Keeper Study Evaluation Paper

Keeper Study Evaluation Paper

Keeper Study Evaluation Paper

Exploring the Literature

PICOT: Patients living in a 65+ assisted living community (I) does light weightlifting three times a week plus 10,000 steps a day reduce falls (C) compared to current practice (O)reduce the incidence of falls (T) within three months.

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1. Why was the study done?

The study by Cameron et al. (2018) aimed to assess the impact of interventions such as exercise designed to reduce the incidences of falls among the elderly in hospitals and care facilities.

2. What is the sample size?

A total of 77,869 participants used in the thirty-five new clinical trials were utilized in this study. The sample size was large enough to ensure that the collected results were reliable for clinical practice application.

3. Are the instruments of the variables in the study clearly defined and reliable?

The study variables have been clearly outlined, such as the rate of falls and the number of falls, in addition to the number of study participants sustaining fractures related to the falls, complications of the intervention, and economic outcomes. Instruments such as excel spreadsheets and SPSS were utilized consistently throughout the study in measuring the above variables.

4. How was the data analyzed?

The collected data were analyzed by intention-to-treat (ITT) to determine the impact of the tested intervention in reducing the incidences of falls and associated complications among the elderly participants.

5. Were there any unusual events during the study?

It was noted that there were low risks of bias in 87 clinical trials and unclear risk in 6 trials due to unusual study design. In these clinical trials, several participants were stopped from taking medication to avoid incidences of adverse events.

6. How do the results fit in with previous research in this area?

The results of this study were consistent with previous research on the same topic, revealing the positive impact of exercise intervention in reducing the incidences of falls and fractures among the elderly in nursing homes and hospitals.

7. What are the implications of the research for clinical practice?

The research provides evidence supporting the effectiveness of exercise, medication, psychological interventions, and multifactorial intervention in reducing falls and fractures among the elderly to be applied in clinical practice.

Reference

Cameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., &Kerse, N. (2018). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane database of systematic reviews, (9).DOI: 10.1002/14651858.CD005465.pub4

Again, keeper studies can be identified using handy Rapid Critical Appraisal checklists consisting of a set of simple but important questions. Below are sample questions developed for use with quantitative studies that are applicable to most appraisal situations (it’s important to note that qualitative evidence, if it’s relevant to the clinical question, should not be dismissed):

Picot Question: My PICOT question regarding this issue is: (P) Patients living in a 65+ assisted living community (I) does light weightlifting three times a week plus 10,000 steps a day reduce falls (C) compared to current practice (O)reduce the incidence of falls (T) within three months.

Why was the study done? Make sure the study is directly relevant to the clinical question.
What is the sample size? Size can and should vary according to the nature of the study. Since determining a valid minimum sample size in a single study can be difficult, taking into account multiple studies is beneficial.
The answer to this question alone should not remove a study from the appraisal process.

Are instruments of the variables in the study clearly defined and reliable? Make sure the variables were consistently applied throughout the study and that they measured what the researchers said they were going to measure.
How was the data analyzed?
Make sure that any statistics are relevant to the clinical question.

Were there any unusual events during the study? If the sample size changed, for example, determine whether that has ramifications if you wish to replicate the study.
How do the results fit in with previous research in this area? Make sure the study builds on other studies of a similar nature.
What are the implications of the research for clinical practice? Ask whether the study addresses a relevant and important clinical issue.