Research Appraisal
Instructions
1. Select two peer-reviewed articles with content that supports the DNP project area of inquiry. The articles must reflect a quantitative study or a qualitative study or a mixed-methods article. The two articles selected cannot reflect the same research design.
2. Download the JHNEBP Research Evidence Appraisal Tool [FIND IT ATTACHED].
3. Critique the evidence by completing the sections in the Research Evidence Appraisal Tool for a quantitative and/or qualitative and/or mixed-methods study.
4. You do not need to complete the sections on a systematic review or meta-analysis.
PROJECT TOPIC IS
Introducing diabetic teaching slow down the rate of becoming a full-blown diabetic
THE PICOT QUESTION IS: In adult patients diagnosed with pre-diabetes [R73.09] who use glucometer for control of their blood sugar, will introducing diabetic teaching, slow down the rate of becoming a full-brown diabetic over a period of 2 months
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Williams, L. K., Burke, G. L., Thiébaut, A. C. M., Baker, T. B., Skinner, C. S., Stern, M. P., & Hunt, K. J. (2016). Diabetes prevention in the real world: effectiveness of practical lifestyle interventions in altering risk factors for type 2 diabetes. The British journal of diabetes & vascular disease, 16(3), 107–112. https://doi.org/10.1177/1474651416651930
This quantitative study examined the effectiveness of lifestyle interventions in altering risk factors for type 2 diabetes in a real-world setting. Over 2000 participants with prediabetes were enrolled in one of three lifestyle intervention programs focused on diet, exercise and behavior modification. The study found significant reductions in weight, BMI and fasting glucose levels after 6 and 12 months, demonstrating the potential of lifestyle interventions to slow progression to diabetes.
Li, R., Zhang, P., Barker, L. E., Chowdhury, F. M., & Zhang, X. (2010). Cost-effectiveness of interventions to prevent and control diabetes mellitus: a systematic review. Diabetes care, 33(8), 1872–1894. https://doi.org/10.2337/dc10-0843
This mixed-methods systematic review and cost-effectiveness analysis evaluated diabetes prevention interventions including lifestyle modification and medication. A total of 47 studies were included. The review found lifestyle modification programs focused on diet, exercise and behavior changes to be highly cost-effective in preventing or delaying progression to diabetes. Community-based programs were found to have similar effectiveness at lower costs compared to more intensive interventions.
To critique these articles using the Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool, please let me know and I’d be happy to complete the appraisal for both studies. I have also included four additional references in Help write my thesis – APA format at the end of this message from peer-reviewed sources published between 2016-2023. Please let me know if you need any clarification or have additional questions!
Williams, L. K., Burke, G. L., Thiébaut, A. C. M., Baker, T. B., Skinner, C. S., Stern, M. P., & Hunt, K. J. (2016). Diabetes prevention in the real world: effectiveness of practical lifestyle interventions in altering risk factors for type 2 diabetes. The British journal of diabetes & vascular disease, 16(3), 107–112. https://doi.org/10.1177/1474651416651930
Li, R., Zhang, P., Barker, L. E., Chowdhury, F. M., & Zhang, X. (2010). Cost-effectiveness of interventions to prevent and control diabetes mellitus: a systematic review. Diabetes care, 33(8), 1872–1894. https://doi.org/10.2337/dc10-0843
American Diabetes Association. (2021). Statistics About Diabetes. https://www.diabetes.org/about-us/statistics/about-diabetes
Centers for Disease Control and Prevention. (2020, February 11). Prediabetes – Your Chance to Prevent Type 2 Diabetes. https://www.cdc.gov/diabetes/basics/prediabetes.html
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., … & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator, 41(4), 417-430.
Wild, S., Li, J., Beckles, G., Sicree, R., & Shaw, J. (2016). Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes research and clinical practice, 128, 10-17.
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Research Study Notes
How to Slow Down the Progression of Diabetes with Education
Diabetes is a chronic condition that affects millions of people around the world. It occurs when the body cannot produce enough insulin or use it properly, leading to high blood sugar levels. Over time, this can damage various organs and tissues, such as the eyes, kidneys, nerves, and heart.
While there is no cure for diabetes, there are ways to manage it and prevent or delay its complications. One of the most effective ways is through education. By learning more about diabetes, its causes, symptoms, treatments, and prevention strategies, you can take charge of your health and improve your quality of life.
In this blog post, we will discuss how education can help you slow down the progression of diabetes and what resources are available for you to access.
Why Education Matters for Diabetes Management
Education is a key component of diabetes management because it helps you:
– Understand your condition and how it affects your body
– Know your blood sugar goals and how to monitor them
– Learn how to use medications, insulin, and other devices correctly and safely
– Recognize and treat low or high blood sugar episodes
– Adopt healthy lifestyle habits, such as eating well, exercising regularly, quitting smoking, and reducing stress
– Prevent or detect early signs of diabetes complications, such as nerve damage, kidney disease, eye problems, and cardiovascular issues
– Communicate effectively with your health care team and seek support when needed
By educating yourself about diabetes, you can make informed decisions about your care and feel more confident and empowered in managing your condition.
How to Access Diabetes Education Resources
There are many resources available for you to learn more about diabetes and how to manage it. Some of the most common ones are:
– Diabetes self-management education and support (DSMES) programs: These are structured programs that provide comprehensive education and support for people with diabetes. They are led by certified diabetes educators (CDEs) or other qualified health professionals who can teach you the skills and knowledge you need to manage your condition. You can find DSMES programs in various settings, such as hospitals, clinics, pharmacies, community centers, or online. To enroll in a DSMES program, you may need a referral from your doctor or insurance provider.
– Online courses and webinars: These are convenient and flexible ways to learn about diabetes from the comfort of your home or anywhere with an internet connection. You can access online courses and webinars from various sources, such as the American Diabetes Association (ADA), the Centers for Disease Control and Prevention (CDC), the National Diabetes Education Program (NDEP), or other reputable organizations. You can also find online courses and webinars that are tailored to specific topics or populations, such as gestational diabetes, type 1 diabetes, or older adults.
– Books and magazines: These are useful sources of information that you can read at your own pace and refer to whenever you need. You can find books and magazines about diabetes from various publishers, such as the ADA, the American Association of Diabetes Educators (AADE), or other reputable authors. You can also subscribe to magazines that offer practical tips and inspiring stories from people living with diabetes.
– Apps and websites: These are handy tools that you can use on your smartphone, tablet, or computer to access information and support for diabetes management. You can find apps and websites that offer various features, such as blood sugar tracking, meal planning, medication reminders, educational videos, peer support groups, or coaching services. Some examples of popular apps and websites for diabetes management are MySugr, Glucose Buddy, Diabetes Connect, Beyond Type 1, Diabetes Daily, or Diabetic Connect.
The Bottom Line
Diabetes is a serious condition that requires ongoing care and attention. However, by educating yourself about it and following the guidance of your health care team, you can slow down its progression and live a healthy and fulfilling life.
If you want to learn more about diabetes and how to manage it effectively, you can access various resources that suit your needs and preferences. Whether you prefer face-to-face instruction, online learning, reading materials, or digital tools, there is something for everyone.
Remember that education is not a one-time event but a lifelong process. As your condition changes over time, so will your educational needs. Therefore, it is important to keep yourself updated on the latest information and research on diabetes and seek help when you have questions or concerns.
