NRS 445 Topic 3 DQ 2 Randomized Controlled Trial

Discussion: Select a research article that uses a randomized controlled trial focusing on a clinical nursing problem of your choice. Use this research article to address the following questions:

NRS 445 Topic 3 DQ 2 Randomized Controlled Trial Sample

Topic 3 DQ 2: Randomized Controlled Trial

Perri, M. G., Shankar, M. N., Daniels, M. J., Durning, P. E., Ross, K. M., Limacher, M. C., … & Befort, C. A. (2020). Effect of telehealth extended care for maintenance of weight loss in rural US communities: a randomized clinical trial. JAMA Network Open, 3(6), e206764-e206764. doi:10.1001/jamanetworkopen.2020.6764

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Study Evaluation

Perri et al. (2020) conducted a randomized controlled trial to determine the effectiveness of telehealth extended care on weight loss among rural US communities. The research question is clear since the researchers aimed to examine whether telephone counseling would help rural communities in weight gain prevention. Consequently, participants were randomized into the extended care delivered via telephone counseling or an education control program delivered via email. All participants were followed up at four months and month 22 (final). The baseline characteristics were similar since participants were adults with body mass index ranging from 30 to 45 and under no weight loss medications. Therefore, there were no study characteristics that could affect outcomes. Each group received the same level of care, and the effects of interventions were reported comprehensively. A similar approach can be used in current healthcare facilities to improve obesity management among patients. NRS 445 Topic 3 DQ 2 Randomized Controlled Trial

Intervention Benefits vs. Harms and Costs

Telehealth is associated with many issues, prompting the question of whether its value outweighs the harms and risks. Generally, implementing telehealth increases access to care, reduces healthcare costs, and enables patients to self-manage their conditions (Snoswell et al., 2020). In the study by Perri et al. (2020), telehealth was effective in extending care for obesity management in rural communities. Potential harms include data breaches, privacy and security concerns, and patient privacy issues (Martiniuk et al., 2023). Healthcare facilities must also invest in robust technological infrastructure to support telehealth, which is costly. Using this comparative analysis, the benefits outweigh the harms and costs. The harms and costs are usually challenges that can be addressed with effective management of health IT and user training to minimize risks. Another ethical consideration applicable to quantitative studies is informed consent. Researchers should ensure participants understand the risks, objectives, and benefits of a study to participate willingly.

NRS 445 Topic 3 DQ 2 Randomized Controlled Trial References

Martiniuk, A., Toepfer, A., & Lane-Brown, A. (2023). A review of risks, adverse effects and mitigation strategies when delivering mental health services using telehealth. Journal of Mental Health, 1-24. https://doi.org/10.1080/09638237.2023.2182422      

Perri, M. G., Shankar, M. N., Daniels, M. J., Durning, P. E., Ross, K. M., Limacher, M. C., … & Befort, C. A. (2020). Effect of telehealth extended care for maintenance of weight loss in rural US communities: a randomized clinical trial. JAMA Network Open, 3(6), e206764-e206764. doi:10.1001/jamanetworkopen.2020.6764

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10), e17298. https://doi.org/10.2196/17298

NRS 445 Topic 3 DQ 2 Randomized Controlled Trial Assessment Description

Select a research article that uses a randomized controlled trial focusing on a clinical nursing problem of your choice. Use this research article to address the following questions:

Provide an APA reference of the article including a GCU permalink or working link used to access the article.

Using the “CASP Randomized Controlled Trial Checklist,” found in topic Resources, evaluate the study. Based on your findings, summarize the critical appraisal of the selected research article.

Do the benefits of the experimental intervention outweigh the harms and costs? Identify and discuss one other ethical consideration applicable to quantitative research studies such as this one.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Resources

Nursing Research: Understanding Methods for Best Practice

Required

Read Chapter 3 in Nursing Research: Understanding Methods for Best Practice.

View Resource

CASP Randomised Controlled Trial Standard Checklist

Required

Refer to the “CASP Randomised Controlled Trial Standard Checklist,” from the Critical Appraisal Skills Programme, for help in com

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https://casp-uk.net/images/checklist/documents/CASP-Randomised-Controlled-Trial-Checklist/CASP-RCT-Checklist-PDF-Fillable-Form.pdf

Ensuring Data Fidelity in Quantitative Research

Required

Read “Ensuring Data Fidelity in Quantitative Research,” by Siegmund and Siedlecki, from Clinical Nurse Specialist (2021)

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https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00002800-202111000-00003&LSLINK=80&D=ovft

Essential Versus Nonessential: The Ethics of Conducting Non-COVID Research in a Population of Persons Living With Serious Illness During the COVID-19 Pandemic

Required

Read “Essential Versus Nonessential: The Ethics of Conducting Non-COVID Research in a Population of Persons Living With Serious Illne

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https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00129191-202202000-00009&LSLINK=80&D=ovft

Experimental (Trial) Research

Required

Read “Experimental (Trial) Research,” by Stoica, from Salem Press Encyclopedia (2021). This article presents information

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https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=89164212&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=eds1

Sampling Design in Nursing Research

Required

Read “Sampling Design in Nursing Research,” by Curtis and Keeler, from American Journal of Nursing (2021). This article

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https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-202103000-00024&LSLINK=80&D=ovft

Optional – ThinkingStorm Online Tutoring

Optional

For additional information, the following is recommended:

Access “ThinkingStorm Online Tutoring,” located on the ThinkingSt

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https://www.thinkingstorm.com/ NRS 445 Topic 3 DQ 2 Randomized Controlled Trial