Research Critiques and PICOT Statement Final Draft

Research Critique Guidelines – Part II

Omolayo Fagbamila

Healthcare and Nursing College, Grand Canyon University

NRS-433V

 Prof. Cherryl Llanos

06/27/2021 

Research Critique Guidelines – Part II

Obesity is a global issue that has affected individuals of every age. Bariatric Surgery is one of the advanced evidence-based intervention to effectively manage obesity. Psychological nursing interventions provided pre and post-surgery are found to be very effective towards positive outcomes of bariatric surgery.

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).

Quantitative Studies

Background

The first study selected for this critique is the Examination of the effectiveness of a brief, adapted dialectical behavior therapy skills training group for bariatric surgical candidates. This study suggests that bariatric surgery remains one of the most valuable tools to combat obesity with promising results of reduced BMI. However, the results of bariatric surgery are considered to be temporary for a significant number of candidates as many relapses to their pre-operative weight due to a myriad of reasons. One aspect of this weight gain can be due to some pathological behavior patterns associated with excessive food consumption and therefore leading to weight gain (Delparte, et al., 2019). To tackle this, many researchers have advocated for the establishment of information, guidance, and providing support to patients for lifelong attainment of desired results of bariatric surgery. The rationale of this article was to determine the effectiveness of employing brief and adapted dialect-based therapy in terms of prolonged and persistent reduction of weight among candidates of bariatric surgery. The study hypothesized that people attending and adhering to DBT-ST in their pre-surgical period will result in better outcomes.

The second study which was added for quantitative critique is The Exchange of Social Support on Online Bariatric Surgery Discussion Forums: A Mixed-Methods Content Analysis. The study advocates that patient undergoing bariatric surgery can effectively manage psychological stressors through different support groups and psycho-educational interventions (Atwood, et al.,2018). The support groups provide information, guidance, and psychological support to patients to achieve favorable outcomes. This study used various online forums as support group mediums to assess the success of bariatric surgery with prolonged weight management. The rationale of this article was to evaluate the different kinds of support groups regarding bariatric surgery are found online and what is the success of these discussion groups based on the frequency of exchanging them.

How do these two articles support the nurse practice issue you chose?

The first study addresses the PICOT question which is focused on the pre and postoperative psycho-education as a mode of informational and educational intervention of the participants undergoing bariatric surgery (Delparte, et al., 2019). A quantitative evaluation of the study is related to the improved outcomes in the case of psychological disorders compensated with bouts of eating and relapses to weight gain.

The second study addresses the PICOT question and the nursing problem as it discusses the effectiveness of online support group among candidates of bariatric surgery and to assess its success by the frequency of exchanges made among the patients seeking support (Atwood, et al.,2018).

Method of Study:

1. State the methods of the two articles you are comparing and describe how they are different.

In the first article, Delparte, et al., (2019) recruited 95 Participants from a clinic of preoperative care . The participants were exposed to online intervention after dividing them into two groups based on intervention. The first group was of a dialect-based therapy session, whereas, the other group participants were treated as per usual guidelines (Delparte, et al., 2019). The two groups were assessed post-surgically via eating disorder examination questionnaire 6.0, binge eating scale, emotional eating scale, and clinical impairment assessment questionnaire 3.0. Statistical analysis was carried out via SPSS version 23. The second study by the authors used content analysis to carry out communication evaluation . The study gathered the posted messages in the online support group. The next step of data collection was to organize the data within an organized categorical framework (Atwood, et al.,2018). The third phase of data collection was based on providing explanations for each category to assist in result formation.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

The first study used a randomized control trial for the assessment and evaluation of the intervention. The study design is considered to be a higher hierarchy of evidence and provides grounds for establishing clinical intervention. However, the first selected study only recruited 95 participants. The sample size of the recruited population is not large enough to generalize the results (Delparte, et al., 2019). The second study used content analysis. This mode of research enabled the researcher to interpret and record communicable data into categories and patterns and is used to derive purposes behind communicative content. However, unlike randomized control trial, results obtained from the content analysis are not reliable for clinical intervention. The data and results of content analysis are highly prone to errors and form no theoretical base (Atwood, et al.,2018).

Results of Study

1. Summarize the key findings of each study in one or two comprehensive paragraphs .

The study showed the frequency and severity of eating disorders after individual undertake DBT presented with higher levels of eating disorders of 30% in comparison to 28% of the control group, however, there was a dramatic reduction in binge eating disorder of 19% in comparison to 27% leading to better outcomes of bariatric surgery (Delparte, et al., 2019). The second study showed that out of a total of 1412 messages posted in online support groups, 84.2% were seeking and providing social support, indicating the effectiveness in providing support to patients. Most of the posts in the pre-surgical period were related to emotional support 49% and information 38.9%. the data collected and analyzed showed that the frequency of exchange of online support groups has provided a forum for emotional support, information, sympathy, and willingness to help that has led to better outcomes of bariatric surgery (Atwood, et al.,2018).

2. What are the implications of the two studies you chose in nursing practice?

Both the studies adopted different modes of educational and support interventions for patients undergoing bariatric surgery. The first study showed variable results in the improvement of poor determinants of weight outcomes after bariatric surgery. The researcher suggests that the duration of 8 weeks is optimum for desired outcomes therefore an intervention based on 8 weeks' education would be suitable before and after bariatric surgery (Delparte, et al., 2019). The second study provided results based on content analysis which remains an unreliable source of testing efficacy but the presence of online support groups can provide sympathy, information, and emotional support (Atwood, et al.,2018). This mode of intervention will not be the basis of any treatment but there remains no harm in joining online mediums as a support group .

Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

The anticipated outcome for PICOT comparison was better and promising outcomes associated with bariatric surgery patients when exposed to interventions like guidance and informational assistance through psychoeducation and support groups. The question aimed to contrast the interventional group against a control group and study a comparative efficacy.

2. How do the outcomes of your chosen articles compare to your anticipated outcomes?

The first study in comparison to the PICOT question provided variable outcomes. Unlike the PICOT question, the first study found no significant relationship among the two cases and control groups (Delparte, et al., 2019). However, the study suggested a reduction of binge eating disorders in post-surgical patients. The second study used content analysis and suggested that online support groups are highly common among patients seeking emotional support through before and after bariatric surgery (Atwood, et al.,2018) however, due to the nature of the study, the efficacy of this intervention stays undetermine d.

References

Atwood, M. E., Friedman, A., Meisner, B. A., & Cassin, S. E. (2018). The exchange of social support on online bariatric surgery discussion forums: A mixed-methods content analysis. Health communication, 33(5), 628-635.

Delparte, C. A., Power, H. A., Gelinas, B. L., Oliver, A. M., Hart, R. D., & Wright, K. D. (2019). Examination of the effectiveness of a brief, adapted dialectical behavior therapy-skills training group for bariatric surgical candidates. Obesity surgery, 29(1), 252-261.

Hello Omolayo,

It was great to see your thoughts and ideas as you organized the research for your quantitative writing assignment.

You presented several good points as you summarize each study’s background.

It was also nice to see your discussion on your PICOT question, and support of each article. Please include further discussion on your PICOT intervention and comparison to each article intervention.. This is a critical component of the paper.

The discussion on each research method starts off well, please remember to identify if quantitative.

You did a good job discussing the findings and nursing implications.

You also presented a detailed discussion on the anticipated outcomes.

Please remember to include your concluding points to wrap up your critique!

Please see above for additional feedback noted in my bubble comments. Also, continue to review APA guidelines; you are presenting good efforts overall. Please refer to the APA essay template to assist in writing your paper. You are using the critiquing guidelines handout. I hope the corrections will be of help to you as you prepare for your Final Critique.

Nice job overall Omolayo!- Cherryl Llanos, MSN RN

�Good efforts here; however please note this is only a handout to be used as an outline to assist in writing your essay. Please use the APA 7th edition template to format your essay,

�Please change title of paper to reflect your research

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�Good job including your PICOT

�Nice job presenting the study’s background.

�Here you effectively presented the purpose and significance of the second study.

Nice job presenting the study’s background.

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�Clear points provided on each articles relation to your PICOT. Please include further discussion on your PICOT interventions and article interventions.

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

Qualitative or quantitative and further supporting details.

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

Qualitative or quantitative and further supporting details.

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

Qualitative or quantitative and further supporting details.

� The benefits and limitations have been well noted.

�APA is quite specific about the formatting of the document, including titles, page headers etc. You are presenting great efforts here.

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Please review throughout.

�You provided key detail on both research results and their implications!

�Good job pointing out your PICOT outcome.

�The outcomes have been clearly discussed. Good job here!