Tuesday, May 5, 2020

Mindfulness Stress Reduction and Change In Health Related Behaviors

Questions: 1.Mindfulness Based Stress Reduction and Change In Health Related Behaviors- Salmoirago-Blotcher et al? 2.What is the clinical significance of chest CT when the chest x-ray result is normal in patients with blunt trauma? - Kea et al? Answers: 1.The following write up contains my reflection of a published paper that I have read. This will involve reflecting on the research design adopted by the research article and my opinion on it appropriateness. I will also include either how the research would be expanded to take a more pragmatic post positivist appropriate or how the study design would have been improved. The research paper topic was mindfulness Based Stress Reduction and Change in Health Related behaviors. The paper was authored by Elena Salmoirago- Blotcher, Daniel Fischer, Matthew Hunsinger, James Carmody and Lucas Morgan. The research paper used was published in 2013 on Journal of Evidence Based Complementary and Alternative. The study aimed to investigate if mindfulness training is correlated by health behaviors. This study was inspired on how health behaviors can be used to address public health. The study outlines unhealthy behaviors to be poor diets, smoking, and physical inactivity. These unhealthy related behaviors contribute to health disorders such as metabolic syndrome, cardiovascular disease, type 2 diabetes and obesity (Tielsch-Goddard and Ridner, 2016). Therefore, the study seeks to use mindfulness training to change health related behaviors to promote sustainable behavior change to solve the public health problem of chronic diseases. The Mindfulness Based Stress Reduction and Change in Health Related Behavior study adopted explanatory research design. The study design was used in order to show casual relationship between mindfulness activities and health of an individual. The study design uses a mindfulness based stress reduction program to show and explain how change in health behaviors can lead to health public health improvement. The research involves the study of unhealthy behavior and their change to prevent chronic diseases. The explanatory research design used by the Authors of the study led to stating of the study hypothesis. The study hypothesizes that public health can be improved through change of health related behaviors. The study also hypothesis that mindfulness based stress reduction program can be used to change and promote sustainable healthy behaviors (Flannelly, Jankowski, 2014). Secondly, the explanatory research designs necessitated the use of qualitative data. The qualitative data is collected on individuals dietary behaviors, quality of sleep, drinking, physical activities, and smoking. The mindfulness program that individuals attend is conducted for seven weeks. The data on the health related behavior is collected on the beginning and end of the eighth week. The study used a population of 174 participates with 61% being female and 39male. The range of the population was 19-68. The data was collected by use of questionnaires and interviews. Lastly, the data for the explanatory research design was analyze by use of T-test data that was paired and chi-square was used to comparing pre-post intervention means. The study research design was appropriate to establishing a structure that was used to meet the study objective. The explanatory research design was appropriate for establishing the correlation of mindfulness and health of an individual. The Pragmatic past positivist approach to be incorporated in the design used in this study could be health check up in the beginning and at the end of the eighth week. This pragmatic measure would have collected data on the health of the participants at the beginning and improvement at the end. 2.I looked at descriptive statistics of What is the clinical significance of chest CT when the chest X-ray result is normal in patients with blunt trauma? article. The article was published on American Journal of Emergency Medicine. The study had an objective of investigating the portion of patients that have normal chest x-ray (CXR) injury and results seen on CT and abnormal initial CXR and no injury on CT and then characterizes the clinical significance of the injury. The CT was determined by the trauma experts. The study used 3639 participants where 2848(78.3%) had CXR and 791(21.7%) had both were CT and CXR done. Out of 589 individuals who chest CT test after undertaking CXR of which 82% (95% confidence interval, 78.7-84.9%) were normal Ct results while 18%(95% confidence interval, 15.1%-21%) had injuries. From the study of the descriptive statics of this article, I was able to understand the percentages used to interpret and analyze the data collected. The percentage used in the research refers to the distribution of the cases in the data. For instance 82% means the study found occurrence to variable having a mean of 82. This entails that out of a hundred sample of the population, the variable is present in 82 samples. The descriptive data also should a variability of the data. For instance 82% with variability of 78.7%-84.9% means that standard deviation of the distribution is between 78.7% and 84% for the data (Speroff and O?Connor, 2004). Lastly, I was able to understand the confidence interval applied in the study of 95%. It means that it true that the mean gotten in the research done are 95% correct and 5% not correct. From the weekly studies on basic interpretation of central tendencies and variability or spread, I have been able to acquire knowledge to understand, define, describe, identify, compare, and interpret descriptive statistic used in research papers. References Flannelly, K., Jankowski, K. (2014). Research Designs and Making Causal Inferences From Health Care Studies. Journal Of Health Care Chaplaincy, 20(1), 25-38. https://dx.doi.org/10.1080/08854726.2014.871909 Kea, B., Gamarallage, R., Vairamuthu,, H., Fortman, J., Lunney, K., Hendey, G., Rodriguez, R. (2013). What is the clinical significance of chest CT when the chest x-ray result is normal in patients with blunt trauma?. The American Journal Of Emergency Medicine, 31(8), 1268-1273. https://dx.doi.org/10.1016/j.ajem.2013.04.021 Salmoirago-Blotcher, E., Hunsinger, M., Morgan, L., Fischer, D., Carmody, J. (2013). Mindfulness-Based Stress Reduction and Change in Health-Related Behaviors. Journal Of Evidence-Based Complementary Alternative Medicine, 18(4), 243-247. https://dx.doi.org/10.1177/2156587213488600 Speroff, T., O?Connor, G. (2004). Study Designs for PDSA Quality Improvement Research. Quality Management In Health Care, 13(1), 17-32. https://dx.doi.org/10.1097/00019514-200401000-00002 Tielsch-Goddard, A., Ridner, S. (2016). Critical Analysis of Interventional Research Designs to Promote Coping in Pediatric Patients. Journal Of Pediatric Health Care, 30(5), 424-434. https://dx.doi.org/10.1016/j.pedhc.2015.10.

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