Nutrition Question

After considering what the published clinical guidelines say about your case study, you now determine that you still have some questions about how to answer the 2nd question posed in your case study. As the dietitian in the case you would go through the following steps to answer the question. For this assignment, you will go through these same steps.

Step 1: First you will find all the peer reviewed articles of original research studies that have tested hypotheses related to the clinical question in your case. DO NOT include any type of review article for this assignment. Use the resources available on Canvas or arrange a virtual (or live) consult with a UH librarian to construct a thorough search strategy, and then apply the search strategy to conduct a PubMed or PsychInfo (or other) search. Narrow your search to include those articles that have tested your question and exclude those that do not answer your research question. This is where a list of inclusion and exclusion criteria will help.

[Hint: The studies you want to include will be those that conducted an original research study testing a research question that is very similar to the case study question you have. Lets say you were trying to determine whether the DASH dietary pattern is a valid dietary pattern for promoting bone density. You would look for original research studies that tested (in various ways) whether the DASH diet was related to or led to increased bone density.]

Very important note (READ THIS): You should select research studies that test the research question you are interested in regardless of what they find. DO NOT exclude research studies based on their results. You are an unbiased professional not someone who is looking for research to justify your current opinion.

Also note: You should make sure that the target population of the research studies somewhat matches the target population of your research question. Also make sure the outcome (dependent variables) in the study matches the variables in your research question. For example, if you want to know if the DASH diet prevents bone density loss, you should not review articles that show the DASH diet prevents heart disease. Articles that test intuitive eating on mental health or that test the keto diet on children with epilepsy are not going to address your case study questions.

Keep track of these articles and summarize them for easy viewing in the Literature Review Matrix template Download Literature Review Matrix template. This will keep your articles organized and give you a quick high level view of the articles you have found.

Step 2. Next you will take all the articles from step 1 and assess the quality of the studies. To do this you should identify the qualities that strengthen their internal and external validity and the qualities that weaken their internal and external validity. You may want to categorize each study as strong, moderate, or weak or you may rank the studies from best to worst. Very important note (READ THIS): The quality of a study has NOTHING to do with the results. If my research question is, Does the DASH diet prevent bone loss? and I found a very strong quality study that found the DASH diet did not affect bone density, I would still categorize it as one of the strong articles based on the quality of the research design, and I would begin to form a conclusion that the DASH does not affect bone health (step 4).

Step 3. Next you will summarize the findings of the articles you critiqued (step 2). What did each study find? Focus on the pieces of the study that tested the variables and hypotheses that are relevant to your situation or case.

Step 4. Next, develop recommendations for how the clinician in the case should proceed based on the results of the studies from step 3. For this step, you should make recommendations you based on the results of the studies you reviewed. DO NOT include recommendations about exercise or other dietary components or drinking water or any other generic health practices. These may be evidence based recommendations, but they are not the answer to the specific clinical question you set out to answer from the case study.

Step 5. Last, grade the strength of each recommendation you came up with in step 4. Some recommendations may be strong (based on many high quality studies) and some may be weak (based on few or low quality studies). The Evidence Analysis Table

outlines several qualities to consider as you grade the strength of a recommendation.

What to turn in?

Together, you will turn in a 4-page report to demonstrate that you went through the steps above as well as the completed Excel spreadsheet template listing all of the articles you included in your review. This paper should include the following components:

1. Title page with group number and student names.
2. A description of the search strategy (1/2-1pg). This should be like a recipe or set of instructions. I should be able to follow the search strategy you outline and find the articles you ultimately use for this paper. If you do not answer the following questions, you will lose points.
   1. What is your research question (e.g., What is the relationship between the DASH diet and bone density? Does breastfeeding prevent postpartum weight retention? Is breakfast consumption associated with blood glucose control?)?
   2. What were your keywords and filters? (e.g., We searched for diet, osteoporosis, nutrition, bone density. We restricted the search to humans, peer reviewed articles, and those studies published in English).
   3. What are your inclusion and exclusion criteria? (e.g., We included studies conducted on women of childbearing age, studies in which breastfeeding was compared to no breastfeeding, studies in which the dependent variable was postpartum weight).
   4. What databases did you search? (e.g., Pubmed, PsychInfo)
   5. How many articles did you find in the database based on keywords and filters? How many did you exclude based on review of title and abstract? How many articles did you review for this assignment?
3. . This will help you organize and track the articles you include in your review.
4. Select 2 articles out of all the articles that have tested your clinical question. Write a 1-page critique of these 2 articles as an example to show you know how to evaluate the strengths and weaknesses of a research study. In your paper, refer to each article with Author (year) or (Author, year). For example, you may say something like, The purpose of the Ledoux (2023) study was to determine whether eating breakfast improved blood sugar control among adults with pre-diabetes who were not accustomed to eating breakfast. The internal validity of this study (Ledoux, 2023) was strengthened by the RCT design. The most important elements to include here are the overall purpose of the study and the strengths and weaknesses for establishing internal and external validity of the study. Include the articles described in this critique in the appendix of the paper.
5. A summary of ALL the articles you reviewed for this assignment (i.e., all the articles you retained from your search strategy). You should summarize the purposes, research designs, major and minor findings, target populations, and common strengths/weaknesses. This is very high level. It is totally fine to say things like, Of the 10 articles we reviewed, most of them were RCTs, but there were a few cross-sectional, cohort, and quasi experimental studies. Five of the 10 studies recruited healthy adult samples, but 3 included clinical samples with diabetes, and 2 were focused on older adults. Most of the studies found a positive association between consumption of vegan diets and various cardiometabolic protective factors. However, the strongest quality study we had failed to show any significant association between vegan diets and cardiometabolic health.
6. A summary of the clinical recommendations you have for your case study. In other words, answer the 2nd question provided in the case study. Your clinical recommendations should be based on the articles you reviewed in steps 2 and 3 (i.e., the articles that arose from your search strategy conducted in step 1). Use the Evidence Analysis Library grading table on Canvas to evaluate and grade the strength of each recommendation on the elements outlined in the table. Describe your rationale for the strength provided for each recommendation based on the elements in the table. Remember I am not asking you to provide all recommendations you would give a patient; I am asking you to provide recommendations based on findings from the research you reviewed. NOTE: You will lose points for discussing recommendations not based on your articles because this would reflect lack of attention to detail and failure to know what evidence-based practice is. IMPORTANT TIP: Also remember you are grading the recommendations you write, not the articles. You will lose points for grading the articles rather than your recommendations. And there are several qualities in the EAL table to discuss as you grade your recommendations.
7. Reference Page including a listing of all articles reviewed for part 3 of this report.
8. Appendix: Full text articles from part 2 of this report.

Struggling with your essay and deadlines?

Get this or a similar paper done in as fast as 4 hours, 24/7.

NB: We do not sell prewritten papers. All essays are written from scratch according to specific needs and instructions

✔Secure Service ✔ Plagiarism Free ✔On-time Delivery

WRITE MY PAPER