It is essential to understand that if the American society is to delay or prevent the complications of diabetes, then they have to look at various lifestyle elements that are related to changes in lifestyle which is also very essential among individuals with pre-diabetes as an ongoing effort for the prevention of the disease. PICO Question 1: In pediatric patients with type 1 diabetes mellitus (T1DM), does continuous glucose monitoring (CGM), when compared to conventional self-monitoring of blood glucose (SMBG) levels improve glycemic control, reduce hypoglycemic events, The above literature also provided a significant difference when it comes to Type 1 and types two prevalence of diabetes regarding race. et al.(2014). This format was developed in 2005 by Fineout- At paperdue.com, we provide students the tools they need to streamline their studying, researching, and writing tasks. The Permanente journal. PICO Framework. One of the most difficult parts of effecting meaningful change in an organizational setting is obtaining the necessary approval from top management and then achieving "buy-in" from fellow staff members. 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. 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. PICO. Type 2 Diabetes Prevalence in Asian-Americans. QOL also did not show any improvement and was very important regarding Diabetes Self-Management Education and an outcome to measure future trials. It will be a time-consuming and difficult venture to identify the most appropriate resources and find relevant evidence without a well-focused question. Current about 12.7% of African Americans have been diagnosed by Type 2 diabetes. PICO Framework. The … Next, the question should be phrased to facilitate searching for a precise answer. To understand the patient's social, economic, and cultural influences to construct ways to ensure health capability, health, and chronic disease self-management. 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. There are various risk factors that have been associated with the development of type 2 diabetes. PICO is a mnemonic used to describe the four elements of a good clinical foreground question: P = Population/Patient/Problem - How would I describe the problem or a group of patients similar to mine?. A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. Weaver, Lemonde, Payman, & Goodman, (2014) explored the social, economic and cultural issues that shape up the capability of people living with diabetes to continue living a healthy lifestyle through healthy practices. The practice was found to be very useful and brought about positive results (Watson et al., 2018). 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). 18( 2): e134 - e140 I - who have been diagnosed with gestational diabetes, C - compared with those who havent, O - at a higher risk of developing type 2 diabetes later in life? See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. The client can submit the PICOT question ideas on which we should base the paper or they can request the author to select an appropriate question. These are few examples of the clinical questions which are based on the PICO parameters of population, problem, patient, intervention, comparison, and outcome. Also, most of them have all the social and cultural resources required for the management of diabetes in addition to the use of new technologies such as telehealthcare which it comes to the management of lifestyles. In this regard, it is essential that healthcare providers learn to consider the way that they approach the Diabetes Self-management education. Following the PICO Worksheet (Table 5), you would then identify the type of question and study, and then list any additional terms or phrases related to the already identified P, I, C, and O. This is especially true for people that are far from the available hospital facilities as it was discovered by while investigating the importance of telehealth education among Americans in the military zones. Electronic Inspiration LLC. This question will be examined further throughout this paper. 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). In most case, the practice given is related to all patients and does not like at the unique individual needs. It can be helpful to classify your question based on the clinical domain(s) it falls under. 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. Deng, F. Zhang, A. 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. These include, but they are not limited to, ethnicity and lifestyle. Diabetes PICOT Paper- Quantitative Study. ( the Pico format is= The PICO (population, intervention, control, and outcomes) format is considered a widely known strategy for framing a “foreground” research question. I - Intervention. Part II- PICOT Diabetes Self-Management Education . 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. 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? It goes like this. Copyright 2020  . I chose to explore this question because I was diagnosed with gestational diabetes during my second pregnancy. A search on nurs* retrieves “nursery school” "Citation pearl growing" uses a … For example, "what are the effects of Prilosec on patients taking immune suppressants" might seem like a good research question, but it is not. 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. PICOT Question Examples. By generating these words, alternative key terms are identified that facilitate finding evidence to answer your question… PICOT is an acronym to help you formulate a clinical question and guide your search for evidence. All Rights Reserved, © 2020 NursingAssignments.org. While insulin can make living with Type 1 diabetes manageable, it does not cure the disease (Klandorf & Stark, 2017). P 57 year old lady with poorly managed Type II diabetes I Eating cinnamon in addition to prescribed medication C Diabetic medication without cinnamon O … Also, there are racial and ethnic disparities that play around type 2 diabetes morbidity and mortality in the country, which is common among African Americans (Mardanian Dehkordi & Abdoli, 2017). P - Are pregnant woman. Effect of Culturally Tailored Education in Type 2 Diabetes Patients... Diabetes Health and Prevention for Asian Americans. 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. In conclusion, diabetes self-management education is essential when it comes to the improvement of the patient quality of life and health. The Question Miss S. has poorly managed Type II diabetes and asks if taking cinnamon would improve her fasting blood glucose levels. This question was developed using the PICO framework (appendix one). To achieve these aims, the question must be focused and well articulated for all 4 parts of its 'anatomy' (known as PICO): Cummingham, A.T., Crittendon, D. R., White, N., Mills, G.D., LaNoue, M.D. The following clinical questions are … However, other participants from the study required more personalized information in meeting the daily struggles of living with the condition (Mardanian Dehkordi & Abdoli, 2017). This PICOT problem statement evaluates the serious public health problem of childhood obesity in Sacramento, California. Scoping question in PICO format (population, intervention, comparison, outcome) Population Older people 60 years of age and older (both male and female) at risk of falls Interventions • Multicomponent exercise programme/strength training • Falls risk assessment by the physiotherapist to develop individualized falls and injury prevention PICO QUESTION 2 PICO Question Type 1 diabetes is an autoimmune disease in which the pancreas produces little or no insulin (Klandorf & Stark, 2017). 1 PICO stands for: Further examples of focused clinical questions based on the PICO method. 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. Conduct needs assessment, multidisciplinary approach, interactive teaching methods, and application of technology in improving Diabetes self-management education. PICO - Constructing a Clinical Question As practitioners of EBM, you will often use the PICO framework to help you formulate a question to facilitate a literature search. 2020, https://www.paperdue.com/essay/picot-statement-for-type-2-diabetes-management-2152144, Introduction A quantitative approach can answer many different types of questions, but all can be formatted by following the PICO(T) Model outlined below: PISCO, an alternate of the PICO Model can be useful for public health research questions. 8 million people in the United States, or 8. When building your question, this is easier if you characterise your patient sufficiently to allow comparison with patients in the studies you find, perhaps in terms of age, sex, ethnic group, risk profile and other clinically important traits. 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. Ensure the use of appropriate physical space as a way of improving  Diabetes Self-Management Education. PICO Question In adults diagnosed with diabetes type II, does a more comprehensive and multi-disciplinary approach to patient education achieve higher compliance with blood glucose control compared to traditional patient education? Foreground questions seek evidence to answer a need for clinical information related to a specific patient, an intervention or therapy. Truncation may also retrieve false hits. PICO Question 1: In pediatric patients with type 1 diabetes mellitus (T1DM), does continuous glucose monitoring (CGM), when compared to conventional self-monitoring of blood glucose (SMBG) levels improve glycemic control, reduce hypoglycemic events, reduce preventable hospital admissions or readmissions, and/or demonstrate cost effectiveness? *Note: It is not necessary to use every element in PICO or to have both a problem and population in your question. 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). 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)? 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. The studies also need to look at the issues around medical insurance, adherence to the self-management practices among other areas as this will, in the end, affect the whole process. Once you have analyzed your question using the PICO format and written out the statement, identifying the question type (or domain) is straightforward. Diabetes Care. The PICOTapproach is a model based on evidence, which is used to frame questions, assess, locate, and evaluate the issue concerning a particular need. Using this format can help you find the best evidence … S - Setting (if appropriate) 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. In a PICOT Essay or when doing a PICOT Question and you are asked to do a PICOT analysis, you are supposed to follow the example given above. 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. Type 2 diabetes is a prevalent and growing problem throughout the modern world. 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 Question Miss S. has poorly managed Type II diabetes and asks if taking cinnamon would improve her fasting blood glucose levels. At a recent GP visit it was suggested that Bronwyn, have Amy, her 11-month old baby immunised against Measles, Mumps and Rubella very soon. One of your patients is a 55-year-old man who is recovering from abdominal surgery – specifically a laparoscopic prostatectomy. Faramarz, I. This example focuses on the multidisciplinary care of a patient and some of the many clinical questions that may arise: A 60 year old indigenous woman with poorly controlled diabetes and a past history of rheumatic valvular disease is admitted to hospital for management of a non-healing ulcer on her heel. In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Anne, D. Allison, V.A. Therefore, the PICOT question format is a consistent “formula” for developing answerable, researchable questions. However, when presenting the initial and general information regarding the management of diabetes, it was essential for those individuals that were diagnosed with diabetes. I In this regard, the participants felt that individual needs need to be considered among other issues like social, economic, and cultural differences. Part II- PICOT Diabetes Self-Management Education, Section 5: Literature Critique and Identification of Gaps. Using PICO to Form the Research Question 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)? STEP 1: FORMULATE THE PICO QUESTION Case Scenario: You are a Registered Nurse working on a Urology unit. It is known to be a major contributor to cardiovascular disease and mortality. Background questions. It has become evident that the traditional methods of diabetes management education and ignorance of technology provides a lot of insufficiencies when it comes to patient education for patients of the 21st century. Clinical Question Paper: PICOT Nursing research is an important fundamental of the nursing profession. In present times, type 2 diabetes is also regarded as the seventh leading cause of death in the United States. All Rights Reserved. Asian-Americans with newly diagnosed type 2 diabetes perceive barriers to implementing dietary and lifestyles changes to reduce A1C levels in the first 3 months after diagnosis"? Some of the complications associated with type 2 diabetes include cardiovascular disease, kidney. First, the question should be directly relevant to the problems at hand. 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. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. 2015 04:46 I need help with a PICO question as I am blocked right now. PICO (alternately known as PICOT) is a mnemonic used to describe the four elements of a good clinical question.It stands for: P–Patient/Problem I–Intervention C–Comparison O–Outcome. Truncation may also retrieve false hits. The PICOT question is made in a formula (format) of creating re-searchable and answerable inquiry. The researcher investigated how social relationships, economic resources, economic circumstance, and dietary management was critical during diabetes self-management education. If you have been asked to develop a PICOT question in the nutrition field, then here are examples of how you should structure your statement: How effective is the consumption of low glycemic index foods for reducing energy intake and promoting weight loss in adults in 13 months? Helping Newly Diagnosed Asian Americans Cope With Type 2 Diabetes. 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. 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. I - who have been diagnosed with gestational diabetes, C - compared with those who havent, O - at a higher risk of developing type 2 diabetes later in life? 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. A quantitative approach can answer many different types of questions, but all can be formatted by following the PICO(T) Model outlined below: PISCO, an alternate of the PICO Model can be useful for public health research questions. 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. original PICO question. There high satisfaction among facilitators as well with DSME via MIST and facilitators were ready to conduct more classes. Reference 366(14): 1319-27. Asian-Americans are the fastest growing ethnic group, yet the exact extent to which this population can effectively treat type. For example: Teenage patients with Type 1 diabetes. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Also, social influences profoundly influence the adherence to diet for many people in the medium group. Textbooks, monographs, or web resources are good sources of answers to … A bad PICO is usually a background question disguised as a research question.