applying evidence to health policy and decision-making. These related to the quality and breadth of available data, both in terms of absence and abundance. For instance, as one public health actor noted in relation to health policy-making, "you never have enough information. You always have an information shortage, so you're trying to make the best decisions you can in the absence of usually really clear information" (IDI8). On the other hand, as evidence emerged en masse across jurisdictions in the pandemic, there were challenges with synthesizing evidence in a timely fashion for 'real-time' decision-making. A regional health authority actor highlighted this challenge early in the COVID-19 pandemic and perceived that there was not a provincial group bringing new synthesized information to decision-makers on a daily basis (IDI6). Other challenges related to the complexity of the political-public health interface with respect to data and scientific expertise, which "gets debated and needs to be digested by the political process. And then decisions are made" (IDI5). This actor further expressed that debate among experts needs to be balanced with efficient crisis response, that one has to "cut the debate short. For the sake of expediency, you need to react."

It was observed that, in BC’s COVID-19 response, data was gathered from multiple sources with differing data collection procedures, and sometimes with conflicting results—for instance, 'health system data' analyzed by the PHSA and 'public health data' analyzed by the BCCDC. This was observed to present challenges from a political perspective in discerning "who’s actually getting the 'right' answers" (IDI7). An added layer of complexity was reportedly rooted in how to communicate such evidence to the public and "public trust in the numbers" (IDI7), particularly as public understanding of what evidence is, how it is developed, and why it changes, can influence public perceptions of governance.

Finally, as one actor from within the research sector noted, organizationally and governance-wise, the system was "not very well set up to actually use research evidence…if we need to do better at using evidence in practice, we need to fix some of those things. And we actually know what a lot of those things are." For example , "there’s no science framework for how organizations work within that" and " governments shy away from setting science policy " (IDI11). This challenge was framed as having a macro-level dimension, as higher-level leadership structures were observed to not incentivize the development and effective use of research among constituent organizations, and also micro-level implications. From their perspective, researchers will struggle without such policy frameworks to obtain necessary data-sharing agreements with health authorities, nor will they be able to successfully navigate other barriers to conducting action-oriented research that informs policy and practice.

Similarly, a research actor perceived that the COVID-19 pandemic highlighted pre-existing fragmentation, "a pretty disjointed sort of enterprise" in how research is organized in the province:

I think pandemics need strong leadership and I think pandemic research response needed probably stronger leadership than it had. And I think that’s to do with [how] no one really knew who was in charge because no one really was given the role of being truly in charge of the research response (IDI14).

This individual underscored that, at the time of the interview, there were nearly 600 separate research projects being conducted in BC that focused on COVID-19. From their perspective, this reflected the need for more centralized direction to provide leadership, coordinate research efforts, and catalyze collaborations.

Overall, respondents perceived a lack of coordination and continuity across data sources, and a lack of explicit guidelines on evidence-use in the decision-making process, which resulted in a sense of fragmentation. The tension between the processes involved in research and the need for rapid decision-making was perceived as a barrier to using evidence to inform policy.

This study explored the use of evidence to inform early COVID-19 decision-making within British Columbia, Canada, from the perspectives of decision-makers themselves. Findings underscore the complexity of synthesizing and applying evidence (i.e., ‘scientific’ or research-based evidence most commonly discussed) to support public health policy in 'real-time', particularly in the context of public health crisis response. Despite a substantial and long-established literature on evidence-based clinical decision-making [ 23 , 24 ], understanding is more limited as to how public health crisis decision-making can be evidence-informed or evidence-based. By contributing to a growing global scholarship of retrospective examinations of COVID-19 decision-making processes [ 25 , 26 , 27 , 28 ], our study aimed to broaden this understanding and, thus, support the strengthening of public health emergency preparedness in Canada, and globally.

Specifically, based on our findings on evidence-based public health practice, we found that decision-makers clearly emphasized ‘evidence-based’ or ‘evidence-informed’ as meaning ‘scientific’ evidence. They acknowledged other forms of evidence such as professional expertise and contextual information as influencing factors. We identified four key points related to the process of evidence-use in BC's COVID-19 decision-making, with broader implications as well:

Role Differences: The tensions we observed primarily related to a lack of clarity among the various agencies involved as to their respective roles and responsibilities in a public health emergency, a finding that aligns with research on evidence-use in prior pandemics in Canada [ 29 ]. Relatedly, scientists and policy-makers experienced challenges with communication and information-flow between one another and the public, which may reflect their different values and standards, framing of issues and goals, and language [ 30 ].

Barriers to Evidence-Use: Coordination and consistency in how data are collected across jurisdictions reportedly impeded efficiency and timeliness of decision-making. Lancaster and Rhodes (2020) suggest that evidence itself should be treated as a process, rather than a commodity, in evidence-based practice [ 31 ]. Thus, shifting the dialogue from 'barriers to evidence use' to an approach that fosters dialogue across different forms of evidence and different actors in the process may be beneficial.

Use of Evidence in Public Health versus Medicine: Evidence-based public health can be conflated with the concept of evidence-based medicine, though these are distinct in the type of information that needs to be considered. While ‘research evidence’ was the primary type of evidence used, other important types of evidence informed policy decisions in the COVID-19 public health emergency—for example, previous experience, public values, and preferences. This concurs with Brownson’s (2009) framework of factors driving decision-making in evidence-based public health [ 32 ]. Namely, that a balance between multiple factors, situated in particular environmental and organizational context, shapes decision-making: 1) best available research evidence; 2) clients'/population characteristics, state, needs, values, and preferences; and 3) resources, including a practitioner’s expertise. Thus, any evaluation of evidence-use in public health policy must take into consideration this multiplicity of factors at play, and draw on frameworks specific to public health [ 33 ]. Moreover, public health decision-making requires much more attention to behavioural factors and non-clinical impacts, which is distinct from the largely biology-focused lens of evidence-based medicine.

Transparency: Many participants emphasized a lack of explanation about why certain decisions were made and a lack of understanding about who was involved in decisions and how those decisions were made. This point was confirmed by a recent report on lessons learned in BC during the COVID-19 pandemic in which the authors describe " the desire to know more about the reasons why decisions were taken " as a " recurring theme " (13:66). These findings point to a need for clear and transparent mechanisms for channeling evidence, irrespective of the form used, into public health crisis decision-making.

Our findings also pointed to challenges associated with the infrastructure for utilizing research evidence in BC policy-making, specifically a need for more centralized authority on the research side of the public health emergency response to avoid duplication of efforts and more effectively synthesize findings for efficient use. Yet, as a participant questioned, what is the realistic role of research in a public health crisis response? Generally, most evidence used to inform crisis response measures is local epidemiological data or modelling data [ 7 ]. As corroborated by our findings, challenges exist in coordinating data collection and synthesis of these local data across jurisdictions to inform 'real-time' decision-making, let alone to feed into primary research studies [ 34 ].

On the other hand, as was the case in the COVID-19 pandemic, a 'high noise' research environment soon became another challenge as data became available to researchers. Various mechanisms have been established to try and address these challenges amid the COVID-19 pandemic, both to synthesize scientific evidence globally and to create channels for research evidence to support timely decision-making. For instance: 1) research networks and collaborations are working to coordinate research efforts (e.g., COVID-END network [ 35 ]); 2) independent research panels or committees within jurisdictions provide scientific advice to inform decision-making; and 3) research foundations, funding agencies, and platforms for knowledge mobilization (e.g., academic journals) continue to streamline funding through targeted calls for COVID-19 research grant proposals, or for publication of COVID-19 research articles. While our findings describe the varied forms of evidence used in COVID-19 policy-making—beyond scientific evidence—they also point to the opportunity for further investments in infrastructure that coordinates, streamlines, and strengthens collaborations between health researchers and decision-makers that results in timely uptake of results into policy decisions.

Finally, in considering these findings, it is important to note the study's scope and limitations: We focused on evidence use in a single public health emergency, in a single province. Future research could expand this inquiry to a multi-site analysis of evidence-use in pandemic policy-making, with an eye to synthesizing lessons learned and best practices. Additionally, our sample of participants included only one elected official, so perspectives were limited from this type of role. The majority of participants were health officials who primarily referred to and discussed evidence as ‘scientific’ or research-based evidence. Further work could explore the facilitators and barriers to evidence-use from the perspectives of elected officials and Ministry personnel, particularly with respect to the forms of evidence—considered broadly—and other varied inputs, that shape decision-making in the public sphere. This could include a more in-depth examination of policy implementation and how the potential societal consequences of implementation factor into public health decision-making.

We found that the policy decisions made during the initial stages of the COVID-19 pandemic were perceived by actors in BC's response as informed by—not always based on—scientific evidence, specifically; however, decision-makers also considered other contextual factors and drew on prior pandemic-related experience to inform decision-making, as is common in evidence-based public health practice [ 32 ]. The respondents' experiences point to specific areas that need to be considered in planning for future public health emergencies, including information flow between policy-makers and researchers, coordination in how data are collected, and transparency in how decisions are made—all of which reflect a need to improve communication. Furthermore, shifting the discourse from evidence as a commodity to evidence-use as a process will be helpful in addressing barriers to evidence-use, as well as increasing understanding about the public health decision-making process as distinct from clinical medicine. Finally, there is a critical need for clear mechanisms that channel evidence (whether ‘scientific’, research-based, or otherwise) into health crisis decision-making, including identifying and communicating the decision-making process to those producing and synthesizing evidence. The COVID-19 pandemic experience is an opportunity to reflect on what needs to be done to guild our public health systems for the future [ 36 , 37 ]. Understanding and responding to the complexities of decision-making as we move forward, particularly with respect to the synthesis and use of evidence, can contribute to strengthening preparedness for future public health emergencies.

Availability of data and materials

The data that support the findings of this study are not publicly available to maintain the confidentiality of research participants.

The terms 'evidence-informed' and 'evidence-based' decision-making are used throughout this paper, though are distinct. The term 'evidence-informed' suggests that evidence is used and considered, though not necessarily solely determinative in decision-making [ 38 ].

The Provincial Health Services Authority (PHSA) works with the Ministry of Health (MOH) and regional health authorities to oversee the coordination and delivery of programs.

The Office of the Provincial Health Officer (PHO) has binding legal authority in the case of an emergency, and responsibility to monitor the health of BC’s population and provide independent advice to Ministers and public offices on public health issues.

The British Columbia Centre for Disease Control (BCCDC) is a program of the PHSA and provides provincial and national disease surveillance, detection, treatment, prevention, and consultation.

Abbreviations

British Columbia

British Columbia Centre for Disease Control

Coronavirus Disease 2019

Medical Health Officer

Ministry of Health

Provincial Health Officer

Provincial Health Services Authority

Severe Acute Respiratory Syndrome Coronavirus—2

University of British Columbia

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Acknowledgements

We would like to extend our gratitude to current and former members of the University of British Columbia Working Group on Health Systems Response to COVID-19 who contributed to various aspects of this study, including Shelly Keidar, Kristina Jenei, Sydney Whiteford, Dr. Md Zabir Hasan, Dr. David M. Patrick, Dr. Maxwell Cameron, Mahrukh Zahid, Dr. Yoel Kornreich, Dr. Tammi Whelan, Austin Wu, Shivangi Khanna, and Candice Ruck.

Financial support for this work was generously provided by the University of British Columbia's Faculty of Medicine (Grant No. GR004683) and Peter Wall Institute for Advanced Studies (Grant No. GR016648), as well as a Canadian Institutes of Health Research Operating Grant (Grant No. GR019157). These funding bodies were not involved in the design of the study, the collection, analysis or interpretation of data, or in the writing of this manuscript.

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Laura Jane Brubacher, Chris Y. Lovato, Veena Sriram, Michael Cheng & Peter Berman

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CYL, PB, and VS obtained funding for and designed the study. LJB, MC, and PB conducted data collection. LJB and VS analyzed the qualitative data. CYL and LJB collaboratively wrote the manuscript. All authors read and approved the final manuscript.

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This case study received the approval of the UBC Behavioural Research Ethics Board (Certificate # H20-02136). Participants provided written informed consent.

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Additional file 1..

Semi-structured interview guide [* = questions used for this specific study]

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Brubacher, L.J., Lovato, C.Y., Sriram, V. et al. The use of evidence to guide decision-making during the COVID-19 pandemic: divergent perspectives from a qualitative case study in British Columbia, Canada. Health Res Policy Sys 22 , 66 (2024). https://doi.org/10.1186/s12961-024-01146-2

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