Hlsc122 Inquiry In Health Assignment Answers

Leah is a 21 year old health science’s student at an Australian university. She has travelled from her home country (United States [US]) to study a semester in Australia. While living with three other international students she has reported gaining weight particularly around her abdomen, from not eating healthy meals, and not exercising regularly. Leah is enjoying living away fromhome, socializing and going out to parties and experimenting with different mixed alcoholic drinks and Australian take-away foods. At home in the US she enjoyed going to the gym regularly, at least four times a week. However, whilst in Australia Leah has decided not to participate in a gym, but rather spend her money elsewhere on social activities, such as going out and partying. In her spare time Leah has casual employment to supplement her lifestyle in Australia. She likes travelling and is not homesick. She would like to make changes to her lifestyle which will have a long term positive impact on her weight and eating patterns. Leah visits the university student health clinic and asks you (as a student undertaking placement there) to provide guidance with respect to her health concerns. After your initial meeting with Leah you locate two relevant research studies that you would like to critically evaluate for quality.

The following PICO question is used for a systematic search

Identify the strengths and weaknesses by critically evaluating the two research studies that Leah found during her CINAHL search (Rogerson, Soltani & Copeland., 2016; Share et al., 2015).

1. Authorship
a. Make a judgement regarding the authors’ expertise, qualifications and affiliations.
b. Are there grounds for conflict of interest related to the authors of the paper and the study findings?

 

2. Research Aims
a. What were the research question, aims or hypothesis (if stated)?
b. Explain how the authors justified the need for the study?

3. Design
a. Examine the research methodology and methods used in the study?
b. Justify why the methodology and methods were appropriate to meet the aims of the study?
c. Who were the participants in the research study?

4. Findings
a. Discuss how the findings/results/conclusion answers the stated research question, aim or hypothesis? 

1. Discuss how Leah's personal circumstances may create a barrier for the application of evidence.
2. Discuss how closely the research aligns with the PICO question.

1. Authorship:

Bianca Share is a faculty of physiology public health in Australian Catholic University. Her major qualifications are Bachelor in Exercise Science (Honors) and also has completed her Post Doctorate (PhD ).She has a graduate certificate in higher education and a graduate diploma in education. She has 18 citations, 443 publications that are read and 12 published research papers. She is an experienced Exercise Science professional and did full justification to her research work. She is a knowledgeable and can manage various changes in the lifestyle on patients and check for the outcome(Share al., 2015).

The research paper published by Rogerson deals with the exploration of weight loss experience. He deals with the maintenance of weight and its loss. He focuses on various factors which inhibit the loss of the weight and the factors that help to gain weight. His study is done by the use of semi structured interview. The facts were based on the interview that was recorded and the data was used for the analysis. Lastly, verification of the data was done.

2. Research Aims

In the case of Rogerson, his main aim was to keep a check on the factors associated with weight loss that inhibit or help in the gain of the weight loss. He did not involve the use of clinical interventions that are considered more accurate. He did a systematic interview of the participants with the use of any clinical changes and found various factors such as dichotomous thinking and social and peer pressure which lead to hindrance in weight loss and social support and self monitoring were the factors that helped in losing weight. The results obtained justified his aim of study (Hoffman, Bennet Del Mar, 2013).

3. Design

For the intervention group , the test were performed at (pre ) 0 week, (post) 12 weeks and (sustainability phase) and 24 weeks. The control group also had the testing at pre and post control time period (12 weeks).All the tests were performed by the same researcher at the same time interval. The measures of testing were Anthropometric assessment (total body measurement was taken including BMI circumference and metabolic syndrome markers and other parameters were also checked) and evaluation of health (heart rate was checked against the work rate) and Survey data (complete lifestyle data of the participants was collected). The lifestyle changes included behavior therapy (participants were given counseling and psychosocial support provided), nutrition education (healthy diet habit and its maintenance was given by qualified dietician) and physical activity (exercise supervised by exercise scientist)( Share et al., 2015).

In the case of research by the scientist Rogerson, the methods used for exploring the loss in weight included theoretical underpinning ( to get exploration of participants experience and it was granted ethical by ethics committee of Sheffield Hallam University), sampling ( participant were selected based on the purposive sampling and data saturation) ,Data collection(interview data was collected by face to face and using interview guide and were recorded in digital recording device) , Data analysis(using proper framework analysis) , Verification( codes themes and theoretical framework was verified) (Rogerson, Soltani Copeland, 2016).

In the case of Rogerson, he used an interview technique and recorded it as an evidence and purposive sampling was used for sampling. Interview guide was used for the data collection and finally the verification process was done( Greenhalgh et al., 2016 ).

In the case of Rogerson the participant number was low and only 6 were enough to get his research outcome.

4. Findings:

In the case of research study by Rogerson, he found that the weight loss is a complex process which involves various factors that inhibit and facilitate the process of weight loss. The sample of this research provided data saturation and the study helped in providing all the information of experiences in weight loss. The study involved the lack of diversity in the sample as the information related to all social and ethnic groups was not covered here.

PICO question:-

In female university students, does healthy eating compared to exercise lead to weight loss?

P (patient/population):- Female University Students

I (intervention/indicator):- Healthy Eating

C (control):- Exercise

O (outcome):- Leading to weight loss

Part B:-

Research study of Rogerson includes the weight loss experience and its maintenance. This research can be applied on Leah after the changes applied in the research of Share. This study included no clinical changes. People who underwent weight loss diet were selected for this research. Interview and data collection methods were used and analyzed and finally verification was done. Here the outcome was the factors which inhibit and facilitate the weight loss. The weight loss which is a difficult situation to achieve because of many factors and it's hard even to maintain it. Similar to the PICO question, Leah is university student who is facing problem in maintaining healthy lifestyle because she is having friends who are affecting her lifestyle. She started eating Australian take away foods and alcohol leading to obesity. She stopped going to the gym because she wants to enjoy her life away from home and spend the money in party and socializing Dichotomous thinking and social and peer effect is affecting Leah to lose weight (Zulkosky,2014). In this study, these factors are obtained only as a result of the interview methods used on certain participants.

References:-

Coelho, R. C. L. A. (2016). If Obese Patients Overeat sometimes, their Adherence will Last Longer: The Controlled Overeat. Journal of Obesity Eating Disorders.

Greenhalgh, T., Bidewell, J., Crisp, E., Lambros, A., Warland, J. (2016). Understanding Research Methods for Evidence-Based Practice in Health 1e.

Hoffmann, T., Bennett, S., Del Mar, C. (2013). Evidence-based practice across the health

Kritchevsky, S. B., Beavers, K. M., Miller, M. E., Shea, M. K., Houston, D. K., Kitzman, D. W., Nicklas, B. J. (2015). Intentional weight loss and all-cause mortality: a meta-analysis of randomized clinical trials. PLoS One, 10(3), e0121993.

Leibel, R. L., Rosenbaum, M., Hirsch, J. (2015). Changes in energy expenditure resulting from altered body weight. New England Journal of Medicine, 332(10), 621-628.

professions. Elsevier Health Sciences.

Richardson-Tench, Marilyn Taylor, Beverley J. (Beverley Joan), 1951-, (author.) Kermode, Stephen, (author.) Roberts, Kathryn L. (Kathryn Louise), 1943-, (author.) (2016). Inquiry in health care (5th edition). South Melbourne, Victoria Cengage Learning Australia

Rogerson, D., Soltani, H., Copeland, R. (2016). The weight-loss experience: a qualitative exploration. BMC public health, 16(1), 371.

Rogerson, D., Soltani, H., Copeland, R. (2016). Undergraduate UK nutrition education might not adequately address weight management. Public health nutrition, 19(02), 371-381.

Sabour, H., Javidan, A. N., Soltani, Z., Pakpour, A. H., Yekaninejad, M. S., Mousavifar, S. A. (2016). The effect of behavioral intervention and nutrition education program on serum lipid profile, body weight and blood pressure in Iranian individuals with spinal cord injury: A randomized clinical trial. The Journal of Spinal Cord Medicine, 1-8.

Share, B. L., Naughton, G. A., Obert, P., Peat, J. K., Aumand, E. A., Kemp, J. G. (2015). Effects of a Multi-Disciplinary Lifestyle Intervention on Cardio metabolic Risk Factors in Young Women with Abdominal Obesity: A Randomised Controlled Trial. PloS one, 10(6), e0130270.

Zulkosky, K. (2014, April). Self?efficacy: a concept analysis. In Nursing Forum (Vol. 44, No. 2, pp. 93-102). Blackwell Publishing Inc.