Reflection on learning

2

Week 4: Translating Research into Practice

Leonard Einstein

Shannon Hawkins

Health Informatics and Information Systems NR706

11/15/2021

A long and healthy life is a dream for everyone on the planet. However, a variety of illnesses continue to evolve and shorten life expectancy. As a worldwide and regional research project, the Global Burden of Diseases (GBD) is concerned with overcoming the obstacles to achieving these objectives. As one of the main factors for GBD, randomized control trials (RCTs) are examined in this article.

The leading causes of the global/US burden of disease 

Research shows that diabetes is the primary cause of the global/US burden of illness in the US population. Due to the body's failure to create or properly use insulin, diabetes is a consequent state (IHME, n.d.). This causes ailments such as eyesight loss, heart disease, and renal failure by allowing more sugar to linger in the bloodstream. People with diabetes are diagnosed at a rate of 23 million each year, while an additional 7 million suffer from the condition but are unable to get a diagnosis. In the United States, according to a recent study, diabetes is more common among the elderly and minorities. In addition, as obesity and overweight rates grow, so does the prevalence of the disease.

Conduct a search for three randomized control trials (RCT) addressing an intervention to ease the burden of disease. 

Randomized control trials (RCT) 

Diabetes Prevention Program (DPP) is one of the Randomized Controlled Trials (RCT) established to reduce the burden of diabetes, which advocates for a lifestyle modification in order to shed pounds. Using psychological manipulation, the program persuades individuals to engage in physical activity and adopt healthier eating habits.

Finnish Diabetes Prevention (FDP) program has also been adopted by the United States in an effort to raise awareness about healthy lifestyles and diabetes prevention. The ability of the body to convert additional food into energy may be boosted by consuming meals with less fat and moderate sugar (Murray et al., 2018). This reduces the risk of diabetes and other cardiovascular problems by ensuring that no extra fats or carbohydrates are left unutilized.

The Reaching Out to Prevent Increases in Diabetes (RAPID) RCT aims to determine whether or not weight reduction is useful in preventing the onset of diabetes. Maintaining a healthy weight may help avoid diabetes, according to new research (Murray et al., 2018). As part of this scheme, anyone over the age of 40 will be obliged to get a health test every two years to verify that they are in good health (). The program considers that those under the age of 40 are more active and hence less likely to become obese.

Database source of each RCT.

1. In order to prevent or postpone the onset of type 2 diabetes, the Diabetes Prevention Program (DPP) is a collaboration of private and public institutions. 

www.cdc.gov/diabetes/prevention.

2. The RAPID RCT uses electronic bibliographic databases such as CENTRAL, EMBASE, and MEDLINE as its primary source of information.

www.alpha1.org/AlphasFriends-Family/Resources/... Finnish

3. The National Public Health Institute's ethics committee has certified the Diabetes Prevention (FDP) study in the United States.

care.diabetesjournals.org/content/26/12/3230

Brief evidence synthesis of the three-selected RCTs

Individuals with a moderate body weight were shown to be less likely to develop diabetes than those who were obese in the RAPID RCT (Kloda, Boruff & Cavalcante, 2020). According to the Finnish Diabetes Prevention Program (FDP), changes in eating habits may also reduce the risk of diabetes among Asian populations. Research shows that the Diabetes Prevention Program (DPP), which is focused on physical activity, reduces the chance of developing diabetes.

Dissemination of information to impact the point of care 

Information must be disseminated to the target group to ensure that care has an effect. My role as a DNP practice scholar is to ensure that I reach as many people as possible by holding meetings in social gatherings like schools, churches, and community clubs. 

References

Institute for Health Metrics and Evaluation (IHME). (n.d.). What is the global burden of disease (GBD)? Retrieved November 8, 2021, from 

http://www.healthdata.org/sites/default/files/files/infographics/GBD2015_Brief_Final_6_12_17.pdf.

Kloda, L. A., Boruff, J. T., & Cavalcante, A. S. (2020). A comparison of the patient, intervention, comparison, outcome (PICO) to a new, alternative clinical question framework for search skills, search results, and self-efficacy: a randomized controlled trial. Journal of the Medical Library Association: JMLA, 108(2), 185.

Murray, C. J., Mokdad, A. H., Ballestros, K., Echko, M., Glenn, S., Olsen, H. E., ... & Jonas, J. B. (2018). The state of US health, 1990-2016: Burden of diseases, injuries, and risk factors among US states. JAMA-Journal of the American Medical Association, 319(14), 1444-1472.