PICOT Question on Bariatric Surgery

Literature Evaluation Table
Student Name:
Nursing Practice Problem:
Excess body fat is a dangerous medical disease termed obesity, which harms a person's health. It has a broad list of chronic diseases connected to it, including stroke, cardiovascular conditions, diabetes, and high blood pressure. Obesity is widespread in the U.S.; according to a Centers for Disease Control (CDC) study, in 2022, 41.9% of American adults were obese, and four out of ten Americans were obese. Several factors, including eating disorders, physiological variables, heredity, and a lack of exercise, can contribute to being overweight. Many Americans resort to surgical methods, commonly termed bariatric surgery, after failing conventional efforts at losing weight due to the severity of such health concerns. Bariatric surgery involves permanently altering the stomach and digestive system to lose weight. These adjustments reduce the amount of food one can eat and the amount of nutrients absorbed. Major life-altering surgeries like bariatric surgery have many health concerns and undesirable side effects. Before deciding whether or not to have bariatric surgery, a person must undergo a medical assessment. One must make the continuous changes to their lifestyle required for the best possible weight loss once it is confirmed they are qualified for bariatric surgery. I have decided to investigate whether bariatric patients who attend preoperative and postoperative sessions on bariatric training have better success losing weight than those who do not participate for five months.
PICOT Question: Do obese patients (p) who engage in pre- and post-operation bariatric training sessions (I), compared to those who do not participate in bariatric training sessions (c), increase general weight loss (o) for five months (T)?
Criteria

Article 1

Article 2

Article 3

APA-formatted article citation with permalink

Merve, Z., & nmez, A. (2023). Effects of cognitive behavioral therapy on body mass index, emotional eating and mindful eating of post-bariatric surgery patients: A randomized controlled trial. Journal of Cognitive-Behavioral Psychotherapy and Research, (0), 1. https://doi.org/10.5455/jcbpr.2926

Butt, M., Wagner, A., & Rigby, A. (2021). “I thought that being thin was going to solve all my problems”: A qualitative study of body image in patients before and after bariatric surgery. Bariatric Surgical Practice and Patient Care, 16(1), 21–29. https://doi.org/10.1089/bari.2020.0062

Paul, L., van der Heiden, C., van Hoeken, D., Deen, M., Vlijm, A., Klaassen, R. A., Biter, L. U., & Hoek, H. W. (2020). Cognitive behavioral therapy versus usual care before bariatric surgery: One-year follow-up results of a randomized controlled trial. Obesity Surgery, 31(3), 970–979. https://doi.org/10.1007/s11695-020-05081-3

How does the article relate to the PICOT question?

The study explains how cognitive behavioral therapy helps people who qualify for bariatric surgery to overcome their eating disorders. The article pertains to the PICOT topic since it illustrates how cognitive behavioral therapies affect obese patients undergoing surgery.

The study relates to the PICOT topic since it focuses on pre and post-surgical bariatric patients with an emphasis on body image issues.

The study relates to the PICOT topic since it illustrates how cognitive behavioral therapy before bariatric surgery aids in maintaining a healthy weight following surgery.

Is the article qualitative, quantitative, or mixed methods?
Justify your selection.

It is a quantitative study since the effectiveness of cognitive behavioral therapies in treating eating disorders is evaluated numerically.

It qualifies as a qualitative study because it uses a qualitative approach to data collection.

It is a quantitative study since it offers a quantifiable evaluation of preoperative cognitive behavioral therapy's efficacy.

Purpose statement

The study aims to determine whether cognitive behavioral therapy effectively treats affective symptoms and resolves dysfunctional eating.

The study aims to identify the key elements of the surgical bariatric program that support maintaining a healthy weight.

The study will ascertain whether preoperative cognitive behavioral intervention safeguards patients against unfavorable outcomes following surgery.

Research question(s)

Do cognitive behavioral therapies improve mental self-control over eating and lessen binge eating?

What elements of the surgical bariatric program help people maintain their weight successfully?

Does preoperative cognitive behavioral therapy, which aims to change behaviors and ideas, help patients achieve long-term success after bariatric surgery in maintaining their weight and healthy lifestyle?

Outcome(s)

Patients with obesity who received cognitive behavioral therapy showed significant reductions in body mass index and changes in dysfunctional eating.

All of the respondents mentioned at least one psychosocial advantage.

Although there were no substantial variations between the conditions, the condition ratings for depressive symptoms and psychological distress decreased significantly in the CBT between pre-and post-treatment before surgery.

Setting
(Where did the study take place?)

The study was conducted in a Norwegian care facility.

The study was conducted at Penn State College of Medicine.

The study took place at the Institute of Psychology, Leiden, Netherlands.

Sample

Sixty post-bariatric surgery patients were divided randomly into two groups.

Five male participants and five female participants finished the course.

One hundred twenty-eight patients (64 patients per group) were required.

Method

Randomized controlled groups

Semi-structured telephone interviews

Randomized controlled trial.

Key findings of the study and implications for nursing practice
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