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PICOT Question Evaluation Table
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April 23, 2024Evaluation table
PICOT Question: The role of therapeutic patient empowerment (TPE) with an emphasis on healthy lifestyle activities compared to standard diabetes management strategies affects their health outcomes within six months.
| Criteria | Article 1 | Article 2 | Article 3 |
| APA formatted article citation with permalink | Coppola, A., Sasso, L., Bagnasco, A., Giustina, A., & Gazzaruso, C. (2016). The role of patient education in the prevention and management of type 2 diabetes: An overview. Endocrine, 53(1), 18-27. DOI: 10.1007/s12020-015-0775-7. | Cummings et al. (2016). Gastric bypass surgery vs intensive lifestyle and medical intervention for type 2 diabetes: The CROSSROADS randomised controlled trial. Diabetologia, 59(5), 945-953. DOI: 10.1007/s00125-016-3903-x | Dunbar et al. (2015). Challenges of diabetes prevention in the real world: Results and lessons from the Melbourne Diabetes Prevention Study. BMJ Open Diabetes Research and Care, 3(1), e000131. DOI: 10.1136/bmjdrc-2015-000131 |
| How does the article relate to the PICOT question? | The article discusses the function of patient edification in the treatment and prevention of diabetes mellitus | The study affirms that intensive lifestyle intervention that includes a healthier diet and being more physically active is integral in lowering diabetes-affiliated readmission rates and enhancing the patients’ quality of life. | The article reveals the effectiveness and feasibility of patient education especially on lifestyle interventions in enhancing type 2 diabetes outcomes |
| Quantitative, qualitative (how do you know) | Quantitative. The study employs meta-analysis and systematic review study design to methodically evaluate the findings of preceding studies to spring deductions on the body of exploration. | Qualitative. The study utilises focus groups and participant observations in collecting data, and the respondents are selected to meet a given allocation. | Qualitative. The study utilises focus groups and participant observations in collecting data, and the respondents are selected to meet a given allocation. |
| Purpose statement | The study attempts to discuss the themes, regularity and amount of interaction time between instructors and patient in self-management. | The study attempted to determine the efficacy of surgical and non-surgical care in type 2 diabetes treatment and prevention | The article sought to evaluate the efficacy and feasibility of the public health program in Australian people vulnerable to type 2 diabetes |
| Research question | What are the perfect features of an inclusive patient edification package in medical practice regarding the management of diabetes mellitus | Are lifestyle intercessions effective in the management and prevention of type 2 diabetes as compared to surgical interventions? | How can healthcare practitioners integrate quality enhancement methods in practice to enhance the efficacy of diabetes inhibition intervention |
| Outcome | The article concludes that patient education improves clinical, lifestyle and psychological outcomes of type 2 diabetes patients. | The study concluded that intensive lifestyle intervention that includes a healthier diet and being more physically active is integral in lowering diabetes-affiliated readmission rates and enhancing the patients’ quality of life. | The study concluded that lifestyle interventions are effective in minimising the risk of diabetes and CVD |
| Setting (where did the study take place) | N/A | The University of Washington, Group Health Research Institute (GHRI), and Fred Hutchinson Cancer Research Centre (FHCRC). | Deakin University |
| Sample | N/A | 32 | 342 |
| Method | Meta-analysis and systematic review | Experimental | Randomised controlled trial |
| Criteria | Article 4 | Article 5 | Article 6 |
| APA formatted article citation with permalink | Ikramuddin et al. (2018). Lifestyle intervention and medical management with vs without Roux-en-Y gastric bypass and control of haemoglobin A1c, LDL cholesterol, and systolic blood pressure at five years in the diabetes surgery study. Jama, 319(3), 266-278. DOI: 10.1001/jama.2017.20813 | Ostling eats al. (2017). The relationship between diabetes mellitus and 30-day readmission rates. Clinical Diabetes and Endocrinology, 3(1). DOI:10.1186/s40842-016-0040-x | Pandey, A. (2018). Non-adherence to Lifestyle (Diet and Exercise) Modification Recommendations among the Type 2 Diabetes Mellitus Patients in a Tertiary Level Hospital. Journal of Institute of Medicine, 41(2), 78-80. |
| How does the article relate to the PICOT question? | The study reviewed the effectiveness of intensive lifestyle intervention in type 2 diabetes treatment and prevention. It revealed that educating patients on healthy lifestyles is effective in lowering diabetes-related complications and improving overall patient wellbeing. | It relates to the PICOT question because it reveals the number or readmission due to lack of patient education on self-management especially among type 2 diabetes patients | The article relates to the PICOT question because it reveals that patients fail to adhere to recommended lifestyle practices due to lack of self-management education |
| Quantitative, qualitative (how do you know) | Qualitative. The study utilises focus groups and participant observations in collecting data, and the respondents are selected to meet a given allocation. | Quantitative. The study uses pre-existing statistical data methodically spring deductions to answer the research question | Qualitative. The study utilises focus groups and participant observations in collecting data, and the respondents are selected to meet a given allocation. |
| Purpose statement | The article designed to compare the stability of the Roux-en-Y gastric bypass applied to rigorous lifestyle and therapeutic care in attaining diabetes control targets. | To determine the frequency and source of 30-day readmission rates for patients with a primary and secondary analysis of DM to those without DM | The study examines the violation of lifestyle recommendations among diabetes mellitus patients in Kathmandu |
| Research question | What are the five-year results of gastric bypass Roux-en-Y compared to lifestyle and medicinal treatment in overweight adults with type 2 diabetes | Is there a relationship between standard readmission rates in patients with a primary or secondary diagnosis of DM | Can adhere to lifestyle modification recommendations reduce disease burden and reduce diabetes mellitus-affiliated morbidity and mortality |
| Outcome | The study concluded that revealed that educating patients on healthy lifestyles is effective in lowering diabetes-related complications and improving overall patient wellbeing. | The exhibited an upsurge in the national readmission rate of people diagnosed with diabetes, and this is attributable to lack of education on self-management | Low rate of adherence to recommended healthy lifestyle practices is credited to lack of adequate knowledge on the benefits of these healthy lifestyle practices |
| Setting (where did the study take place) | The University of Minnesota, Columbia University Medical Centre, National Taiwan University Hospital and Min Sheng General Hospital, and The Mayo Clinic | University of Michigan Health System | Kathmandu |
| Sample | 120 | N/A | 104 |
| Method | Experimental | Meta-analysis and systematic review | descriptive cross-sectional study |
References
American Diabetes Association (2018). Statistics About Diabetes. Retrieved from https://www.diabetes.org/resources/statistics/statistics-about-diabetes?language_content_entity=en
Canadian Diabetes Association. (2013). Definition, classification and diagnosis of diabetes, prediabetes and metabolic syndrome. Canadian Journal of Diabetes, 37, S294.
Coppola, A., Sasso, L., Bagnasco, A., Giustina, A., & Gazzaruso, C. (2016). The role of patient education in the prevention and management of type 2 diabetes: An overview. Endocrine, 53(1), 18-27. doi: 10.1007/s12020-015-0775-7.
Cummings, D. E., Arterburn, D. E., Westbrook, E. O., Kuzma, J. N., Stewart, S. D., Chan, C. P., … & Flum, D. R. (2016). Gastric bypass surgery vs intensive lifestyle and medical intervention for type 2 diabetes: The CROSSROADS randomised controlled trial. Diabetologia, 59(5), 945-953. doi: 10.1007/s00125-016-3903-x
Dunbar, J. A., Hernan, A. L., Janus, E. D., Vartiainen, E., Laatikainen, T., Versace, V. L., … & Mc Namara, K. P. (2015). Challenges of diabetes prevention in the real world: Results and lessons from the Melbourne Diabetes Prevention Study. BMJ Open Diabetes Research and Care, 3(1), e000131. doi: 10.1136/bmjdrc-2015-000131
Ikramuddin, S., Korner, J., Lee, W. J., Thomas, A. J., Connett, J. E., Bantle, J. P., … & Chong, K. (2018). Lifestyle intervention and medical management with vs without Roux-en-Y gastric bypass and control of hemoglobin A1c, LDL cholesterol, and systolic blood pressure at 5 years in the diabetes surgery study. Jama, 319(3), 266-278. doi: 10.1001/jama.2017.20813
Ostling, S., Wyckoff, J., Ciarkowski, S. L., Pai, C. W., Choe, H. M., Bahl, V., & Gianchandani, R. (2017). The relationship between diabetes mellitus and 30-day readmission rates. Clinical Diabetes and Endocrinology, 3(1), 3.
Pandey, A. (2018). Non-adherence to Lifestyle (Diet and Exercise) Modification Recommendations among the Type 2 Diabetes Mellitus Patients in a Tertiary Level Hospital. Journal of Institute of Medicine, 41(2), 78-80.