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Directions:
Using the PICOT format, formulate two Evidence-Based Practice (EBP) questions that pertain to your project focus.
Under each PICOT question include an annotated bibliography for each reference used to support the parts of your question.
Support your work with citations as appropriate
i am sending you what i have but im not sure that will work can you fix it please
Introduction
The goals of the program are to improve physical activities, coping skills, and quality of life. Therefore, the utilization of psychology, physical therapy, and occupational therapy is fundamental (Dysvik, Guttormsen Vinsnes, & Eikeland, 2004). How the pain started doesn’t matter, pain can start as an ache or minor pain or can be as a result of a traumatic event, however, from that day on the pain has been taking over the patient’s life. Unable to work, unable to go out, unable to take care of themselves or their family will affect all aspect of patient ‘s well been. Anxiety, depression even suicidal thoughts will be present in most of the patient with chronic pain. Social isolation, an economic burden not only for the patient but society as well.
Evidence-based practice questions
The paradigm of evidence-based practice questions (EBP) recommends that practitioners express clinical questions in terms of PICO frame: the problem or population, intervention, comparison, and the outcome. The framework was developed to facilitate formulation of clinical questions. The PICOT format is a helpful approach for summarizing research questions that explore the effect of therapy:
(P) – Population refers to the sample of subjects you wish to recruit for your study. There may be a fine balance between defining a sample that is most likely to respond to your intervention (e.g. no co-morbidity) and one that can be generalized to patients that are likely to be seen in actual practice.
(I) – Intervention refers to the treatment that will be provided to subjects enrolled in your study.
(C) – Comparison identifies what you plan on using as a reference group to compare with your treatment intervention. Many study designs refer to this as the control group. If an existing treatment is considered the ‘gold standard’, then this should be the comparison group.
(O) – Outcome denotes what result you plan on measuring to examine the effectiveness of your intervention.
(T) – Time the period for your data gathering (Riva et at. 2012)
PICOT format, Evidence-Based Practice (EBP) Questions
1) Dosage effects of spinal manipulative therapy for chronic lumbar back pain?
(P) – Population: Adults 18 to 80 years of age, with a clinical diagnosis of chronic mechanical Lumbar back pain who have not received cervical SMT (spinal manipulation therapy) in the past year. Patients with non-mechanical back pain or contraindications to lumbar manipulation will be excluded.
(I) – Intervention: Subjects randomized to have manipulation would receive standard rotary or lateral break diversified technique once, twice, or three times per week over a period of 4, or 6 weeks.
(C) – Comparison: A standardized supervised exercise regimen would be used as an active control group. All subjects, regardless of group assignment, would perform a standardized exercise regime at each session over a period of 6 weeks. Using this strategy, we will be able to minimize the non-specific effects due to attending a clinic.
(O) – Outcome: Changes in back pain, measured using the 0/10 VAS for pain.
(T) – Time: The outcome would be measured weekly for 6 weeks.
2) Effects of diet therapy for patient diagnosed with fibromyalgia?
(P) – Population: Adults 18 to 80 years of age, with a clinical diagnosis of fibromyalgia who is in a non-inflammatory diet will be excluded.
(I) – Intervention: Subjects randomized to have placed in non-inflammatory diet and a regular diet for a period of 8 and 12 weeks.
(C)- Comparison: A standardized supervised diet would be used as an active control group.
(O) – Outcome: Changes in general pain, measured using the 0/10 VAS for pain.
(T) – Time: The outcome would be measured weekly for 12 weeks.
references no older than 5 years peer review please
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