Evidence-Based Clinical Practice Question
In adult patients with hypertension treated within a primary care practice, how effective is providing virtual group education sessions in enhancing self-care behaviors and improving blood pressure readings within three months?
1. Methodology
With a few sentences about this section-use research text descriptors of methodology and explain yours.
I am planing on having a sample of 20-30 participants, convenience sample. the intervention consists of virtual group sessions ( 6 sessions, [see draft bellow]) and data will be collected pre and post intervention (same group) through the Hypertension Self-Care Profile (HBP-SCP) Behavior questionnaire tool and the The Brief Illness Perception Questionnaire. I am having some issues to start writing about everything and would appreciate a little push 🙂
INTERVENTION
Series of Group workshops/educational sessions, virtual or in person
Meetings structure- Draft
Five- Six sessions
Session one- Introductions, sharing objectives and challenges
Session two- Dietary recommendations- short PPT and open discussion for peer support
Session three- Physical Activity level- short PPT and open discussion for peer support
Session four- Compliance with hypertensive medication, limit alcohol and smoking cessation- short PPT and open discussion for peer support
Session five- Manage stress- short PPT and open discussion for peer support
Session Six- Importance of a close relationship with the primary care providers and wrap-up.
Hypertension Self-Care Profile Behavior Questionnaire
Listed below are common recommendations for persons with hypertension. How often do you do the following?
Items | Always 4 | Frequently 3 | Sometimes 2 | Rarely/ Never 1 |
1. Take part in regular physical activity (e.g. 30 minutes of walking 4-5 times a week)? | ||||
2. Read nutrition facts label to check information on sodium content? | ||||
3. Replace traditional high-salt foods (e.g. canned soups, Oodles of Noodles) with low salt products (e.g. homemade soups, fresh vegetables)? | ||||
4. Limit use of high-salt condiments (e.g. Ketchup)? | ||||
5. Eat less than 1 teaspoon of table salt per day (6 grams)? | ||||
6. Eat less foods that are high in saturated (e.g. red meat, butter) and trans-fat (e.g. shortening, lard)? | ||||
7. Use broil, bake or steam instead of frying when cooking? | ||||
8. Read nutrition facts label to check information on saturated (e.g. butter, red meat) and trans-fat (e.g. lard, shortening)? | ||||
9. Replace traditional high-fat foods (e.g. deep-fried chicken) with low-fat products (e.g. baked chicken)? | ||||
10. Limit total calorie intake from fat (less than 65 grams) daily? | ||||
11. Eat 5 or more servings of fruits and vegetables daily? | ||||
12. Practice moderation in drinking alcohol daily (2 glasses or less for men; 1 glass or less for women)? | ||||
13. Practice non-smoking? | ||||
14. Check your blood pressure at home? | ||||
15. Forget to take your blood pressure medicine? | ||||
16. Forget to fill your prescriptions? | ||||
17. Keep your weight down? | ||||
18. Monitor situations that cause a high level of stress (e.g. arguments, death in the family) resulting in blood pressure elevation? | ||||
19. Engage in activities that can lower stress (e.g. deep breathing, meditation)? | ||||
20. See a doctor regularly? |
The data will be collected through a demographic survey and the Hypertension Self-Care Profile (HBP-SCP) Behavior questionnaire tool.
Provide a description of how can the data be collected with the info provided above and best roadmap to see how effective is providing virtual group education sessions in enhancing self-care behaviors and improving blood pressure readings for hypertensive population.
2. Based on the above information witch of the following designs would fit best?
Design
Sample Designs include the following:
1. Quantitative/Experimental: requires a control group and randomized sampling.
2. Quasi-experimental: no control group and not random sample.
3. Mixed methods: use of quasi-experimental design with 3-5 open-ended questions.
4. Descriptive: descriptive statistics may be obtained non-quantitative.
5. Exploratory: Pilot study or focus groups
6. Qualitative or Phenomenological: interviewing participants with audio or video taping utilizing a small, convenience sample.
State the type of research design (e.g., quantitative, qualitative, mixed-methods, quasi-experimental, exploratory) and rationale for use.
https://connect.springerpub.com/content/book/978-0-8261-7433-8/chapter/ch07#:~:text=The%20DNP%20project%20methodology%20is,and%20processes%20will%20be%20evaluated.
Polit, D. F., & Beck, C. T. (2021) Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
https://nursing.buffalo.edu/academic-programs/graduate-programs/dnp/dnp-projects.html#:~:text=A%20DNP%20Project%20may%20focus,populations%20or%20healthcare%20and%20systems.
https://www.coursehero.com/file/27597925/DNP-Project-Methodology-and-Design-Lecturepdf/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270883/