CP – Week 4 Discussion 1st REPLY

Reply to the following discussion by supporting the post.  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources. Be objective, clear, and concise.It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources.JA Discussion:The search within these different tools was made up of a comprehensive literature research to answer the PICOT question being researched. The main idea of the research is to find which obese adult is more successful at losing weight and maintaining their weight loss; the one who used a medical intervention, such as medication, or the one who did it through diet and exercise. Due to the parameters that must be followed this research was completed using articles published between 2017 and 2021 and using the following databases: CINAHL, PubMed, Cochrane Library, Dynamed, TRIP Database, SU Library Search, and ScienceDirect. Search terms included “obese adults,” “weight loss with medical intervention,” “weight loss without medical intervention,” “weight loss with diet and exercise,” “lose weight by exercise and diet,” “weight loss maintenance,” “weight loss,” “management, ” “weight loss with medication,” and “long term weight loss management.” The search’s main inclusion criterion were adult subjects, full text, peer-reviewed scholarly, guidelines, and published within the last five years to ensure the most updated research analysis. Explicit exclusion criteria were non-English language, older than 2017, and children or adolescents. The search yielded 723 total articles. Five of the articles with the highest quality, that answer the PICOT question, and are evidence-based will be selected for the upcoming research. Evidence-based research is most accurate and considered in any medical research (JHNEBP, 2017).ReferencesThe Johns Hopkins Nursing Evidence-Based Practice (JHNEBP)/ Johns Hopkins UniversitySchool of Nursing. (2017). https://www.mghpcs.org/eed/ebp/Assets/documents/pdf/2017Exploring the LiteraturePicot Question: Are obese adults in America (P), more successful at losing weight with a medical intervention such as taking phentermine (I), compared to no medical intervention such as diet and exercise alone (C), at achieving and maintaining a healthy weight (O), over 12 months (T).Research ToolSearch Terms & LimitsFindingsFeaturesCINAHLKeyword search:- lose weight by exercise and diet- weight loss maintenanceLimit features:full text, peer reviewed, 2017-2021CINAHL Heading search: weight loss without medical interventionLimits: adults10 research articlesI initially searched “lose weight by exercise and diet”yielding 59 articles. I narrowed my search by adding “weight loss maintenance.”Moreover, 10 relevant research articles appeared.  I liked that I could narrow my search to the age group I needed for the PICOT.PubMedKeyword search:weight loss maintenanceLimit features:Free full text, peer reviewed, published within 5 yearsMESH search: weight loss without medical interventionLimits: adults141 journal articlesThis site is easy to navigate. This database had the widest variety of articles. Search can be narrowed by text availability, article type, and publication date. This is my favorite search tool by far.Cochrane LibraryKeyword search:weight loss with medical interventionLimit features:2017-2021MESH search:weight loss maintenanceLimits: none24 journal articlesSearching for weight loss with medical intervention did not provide me with relevant research articles for my PICOT question. I tried an advanced search with MeSH, which did not yielded any articles relevant to my research. I tried the PICO search feature, but it was not very helpful.DynamedKeyword search: weight lossAlso search by:Management168 journal articlesThis database had many articles. One can search by content type, which makes it helpful. I was able to find articles that could contribute to my research.TRIP DatabaseKeyword search: Population:obese adultsIntervention:weight loss with medicationComparison:weight loss with diet and exerciseOutcome:weight loss maintenanceLimits:Systematic ReviewsGuidelines-USSince 201737 research articlesI liked the option to filter by PICO. I had to search in the PICO option when searching this database because the general search yielded too many articles that were not all relevant to my research. I found good information on current guidelines.SU Library SearchKeyword search: long term weight loss managementLimits:Full textLast 5 yearsPeer-Reviewed (Scholarly)25 journal articlesThis database contains a lot of good articles. 203 articles appeared when I searched long term weight loss management. I then used the PICO search and peer-reviewed, which yielded 854 articles. I needed to narrow my search; thus, I tried searching by outcome “weight loss without medication,” and 25 articles appeared relevant to my research.Other Databases:ScienceDirectKeyword search: long term weight loss managementLimits:2017-2021Practice guidelines318 journal articlesThis database provides a lot of information in many different publications types such as peer reviewed articles and books. I found peer reviewed articles that will help answer my PICO question. This database is reasonably easy to use and can refine search by years, article type, subject area, and publication title.