Evidence-Based Practice Project Proposal: PICOT
PICOT Final
Name_____________________________________
| PICOT Question | |||
| P | Population | Older adults with type 2 diabetes | |
| I | Intervention | Twice-weekly tailored physical exercise training | |
| C | Comparison | No exercise interventions | |
| O | Outcome | Improved functional fitness and independent living | |
| T | Timeframe | 8 weeks | |
| PICOT Create a complete PICOT statement. | In older adults with type 2 diabetes (P), does a twice-weekly tailored physical exercise training program (I), compared to no exercise interventions (C), improve functional fitness and independent living (O) in 8 weeks (T)? | ||
| Problem Statement Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper. | Older adults are a unique population with complex and highly demanding health problems. The prevalence of type 2 diabetes among older adults is a significant nursing practice problem since it increases hospitalizations, healthcare costs, and the risk for cardiovascular disease (Atak Tel et al., 2023; Evans et al., 2022). These outcomes denote a significant gap between the delivered and desired patient care. Nursing and healthcare research further shows that type 2 diabetes is associated with reduced functional performance and independence among older adults (Kirwan et al., 2021; Pfeifer et al., 2022). As a result, interventions tailored to improve functional capacity and independence among older adults with type 2 diabetes are crucial for improved health outcomes and reduced clinical visits. | ||
References
Atak Tel, B. M., Aktas, G., Bilgin, S., Baltaci, S. B., & Taslamacioglu Duman, T. (2023). Control level of type 2 diabetes mellitus in the elderly is associated with polypharmacy, accompanied comorbidities, and various increased risks according to the Beers Criteria. Diagnostics (Basel, Switzerland), 13(22), 3433. https://doi.org/10.3390/diagnostics13223433
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Evans, M., Chandramouli, A. S., Faurby, M., Matthiessen, K. S., Mogensen, P. B., & Verma, S. (2022). Healthcare costs and hospitalizations in US patients with type 2 diabetes and cardiovascular disease: a retrospective database study (OFFSET). Diabetes, Obesity & Metabolism, 24(7), 1300–1309. https://doi.org/10.1111/dom.14703
Kirwan, M., Chiu, C. L., Hay, M., & Laing, T. (2021). Community-based exercise and lifestyle program improves health outcomes in older adults with type 2 diabetes. International Journal of Environmental Research and Public Health, 18(11), 6147. https://doi.org/10.3390/ijerph18116147
Pfeifer, L. O., De Nardi, A. T., da Silva, L. X. N., Botton, C. E., do Nascimento, D. M., Teodoro, J. L., … & Umpierre, D. (2022). Association between physical exercise interventions participation and functional capacity in individuals with type 2 diabetes: a systematic review and meta-analysis of controlled trials. Sports Medicine-Open, 8(1), 1-22. https://doi.org/10.1186/s40798-022-00422-1