QOL also did not show any improvement and was very important regarding Diabetes Self-Management Education and an outcome to measure future trials. PICO and Formulating the Clinical Question: A Guided Exercise Background & Foreground Questions Many questions arise during patient care. Most of these patients also report a lower quality of life than those without chronic illnesses. Some articles many cover one part of your PICO and other articles may cover other parts of it. However, other participants from the study required more personalized information in meeting the daily struggles of living with the condition (Mardanian Dehkordi & Abdoli, 2017). Try words from your topic in these templates. In most cases, the studies found that even with the program is well implemented; it was evident that social, cultural, economic and ethnic practices will affect the lifestyle of these patients making it difficult for the application of diabetes self-management education to succeed (Wooley & Kinner, 2016). Population, Intervention, Comparator and Outcomes for evaluating the comparative efficacy and safety of glucose-lowering medications as add-on therapy to metformin for diabetics with or without a known history of heart failure Inclusion Exclusion Population Adults with type 2 diabetes … James Lind Alliance Type 1 diabetes Priority Setting Partnership . You consider PICO elements CINAHL headings suggestions. Conduct needs assessment, multidisciplinary approach, interactive teaching methods, and application of technology in improving Diabetes self-management education. The Meta-Analysis results indicated that there was a non-significant effect on the Diabetes Self-Management education on HbA1c in Africa-Americans. Pharmacotherapy for Long-term Control of Type II Diabetes Mellitus Jessie Hu, MS3 1/16/2013 Background PICO Question: In adult patients with DM Type II, does the use of glyburide as initial therapy provide better Hba1c control than metformin? Diabetes Management Role Of Health Education, Relation between Evidence Based Practice and the Quadruple Aim, Discussion- Cellular Processes and the Genetic Environment, Concepts of Neurological and Musculoskeletal Disorders – Part 2, Developing a Culture of Evidence-Based Practice, Sexually Transmitted Infection Case Study, Concepts of Neurological and Musculoskeletal Disorders, Tips for writing the best nursing assignment, How to Choose The Best Nursing Assignment Topic, Why You Need an Online Nursing Assignment Help. Part II- PICOT Diabetes Self-Management Education, Section 5: Literature Critique and Identification of Gaps. School of Education, Health and Human Behavior, Forming Focused Questions with a Specialty. PICO is a mnemonic used to help you clarify your clinical question. How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)? Which is the best study type that is also feasible? Ensure the use of appropriate physical space as a way of improving Diabetes Self-Management Education. Identifying Research Priorities about Treatments for Type 1 Diabetes . Which study type would give the highest quality evidence to answer the question? Academia.edu is a platform for academics to share research papers. How do teenagers (P) diagnosed with cancer (I) perceive chemotherapy and radiation treatments (O) during the first 6 months after diagnosis (T)? This is because they are less likely to have control over HbA1c than the non-Hispanic whites (Mardanian Dehkordi & Abdoli, 2017). What type of patient are you looking for? Mardanian Dehkordi & Abdoli, (2017), also found that the content of Diabetes Self-Management Education is an essential part of the care that calls for the delivery of appropriate education material to individuals. What do the results mean? How are Type 1 and Type 2 Diabetes different? OBJECTIVE This study analyzed narratives about experiences of real-time continuous glucose monitoring (CGM) in people with type 1 diabetes. This project has been developed so that funders and researchers can see which treatment research questions are important to people with type 1 diabetes, their family carers and healthcare professionals. As was found by one study, technological issues have always come in when it comes to telehealth diabetes education, which in the end affects the whole management system (Watson et al., 2018). Also (Watson et al., 2018) found that the use of technology such as telemedicine is a growth trend in Diabetes Self-Management Education, by ignoring the use of technology is also another aspect of improving the quality of life and management of diabetes. Wooley & Kinner, (2016) adds that Diabetes self-management Education will look at the different demands in the quality of life that include the emotional, physical, and social wellbeing of the individuals. Are women ages 25-40 (P) who take oral contraceptives (I) at greater risk for developing blood clots (O) compared with women ages 25-40 (P) who use IUDs for contraception (C) over a 5 year time frame (T)? What are the characteristics of your population? Concerning the various study in these reviews, multiple gaps were identified. Is essential that diabetes self-management education consider this, as it is part of treatment and management for this group, which forms the second largest number of diagnosed type 2 individuals. Is a colonoscopy combined with fecal occult blood testing (I) more accurate in detecting colon cancer (O) compared with a colonoscopy alone (C) in adults over age 50 (P)? The examples, below, are based on cases drawn from the second edition of the Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice [Online] (1). Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)? Foreground Questions What is the study type used? Some are general questions about a clinical problem or a disease process, e.g. Her rheumatologist suggested she start on Plaquenil for her joint pain, but she is interested in alternative therapies because she heard about success a neighbor had with turmeric tea. The standards are essential as they apply to educations in private practice and those that are situated in different multi-centered programs, including every other individual within the program (Grady & Gough, 2014). According to Cunningham et al., (2018) quality Diabetes self-management education is needed to ensure quality and support to help the diabetes educators in ensuring the provision of evidence-based education and self-management support. Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)? For example, Cunningham et al., (2018) found that the Type 2 diabetes was responsible for the growing morbidity and mortality issues whereby 2015, about 9.4% of the united states population were diagnosed with diabetes, about 95% of those diagnosed also it was found, had Type 2 diabetes (Cunningham et al., 2018). Pico Questions For Diabetes Anorexia And Diabetes Insipidus Vegetable Juice Recipes For Diabetics Uncontrolled Type 1 Diabetes With Hypoglycemic Coma Is Reported Vestige Food Supplement For Diabetes Vegan Diet Reverse Diabetes Va Claims Sleep Apnea Secondary Diabetes . To answer any question about improving health care outcomes, we need to know the population or patient group for which the treatments are used. Within the last 2 years both my mother and father have been diagnosed with this disease. Guide developed with assistance from S. Pruitt, student, SIUE School of Nursing, and 2014 URCA program assistant. Zhang & Chu, (2018) argues that Diabetes self-management Education goal is to ensure an increase in the individual’s self-efficacy when it comes to physical activity, self-efficacy to managing personal diet, management of stress, glucose monitoring among other necessary behavior and skills for the successful outcomes of diabetes. PICO QUESTION 2 PICO Question Type 1 diabetes is an autoimmune disease in which the pancreas produces little or no insulin (Klandorf & Stark, 2017). Our goal is within 90 days to decrease this percentage from 8.1% to 7.9% after the new diabetes education program is initiated. The type of clinical question is determined by the patient case scenario being presented, “In a 62 year-old female with right lower quadrant pain, does the absence of fever rule out appendicitis?”—Thus, you have a question of diagnosis. According to an analysis by Zhang & Chu, (2018) Diabetes, self-management Education participants demonstrated a reduction of HbA1c with an initial follow up, and reduction on attenuation to up to 0.24% at the follow-up points 4 or more months after the initial intervention (Cunningham et al., 2018). The research found that the differences in these structures weakened the capability of health and management of special diet. Does monitoring blood glucose 4 times a day (I) improve blood glucose control (O) in people with Type 1 diabetes (P) during the first six months after being diagnosed with the condition (T)? Also, the program is often implemented generally and ignores issues such as the years lived with diabetes, the stigma associated with newly diagnosed patients, and reliability of technology-assisted training. People that are found with diabetes are supposed to receive diabetes self-management education from the time they are diagnosed with type 2 diabetes; they are also supposed to be provided with an ongoing self-management support as is required. It is also evident that diabetes self-management education is most adhered to by high-class individuals as they are usually motivated when it comes to the maintenance of the diet. 5. Diabetes PICOT Paper- Quantitative Study. P = obese, male, type 2 diabetes Diabet es Mellitus, Type 2; … In conclusion, diabetes self-management education is essential when it comes to the improvement of the patient quality of life and health. The question first into PICO … A good PICO will be specific and define terms and outcomes if necessary. This section focuses on the medical management of type 2 diabetes. It can be helpful to classify your question based on the clinical domain(s) it falls under. Table 1. Quantitative using a descriptive phenomenological approach. However, when presenting the initial and general information regarding the management of diabetes, it was essential for those individuals that were diagnosed with diabetes. For example, Cunningham et al., (2018) found that the Type 2 diabetes was responsible for the growing morbidity and mortality issues whereby 2015, about 9.4% of the united states population were diagnosed with diabetes, about 95% of those diagnosed also it was found, had Type 2 diabetes … If you have clearly identified the main elements of your question using the PICO format, it will be easy to write your question statement. From the study, it was found that most participants complained that Diabetes Self-Management Education classes were mostly held without consideration of individual needs. If you can't locate articles about your PICO topic, try searching for one or two components first instead of all of them at once. A bad PICO is usually a background question disguised as a research question. While insulin can make living with Type 1 diabetes manageable, it does not cure the disease (Klandorf & Stark, 2017). Practice building your PICO questions here. Example 1: Does hand washing by healthcare providers reduce transmission of hospital-acquired infections? For adults over age 65 (P) does a daily 30 minute exercise regimen (I) reduce the future risk of heart attack (O) compared with no exercise regimen (C)? With a clear clinical question that lends itself to a focused integrative review, it provides a good example of how the new format will work. The study looked at Diabetes Self-management practices that are aimed at giving people with the Type 1 or 2 Diabetes with the confidence to actively manage the disease in conjunction with the healthcare provider. Examples: Background Questions: asks for general knowledge about a condition, test, or treatment. Weaver, R. R., Lemonde, M., Payman, N., & Goodman, W. M. The social, economic, and cultural resources were responsible for undermining the management of patient's diet among the low-income groups. However, the above review has indicated that diabetes self-management education is not only about providing training to individuals diagnosed with both type 1 and type 2 diabetes. The author argues that most case type 2 diabetes is associated with Microvascular complications that include neuropathy, retinopathy, and nephropathy. Video, a PICO question: ... LIMIT by article type/publication type, by level of evidence (link to screenshots on limiting) ... Truncation symbols in a database, such as "*" or "?" In__________ (P) how does ________ (I) compared to _______(C) influence _______ (O) over ______ (T)? A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. In this regard, the authors suggest three types of intervention measuring the quality of life; two of this also showed the improvements in the quality of life concerning Diabetes Self-management Education participants. In most cases, the patient would attend the classes as a mandatory requirement in receiving healthcare services from the diabetes center, and target endocrinology, however, did not consider their needs to have been counted for regarding the said classes (Mardanian Dehkordi & Abdoli, 2017). An aspect of healthcare like a test, disorder, or treatment. A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. To understand the patient's social, economic, and cultural influences to construct ways to ensure health capability, health, and chronic disease self-management. Watson, N., Acuna, D. G., Wardian, J. L., Cobb, E. C., Beavers, D., & Sauerwein, T. J. Diabetes Self-management Education was broadcast to Radolf Airforce Base, and the patient reported a lot of satisfaction in telehealth. In high school children (P), what is the effect of a nurse-led presentation on bullying (I) on a reduction in reported incidences of bullying (O) compared with no intervention (C) within a 6 month time frame (T)? Example 1 - Therapy Scenario: You have a female patient who has recently been diagnosed with SLE. For example: Diab* (to retrieve diabetes, diabetic, diabetogenic) Autis* (to retrieve autism, autistic) From the results, it was found that the current Diabetes Self-Management Educational approach practices do not meet the needs and expectations of the PWD attending different programs. 2. We asked two diabetes experts, Desmond Schatz, M.D., and Anne Peters, M.D., to share with us the most frequently asked questions … You need more details to make this a question worth researching. Diabetes self-management education was also influenced by other factors apart from the regular healthcare proactive, and it includes the social, economic, and cultural practices. For women under age 60 (P), does the daily use of 81mg low-dose Aspirin (I) reduce the future risk of stroke (O) compared with no usage of low-dose Aspirin (C)? This indicates that the content of the Diabetes Self-Management Education also matters if it is to be regarded as sufficient. question root: (who, what, where, when, how, why) and a verb. 1. The practice was found to be very useful and brought about positive results (Watson et al., 2018). It is essential to ensure a multi-disciplinary approach which can be used in the diabetes education and can, without doubt, ensure that there is proper delivery of diabetes management information by experts in different fields, in the end, this will maximize the learning process of each. What is the purpose of the study? Also, regarding their physical activity; Provision of ongoing education with a primary focus on the Glucose pattern management, behaviors and problem solving, which positively influences the levels of glucose and meet the challenges. 3. In this regard, specific information was asked for all participants when it comes to addressing their challenges. The above literature also provided a significant difference when it comes to Type 1 and types two prevalence of diabetes regarding race. The researcher investigated how social relationships, economic resources, economic circumstance, and dietary management was critical during diabetes self-management education. It is also essential to ensure that there is proper consideration of various demographic characters and learning and educations styles for the type of diabetes. set forth by the American Diabetes Association, it is now recommended for children under 19 years of age diagnosed with type 1 diabetes to strive to maintain an A1C level lower than 7.5% (ADA, 2014). They are thus standards that can be used in the areas of accreditation and recognition they also provide for the right guidance for the non-recognized, non-credited providers and healthcare programs (Reyes, Tripp-Reimer, Parker, Muller, & Laroche, 2017). A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. A bad PICO is usually a background question disguised as a research question. 4. Check out this guide to building a PICO question, developed by UNC. Cummingham, A.T., Crittendon, D. R., White, N., Mills, G.D., LaNoue, M.D. Although the rate of macrolide-refractory Mycoplasma pneumoniae (MRMP) has increased, systemic glucocorticoids as a treatment option has not been validated yet. This helps you target the right evidence to use in practice. These are some examples of PICO questions that fit to the framework. T: Timeframe, Type of Study, or Type of Question. Current about 12.7% of African Americans have been diagnosed by Type 2 diabetes. PICO guide from the Centre for Evidence Based Medicine. The purpose of this study was to assess the efficacy of glucocorticoids add-on in the treatment of MRMP … Is a yearly mammogram (I) more effective in detecting breast cancer (O) compared with a mammogram every 3 years (C) in women under age 50 (P)? Planning for the research related to Diabetes Introduction The basic tool in the formulation of an answerable clinical question is the PICO question that is, population, intervention, control, and outcome. (Weaver, Lemonde, Payman, & Goodman, 2014) Found that there is still a lot to be done when it comes to the implementation of the individualized approach to diabetes self-management education. Research Question III-1 (maternal health behaviors (e.g., breastfeeding, physical activity) as risk factors for type 2 diabetes) was rated as highest clinical benefit/importance. In present times, type 2 diabetes is also regarded as the seventh leading cause of death in the United States. Also, social influences profoundly influence the adherence to diet for many people in the medium group. 6. It may seem tempting to pick a very specific PICO question, but remember, for many nursing school assignments, you need to find existing literature. PICOT STATEMENT ON DIABETES 2 Picot Statement on Diabetes Abstract Diabetes has become a major health issue in the world over the last few decades. In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)? The researcher discovered that the ability to watch one's healthy diet and general lifestyle habits could help improve the primary care of people living with diabetes (Weaver, Lemonde, Payman, & Goodman, 2014). More studies should be done to understand the Diabetes Self-Management Education intervention characteristics and whether this can be used in improving any form of consistency in improving the HbA1c in this population. According to Weaver, Lemonde, Payman, & Goodman, (2014) Diabetes self-management Education will mean that people with the social, economic and cultural challenges will be able to conduct the required blood glucose monitoring, administering of medications, physical activity, management of diet and continued medical care. It acts as a framework, asking you to think specifically about different aspects of what you want to investigate. In patients with type 2 diabetes and obesity, is bariatric surgery more effective than standard medical therapy at increasing the probability of remission of diabetes? For example: • Diabetic control • Complications of diabetes • Hypoglycemia • Quality of life • Compliance • Cost So the question is: In teenage patients with Type 1 diabetes, will continuous subcutaneous insulin infusion be more effective in maintaining good diabetic control with few adverse events (etc) than multiple daily injections? For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)? Example Pico Questions On Diabetes Is Visalus Safe For Diabetics Lunch Ideas For Diabetics Uk Management Of Diabetes And Hyperglycemia In Hospitals Lunch Options For Diabetics Low Sugar Recipes For Diabetics Maple Syrup Diabetic Safe . PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a question statement. The researcher continues to prove that to these individuals that have lived with diabetes for more than a decade; the content was repetitive and too general. Diabetes self-management education is an essential element of care for all people that live with diabetes and those that are found to be at risk of developing it (Fain, 2017). In this regard, it is essential that healthcare providers learn to consider the way that they approach the Diabetes Self-management education. Using the example from the bottom-center we can start forming a research question: Is Chlorpropamide (intevention) more efficient than Metformin (comparator) in managing Diabetes Mellitus Type 2 (problem) for obese elderly patients (population)? Mycoplasma pneumoniae is one of the most common pathogens causing community acquired pneumonia in children. Does daily home blood pressure monitoring (I) influence compliance with medication regimens for hypertension (O) in adults over age 60 who have hypertension (P) during the first year after being diagnosed with the condition (T)? One of the main goals for Diabetes self-management Education is to ensure that the patient can control their Haemoglobin A1c ( HbA1c) that is a significant determinant of the average blood glucose in a couple of months. PICO Question Template Examples. A UNC Health Sciences Library guide about PICO questions within a specialty. This is the only way that they will be able to meet the needs of people living with diabetes as it is classified under a chronic illness. The PICO … *Note: It is not necessary to use every element in PICO or to have both a problem and population in your question. According to Zhang & Chu (2018), Meta-analyses has proven the impact of Diabetes self-management Education regarding glycaemic control and quality of life. Simplified Clinical Scenario A 42 yo woman presents with type II diabetes. Individuals living with diabetes stated that with the growing discoveries in technology, it is essential to ensure the use of audiovisuals and Management information systems technologies that help in the improvement of diabetes self-management education for different situation. 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