PICOT Statement Paper and Literature Evaluation Table Assignments

PICOT Statement Paper and Literature Evaluation Table Assignments

 A literature review analyzes on Obesity based on PICOT Statement Paper and Literature Evaluation Table

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.PICOT Statement Paper and Literature Evaluation Table Assignments

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:PICOT Statement Paper and Literature Evaluation Table Assignments
1.Title page
2.Introduction section
3.A comparison of research questions
4.A comparison of sample populations
5.A comparison of the limitations of the study
6.A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.PICOT Statement Paper and Literature Evaluation Table Assignments

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This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.PICOT Statement Paper and Literature Evaluation Table Assignments

Literature Evaluation Table

Obesity

Student Name:

Change Topic (2-3 sentences):PICOT Statement Paper and Literature Evaluation Table Assignments

 

Criteria Article 1 Article 2
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article

 

Cochrane, A.J., Dick, B., King, N.A., Hills, A.P. & Kavanagh, D.J. BMC Public health. Retrieved from: https://doi.org/10.1186/s12889-017-4834-2 Foster, C., Moore, J.B., Singletary, C.R. and Skelton, J.A. Wiley Online Library. Retrieved from: http://onlinelibrary.wiley.com /doi/10.1111/cob.12230/full#publication-history

 

Article Title and Year Published

 

Developing dimensions for a multicomponent multidisciplinary approach to obesity management. Published in 2017PICOT Statement Paper and Literature Evaluation Table Assignments

 

Clinicalobesity. Physical activity and family-based obesity treatment. Published in 2017
Research Questions (Qualitative)/Hypothesis(Quantitative), and Purposes/Aim of Study The specific aims of this research were to operationalize a MCMD approach for obesity management and to develop a theoretical model that could guide the approach.

 

Identify family-centered strategies to be implemented by clinicians providing care for children and adolescents with obesity.PICOT Statement Paper and Literature Evaluation Table Assignments
Design (Type of Quantitative, or Type of Qualitative)

 

Qualitative study.

Used a computerized qualitative data management system, nVivo (QSR, N8, 2010), to construct conceptual frameworks from the large volume of data generated by the convergent interviews.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Employed both qualitative and quantitative studies.

 

Setting/Sample

 

The stakeholders involved in the study are patients, practitioners, educators, and researchers.

 

Children and adolescents with obesity.
Methods: Intervention/Instruments

 

We used qualitative action research methods, including convergent interviewing and observation, to assist the process of inquiry.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Methods utilized here are statements, summations and recommendations from professional organizations involved in child and adolescent physical activity, exercise and health.

 

Analysis

 

A preliminary step in the research analysis was to determine whether or not stakeholders believed that current obesity approaches have not been effective. A second step was to identify whether stakeholders endorsed the development of a multicomponent multidisciplinary (MCMD) approach for obesity management as recommended by position papers.PICOT Statement Paper and Literature Evaluation Table Assignments

 

The analysis of this review has focused on exercise and activity as a component of family-based obesity interventions, which also support the guidelines detailed here, including: encouraging and promoting increased physical and decreased sedentary activity; sports and organized/structured exercise programs; play and family activities; and high level of parent involvement.
Key Findings

 

The key finding of this research was to source problems and solutions reported by researchers, educators, policy influencers, practitioners and patients, to coproduce a MCMD approach to obesity management that addressed a number of practice issues or thematic concerns.

 

The key finds have been summarized guidelines by domains of: aerobic activity, muscle strengthening, bone strengthening, child developmental status and age, clinical settings, inclusion of family and recommendations for those with overweight and obesity.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Recommendations

 

Endorsed the development of a multicomponent multidisciplinary (MCMD) approach for obesity management as recommended by position papers.

 

60 min of PA a day for children/teens.

Most of the 60 min should be either moderate- or vigorous intensity aerobic PA.

Muscle-strengthening PA three times a week.PICOT Statement Paper and Literature Evaluation Table Assignments

Bone-strengthening PA at least three times a week.

Families need to set a positive example by leading an active lifestyle. Make PA part of your family's daily routine by taking family walks or playing active games together, make PA fun etc.

 

 

Explanation of How the Article Supports EBP/Capstone Project

 

 

This article seeks to explain the multidisciplinary approaches used in the EBP examination of skills, knowledge, beliefs, and recommendations by the stakeholders in managing obesity.

 

 

This article supports and explains how obesity can be prevented by providing guidance for the amount of physical activity that children should acquire and how many days a week aerobics, bone strengthening and muscle strengthening activities should occur.

 

 

 

Criteria Article 3 Article 4
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

Carayol. J., Chabert, C., Di Cara, A., Armensie, C., Vlasesia, A. & Haper. J. Nature Communications Article. Retrieved from: https://www.nature. com/articles/s41467-017-02182-z#Abs1PICOT Statement Paper and Literature Evaluation Table Assignments Martin, A., Booth, J.N., Laird, Y., Sproule, J., Reilly, J.J. & Saunders, D.H. Cochrane Database. Retrieved from: ttp://onlinelibrary.wiley.com/doi/ 10.1002/14651858.CD009728.

pub3/full

 

 

Article Title and Year Published

 

Protein quantitative trait locus study in obesity during weight-loss identifies a leptin regulator. Published in 2017 Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight. Published in 2018

 

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

 

How can proteome analysis provide new insights into the molecular mechanisms of complex traits like obesity?PICOT Statement Paper and Literature Evaluation Table Assignments Healthy weight interventions for improving thinking skills and school performance in children and teenagers with obesity? The aim of this Cochrane Review was to find out if healthy weight interventions can improve thinking skills and school performance in children and teenagers with obesity.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Design (Type of Quantitative, or Type of Qualitative)

 

Evidence based quantitative study. protein quantitative trait locus (pQTL) analysis.

 

Evidence based randomized and quasi-randomized controlled trials (RCTs) of behavioural interventions for weight management in children and adolescents with obesity or overweight.

 

Setting/Sample

 

932 Caucasian overweight or obese subjects were recruited in clinical centers from eight European countries. Participants followed an initial 8 weeks weight loss intervention on a low-calorie formula diet (LCD 3300 kJ/day, ca. 800 kcal) The mean weight loss during LCD was 10.3 kg.PICOT Statement Paper and Literature Evaluation Table Assignments Sample included 18 studies (59 records) of 2384 children and adolescents with obesity or overweight. Eight studies delivered physical activity interventions, seven studies combined physical activity programmes with healthy lifestyle education, and three studies delivered dietary interventions. The studies took place in 10 different countries. Two were carried out in children attending preschool, 11 were conducted in primary/elementary school-aged children, four studies were aimed at adolescents attending secondary/high school and one study included primary/elementary and secondary/high school-aged children.PICOT Statement Paper and Literature Evaluation Table Assignments
Methods: Intervention/Instruments

 

This study is part of the Diet, Obesity, and Genes (DIOGenes) intervention study. The method used here is a two-step pQTL-mapping strategy combined with eQTL mapping to limit the multiple testing burden and gain greater insight in the mechanism underlying the GWAS signal.

 

Did randomized and quasi-randomized controlled trials (RCTs) of behavioural interventions for weight management in children and adolescents with obesity or overweight.  Used CENTRAL, MEDLINE and 15 other databases.
Analysis

 

To address the issue of obesity, they design a large-scale protein quantitative trait locus (pQTL) analysis based on a set of 1129 proteins from 494 obese subjects before and after a weight loss intervention.PICOT Statement Paper and Literature Evaluation Table Assignments Physical activity and healthy eating benefit a healthy body weight and improve thinking skills and school performance in children with a healthy weight. Studies found that healthy-weight interventions can reduce obesity in children and teenagers, but it is unknown if and how well healthy-weight interventions can improve thinking skills and school performance in children and teenagers with obesity.

 

Key Findings

 

Using data from a dietary intervention study in obese patients this study has identified multiple cis-pQTL and trans-pQTL signals associated with BMI at baseline and after the intervention. The findings indicate that changing knowledge about nutrition, and changing the food offered in schools can lead to moderate improvements in general school achievement of teenagers with obesity, when compared to standard school practice. However, we need more high-quality healthy-weight interventions that test thinking skills and school performance, as well as health outcomes.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Recommendations

 

No specific recommendations are found in the study.

 

Future obesity treatment and prevention studies in clinical, school and community settings should consider assessing academic and cognitive as well as physical outcomes.

 

Explanation of How the Article Supports EBP/Capstone

 

The study has revealed that proteome analysis can provide new insights into the molecular mechanisms of complex traits like obesity.PICOT Statement Paper and Literature Evaluation Table Assignments This article may support my project to explain the importance of changing knowledge about nutrition, and changing the food offered compared to standard practice.

 

 

Criteria Article 5 Article 6
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

Torti, J., Liug, T., Borowitz, M., Johnson, JA., Sharma, AM., & Cambell-Shere, DL. BMC Family Practice. Retrieved from: https://link.springer.com/article/10.1186/s12875-017-0596-2

 

Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M.  Jama Network Journals. Retrieved from: https://jamanetwork.com

/journals/jama/fullarticle/1832542

 

Article Title and Year Published

 

The 5As team patient study: patient perspectives on the role of primary care in obesity management. Published in 2017

 

Prevalence of Childhood and Adult Obesity in the United States. Published in 2014

 

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study To assess whether lifestyle interventions to improve school achievement, cognitive function and/or future success in children and adolescents with obesity or overweight.

 

The aim of this article is to provide the most recent national estimates of childhood obesity, analyze trends in childhood obesity between 2003 and 2012, and provide detailed obesity trend analyses among adults.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Design (Type of Quantitative, or Type of Qualitative)

 

Qualitative research employing semi-structured interviews and thematic analysis.

 

National Health and Nutrition Examination Survey (NHANES 2011-2012) includes Data Source and Methods: Personal interviews, physical examinations, laboratory tests, nutritional assessment and DNA repository.

 

Setting/Sample

 

 

Sample of 28 patients from a cohort of 255 patients living with obesity and receiving care to support their weight management in a large Primary Care Network of family practices.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Weight and height or recumbent length were measured in 9120 participants in the 2011-2012 nationally representative National Health and Nutrition Examination Survey.

 

Methods: Intervention/Instruments

 

The 5As Team intervention study (5AsT) is a longitudinal randomized control trial with convergent mixed-methods evaluation.

 

The intervention method used is approved by NHANES physical examination which is approve by National Center for Health Statistics Research Ethics Review Board, weight and height were measured in a standardized fashion. For children younger than 2 years, recumbent length was measured instead of standing height. In 2011-2012, 1.5% (141) of examined participants were missing weight and height or length measurements.

 

Analysis

 

 

The patient-physician relationship plays an important role in the adequacy of obesity management. Patients have clear expectations of substantive conversations with their primary care team. Complex conditions affect weight and patients require assistance tailored to individual obesity drivers. Current services provide support in important ways but are not yet meeting patient needs for individual plans, advanced education, and follow-up opportunities.

 

Analyses of trends in obesity prevalence among middle and high school students have shown mixed results. Data from many countries have shown a decline or stabilization of obesity levels, especially in children. Analysis of time trends depends on what is chosen as the initial point of examination.PICOT Statement Paper and Literature Evaluation Table Assignments

 

 

Key Findings

 

This study helped understanding of patients’ perception of if, when, and how primary care clinicians and resources can support weight management.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Overall, there have been no significant changes in obesity prevalence in youth or adults between 2003-2004 and 2011-2012.
Recommendations

 

Patients expressed the need for weight management that is tailored to their individual set of comorbidities and provides strategies that are realistic and sustainable under their personal circumstances.

 

Obesity prevalence remains high and thus it is important to continue surveillance.
Explanation of How the Article Supports EBP/Capstone Project

 

This article highlights the importance of family based health programs and patients’ perspectives on the role of primary care in obesity management and their experience with existing resources, with a view to develop an improved understanding of this perspective, and more effective management strategies.

 

This article advocates the importance of continuous monitoring or surveillance of factors affecting obesity in US that enforces the need to implement and practice evidence based practices to curtail obesity in US

 

Criteria Article 7 Article 8
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

Swift, D. L., Johannsen, N. M., Lavie, C. J., Earnest, C. P., & Church, T. S. ELSEVIER Publication. Retrieved from: http://www.online pcd.com/article/S0033-0620(13)00165-5/fulltext

 

Skinner, A. C. & Skelton, J. A. The JAMA Network Journals. Retrieved from: https://jamanetwork.com/journals/jamapediatrics /article-abstract/1856480
Article Title and Year Published

 

The role of exercise and physical activity in weight loss and maintenance. Published in 2014 Prevalence and trends in obesity and severe obesity among children in the United States. Published in 2014

 

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

 

What are the roles of Physical Activity(PA) and Exercise Training (ET) in the prevention of weight gain, initial weight loss, weight maintenance, and the obesity paradox?

 

To examine the prevalence of obesity and severe obesity over time for 14 years of the continuous National Health and Nutrition Examination Survey, 1999 to 2012, and to examine differences in the trends by age, race/ethnicity, and sex.PICOT Statement Paper and Literature Evaluation Table Assignments
Design (Type of Quantitative, or Type of Qualitative)

 

Evidence based qualitative review on weight loss from different modalities of exercise training and physical activities.PICOT Statement Paper and Literature Evaluation Table Assignments Evidence based qualitative case studies taken from National Health and Nutrition Examination Survey includes Data Source and Methods.
Setting/Sample

 

This article settings shows the amounts of physical activity based on goals for maintaining health, prevention of weight gain, promoting clinically significant weight loss, and prevention of weight gain after successful weight loss based on the American College of Sports Medicine position stand of Appropriate Physical Activity Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults.

 

Representative sample (N = 26 690) of children in the United States, ages 2 to 19 years, in repeated cross-sections of the National Health and Nutrition Examination Survey, 1999 to 2012.
Methods: Intervention/Instruments

 

STRRIDE; Studies of a Targeted Risk Reduction Intervention through Defined Exercise. DREW; Diabetes Aerobic and Resistance Exercise.  PA; Physical activity and ET; exercise training are the methods employed in this study.

 

In this study, data came from the repeated cross-sections of the NHANES, 1999 to 2012. The NHANES is a stratified, multistage probability sample of the civilian, noninstitutionalized population of the United States. It includes an in-home questionnaire on a variety of demographic and health-related topics, a computer-assisted interview, and an examination component consisting of a thorough physical examination including measured height and weight.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Analysis

 

The weight loss from ET programs without caloric restriction are very heterogeneous, based on the present literature patients who engage in a PA program may experience modest weight loss.

 

Nationally representative data do not show any significant changes in obesity prevalence in the most recently available years. But trends across 1999 to 2012 are positive overall and within certain subgroups. Prevalence rates for all categories of obesity increased among most groups from 2009 to 2010 and 2011 to 2012, although these differences are not statistically significant.
Key Findings

 

Exercise training, regardless of weight loss, provides numerous health benefits especially for overweight and obese individuals at risk for CV diseases or with current CV conditions.

 

The findings reflect those of earlier work using the NHANES where younger children and nonwhite participants were at greater risk for obesity and severe obesity.  The greater prevalence rates of class 2 and class 3 obesity are particularly notable in adolescents and non-Hispanic black individuals. Additionally, overweight and obesity at all levels of severity are increasing significantly among Hispanic girls and non-Hispanic black boys.PICOT Statement Paper and Literature Evaluation Table Assignments

 

Recommendations

 

Clinicians should attempt to encourage participants to adhere to ET programs over the long-term regardless of the amount of weight loss achieved, as CV benefits are readily achieved in the absence of weight loss. Clinicians can also advocate the use of caloric restriction in weight management plans. Importantly, PA contributes to the negative energy balance seen with caloric restriction

 

Although our results suggest that the prevalence of obesity is continuing to level off, research is needed to determine which, if any, public health interventions can be credited with this stability.
 

Explanation of How the Article Supports EBP/Capstone

 

Throughout this literature review, from various ways, it reveals need for intervention, like that found in this EBP project, to combat rising levels of Obesity.

 

This article is very important to demonstrate because the high prevalence and upward trend of more severe forms of obesity will likely require more intensive interventions than can be done through widespread public health efforts.