Respond to the post bellow, using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, and evidence.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Initial Post
The research study’s focus was on the interventions to improve medication adherence in people with multiple chronic conditions. The population of the study consisted of people over 70 years of age and having 3-4 chronic conditions. A well-defined PICOT question helps to identify the best available evidence to influence treatment (Echevarria, 2014). The PICOT question (P) The research study addressed medication adherence of individual over the age of 70, (I) research involving eight studies related to medication nonadherence, (C) Identified effective interventions to improve medication adherence, and (O) evidence-based treatment that assists in medication adherence would delay disease progression.
Design
The design was a systematic review model by Cochrane Collaboration to search, retrieve and appraise the quality and synthesis of the finding of the RCT’s. Out of the 248 abstracts only 97 were selected to be used in full test and after an independent review by two separate reviewers, only eight were chosen. According to Polit, The Consort Checklist was used to obtain the highest scores that could be used to generalize results to similar groups. “Consolidated Standards of Reporting Trials) for reporting information for a randomized controlled trial, including a checklist and flowchart for tracking participants through the trial, from recruitment through data analysis.” (p. 723). The researchers used the Intervention Group, Control Group, and Randomized Control Trials to come up with the results.
Results
The researchers came to their conclusion after conducting a quality assessment of the randomized, control trials examining medication adherence using the CONSORT Group. The research study did identify weaknesses in the study. Several RTC’s had methodological problems, did not identify all medical conditions, explanation of interventions used (William, 2008).
Alternate Conclusion
There was a wealth of data in this research study that could be used to explore several different issues related to medication adherence. Researchers could have drawn a conclusion based on the data they identified, what chronic conditions are individual most like or less likely to be compliant with their medications. They did find that further research is needed on this subject.
Echevarria, I. &. (2014, February). To make your case, start with a PICOT question. Retrieved from OVID: https://ovidsp-tx-ovid-com.ezp.waldenulibrary.org/sp-3.33.0b/ovidweb.cgi?WebLinkFrameset=1&S=NAAIFPMHKIDDHDBONCDKIAJCHHLHAA00&returnUrl=ovidweb.cgi%3f%26Titles%3dS.sh.22%257c1%257c10%26FORMAT%3dtitle%26FIELDS%3dTITLES%26S%3dNAAIFPMHKIDDHDBONCDKIAJCHHLHAA0
Polit, D. F. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Wolters Kluwer Health.
William, A. M. (2008, July 4). Intervention to improve medication adherence in people with multiple chronic conditions: a systematic review. Retrieved from Wiley Library Online: Retrieved From: https://onlinelibrary-wiley-com.ezp.waldenulibrary.org/doi/full/10.1111/j.1365-2648.2008.04656.x
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