qualitative study analysis

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Literature Evaluation Table

Student Name: Nerissa Russell

Summary of Clinical Issue (200-250 words):

Obesity can be defined as weight that is more than what is deemed to be healthy for a given height. (CDC, n.d.). This is measured using the body mass index (BMI), which when it is greater than 30, which means that the persons weight is 35 to 45% higher than what is ideal for that person. According to the Center for Disease Control and Preventive (CDC), approximately 93.3 million adults living in America are obese. Obesity, which is a chronic disease, may result from a number of things, these include sedentary lifestyle leading to physical inactivity, eating disorders, overeating and genetics. This chronic disease can lead to a mirage of other chronic diseases, these include hypertension, heart disease, diabetes and respiratory problems such as obstructive sleep apnea. This results in a number of persons opting to do bariatric surgery after failed attempts to lose weight with dieting and exercise or failure to keep the weight off after losing it.

Bariatric surgery is an operation that helps the individual to lose weight by making changes to some areas of the digestive system which results in a smaller stomach resulting in the individual eating less. Or changes may be made to the small intestine where absorption of calories takes place. Before someone undergo this lifechanging procedure, they need to be prepared both mentally and physically.

My research looked at bariatric patient participating preoperative and postoperative bariatric education classes to determine if there was more success when compared to those who did not take part.

Reference

CDC (n.d.). Overweight & Obesity. Defining Adult Obesity. Retrieved from www.cdc.gov/obesity/adult/defining.html

NIH (n.d.) Definition & Facts for Bariatric Surgery. Retrieved from https//: www.niddk.nih.gov/health-information/weight- management/bariatric-surgery/definition-facts

PICOT Question:

When looking at bariatric patient (P), is partaking in preoperative and postoperative education classes (I), when comparing to those

not attending (O), increase loss of weight (C) over a period of six months (T).

Criteria	Article 1	Article 2	Article 3
APA-Formatted Article Citation with Permalink	Nakamura, T., & Mamary, E., (2013). A qualitative assessment of bariatric surgery preparation program. American Journal of Health Education, 44(5), 278-285. https://lopes.idm.oclc.org/login? url=https://search.ebscohost.com/login aspx?direct=true&db=eric&AN= EJ1022150&site=eds-live&scope=site	Mark, T., Sammyh, S. K., Claire, V. F., Pooja, S., Mark, D., & Katarina, K., (2017). Patient Experiences of a Bariatric Group of Program for Managing Obesity. A qualitative Interview Study. British Journal of Health Psychology.1.77. https://doiorg.lopes.idm.oclc.org /10.1111/bjhp.12218 https://lopes.idm.oclc.org/login? url=https://search.abscohost.com/ login.aspx?direct=true&AN=1205 99109&site=eds-live&scope=site	Paul, M. A., Opyrchal, J., Knakiewicz, M., Jaremkow, P., Duda-Barcik, L., Ibrahim, A. M. S., & Lin, S. J. (2020). The long- term effect of body contouring procedures on the quality of life in morbidly obese patients after bariatric surgery. PLoS ONE. 15(2) 1-10 https://doi-org.lopes.idm.oclc.org/10.1371/ journal.pone.0229138 https://lopes.idm.oclc.org/login?url=https:/ /search.ebscohost.com/login.aspx?direct= true&db=a9h&AN=141863075&site= eds-live&scope=site
How Does the Article Relate to the PICOT Question?	The article conveys to the PICOT question as It shows the role of the My True Body program in the planning for bariatric surgery.	It relates to the PICOT question because it pinpoints the actions of a group -based program that offers support to individuals as it relates to lifestyle changes and weight loss.	The article relates to the PICOT question because it looks at the effect of procedures on patients that had weight loss surgery and kept their weight for 1 year.
Quantitative, Qualitative (How do you know?)	It is a qualitative study because the method used to gather data is a qualitative one.	It is quantitative because it uses verbal data collection.	It is qualitative because it uses qualitative method to collect data.
Purpose Statement	The aim of the study is to evaluate how effective the therapeutic Patient Education Program is for patients that are legible for bariatric surgery.	The aim of the study is to look at how group -based program impact on the obese patient lifestyle.	The aim of the article was to assess the psychological effect of the procedure on the patients after having bariatric surgeries.
Research Question	Is the quality of life for patients admitted for geriatric patient improved by therapeutic patient education?	Does bariatric group programs provide psychological support to obese patients? How does this psychological support help in implementing lifestyle changes for obese patients?	How does contouring procedure affect the quality of life in morbid obese patient?
Outcome	Therapeutic Patient Education does have positive influence on obese patient’s quality of life during the preoperative period.	The bariatric group program positively impacted these individuals and help them to make lifestyle changes.	Majority of the patients were satisfied with their physical appearances.
Setting (Where did the study take place?)	In Italy University Hospital at the Center for Obesity Care.	Hospital and home	Hospital, out -patient and home.
Sample	159 obese patients that were diagnosed with conditions related to obesity.	20 obese participants, 12 females and 8 males.	Post bariatric patients undergoing contouring procedures.
Method	Use of the Short Form 36 Health Survey, the Binge Eating Scale.	Interviews	Questionnaires, survey, phones and emails
Key Findings of the Study	The Therapeutic Patient Education program helped in the improvement of the patients’ lives physically and mentally.	The group program was seen as an integral source that gave them the power to make the necessary lifestyle changes. The participants were able to identify themselves with other individual and build relationships.	There was a significant positive impact on how these individuals viewed their physical state after having the contouring procedures.
Recommendations of the Researcher	It was recommended that success predictors in therapeutic patient education be considered, to personalize the interventions and improve their efficiency.	Recommendation was made for these group-based programs to be used amongst these obese patients.	The recommendation is that more data will be collected on specific characteristics of patients that profoundly change their perceptions of their surgical outcomes.

Criteria	Article 4	Article 5	Article 6
APA-Formatted Article Citation with Permalink	Park, J., (2016). Self Determination and Motivation for Bariatric Surgery: A qualitative study. Psychology Health and Medicine (2016).: 21(7) : 800805.doi.org.lopes.idm.oclc.org/ 10.1080/13548506.2015.113.1996 https://lopes.idm.oclc.org/login? url= https://search.ebscohost.com/login .aspx?direct=true&db=ccm & AN= 118238120&site =eds-live &scope=site	Gade, H., Hjelmesaeth, J., Rosenvinge, J. H., & Friborg, O., (2014). Effectiveness of Cognitive Behavioral Therapy for Dysfunctional Eating among Patients Admitted for Bariatric Surgery. A Randomized Controlled Trial. Journal of Obesity. https://doi-org.lopes.idm.oclc.org /10.1155/2014/127936 https://lopes.idm.oclc.org/login?url=https: //search.ebscohost.com/login.aspx?direct= true&db=edsdoj&AN=edsdoj.052c4aa2 e0a947ab9a524188f2c49cf7&site=eds- live&scope=site https://lopes.idm.oclc.org/login? url=https://search.ebscohost.com/login. aspx?direct=true&db=edsdoj&AN= edsdoj.052c4aa2e0a947ab9a524188 f2c49cf7&site=eds-live&scope=site	Paul, L., van Rongen, S., van Hoeken, D., Deen, M., Klassen, R., Biter, L. U., Hoek, H. W., & van der Heiden, C., (2015). Does cognitive behavioral therapy strengthen the effect of bariatric surgery for obesity? Designs and methods of a Randomized study. Contemporary Clinical Trials, 42, 252-256. https://lopes,idm.oclc.org/login? url=https://search.ebscohost.com/ login.aspx?direct=true&db=edselp&AN= S1551714415000725&site=eds-live&scope=site
How Does the Article Relate to the PICOT Question?	It relates to the PICOT question because it looks at how individuals are motivated to undergo weight loss surgery.	The article spoke about individuals eligible for bariatric surgery, overcoming dysfunctional eating through cognitive behavioral therapy. It shows the influence of cognitive behavioral interventions on the pre-operative obese patients.	The article relates to PICOT as it determines that cognitive therapy before surgery contributes to healthy weight post-surgery.
Quantitative, Qualitative (How do you know?)	It is qualitative because it uses qualitative method to collect data.	It is quantitative because it looks at numerical assessment of the effectiveness behavioral interventions associated with binge eating.	The study is quantitative because it uses numerical values in assessing how effective cognitive behavioral therapy is prior to surgery.
Purpose Statement	The aim of the study is to look at hoe obese individuals gets the motivation to do weight loss surgery.	The study aimed at examining the efficiency of cognitive behavioral therapy in dealing with and overcoming dysfunctional eating.	The aim of the study was to see if cognitive behavioral therapy before surgery prevented undesirable effect after surgery.
Research Question	How are obese persons motivated to have weight loss surgery done?	Does cognitive behavioral intervention help to prevent uncontrolled eating?	Is there long- term effect of cognitive behavioral therapy before surgery on adherence to lifestyle changes after a bariatric surgery?
Outcome	Most patients recognized the decision to have surgery as their own. The more they thought about doing the surgery was the more they looked forward to the positive outcomes.	Obese individuals who were involved in behavioral therapy showed improvement in dysfunctional eating.	Primary outcome included weight reduction while secondary outcome included changes in eating behavior, quality of life and mental health.
Setting (Where did the study take place?)	Weight loss classes and home	A care center	2 hospitals and a mental health outpatient center.
Sample	Obese individuals who were planning on having surgery within 6 months.	102 obese persons, 33 males and 69 females who were admitted to have bariatric surgery.
Method	Interview.	Randomized control trial	Randomized control trial.
Key Findings of the Study	There were both intrinsic and extrinsic motivation. Some participants spoke about other persons being their reason for doing surgery while others were doing it because of their own personal goals.	There was a decrease in the amount of person who was affected by dysfunctional eating.	There was no finding recorded.
Recommendations of the Researcher	The recommendation was made for further study to be done using a larger sample size.	Further research need to be done to find out if a decrease in dysfunctional eating before surgery, gives extra benefit to bariatric surgery.	The recommendation was made for future trials to be carried out to explore the effectiveness of pre-operative versus post -operative mental treatment.