Group Quantitative Research Study Critique
This critique analyzes the research study, “A community-based exercise programme to improve functional ability in people with Alzheimer’s disease: a randomized controlled trial”, by Vreugdhil, Cannell, Davies, and Razay (2011). This critique will evaluate the research question, hypothesis, study variables, literature review, population and sample, ethical considerations, procedures for data analysis and collection, and the findings and conclusions. It will also synthesize the findings of the research for application to practice.
The research question, hypothesis, and study variables were first critiqued. Although the authors did not state a clear research question, they wrote that they aimed to assess
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With the exception of 1 study, the studies cited were less than 10 years old. This assured that the information used to provide proof for the need of this type of study was current at the time. The researchers provided a compelling argument for the necessity of a research study of this type. Using the literature review, they were able to prove a gap in the knowledge regarding effectiveness of an exercise intervention for individuals with AD, despite the growing incidence of AD, importance that individuals with AD retain as much function as possible, and the resulting benefits for carers of individuals with …show more content…
Researchers used two tests to measure cognitive function. These tests were the Mini-Mental State Examination (MMSE) and the Alzheimer’s Disease Assessment Scale – Cognitive Sub- Scale (ADAS-Cog). To measure physical function, the Functional Reach test was used to assess balance, the Timed Up and Go test was used to assess basic functional mobility, and the Sit-to-Stand test was used to assess lower body strength. To measure Activities of Daily Living (ADLs), the Barthel Index of Activities of Daily Living and the Instrumental Activities of Daily Living assessment were used. The Geriatric Depression Scale – Short Form was used to assess depression. The Clinician’s Interview Based Impression of Change plus Caregiver Input (CI-BIS-plus) was used to assess global change in function. To measure carer burden, the Zarit Burden Interview was used. An explanation of the measurement tools for the outcome assessments of waist to hip ratio and body mass index (BMI) was not included. The outcome assessment tools as a group were described as standardized, however the validity and reliability of the measures was not discussed by the researchers. Inclusion of all measurement methods and acknowledgement of the reliability and validity of the measurement tools used would have increased the rigor of this study. The study was a 4 month long randomized controlled trial of 40 consecutive patients who had been diagnosed with
Dementia is slowly becoming an issue that is affecting the aging population around the world. About 35.6 million people suffer from dementia worldwide which will most likely increase to 65.7 million by 2030 and 115.4 million by 2050 (Prince, Bryce, Albanese, Wimo, Ribeiro, & Ferri, 2013). The neural degeneration of the brain causes emotional and behavioral problems, social and occupational dysfunction, personality changes, and difficulties with intellectually complex issues (Yoon, Lee, Lim, Kim, Jeon & Mun, 2013). As a result, dementia severely affects memory, thought process, judgement, orientation, and social abilities. Coinciding with these cognitive disabilities are physical disabilities due to muscle weakness and poor balance. Elissa Burton from the School of Physiotherapy and Exercise Science at Curtin University, Australia, says that people with dementia are 50–80% more likely to suffer a fall than people without dementia. ‘Often it may be due to reduced muscle strength and balance, which being physically active can help prevent,’ says Elissa (Mendes, 2015). Physical activity is beneficial to the aging population as well as for those who are diagnosed with dementia. Being active help maintain and improve cardiovascular health, muscle strength, joint flexibility and balance, but importantly for people with
Allen, J.D., Robbins, J.L., VanBruggen, M.D., Credeur, D.P., Johannsen, N.M., Earnest, C.P.,…Welsch, M.A. (2013). Unlocking the barriers to improved functional capacity in the elderly: rationale and design for the “fit for life trial”. Contemporary Clinical Trials. 36(1), 266-275.
This question guides the course of the research study and guides researchers in setting up the study effectively and accurately. It is important, throughout the course of research, to ensure that additional questions do not cloud the initial research question (Farrugia et al. 2010). This requires a focus on the original research question and the ability of researchers to set aside additional questions that may arise for later research studies.
According to the Healthy People 2020 objectives, dementia can negatively impact a person's ability to perform their daily tasks without the help and supervision of a qualified caregiver. Based on these objectives, the health program proposal includes:
The focus of the article by Spurlock and Hunt (2008) was on an empirical study researching whether the HESI Exit Exam possesses any usefulness in predicting pass-rates on the National Council Licensure Examination for registered nurses. The authors identify the variables of the study as HESI Exit Exam scores and NCLEX-RN outcomes, emphasizing the relationship between the variables as being previously determined by research literature as “marginal at best” (Spurlock & Hunt, 2008). The stated primary purposes for the research by Spurlock and Hunt (2008) were to examine if HESI Exit Exam scores had the ability to predict NCLEX-RN outcomes, and to explain the inconsistencies between predictions of HESI Exit Exam scores and actual NCLEX-RN results. The article indicates that the research is significant in nursing due to the weight of importance placed on NCLEX-RN outcomes “…by nursing school administrators, educators, and graduates, as well as by prospective students and their parents” (Spurlock & Hunt, 2008).
Care requirements of a person in the late stages of dementia dramatically increase and this is what they need on daily basis, if not full time supervision. Dementia will restrict their capacity to convey verbally and they will require elevated amounts of help with exercises, for
Research analyzing is a process in which a research undergoes a careful examination for its strength and weakness. Analyzing a research gives the nurse a chance to know the credibility of the study, its findings to see the evidence base for practice or utilization or application of the findings into the care practice. This paper is about analysis of a research conducted in relation to wound care in primary health care. This research took place in Stockholm, Sweden. The study shows a descriptive quantitative approach in investigating district nurse wound care management.
Due to the inconsistency between studies there is no definitive exercise dosage or type that can aid in protection against dementia. However, from the evidence provided it suggests that higher levels of exercise can be used as a neuroprotective mechanism to prevent the onset of
Research has clearly demonstrated that physical restraints can be damaging both physically and mentally for residents. Therefore, the propose of the study is to explore in further detail if a patient in a nursing home had a regular exercise routine, would it cut down on the use of physical restraints (Stevens & Killeen 2006)? A significant improvement in function and independence was noted within the exercise group for Confusion and Behavior. According to Anderson, Corazzini, Porter, Daily & Colón-Emeric (2012) CONNECT an intervention to foster
Research hypothesis/question: Studies to prove that breast milk has beneficial qualities, breastfeeding rates remain low (Lin, Chien, Tai, & Lee, 2008.) Many factors can influence this rate. Education, support, confidence, community, and the health care system can affect successful breastfeeding. Shu-Shan Lin, Li-Yin Chien, Chen-Jei Tai, and Ching-Fang Lee composed a research article regarding prenatal breastfeeding education. A critique of their study titled, “Effectiveness of a prenatal education programme on breastfeeding outcomes in Taiwan” will follow.
There are three authors for this quantitative research study. Martin Knoll is the HTW of Saarland, Clinical Nursing Research and Evaluation, Saarbruecken, Germany. Christine Lautenschlaeger, Institute of Medical Epidemiology, Biometry and Medical Informatics, Martin Luther University of Halle-Wittenberg, Germany is the second author. And last, Marianne
It is essential that seniors perform activities they enjoyed prior to their diagnosis because those familiar activities can encourage self-expression, stir up memories, lessen the irritability and anxiety frequently experienced with Alzheimer’s, promote emotional connections and help an individual feel more active.
The older population needs effective health care that is focused not only on the prevention and treatment of diseases but also effective interventions to prevent functional decline. Other factors influencing functional decline in elderly patients include level of physical activity, cognitive status and
Out of the rapidly inclining population in the world, there are people who develop dementia every 66 seconds(“2016 Alzheimer’s Disease”). Being such a common disease in the elderly, there are 47.5 million people in the world with this disease(“2016 Alzheimer’s Disease”). Once families start to realize that their parents and grandparents have developed this, they start to wonder if they are able to live on their own. Within a few months, a decision is made whether if it is best for them to be put into a nursing home. Most often, those with dementia do happen to end up in nursing homes. Many wonder if being put into a nursing home will actually cause their dementia and their ability to live on their own to worsen. With the effects of activities, this could change. Activities help slow the deterioration of the brain(Smith). The activities and exercises performed by nursing homes to help improve the overall cognitive development in dementia patients. Nursing homes should induct purposeful daily activities to improve cognitive, social, and psychological development in dementia care
Alzheimer’s disease affects 1 out of every 8 people in the United States. It is a long and debilitating disease that affects every aspect of a person’s life from the way they preform daily tasks, to the physical and mental abilities that are diminishing. Along with the lifestyle changes that Alzheimer’s disease presents, it also affects one’s psychological perspective as well their view on what they can offer their family and society. There are some ways to maintain a level of independence with a disease of this magnitude but there are also factors in lifestyle choices that can make it worse. Alzheimer cannot be cured, it cannot be slowed, but there are ways to keep the effected person at a certain level of comfort, independence and safety