{"id":47667,"date":"2024-04-26T23:17:44","date_gmt":"2024-04-26T23:17:44","guid":{"rendered":"http:\/\/localhost\/branding\/evidence-level\/"},"modified":"2024-04-26T23:17:44","modified_gmt":"2024-04-26T23:17:44","slug":"evidence-level","status":"publish","type":"post","link":"https:\/\/sheilathewriter.com\/blog\/evidence-level\/","title":{"rendered":"Evidence Level"},"content":{"rendered":"<p>534352551720755343525619188553435257373620Evidence Level and Quality: <\/p>\n<p>Article Title:<\/p>\n<p>Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education and Physical Activity Intervention in Wuhan Number: nu12010194<\/p>\n<p>Author(s): Hong-jie Yu 1, Fang Li 2, Yong-feng Hu 3, Chang-feng Li 2, Shuai Yuan 4 , Yong Song 1,<\/p>\n<p>Miaobing Zheng 5, Jie Gong 2 and Qi-qiang He 1,6,*Publication Date: 10 January 2020<\/p>\n<p>Journal: Nutrients <\/p>\n<p>Setting: Wuhan, China<\/p>\n<p>Sample 1340 students in<\/p>\n<p>the third and fourth grades.<\/p>\n<p>Does this evidence address my EBP question? Yes No<\/p>\n<p>Do not proceed with appraisal of this evidence<\/p>\n<p>Level of Evidence (Study Design)<\/p>\n<p>A. Is this a report of a single research study? If No, go to B. Yes No<\/p>\n<p>Was there manipulation of an independent variable?<\/p>\n<p>Was there a control group?<\/p>\n<p>Were study participants randomly assigned to the intervention and control groups? Yes<\/p>\n<p>Yes No<\/p>\n<p>No<\/p>\n<p>Yes No<\/p>\n<p>If Yes to all three, this is a Randomized Controlled Trial (RCT) or Experimental Study LEVEL I If Yes to #1 and #2 and No to #3, OR Yes to #1 and No to #2 and #3, this is Quasi Experimental (some degree of investigator control, some manipulation of<\/p>\n<p>an independent variable, lacks random assignment to groups, may have a control group) LEVEL II If No to #1, #2, and #3, this is Non-Experimental (no manipulation of independent variable, can be descriptive, comparative, or correlational, often uses secondary data) or Qualitative (exploratory in nature such as interviews or focus groups, a starting point for studies for which little research currently exists, has small<\/p>\n<p>sample sizes, may use results to design empirical studies) LEVEL III NEXT, COMPLETE THE BOTTOM SECTION ON THE FOLLOWING PAGE, \u201cSTUDY FINDINGS THAT HELP YOU ANSWER THE EBP QUESTION\u201d 53232053658235532447540633655314950451294553244754809490<\/p>\n<p>Is this a summary of multiple research studies? If No, go to Non-Research Evidence Appraisal Form.<\/p>\n<p>Does it employ a comprehensive search strategy and rigorous appraisal method (Systematic Review)? If No, use Non-Research Evidence Appraisal Tool; if Yes:<\/p>\n<p>Does it combine and analyze results from the studies to generate a new statistic (effect size)? (Systematic review with meta-analysis)<\/p>\n<p>Does it analyze and synthesize concepts from qualitative studies? (Systematic review with meta-synthesis)<\/p>\n<p>If Yes to either a or b, go to #2B below.<\/p>\n<p>For Systematic Reviews and Systematic Reviews with meta-analysis or meta- synthesis:<\/p>\n<p>Are all studies included RCTs?<\/p>\n<p>Are the studies a combination of RCTs and quasi-experimental or quasi-experimental only?<\/p>\n<p>Are the studies a combination of RCTs, quasi-experimental and non-experimental or non-experimental only?<\/p>\n<p>Are any or all of the included studies qualitative?<\/p>\n<p>COMPLETE THE NEXT SECTION, \u201cSTUDY FINDINGS THAT HELP YOU ANSWER THE EBP QUESTION\u201d LEVEL I<\/p>\n<p>LEVEL II<\/p>\n<p>LEVEL IIlLEVEL IIlYes<\/p>\n<p>Yes<\/p>\n<p>Yes<\/p>\n<p>Yes No<\/p>\n<p>No<\/p>\n<p>No<\/p>\n<p>No<\/p>\n<p>STUDY FINDINGS THAT HELP YOU ANSWER THE EBP QUESTION:<\/p>\n<p>The methods used in this article adequately adhered to the rules and policies of medical research practice. The study&#8217;s findings indicated that although most children studied had higher heights, there was no significant difference in sex ratio, age, weight, and household income level between the two selected groups. <\/p>\n<p>NOW COMPLETE THE FOLLOWING PAGE, \u201cQUALITY APPRAISAL OF RESEARCH STUDIES\u201d, AND ASSIGN A QUALITY SCORE TO YOUR ARTICLE<\/p>\n<p>Johns Hopkins Nursing Evidence-Based Practice Appendix E: Research Evidence Appraisal Tool<\/p>\n<p>Quality Appraisal of Research Studies<\/p>\n<p>Does the researcher identify what is known and not known about the problem and how the study will address any gaps in knowledge?<\/p>\n<p>Was the purpose of the study clearly presented?<\/p>\n<p>Was the literature review current (most sources within last 5 years or classic)?<\/p>\n<p>Was sample size sufficient based on study design and rationale?<\/p>\n<p>If there is a control group:<\/p>\n<p>Were the characteristics and\/or demographics similar in both the control and intervention groups?<\/p>\n<p>If multiple settings were used, were the settings similar?<\/p>\n<p>Were all groups equally treated except for the intervention group(s)?<\/p>\n<p>Are data collection methods described clearly?<\/p>\n<p>Were the instruments reliable (Cronbach&#8217;s \u03b1 [alpha] &gt; 0.70)?<\/p>\n<p>Was instrument validity discussed?<\/p>\n<p>If surveys\/questionnaires were used, was the response rate &gt; 25%?<\/p>\n<p>Were the results presented clearly?<\/p>\n<p>If tables were presented, was the narrative consistent with the table content?<\/p>\n<p>Were study limitations identified and addressed?<\/p>\n<p>Were conclusions based on results? \uf0a3Yes \uf0a3No \uf0a3NA<\/p>\n<p>\uf0a3Yes \uf0a3No \uf0a3Yes \uf0a3No \uf0a3Yes \uf0a3No \uf0a3Yes \uf0a3No \uf0a3Yes \uf0a3No \uf0a3NA<\/p>\n<p>\uf0a3Yes \uf0a3No \uf0a3NA<\/p>\n<p>\uf0a3Yes \uf0a3No \uf0a3Yes \uf0a3No \uf0a3NA<\/p>\n<p>\uf0a3Yes \uf0a3No \uf0a3NA<\/p>\n<p>\uf0a3Yes \uf0a3No \uf0a3NA<\/p>\n<p>\uf0a3Yes \uf0a3No \uf0a3Yes \uf0a3No \uf0a3NA<\/p>\n<p>\uf0a3Yes \uf0a3No \uf0a3Yes \uf0a3No Quality Appraisal of Systematic Review with or without Meta-Analysis or Meta-Synthesis<\/p>\n<p>Was the purpose of the systematic review clearly stated?<\/p>\n<p>Were reports comprehensive, with reproducible search strategy?<\/p>\n<p>Key search terms stated<\/p>\n<p>Multiple databases searched and identified<\/p>\n<p>Inclusion and exclusion criteria stated<\/p>\n<p>Was there a flow diagram showing the number of studies eliminated at each level of review?<\/p>\n<p>Were details of included studies presented (design, sample, methods, results, outcomes, strengths and limitations)?<\/p>\n<p>Were methods for appraising the strength of evidence (level and quality) described?<\/p>\n<p>Were conclusions based on results?<\/p>\n<p>Results were interpreted<\/p>\n<p>Conclusions flowed logically from the interpretation and systematic review question<\/p>\n<p>Did the systematic review include both a section addressing limitations and how they were addressed? \uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>\uf0a3Yes \uf0a3No<\/p>\n<p>QUALITY RATING BASED ON QUALITY APPRAISAL<\/p>\n<p>High quality: consistent, generalizable results; sufficient sample size for the study design; adequate control; definitive conclusions; consistent recommendations based on comprehensive literature review that includes thorough reference to scientific evidence<\/p>\n<p>Good quality: reasonably consistent results; sufficient sample size for the study design; some control, and fairly definitive conclusions; reasonably consistent recommendations based on fairly comprehensive literature review that includes some reference to scientific evidence<\/p>\n<p>Low quality or major flaws: little evidence with inconsistent results; insufficient sample size for the study design; conclusions cannot be drawn<\/p>\n","protected":false},"excerpt":{"rendered":"<p>534352551720755343525619188553435257373620Evidence Level and Quality: Article Title: Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-47667","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - 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