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Inclusion and exclusion criteria builder for PICO, PCC and SPIDER

Copy a builder table for your framework, fill one include and one exclude line per element, and test each line against a real abstract. Worked examples show PICO, PCC and SPIDER criteria for three different reviews.

Copying the builder is free. Entering criteria in the Systematic Review workspace costs 0 credits; a protocol drafted from them costs 3. The free plan has 45 credits a month and one review.

Inclusion and exclusion criteria are the rules that decide which studies a systematic review keeps. This builder turns your question into those rules, one element at a time, with tables for PICO (effects), PCC (scoping reviews) and SPIDER (qualitative evidence), each with a worked example. It is for anyone writing a protocol or screening form.

Start from a clear question. If yours is still a topic, work through how to write a research question first. Note that clinical trials also use "inclusion and exclusion criteria" for participants; this page is about criteria for studies in a review.

Which framework to use

Your questionFrameworkTypical review
Does X work, or what is its effect on Y?PICO: population, intervention, comparison, outcomeSystematic review, meta-analysis, rapid review
What is known about X, and how has it been studied?PCC: population, concept, contextScoping review, mapping review
How do people experience or view X?SPIDER: sample, phenomenon of interest, design, evaluation, research typeQualitative evidence synthesis

The scoping review vs systematic review guide explains the choice in more detail.

The criteria builder (copy this)

Copy the table for your framework. Write one include line and, only where needed, one exclude line per row. Add the last four rows to every review.

PICO builder

ElementIncludeExcludeHow a screener tests it
PopulationWho was studied, age, condition, setting
Intervention or exposureWhat was done or what people were exposed to
ComparisonWhat the intervention group was compared with
OutcomesWhich outcome, measured how, and when
Study designFrom the methods section
Publication typeFull paper, abstract only, editorial, protocol
LanguageOnly if limited
DatesOnly if limited, with a reason

PCC builder

ElementIncludeExcludeHow a screener tests it
PopulationWho the source is about
ConceptThe idea, intervention or phenomenon being mapped
ContextSetting, country, sector or time
Source typesStudies only, or also reports, guidelines, theses

SPIDER builder

ElementIncludeExcludeHow a screener tests it
SampleWho took part
Phenomenon of interestThe experience, behavior or decision studied
DesignInterviews, focus groups, ethnography, observation
EvaluationViews, experiences, attitudes, meanings
Research typeQualitative or mixed methods with a separate qualitative analysis

Worked examples (invented)

All three are invented examples for illustration.

PICO: night-shift naps

Question: In adult shift workers, does a planned nap during the night shift improve end-of-shift alertness compared with no nap?

ElementIncludeExclude
PopulationAdults (18+) working night or rotating shiftsSimulated shifts with no work duties
InterventionA planned nap of any length during the shiftNaps taken only before the shift
ComparisonNo nap, or breaks without sleepNo comparison group
OutcomesAlertness at end of shift (PVT, KSS)
Study designRandomized and non-randomized controlled studies, including crossoverCase series, cross-sectional surveys
Publication typeFull reports in journals or thesesConference abstracts with no full paper

PCC: digital tools for medication adherence

Question: What digital tools have been studied to support medication adherence in older adults living in the community? (The topic of the scoping example in scoping review vs systematic review.)

ElementIncludeExclude
PopulationAdults aged 65 or overStudies where results for over-65s cannot be separated
ConceptAny digital tool aimed at medication adherence: apps, text reminders, smart pill boxesTools for prescribing staff only
ContextCommunity and home settingsHospital inpatients, care homes
Source typesPrimary studies of any design, reviews, government reportsOpinion pieces

SPIDER: nurses' experience of night-shift naps

Question: How do nurses experience taking planned naps during night shifts?

ElementIncludeExclude
SampleRegistered nurses working night shiftsMixed staff groups where nurses' views cannot be separated
Phenomenon of interestTaking, or being unable to take, planned naps at workSleep outside work hours
DesignInterviews, focus groups, open-ended survey questions analyzed qualitativelyClosed-question surveys
EvaluationExperiences, views, barriers and facilitators
Research typeQualitative and mixed methods with a separate qualitative analysisQuantitative only

Rules that make criteria work

  1. One idea per line. "Adults with insomnia treated in primary care" is three criteria. Split them so a screener can tell which one failed.
  2. Testable from the text. A screener must be able to answer Yes, No or Unclear from the abstract or methods. "Clinically relevant outcomes" is not testable; "alertness measured with the PVT or KSS" is.
  3. No quality criteria. Don't screen for "high-quality studies". Assess risk of bias after inclusion, so readers see the whole evidence base. See levels of evidence for how designs are ranked.
  4. Exclusions add information. Use them for edge cases, not to repeat the inclusion line in the negative.
  5. Justify limits. State and justify every language, date or country limit in the protocol.
  6. Pilot, then fix. Two reviewers apply the criteria to 50 to 100 records. Rewrite any criterion they disagree on before formal screening, and date the change.

How to use the criteria in AI for Research

In the Systematic Review workspace, the criteria you enter drive the protocol draft, the AI screening suggestions and the methods draft.

  1. Choose New review, enter the question and pick the Type of review. The framework follows the type: PICO for systematic, rapid, meta-analysis and living reviews; PCC for scoping, mapping and realist reviews; SPIDER for qualitative evidence synthesis. You can switch it.
  2. Fill the framework fields. PICO gives Population, Intervention or exposure, Comparison and Outcomes; PCC gives Population, Concept and Context; SPIDER gives Sample, Phenomenon of interest, Design, Evaluation and Research type.
  3. Type your criteria under Include when and Exclude when, one per line, up to 40 of each.
  4. On the Search tab, the PubMed search box starts from your framework fields, each in parentheses, joined by AND. Rewrite it into a proper search string with synonyms and subject headings.
  5. When you screen, Suggest for the next 25 (1 credit) reads each record against these criteria and suggests include, exclude with a reason, or maybe.
What you enterWhat uses itCredits
Question, framework fields, Include when, Exclude whenThe protocol draft in PROSPERO's headings3 per draft
The same criteriaAI screening suggestions with a reason1 per 25 records
Framework fieldsThe starting PubMed search string0
Criteria, searches and countsThe methods section draft3 per draft

Copy the finished criteria into the systematic review protocol template and the screening forms.

What this builder and the workspace do not do

  • They do not choose your criteria. The builder gives structure and the AI drafts from what you type; the eligibility decisions are yours and your team's.
  • The starting search string is a rough start. It joins your framework words with AND; it does not add synonyms, MeSH terms or field tags. See systematic review search strategy.
  • AI suggestions read titles and abstracts only. They can't apply a criterion that needs the methods section, so expect more Maybe suggestions on design and outcomes.
  • Other frameworks are not built in. PICOS, PICOT, PICo, ECLIPSE and SPICE aren't framework options in the workspace; put their extra elements in the Include when and Exclude when lines.

Who it is for

Master's students planning a review dissertation (AI for a master's thesis), PhD candidates (AI tools for PhD students) and clinicians writing a review protocol (AI for medical research). The full workflow is on the systematic review software page.

Learn more

Last updated 2026-11-12

Questions

More in the help center.

What are inclusion and exclusion criteria in a systematic review?

Inclusion and exclusion criteria are the rules, fixed in the protocol before screening, that decide which studies enter a systematic review. Inclusion criteria state what a study must have, such as the population, intervention, outcome and design. Exclusion criteria name features that rule a study out even if it meets the inclusion criteria, such as an animal population or a conference abstract with no full paper.

What is the difference between PICO, PCC and SPIDER?

PICO (population, intervention, comparison, outcome) structures questions about the effect of an intervention. PCC (population, concept, context) structures scoping reviews that map what is known. SPIDER (sample, phenomenon of interest, design, evaluation, research type) structures qualitative evidence syntheses about experiences and views. Each element becomes a pair of inclusion and exclusion criteria in your protocol.

Are exclusion criteria just the opposite of inclusion criteria?

No. Restating an inclusion criterion in the negative adds nothing. Exclusion criteria should name specific cases that would otherwise slip through: an eligible population mixed with an ineligible one, a study design that looks similar, a publication type with too little detail, or a language or date limit. If an exclusion line simply negates an inclusion line, delete it.

How many inclusion and exclusion criteria should a review have?

As many as your framework has elements, plus study design, publication type, and any language or date limits: usually six to ten lines in each list. Fewer than that and screeners will disagree; many more and the criteria start to overlap. Each line should be testable from a title, abstract or methods section without guessing.

Should I exclude studies that are not in English?

Only if you can justify it, and you must state the limit in your protocol. Language restrictions can bias a review because some studies are published only in other languages. Many teams include all languages at title and abstract and use translation tools at full text. If you do limit languages, record excluded reports under that reason so readers see how many were affected.

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