Research Critiques and PICOT Statement Final Draft



Literature Evaluation Table

Student Name: Omolayo Fagbamila

Summary of Clinical Issue

Obesity is now presenting itself as an epidemic in both developed and underdeveloped nations. The condition is rising in developing countries despite having a long dates history of malnutrition and undernutrition in many of these states. How obesity imposes health threats is a wide discussion on its own, but the condition is associated with significantly poor health with progressing time, the associated financial burden cannot be ignored, and most important of all, the condition predisposes individual to greater risks of death. The etiology of the disease is vast and is most frequently associated with abnormal eating patterns and a sedentary lifestyle. Other conditions that can lead to obesity are hyperglycemia, hypertension, and other heart diseases. However, the disease prognosis is very unfortunate as many individuals suffering from obesity proceed to life-threatening health conditions. To reduce such consequences, advances in the medical field led to procedures like bariatric surgery to effectively manage obesity. Unlike traditional methods of obesity management by lifestyle training, bariatric surgery results have been more fast and promising. The phenomenon of the surgical procedure relies on surgical alterations of the digestive tracks leading to altered bowel habits and reduced surface area for nutrient uptake. Like other surgical procedures, bariatric surgery requires considerable medical evaluation of an individual to minimize the risk of adverse effects of the procedure. Although bariatric surgery enables an individual to attain desired goals more rapidly, the patient must adhere to healthy lifestyle modifications to sustain these changes for longer.

PICOT Question

Whether subjects undergoing bariatric surgery (P), when subjected to interventions like pre and postoperative information and guidance (I), in comparison to subjects who did not participate in such activities (C), is associated with greater weight reduction (O) over a timeframe of three months (T).


Article 1

Article 2

Article 3

APA-Formatted Article Citation with Permalink

Atwood, M., David, L., & Cassin, S. (2017). Cognitive-behavioral therapy for bariatric surgery patients. Metabolism and Pathophysiology of Bariatric Surgery, 595-603. 804011-9.00061-3

Cheroutre, C., Guerrien, A., & Rousseau, A. (2020). Contributing of cognitive-behavioral therapy in the context of bariatric surgery: A review of the literature. Obesity Surgery.

L. Moore, R. (2016). General surgery procedures in the obese patient with and without a history of bariatric surgery. Bariatric Surgery Complications, 119- 126. 43968-6_12

How Does the Article Relate to the PICOT Question?

This literary evidence shows the association amid the efficiency of cognitive and behavioral management interventions to achieve success overeating disorders in patients who may undergo bariatric surgery. This shows that the reviewed article addresses the PICOT question as it addresses the efficiency of cognitive-behavioral management techniques among the population of obese individuals that are in preoperative care of bariatric surgery.

The PICOT question is addressed as included study observes if managing eating disorders through cognitive and behavioral intervention results in the prolonged accomplishment of the surgical procedure.

The PICOT question is addressed as included study studies an association between TPE in patients of preoperative stage and improved quality of life in obese subjects.

Quantitative, Qualitative (How do you know?)

The article quantitatively derived the efficacy of cognitive-behavioral management intervention in patients listed for bariatric surgical procedure.

This article quantitatively studied the usefulness of conducting cognitive-behavioral therapy among participants undergoing a bariatric surgical procedure.

A qualitative method was adopted for this study as no numerical value was given in outcomes.

Purpose Statement

The purpose statement of the study is prescribed as the efficiency of cognitive and behavioral management options in minimizing obesity and associated conditions in patients with an eating disorder.

the purpose statement of the study is prescribed as the efficiency of cognitive and behavioral management and improved results after bariatric surgery

the purpose statement of the study is prescribed as the efficiency of the TPE program and associated postoperative results

Research Question

Through what mechanism does cognitive-behavioral management techniques lead to reduce the frequency of eating disorders

Will managing behavioral and cognitive stimulations of an eating disorder will be associated with prolonged desired results of bariatric surgery.

Is inducing TPE in preoperative stages of bariatric surgery will lead to improved outcomes in patients


For subjects that underwent cognitive and behavioral management, a reduction in body mass index was observed.

Cognitive and behavioral management intervention led to a significant reduction observed in the weight of the subjects. Additionally, other outcomes were improved mental and psychological health of the subjects, reduced abnormal eating disorders, and improved quality of life.

The intervention resulted in better life quality among the subjects when implied in the preoperative stage of surgical management.


(Where did the study take place?)

The reviewed study was carried out in Norway.

The setting was at various centers in the Netherlands

This study was conducted in a hospital for obesity management in Italy


The sampling included both genders, with 33 males and 69 females

A samples size of 128 participants was selected

A sample size of 159 participants was selected; additionally, all the subjects diagnosed with eating disorders.


The study design was parallel RCT


The study was initially conducted by completing the symptom checklist followed by a scale for eating disorders. Lastly, the form for the health survey was filled.

Key Findings of the Study

A decreased incidence of abnormal eating reduced with a reduction in weight and depression was observed as early as 10 weeks.

The study could not be completed, and no conclusions were drawn

The study observed that improvements in weight and improvements in mental health were seen as early as 8 weeks after initiation of TPE.

Recommendations of the Researcher

The researcher advises conducting more precise research that evaluates if the reduction in abnormal eating disorder leads to improved results after the bariatric surgery.

The researcher will aim to study the effects of intervention in both preoperative and postoperative settings.

The researchers suggested a need to carry out the importance and effectiveness of personalized management via TPE interventions.


Article 4

Article 5

Article 6

APA-Formatted Article Citation with Permalink

Taube-Schiff, M., Yufe, S., Dettmer, E., D'Agostino, N. M., & Sockalingam, S. (2016). Bridging the gap: Patient experiences following the transfer of care from a pediatric obesity management program to an adult bariatric surgery program. Bariatric Surgical Practice and Patient Care, 11(2), 67- 72. 8

Willmer, M., & Salzmann-Erikson, M. (2017). The only chance of a normal weight life a qualitative analysis of online forum discussions about bariatric surgery. Journal of Medical Internet Research.

Paul, L., van der Heiden, C., & Hoek, H. W. (2017). Cognitive-behavioral therapy and predictors of weight loss in bariatric surgery patients. Current opinion in psychiatry30(6), 474-479.

How Does the Article Relate to the PICOT Question?

This evidence reviewed the efficiency of support groups among the patient of bariatric surgery and its relationship with reduced weight and a better lifestyle, therefore, meets the PICOT question.

This article is in accordance with the PICOT question as it addresses both the pre and postoperative stage of bariatric surgery and online discussion.

This article is in the guidelines of the PICOT question as this study also evaluated the significance of cognitive and behavior therapy modalities and associated weight reduction in the preoperative stage of bariatric surgery.

Quantitative, Qualitative(How do you know?)

Research methodology explains that the qualitative research method is used to collect and analyze the data.

The qualitative research method is used as it is mentioned in the article.

The quantitative research method is being followed in this study as it follows an experimental study design.

Purpose Statement

The study purpose was to determine the efficiency of support group programs in reducing weight among patients of bariatric surgery.

This study purpose statement comprised of a collection of views and thoughts via the online medium in preoperative and postoperative stages of bariatric surgery.

The purpose of the study is to evaluate if cognitive and behavior therapy is associated with stable weight or reduction in weight in patients undergoing bariatric surgery.

Research Question

What is the efficiency of support group-based programs in the psychological condition of obese subjects undergoing bariatric surgery, and how it can be associated with an improved lifestyle?

What are the thoughts and experiences of bariatric surgery subjects collected via online platforms?

Whether cognitive and behavior management is associated with stabling and reducing the weight before bariatric surgery


Group settings lead to healthy lifestyle promotion among subjects

Variable response of bariatric surgery was seen in different people, a suggestion of mixed lifestyle improvement

20 – 30% individual reach weight stabilization


(Where did the study take place?)

The setting was conducted in the UK.

The research was carried out via online forums

The study was conducted in Philadephia, US


A sample population of diagnosed 20 obese subjects was collected

A sample included of 498 online posts was collected

Not mentioned


Open-ended semi-structured interview with one individual at a time

A cross-sectional study design was adopted

Systematic review

Key Findings of the Study

A support group program can empower subjects in making healthy lifestyle choices resulting in reduced weight and prolonged health.

Many participants expected a new and healthier life after surgery without making lifestyle modification.

Cognitive and behavioral management is associated with reduced weight preoperatively, and when continued after surgery, a more healthy life can be achieved.

Recommendations of the Researcher

More precise research on group-based efficiency in bariatric surgery was recommended.

It is pivotal that subjects of bariatric surgery must have approachable standards of care.

The researches suggest that cognitive and behavior therapy can reduce the risk of further poor health.


You did a good job overall on your Module 1 assignment! You selected a good topic and did a nice job describing the problem. You also did a good job developing your PICOT question.

You also did a good job selecting articles to help in your proposed research.

Please see my additional balloon comments noted throughout the paper above for feedback. Also, please remember to review the assignment guidelines and rubric completely to make certain all points are included. As you review the research method, please remember to include the specific method and detail used to conduct the research. Once the method used is identified, such as qualitative, then you can state interviews, or observational.

Continue to review APA 7th edition guidelines to assist in your formatting; you are doing a good job overall. I hope the corrections will be of help to you for next writing assignment. Once again, nice job! - Cherryl Llanos MSN, RN

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Please review formatting of the permalinks. .

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�You provided a good explanation of each article’s relation to the PICOT

�Good job thus far identifying type of research

�Purpose statements have been well stated.

�Good job identifying the research questions. This will assist in your future critiques

�Outcomes also presented well

�Remember to be more specific. Provide research setting in regards to center, unit, clinic, etc.


�Good start here, what was the specific method used to conduct the study?

Qualitative or quantitative and further supporting details.

�Findings have been discussed and key points noted

�Recommendations have also been well presented

�Good research articles

Review formatting of the permalinks

�Good supporting detail noted here as you further explain support of this research to the PICOT question.


�Purpose statements have been well stated here.

�Good job identifying the research questions for these articles. This will also assist in your future critiques for the course.

�Outcomes well noted.

�Remember to be more specific. Provide research setting in regards to center, unit, clinic, etc.

�Good start here, what was the specific method used to conduct the study?

Qualitative or quantitative and further supporting details.


�Overall, good job selecting your articles for the article search!

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