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Critique of A Published Quantitative Article

Critique of A Published Quantitative Article

Sample Answer 

Critique of A Published Quantitative Article

Purpose of the Study

To identify the common gaps in skills and self-efficacy in diabetes self-management to explore factors that enable or bar individuals from attaining optimal diabetes self-management.

Research Questions/Hypothesis.

The study hypothesized that,

  1. In diabetes management, the patient’s level of self-efficacy is influenced by their level of skills for self-management.
  2. Barriers encountered by patients influence non-adherence to recommended diabetes self-management regimens.

Gap/Background/Significance

Researches show that consistent engagement with self-management is correlated to the attainment of health outcomes in terms of good blood sugar levels, improved quality of life, and the reduction of diabetes-related health complications. Self-management of chronic conditions is crucial in the long-term support of individual well-being. Besides, diabetes prevalence is rapidly increasing, imposing a heavy economic burden on healthcare systems globally.

Variables/Theoretical or Conceptual Framework

The article discusses the relationship between DSME and self-efficacy in the management of diabetes. Barriers to self-management efficacies increase exposure to diabetes. Enablers and barriers were used as the independent variables, while self-management efficacy was the dependent variable. The study adopts a theoretical framework linked to Social Cognitive Theory, which supports the argument that education improves people’s capability to understand and diagnose problems and implement sound actions to address them.

Review of the Literature

The article presents adequate and relevant literature from evidence-based articles to support the need for skills and efficacy in the management of diabetes. The literature supports the research topic using empirical and descriptive evidence. The sources used in this study command unquestionable clarity, relevance, and objectivity to support the proposed hypothesis. The literature review also uses peer review articles that link the hypothesis to the expected study results.

Design

The study uses a Mixed-methods design involving quantitative and qualitative methods of data collection. The quantitative part of the study uses a cross-sectional survey and data analysis, whereas the qualitative part of the research employs phone interviews to describe data in detail.

Sample

A sample population of 217 persons participated in the online survey. The study uses a worldwide unspecific target population comprising all persons with diabetes. In sample selection, diverse recruitment strategies were used to get people with diverse experiences to establish shared patterns. The inclusion criteria specified that participants must be persons older than 18 years who suffer from Type 1 diabetes and Type 2 diabetes. Besides, participants must have received DSME within the previous 12 months. To avoid bias, no recruitment limit was specified.

Instruments

The study used the novel LMC Skills, Confidence, and Preparedness Index (SCPI) tool to assess skills and self-efficacy in behaviors central to diabetes self-management. The SCPI tool used is previously validated with its validity constructed for different ages, levels of education, gender, and ethnic groups. Also, a visual analog scale from 1 to 10 is used to rate skills and confidence domain items.

Ethics

The participants’ anonymity, confidentiality, and safety were ascertained before data collection started. James Cook’s University, under registration number H7087, issued the ethics approval. Participant’s submission of online surveys implied informed consent, while telephone interviewees willingly provided verbal consent.  

Data Collection Techniques

In the study, two sets of data were collected using online surveys and telephone interviews. The online surveys collected quantitative data on skills and self-efficacy in diabetes self-management. Qualitative data was collected using telephone interviews to explore additional factors that act as enablers or barriers to diabetes self-management.

Analysis of Data and Results.

Online surveys were analyzed using descriptive and inferential statistics. On the other hand, the investigators used inductive thematic analysis to analyze telephone interviews. From the data analysis, out of 217 online survey participants, 38.2% had T1D, and 61.8% had T2D, with a mean age of 44.56 years. The responses were collected from four continents: America, Europe, Australia, and Asia. The study showed that the gaps in diabetes self-management skills included the ability to: recognize and manage the stress associated with diabetes, exercise planning to avoid hypoglycemia, and interpret blood glucose pattern levels. The enablers revealed from the data analysis were: The will and ability to prevent diabetes-related complications and the use of technological devices in diabetes management. The barriers include frustrations caused by the chronic nature of diabetes, unrealistic expectations, financial hardships, and workplace and built environments that limit access to physical exercise.

Interpretation and Conclusions.

Exposure to DSME enhanced high scores in self-management skills in monitoring and interpreting blood sugar patterns. The participants possessed low skills in planning physical activity to avoid hypoglycemia. The participants demonstrate poor skills in managing stress associated with diabetes. Ideally, stress management is critical in forming clinical and educational interventions to control diabetes. The study also showed that people with T1D had poor self-management skills scores compared to those with T2D. This difference could be explained using the duration of exposure to health education programs. There are gaps in skills and self-efficacy in type 1 and type 2 diabetes. Education programs need to be reinforced to foster healthy coping with diabetes stress, physical activity planning, and interpretation of blood sugar patterns.

Evidence-Based Practice

Based on the evidence presented in the article, a potential practice that would be implemented is periodical diabetes educational programs to promote DSME/S and reduce the risks and costs associated with diabetes. The intervention is patient-centered and economically sustainable. There is concrete evidence that self-management efficacy increases positive health outcomes among diabetes patients.

Reference

Adu, M. D., Malabu, U. H., Malau-Aduli, A. E., & Malau-Aduli, B. S. (2019). Enablers and barriers to effective diabetes self-management: A multi-national investigation. PloS one14(6). https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217771

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Question 


Critique of A Published Quantitative Article

TOPIC IS ” inadequate management of TYPE 2 DIABETES MANAGEMENT”

Critique of A Published Quantitative Article

Critique of A Published Quantitative Article

Please write your responses into the template and please this is a professional paper. Grammar and spelling cautious

My topic is “knowledge deficit of self-management in type 2 diabetes patient” and the article has to reflect this topic

Article:

  • Adu, M. D., Malabu, U. H., Malau-Aduli, A. E., & Malau-Aduli, B. S. (2019). Enablers and barriers to effective diabetes self-management: A multi-national investigation. PloS one, 14(6).
    Link: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217771

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