NUR 705
Format for Critique of Published Quantitative Research
Reference:
Chia-Pei, C., Yun-Shing, P., Hsu-Huei, W., Hsiao-Yun, Y., & Mei-Yen, C. (2013). Health-promoting behavior is positively associated with diabetic control among type 2 diabetes patients. Open Journal of Nursing, 3(2), 274-280. doi.org/10.4236/ojn.2013.32037
1. Purpose of the article. What is the overall purpose of the article? Try to state this in one sentence.
The purpose of this article study was to identify the association between practicing health promoting behaviors and diabetic control among Type 2 Diabetes Mellitus (T2DM) patients.
2. Type of article. Is this article data-based, clinical, review or editorial?
The research study “Health-promoting behavior is positively associated with diabetic control among type 2 diabetes patients” is a data-based study.
3. Problem/Purpose/Aims/Research Questions/Hypotheses. Are these, or most of these items, clearly stated? Is the purpose clearly stated?
The research study overall was straightforward. The research problem, purpose, aims, research question was clearly stated. The purpose was clear and concise and agreed with the title. The research question for this particular research study was “Does promoting health promotion behaviors in Type 2 Diabetes Mellitus (T2DM) patients improve glycemic control and result in healthier living. However, rather than a hypothesis, the researchers posed a statement where they were interested in exploring the
Several nationwide programs and incentives were administered in the last couple of decades to promote awareness of diabetes and hopefully help prevent millions of Americans from developing diabetes. Health Agencies, such as World Health Organization (WHO) and Center of Disease Control and Prevention (CDC), have developed objectives to tackle diabetes. Some of these objectives include conducting surveillance and obtaining diabetes data to identify trends in the population, spreading awareness about the condition, and developing programs that will enhance diabetes care and ensure the longevity of the patients. Various programs have been developed but while some excel, others fail to benefit the lives of the patient.
The rate of diabetes in the United States is one of the highest compared to other developed countries. An estimate of 9.3% of the population have diabetes, of those with diabetes 27.8% have yet to be diagnosed (Centers for Disease Control and Prevention [CDC], 2014). This means that approximately 8.1 million people are currently living with diabetes, but are unaware of it. As of 2012, 12.3% of people with diabetes were 20 years old or older, the largest population diagnosed with diabetes were adults 65 years old or older. 25.9% of this population lives with diabetes (CDC, 2014). On a national level, the CDC have launched initiatives that focus on prevention and disease management. The National Diabetes Prevention Program is an example of one such initiative. This program focuses on lifestyle changes,
According to Rural Health Information Hub (2017), the fundamental purpose of disease prevention is to keep individuals healthy. One implements health promotion interventions in an effort to promote healthy behaviors and to decrease the risks of developing chronic illnesses (RHIH, 2017). According to the ADA (2016) individuals that participate in health promotion behaviors are more likely to have better health outcomes compared to those who do not. The EBP change project has shown that educating patients with prediabetes can increase diabetes knowledge and promote an increase in health promotion behaviors. The EBP change project outcome has indicated that participants who completed the 6-week diabetes education program were able to increase their knowledge regarding type 2 diabetes. Therefore, with the positive outcome of the EBP change project, the EBP change project site can incorporate certain aspects of the diabetes education program into their patient education to increase diabetes knowledge, picking healthier food options and participants in activities that would increase physical fitness.
The Objective for Healthy People 2020 is to significantly reduce the chances of the high risk population and the population who has the disease. The goal is try to implement a change in their lifestyle choices. Health People 2020 reports that “44.6 percent of adults aged 18 years and over who were at high risk for diabetes with prediabetes reported increasing their levels of physical activity in 2005-08.” The 2020 baseline objective in 2005-08 was at 44.6 percent and
Diabetes (DM) is one the many initiatives that Healthy People 2020 have been focusing on to reduce this disease morbidity and mortality rates throughout the communities. In the United States alone, the number of individuals diagnosed with diabetes has increased from 1.5 million in 1958 to 25.8 million in 2011. The Center for Disease and prevention (CDC) also estimates in the year 2011, 79 million people age 20 and over were noted to have pre-diabetes, in which the blood sugar was higher than normal levels, however, have not reached the level for a diagnosis of DM. Eleven percent of those individuals with pre-diabetic readings of raised blood glucose will progress in full blown diabetes a matter of three years. Healthy People 2020 have used evidence –based practices to aid in the prevention and treatment of diabetes. Evidence have shown by simply modifying one’s lifestyle such regular exercising and healthy eating have been recognized to effectively prevent or delay the onset of type 2 diabetes in high-risk persons. Case in point, the Diabetes Prevention Program research trial revealed that the utilization of lifestyle interferences had its utmost impact in elderly adults and was also effective in all racial groups.
Constructed Response Directions: Read each question carefully and write your response in the space provided following each question. Your responses will be evaluated on content accuracy and organization.
Evidence-based research was done in regards to combining diet and exercise programs to lower the risk of type II diabetes. They discovered that those that undertook these programs were able to see a decrease in periods of hypoglycemia and hyperglycemia and were able to maintain normoglycemic levels more easily. In addition they were able to decrease cardiovascular risk and lower blood pressure levels. (Healthy People 2020, 2014)
Diabetes is a chronic disease that requires constant self-care management practices among diabetic patients. The patients have to make decisions to stick to a strict diet and exercise plan, they also have to be involved in complex activities aimed towards their care and health. Diabetes self-management education provides patients with essential information and has been shown to have a positive impact on the health of patients. Self-management enhances patients with skills and knowledge and information for self-care. The problem focus for this project is lack of culturally diabetes self-management education for the diabetic Hispanic adult population who receive care at a free clinic in Indio, California. Patients who have diabetes need information about their behavior and diet plans to help in the management and maintenance
Health promotion is an important aspect of health care behaviors. As health care providers, we will find ourselves finding a lot of time and effort in educating to promote healthy living behaviors. To obtain the successful result of health promoting behaviors, adequate efforts much be from patients as well as health care providers (Dunphy, Winland-Brown, Porter, & Thomas, 2015).
The tools for the project plan includes a Demographic Survey Item from the Behavioral Risk Factor Surveillance Survey System (BRFSS) and a diabetic self-management (DMSQ) surveys questionnaire (Carter, Barba, Kautz, 2013). The Behavioral Risk Factor Surveillance System (BRFSS) is the nation's premier system of health-related telephone surveys that collect state data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services (CDC, 2015). Whereas, The Diabetes Self-Management Questionnaire (DSMQ) is an instrument that assesses diabetes self-care activities associated with glycaemic control (Schmitt, Gahr, Hermanns, Kulzer, Huber and Haak, 2013). The ulilization of both BRFSS
Creswell, (2009) defines a purpose statement as one that “conveys the overall intent of a proposed study in a sentence or several sentences” (p. 111). One of the greatest
First, the HBM insist individuals are likely to change behavior if they believe they are susceptible to certain condition, and the condition is severe enough. Cues to action provide a guide for individual to engage in the healthy behaviors. Benefits must overrule barriers, and the individual must have confidence that he or she can engage in this healthy behavior for the change to occur. To illustrate, one of the diabetes healthy people 2020 objective is to “Increase the proportion of adults with diabetes who perform self-blood glucose-monitoring at least once daily”
The review of literature section will define diabetes and prediabetes, identify the prevalence and major risk factors for diabetes, and present behavioral changes that can reduced the risk of developing diabetes. This section discusses the types of presentations and teaching methods that have been utilized in diabetes prevention and the health belief model. The final paragraphs in the review of literature present the learning theory and delivery method of instructional designs, which are ideal for a diabetes prevention program.
An individual's attitude towards his health influences his capacity to maintain an optimum level of health, prevent illness or recover from a disease. Understanding patient's attitude towards his condition is the key to establishing an effective health-related program for health promotion, disease prevention and disease management. Hence, different health behavior theories have emerged. All of these are designed to help the patient and his family to facilitate learning, adjustment and behavior change to improve his quality of life. ( Butts & Rich, 2011)
The main purpose of health promotion is to heighten people’s motivation to strive for optimal health, while assisting them in making lifestyle modifications that will help them advance their wellbeing to an ideal state. Modifications of the unfavorable way of living can be enabled through a