Feb 23, 2024 NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
Literature Evaluation Table
Learner Name:
PICOT: In African American females aged 55 years and above with osteoarthritis, does the use of structured intervention including breathing exercises, postures and meditation for six months improve pain and sleep problem as compared to usual care?
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
Article Title and Year Published
Research Questions/ Hypothesis, and Purpose/Aim of Study
Design (Quantitative, Qualitative, or other)
Setting/Sample
Methods: Intervention/ Instruments
Analysis/Data Collection
Outcomes/Key Findings
Recommendations
Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal
Bennell, K. L., Schwartz, S., Teo, P. L., Hawkins, S., Mackenzie, D., McManus, F., Lamb, K. E., Kimp, A. J., Metcalf, B., Hunter, D. J., & Hinman, R. S. Annals of Internal Medicine, https://doi.org/10.7326/M22-1761
Effectiveness of an Unsupervised Online Yoga Program on Pain and Function in People With Knee Osteoarthritis. 2022
What is the effectiveness of unsupervised online yoga program in patients with knee osteoarthritis?
Quantitative, randomized clinical trial
212 adults with symptomatic knee osteoarthritis
Patients in both control and intervention groups received online osteoarthritis information. The yoga group accessed an unsupervised online yoga program for 12 weeks, 1 video per week and each session performed 3 times per week.
Quantitative methods of data analysis on outcome measures such as changes in knee pain while walking and physical function was analyzed. The other sets of data obtained for analysis included anxiety, overall knee pain, stiffness, depression, global change, stress, self-efficacy, fear of movement, and quality of life.
Yoga improved function but not knee pain during walking. More of the yoga participants achieved clinically significant in primary and secondary outcomes. At 12 weeks, there were improvements in quality of life, knee stiffness, and self-efficacy in the yoga group as compared to intervention group.
Unsupervised yoga programs should be incorporated into osteoarthritis treatment to improve outcomes. Future studies to focus on the impact on larger sample sizes.
The article shows that yoga improves outcomes such as pain, anxiety, depression, and quality of life among patients with osteoarthritis. The improvements also led to better quality sleep for these patients.
de Orleans Casagrande, P., Coimbra, D. R., de Souza, L. C., & Andrade, A. PM & R: The Journal of Injury, Function, and Rehabilitation. https://doi.org/10.1002/pmrj.12867
Effects of yoga on depressive symptoms, anxiety, sleep quality, and mood in patients with rheumatic diseases: Systematic review and meta-analysis. 2022
What are the effects of yoga on depressive symptoms, sleep, anxiety, and mood of patients with rheumatic diseases?
Quantitative, systematic review and meta-analysis
27 studies were used for qualitative analysis and 18 studies for meta-analysis.
Searches for relevant studies were performed in databases that included Web of Science, Scopus, SportDiscus, EBSCO, PubMed, and Cochrane.
Data was extracted from the articles using PICOS (participants, intervention, comparison, outcome, and study strategy).
The meta-analysis showed that yoga decreased depressive symptoms and improved sleep quality. There was also improvement in anxiety symptoms among the participants.
Further studies on the effectiveness of yoga are needed due to the studies in this topic having high risk of bias
The article supports the effectiveness of yoga in inflammatory diseases such as osteoarthritis and rheumatic diseases. It shows that it improves anxiety, depressive symptoms, and sleep quality, hence supporting the project focus.
Deepeshwar, S., Tanwar, M., Kavuri, V., & Budhi, R. B. Frontiers in Psychiatry, 9. https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00180
Effect of Yoga Based Lifestyle Intervention on Patients With Knee Osteoarthritis: A Randomized Controlled Trial. 2018
What is the effect of integrated approach of yoga therapy intervention on individuals with knee osteoarthritis?
Quantitative, randomized controlled trial
66 individuals pre-diagnosed with knee osteoarthritis aged between 30 and 75 years.
Participants were randomized into either control or intervention group. The control group received integrated approach of yoga therapy for 1 week at yoga center while the control group maintained their normal lifestyles.
Data on outcome measures such as falls and self-efficacy were obtained on first and seventh day. The tools utilized included the Falls Efficacy Scale, Timed Up and Go Test, Handgrip Strength Test, Sit-to-Stand test, and right and left flexion and extension tests. Data analysis was done using SPSS version 20.00. Repeated measures of Analysis of Variance were used for outcome measures with two factors.
Yoga led to significant reductions in Timed Up and Go Test, Right and Left Flexion, and considerable improvements in Left Hand Grip Strength among the intervention group as compared to intervention group.
Yoga may be an effective intervention to be adopted in improving outcomes in patients with osteoarthritis.
The article supports my proposed project by showing the benefits of yoga for patients with osteoarthritis. It shows that it improves functional status, which can result in minimal depressive symptoms such as pain and altered sleep processes.
Gautam, S., Tolahunase, M., Kumar, U., & Dada, R. Restorative Neurology and Neuroscience, 37(1), 41–59. https://doi.org/10.3233/RNN-180875
Impact of yoga based mind-body intervention on systemic inflammatory markers and co-morbid depression in active Rheumatoid arthritis patients: A randomized controlled trial. 2019
What is the effect of yoga based mind body intervention on disease specific inflammatory markers and depression severity in patients with rheumatoid arthritis on routine disease modifying anti-rheumatic drugs therapy?
Quantitative, randomized controlled trial
72 patients with rheumatoid arthritis
The participants were randomized into control and intervention groups. Blood samples were obtained before and after the study.
Data analysis was performed using IBM statistics for Macintosh, Version 25.0. A p value of<0.05 was considered statistically significant. Chi-square test and Fisher’s exact tests were used to compare categorical characteristics at baseline. Wilcoxon rank-sum test was used to compare normally distributed continuous variables and nonparametric continuous data. T-tests were used to determine the different within groups.
The yoga-based mind body intervention group demonstrated significant decrease in severity of rheumatoid arthritis as compared to the control group. There were reduction in various systemic inflammatory markers and disease activity score 28 erythrocyte sedimentation rate.
Yoga may be adopted as adjunct or complementary therapy in patients with inflammatory arthritis.
This study supports my project by demonstrating the effectiveness of yoga in inflammatory processes involved in osteoarthritis. The research also demonstrates the efficacy and feasibility of yoga use in osteoarthritis.
Kuntz, A. B., Chopp-Hurley, J. N., Brenneman, E. C., Karampatos, S., Wiebenga, E. G., Adachi, J. D., Noseworthy, M. D., & Maly, M. R. PLOS ONE, 13(4), e0195653. https://doi.org/10.1371/journal.pone.0195653
Efficacy of a biomechanically-based yoga exercise program in knee osteoarthritis: A randomized controlled trial. 2018
The aim of this study was to compare the effectiveness of a biomechanically-based yoga exercise program with traditional exercise and no-exercise attention equivalent control in patients with knee osteoarthritis.
Quantitative, randomized controlled trial
It was conducted in a community in Southwestern Ontario, Canada. The participants were 31 women with symptomatic knee osteoarthritis
Participants were allocated either into one of the three supervised interventions. They included biomedically-based yoga exercises, traditional exercises, and no intervention.
Descriptive statistics were calculated. ANOVA was calculated to detect differences in BMI, age, and LEFS scores between groups at baseline. An ANCOVA was used to detect between-group differences for the outcomes. Sidak adjustments were done to account for multiple comparisons between groups. Shapiro-Wilk tests were used to assess data distribution visually.
The participants in the biomedically-based yoga group demonstrated greater improvements in pain scores, self-reported physical function as compared to the other groups.
Future research should investigate the effectiveness of the intervention using a larger sample.
The article supports my project by demonstrating the effectiveness of yoga interventions on osteoarthritis. It shows that yoga interventions improve pain scores and functioning among the affected patients.
Lauche, R., Hunter, D. J., Adams, J., & Cramer, H. Current Rheumatology Reports, 21(9), 47. https://doi.org/10.1007/s11926-019-0846-5
Yoga for Osteoarthritis: A Systematic Review and Meta-analysis. 2019
The aim of this study was to systematically review and summarize evidence on the safety and efficacy of yoga for osteoarthritis.
Quantitative: systematic review and meta-analysis
Nine trials that used 640 participants with lower extremity osteoarthritis aged between 50 and 80 years.
A literature search was performed in databases that included Medline, Cochrane, and Scopus. The primary outcomes of focus included function, pain intensity, and quality of life. Secondary outcomes included mental health and safety. Cochrane tool was used to assess risk of bias.
Data was extracted from the studies with a focus on aspects such as yoga style, frequency, duration, and outcomes. Two authors reviewed the risk for bias in the selected articles independently. Statistical heterogeneity between studies was analyzed using I2 statistics. Chi-test was used to assess compatibility in differences in results due to chance alone. Subgroup sensitivity analyses were performed according to the type of osteoarthritis.
Yoga demonstrated some effectiveness in improving pain, stiffness, and function in individuals with knee osteoarthritis. The benefits cannot be compared with those seen in interventions such as exercises and no intervention approach to management.
More studies required to support the importance of using Yoga to improve knee function.
The study supports my project by showing the potentials of yoga interventions in improving symptoms of osteoarthritis. It shows its efficacy over other interventions such as exercise and non-exercise.
Mahr, J. PCOM Physician Assistant Studies Student Scholarship. https://digitalcommons.pcom.edu/pa_systematic_reviews/491
Can Yoga Therapy Help to Decrease Osteoarthritis-related Pain in Adults with Knee Osteoarthritis? 2019
The objective of this study was to determine whether or not yoga therapy can help decrease osteoarthritis-related pain in adult patients with knee osteoarthritis
Quantitative: review of two randomized control trials and one randomized control trial pilot study
Two randomized controlled trials and one randomized control trial pilot study
A literature search on PubMEd was performed. Authors performed data extraction on aspects such as patient demographics, yoga, type of yoga, and duration and linking them with outcomes.
Data analysis mainly focused on outcome measures in this study. The outcome measures included pain reported by patients with osteoarthritis.
The results showed that yoga interventions led to a significant decrease in pain levels of patients with knee osteoarthritis. The outcomes were enhanced as compared to those seen in patients enrolled in other therapeutic programs.
Yoga programs could be considered as part of the alternative treatments for osteoarthritis.
This study supports my project focus by showing the effectiveness and efficacy of yoga in improving pain symptoms among osteoarthritis patients.
Seguin-Fowler, R., Graham, M., Ward, J., Eldridge, G., Sriram, U., & Fine, D. BMC Geriatrics, 20(1), 400. https://doi.org/10.1186/s12877-020-01818-y
Feasibility of a yoga intervention to decrease pain in older women: A randomized controlled pilot study. 2020
The objective of this pilot randomized study was to evaluate the feasibility of a flow-restorative yoga intervention on pain and related outcomes in elderly women experiencing chronic pain.
Quantitative
38 participants
Participants were randomized into either control or intervention groups. Those in the intervention group attended yoga classes for 12 weeks and supplemental materials for at home practice. Those assigned to the control group maintained their normal daily routines
IBM SPSS Statistics for Macintosh version 25.0 was used for quantitative data analysis. Means for continuous variables and frequencies for categorical variables were summarized for feasibility measures and baseline characteristics. T-tests and Mann-Whitney U tests were used to compare differences in baseline between the groups. Open ended questions were coded qualitatively using Microsoft Excel 2014. Codes were then categorized into themes that represented outcomes of the study.
Participants experienced significant reductions in pain interference and improvements in social functioning and energy.
Future studies on the topic should focus on strategies to recruit a more diverse study population at a risk of functional decline and disability.
The study supports my proposed project by showing the effectiveness of yoga in improving social functioning, energy, and pain that women with chronic conditions such as osteoarthritis experience. It also demonstrates its feasibility in practice.
Wang, Y., Lu, S., Wang, R., Jiang, P., Rao, F., Wang, B., Zhu, Y., Hu, Y., & Zhu, J. Medicine, 97(31), e11742. https://doi.org/10.1097/MD.0000000000011742
Integrative effect of yoga practice in patients with knee arthritis. 2018
The aim of this study was to quantify the efficiency of yoga exercise for patients pain reduction, general wellbeing, and functional recovery.
Quantitative
13 clinical trials that involved 1557 patients with knee osteoarthritis and rheumatoid arthritis
A literature search of relevant studies was performed on Embase and PubMed databases. The outcome measures of focus included stiffness, pain, and physical function. Two independent authors extracted data from the selected articles. The quality of citations was assessed using Jadad score.
The meta-analysis program of the Cochrane Collaboration was used for data collection and quantitative analysis. Standard mean difference was used to calculate measures of continuous parameters. Mantel-Haenzel method was used to synthesize combined results using random or fixed effect models. Begg’s funnel plot and Egger’s regression plot were used to assess potential publication bias.
The results showed that regular yoga training is effective in reducing knee osteoarthritis symptoms, general wellbeing, and physical function of the patients.
Research is needed to evaluate yoga as an effective treatment for managing osteoarthritis and improving function among the affected populations. Studies on the most appropriate yoga prescription are also needed.
It supports the project since it shows the effectiveness of yoga in managing osteoarthritis.
Dhrubaprasad, B. D. MOJ Yoga & Physical Therapy, 3(3). https://doi.org/10.15406/mojypt.2018.03.00044
Effectiveness of yoga asanas over conventional physiotherapy treatment on functional outcomes in patients with knee osteoarthritis. 2018
The purpose of this study was to check the effectiveness of 2 weeks of yoga asana exercises on patients with osteoarthritis in comparison with physiotherapy interventions
Quantitative
58 subjects diagnosed with osteoarthritis aged 40-55 years
Participants were randomly allocated to two groups. Group A received yoga program for 4 weeks while Group B received conventional physiotherapy for four weeks.
The outcomes were assessed in terms of knee range of motion, WOMAC 30second Chair Stand, and Visual Analog Scale. Shapiro-Wilk test was used to check normality of data. Data was presented as mean and standard deviation for outcome measures. Friedman ANOVA test was used for within group comparison. Between group comparison was done using Mann Whitney U test. The analysis was performed using SPSS version 20.0.
The findings from this study showed that there were statistically significant improvements in outcomes in both groups. There were no significant clinical differences in between-group comparisons at the end of week 2 and 4.
Both yoga and conventional physiotherapy can be combined for improved outcomes in patients with osteoarthritis.
This study supports my proposed project by showing the enhanced effectiveness of yoga interventions in improving symptoms of osteoarthritis. It also supports its use with other interventions such as conventional physiotherapy for optimum outcomes.
NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
The purpose of this assignment is to provide research evidence in support of the PICOT you developed for your selected topic.
Conduct a search for 10 peer-reviewed, translational research articles published within the last 5 years that demonstrate support for your PICOT. You may include previous research articles from assignments completed in this course. Use the “Literature Evaluation Table” provided to evaluate the articles and explain how the research supports your PICOT.
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Once your instructor returns this assignment, review the feedback and make any revisions necessary. If you are directed by your instructor to select different articles in order to meet the assignment criteria or to better support your PICOT, make these changes accordingly. You will use the literature evaluated in this assignment for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal. NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Attachments
NUR-550-RS5-LiteratureEvaluationTable.docx
RUBRIC
Attempt Start Date: 15-Jul-2021 at 12:00:00 AM
Due Date: 21-Jul-2021 at 11:59:59 PM
Maximum Points: 150.0
Course Code Class Code Assignment Title Total PointsNUR-550 NUR-550-O503 Evidence-Based Practice Project: Evaluation of Literature Table 150.0
Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)Content 100.0%PICOT 5.0% The PICOT is omitted. NA NA NA The PICOT is clearly and accurately presented.
Articles 10.0% Required number of sources are not included. Article citations and permalinks are omitted. Number of required sources is only partially met. Article citations and permalinks are presented. One or more links do not lead to the intended article. Number of required sources is met, but some sources are outdated or inappropriate. Article citations and permalinks are presented. Article citations are presented, but there are errors. Sources are current and generally appropriate for the assignment criteria and nursing content. Article citations and permalinks are presented. Article citations are presented, but there are minor errors. Sources are current and highly appropriate for the assignment criteria and nursing content. Article citations and permalinks are presented. Article citations are accurate. NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
Research Question, Hypothesis, Purpose or Aim of Study 10.0% Research question, hypothesis, purpose or aim of study for one or more articles is omitted. Research question, hypothesis, purpose or aim of study for each article is presented, but key information is consistently omitted. There are inaccuracies throughout. Research question, hypothesis, purpose or aim of study for each article is presented. Key aspects are missing for one or two articles. There are minor inaccuracies. Research question, hypothesis, purpose or aim of study for each article is adequately presented. Minor detail is needed for accuracy or clarity. A discussion on the research question, hypothesis, purpose or aim of study is thoroughly and accurately presented for each article.
Study Design 10.0% The study design for one or more article is omitted. The study design for each article is presented, but key information is consistently omitted. There are inaccuracies throughout. The study design is indicated for each article. Key aspects are missing for one or two articles. There are minor inaccuracies. The study design is adequately presented for each article. Minor detail is needed for accuracy or clarity. A thorough and accurate discussion on the study design for each article is presented.
Setting and Sample 10.0% The setting and sample are omitted for one or more of the articles. The setting and sample are indicated for each article, but key information is consistently omitted. There are inaccuracies throughout. The setting and sample are indicated for each article. Key aspects are missing for one or two articles. There are minor inaccuracies. The setting and sample are adequately presented for each article. Minor detail is needed for accuracy or clarity. The setting and sample in which the researcher conducted the study are detailed and accurate for each article. NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
Methods 10.0% Method of study for one or more articles is omitted. Overall, the methods of study are incomplete. The method of study is presented for each article, but key information is consistently omitted. There are inaccuracies throughout. The method of study for each article is presented. Key aspects are missing for one or two articles. There are minor inaccuracies An adequate discussion on the method of study for each article is presented. Minor detail is needed for accuracy or clarity. A thorough and accurate discussion on the method of study for each article is presented.
Analysis and Data Collection 10.0% Analysis and data collection for one or more articles is omitted. Overall, the analysis and data collection are incomplete. Analysis and data collection are presented for each article, but key information is consistently omitted. There are inaccuracies throughout. Analysis and data collection for each article are presented. Key aspects are missing for one or two articles. There are minor inaccuracies. An adequate discussion on the method of study for each article is presented. Minor detail is needed for accuracy or clarity. A thorough and accurate discussion on the analysis and data collection for each article is presented.
Outcomes and Key Findings 10.0% Outcomes and key findings for one or more articles are omitted. Overall, the outcomes and key findings are incomplete. Outcomes and key findings are presented for each article, but key information is consistently omitted. There are inaccuracies throughout. Outcomes and key findings for each article are presented. Key aspects are missing for one or two articles. There are minor inaccuracies. An adequate discussion on outcomes and key findings for each article are presented. Minor detail is needed for accuracy or clarity. A thorough and accurate discussion on the outcomes and key findings collection for each article are presented.
Recommendations 10.0% Researcher recommendations are omitted for one or more of the articles. The recommendations described for three or more articles are inaccurate or incomplete. Researcher recommendations are indicated for each article. The researcher recommendations described for two of the articles are inaccurate or incomplete. Researcher recommendations for each article are presented. Researcher recommendations described for one article are inaccurate or incomplete. Researcher recommendations for each article are accurately presented. Minor detail is needed for accuracy or clarity. Researcher recommendations are accurately and thoroughly described for each article. NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
NUR 550 Evidence-Based Practice Project Evaluation of Literature Table Explanation of How Articles Support Proposed Evidence-Based Practice Project Proposal 10.0% An explanation of how the article supports the proposed evidence-based practice project proposal is omitted for one or more of the articles. The explanation for three or more articles is inaccurate or incomplete. An explanation for how each article supports the proposed evidence-based practice project proposal is presented. The explanation for two of the articles is inaccurate or incomplete. A general explanation for how each article supports the proposed evidence-based practice project proposal is presented. The explanation for one article is inaccurate or incomplete. Support for the evidence-based project proposal is generally evident. An explanation for how each article supports the proposed evidence-based practice project proposal is presented. Minor detail is needed for accuracy or clarity. Adequate support for the evidence-based project proposal is demonstrated. A detailed explanation for how each article supports the proposed evidence-based practice project proposal is presented. Support for the evidence-based project proposal is clearly evident.
Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 5.0% Surface errors are pervasive enough that they imp
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