Benchmark - Capstone Project Change Proposal

Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Weller, S. C., Baer, R., Nash, A., & Perez, N. (2017). Discovering successful strategies for diabetic self-management: a qualitative comparative study. BMJ Open Diabetes Research and Care, 5(1), e000349. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5530238/

Ryninks, K., Sutton, E., Thomas, E., Jago, R., Shield, J. P., & Burren, C. P. (2015). Attitudes to exercise and diabetes in young people with type 1 diabetes mellitus: a qualitative analysis. PloS one, 10(10), e0137562.

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0137562

Fink, A., Fach, E. M., & Schröder, S. L. (2019). ‘Learning to shape life’–a qualitative study on the challenges posed by a diagnosis of diabetes mellitus type 2. International journal for equity in health, 18(1), 19.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346523/

Messina, J., Campbell, S., Morris, R., Eyles, E., & Sanders, C. (2017). A narrative systematic review of factors affecting diabetes prevention in primary care settings. PloS one, 12(5), e0177699.

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0177699

Article Title and Year Published

The article relates to the PICOT question as it describes the strategies that can be used in managing diabetes.

The article relates to the PICOT question as it discusses attitudes and exercises that can be used by young people with Type 1 Diabetes Mellitus.

The article relates to the PICOT question as it provides about challenges of diagnosis of diabetes mellitus type 2

The article relates to the PICOT question as it discusses the factors that affect diabetes prevention in a primary care setting.

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

What strategies can be used in diabetic self-management?

Aim: to explore patients lifestyle in good and poor control to identify practices and strategies that lead to a successful diabetes management

What’s young people’s attitudes to physical activity on glycaemic control in Type 1 Diabetes Mellitus

Aim: to investigate attitudes of young people to and understanding of physical activity on glycaemic control in Type 1 Diabetes Mellitus

What are the challenges associated with a diagnosis of type 2 diabetes for those affected

Aim: To investigate the challenges that are associated with type 2 diabetes diagnosis

What are the factors related to the delivery and uptake of type 2 diabetes prevention interventions

Aim: To understand the factors that are related to delivery and uptake of type 2 diabetes prevention intervention

Design (Type of Quantitative, or Type of Qualitative)

This article is qualitative research

This article is a qualitative analysis

This article is a qualitative study

This article is a narrative systematic review

Setting/Sample

Healthcare setting- university-affiliated Family Medicine Clinics in Galveston, Texas

The Bristol and Weston Paediatric Diabetes Service

Halle/Saale, Saxony-Anhalt, Germany

Healthcare setting

Methods: Intervention/Instruments

Open-ended questions

Use of focus groups

Interviews

Revision inclusion and exclusion criteria

Analysis

The ideas presented were coded and verified independently. AIC was acquired from patient medical records. The ideas and themes were also estimated for each three glycemic control groups

The focus groups were transcribed by a research assistant and the patient identifiable details were removed. Super-ordinate and master themes were developed through refining and clustering

Personal data was protected by pseudonyms. Data management and analyses were done with the use of MAXQDA software. Data was broken down into parts, examined and compared.

The traditional systematic reviews focused on the measure of effectiveness which helped in the provision of good quality evidence-based data. data analysis was guided by narrative synthesis and thematic analysis

Key Findings

Patients who did not their medications as prescribed were in poor control. Patients who tested two or more times a day were in good control.

Exercises helped in managing young people’s diabetes. Difficulties at school and misunderstandings were reported to impact diabetes in their life.

Diabetes mellitus type 2 affected professional and private life. The process of learning to shape life was the central phenomenon for the participants who were interviewed.

The risks of diabetes were linked with family history, obesity, and lifestyle. Other factors identified were diet and physical activity. Some participants stated that diabetes progression was linked to genetics, stress and social isolation while others believed that diabetes was widespread.

Recommendations

More emphasis on the importance of information and accuracy should be improved.

More opportunities should be provided to empower young people to take on responsibility for their Type 1 Diabetes

Structured diabetes education should be accessible to all persons with T2DM

Further research is needed for the prevention and optimal provision of knowledge for patients and professionals.

Explanation of How the Article Supports EBP/Capstone Project

It identified lifestyle strategies that can help manage type 2 diabetes.

It supports the project as it promoted awareness of the physical and psychological benefits of exercise in managing diabetes

It supports the project as it has provided recommendations on self-management to control diabetes.

It has identified factors that can be used in preventing diabetes in primary care.

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Glechner, A., Keuchel, L., Affengruber, L., Titscher, V., Sommer, I., Matyas, N., ... & Gartlehner, G. (2018). Effects of lifestyle changes on adults with prediabetes: A systematic review and meta-analysis. Primary care diabetes, 12(5), 393-408.

https://www.sciencedirect.com/science/article/pii/S1751991818301967

Chen, J., Jing, X., Liu, X., Volkmann, A. M., Chen, Y., Liu, Y., ... & Han, N. (2019). Assessment of factors affecting diabetes management in the City Changing Diabetes (CCD) study in Tianjin. PloS one, 14(2), e0209222.

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209222

Gehlawat, M., Naik, B. N., Lakshminarayanan, S., & Kar, S. S. (2018). Dietary practices and barriers to dietary modification among diabetics and hypertensives in a rural health service area of Puducherry: A qualitative study. International Journal of Health & Allied Sciences, 7(3), 139.

http://www.ijhas.in/article.asp?issn=2278-344X;year=2018;volume=7;issue=3;spage=139;epage=144;aulast=Gehlawat

Worku, A., Abebe, S. M., & Wassie, M. M. (2015). Dietary practice and associated factors among type 2 diabetic patients: a cross sectional hospital based study, Addis Ababa, Ethiopia. SpringerPlus, 4(1), 15.

https://springerplus.springeropen.com/articles/10.1186/s40064-015-0785-1

Article Title and Year Published

The article relates to the PICOT question as it discusses the effects that lifestyle changes on prediabetes in adults.

The article relates to the PICOT question as it assesses the factors that affect the management of diabetes.

The article relates to the PICOT question as it describes the dietary practices and barriers that exist in modifying diet among diabetic patients

The article relates to the PICOT question it assesses about the dietary practices and factors that are associated with type 2 diabetic patients

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

What are the effects of lifestyle changes on adults with prediabetes

Aim: to assess lifestyle intervention in comparison with treatment in people with prediabetes

What are the factors that affect diabetes management in the City Changing Diabetes in Tianjin

Aim: identification of local levels of vulnerability among patients with Type-11 diabetes in Tianjin

What are the dietary practices and barriers presented to dietary modification among diabetes hypertensive

Aim: to describe awareness of healthy dietary practices among diabetic patients

What are the dietary practice and associated factors among type 2 diabetic patients

Aim: To describe the dietary management amongst type 2 diabetic patients

Design (Type of Quantitative, or Type of Qualitative)

This article is a meta-analysis research

This article is qualitative research

This article is qualitative research

This article is a cross-sectional research

Setting/Sample

Healthcare setting

Healthcare setting in Tianjin

Healthcare setting

Outpatient Department of Yekatit 12 Medical College Hospital, Addis Ababa, Ethiopia

Methods: Intervention/Instruments

Literature analysis

Interview

Focus group discussion

Use of questionnaire and interview

Analysis

Evidence was summarized by a narrative format due to the insufficiency of data for meta-analysis. Publication bias was assessed using funnel plots, Egger’s regression intercept and Kendall’s S static.

The records were transcribed into text and imported into NVivo software. It was analyzed according to TCA.

Transcripts were reviewed independently by the authors by the iterative process. intuitive coding was used for manual content analysis

Data were analyzed manually for completeness. The independent variables were selected into the model-based in the literature, conceptual framework and effect on their analysis

Key Findings

Individuals with prediabetes who received lifestyle intervention had a 54% lower risk of progression to type 2 diabetes than people receiving the usual treatment.

After summarization of themes, it was concluded that certain situations influenced wellbeing, health or emotions. Low literacy was identified as a factor that limited the ability of participants to manage their disease effectively.

The dietary modification was identified as essential if it makes an impact on sugar control. Support from family members was identified as a determinant of change in dietary behavior.

21.4% of the population had poor dietary practice. 16.6% of the respondents provided that foods were not prepared based on their disease.

Recommendations

Individuals with type 2 diabetes should consider lifestyle intervention as it is a safe and cost-effective means.

Specific interventions that target an individual patient, family, community and society are needed in improving diabetes control

Individuals with chronic diseases such as diabetes should eradicate barriers such as consuming unhealthy foods.

Healthcare services should empower patients to heal themselves by facilitating lifestyle changes through the use of health promotion.

Explanation of How the Article Supports EBP/Capstone

It has provided that lifestyle intervention is the safest method that can be used in reducing diabetes.

It supports the capstone as it has provided interventions that can be used in improving diabetes control

It has provided the importance of dietary self-management in controlling diabetes

It was suggested that the production of vegetables and fruits will help in reducing diabetes.