Discussion Responses Graduate Class
In obese children aged 4 – 12 years (P), can a school-based program, combining physical activity and diet and involving parents(I),
compared to no intervention, (C) be effective for reducing the children’s BMI (O) within 9 months (T)?
The evaluation of the evidence-based practice will require conducting audit of students’ menus and hours spent on physical
activity, assessment of teachers’ and parents’ health knowledge. The evaluation plan will include the analysis of both patients’
outcomes and the efficacy of the implementation process (Tucker et al., 2020). The same qualitative and quantitative data will be
collected before and after the intervention.
Phase I. To evaluate the efficacy of the implementation process, quantitative data will be collected. The evaluation will cover number
of specialists involved, number of their working hours spent on the project, the costs of the intervention, such as the costs of
healthier options in menu, all the printed materials, educational sessions and follow-up calls. First, the costs will be estimated on
stage of the project planning. Next, the costs will be estimated after the intervention is completed co compare with the original plan.
Phase II. Qualitative data will be collected to evaluate health knowledge in all participants of the intervention, including teachers,
parents and children, before and after the intervention. The information on the project outcomes will be shared in the form of a
poster, so that everyone could access it whenever necessary (Melnyk & Fineout-Overholt, 2019).
Phase III. Quantitative data will be collected to measure the project’s main dependent variable, namely children’s BMI.
Phase IV. Self-reports and questionnaires will be used to evaluate the teachers’, parents’ and children’s attitudes to the intervention.
The stakeholders can offer their feedback and share their ideas for better outcomes and more effective process implementation process.
The goal of implementing CBT along with pharmacological therapy is to improve the patients’ quality of life and decrease symptoms.
Collect data from stake holders (psychiatrists, therapist) regarding how many of their patients are receiving CBT.
Outcome of implementing CBT will be evaluated using the PANSS scale (positive and negative syndrome scale) prior to patient starting CBT. Patients with schizophrenia can experience negative symptoms, positive symptoms, or a combination of both. Because of this, it is best to use the PANSS scale which is a reliable tool that is commonly used in patients with schizophrenia. This scale constitutes 16 factors including positive symptoms, negative symptoms, and general psychopathology scale.
Providers will use the PANSS scale to rate the patients’ symptoms after 3 months of CBT.