In their paper, they take stance on obtaining results that can be interpreted more rapidly and more efficiently; including the use of a placebo controlled study, even if a known treatment exists. By using a placebo controlled study, there will be less need for more subjects, which would
Retrospective cohort studies are much cheaper as the data have already been collected.1 This type of study is the lack of bias because the outcome of current interest was not the original reason for the data to be collected.1 However, because the cohort was originally constructed for another purpose, it is unlikely that all the relevant information will have been rigorously collected. Retrospective cohorts studies have other disadvantages that people with the outcome of interest are more likely to remember certain antecedents or minimize or exaggerate what they now consider being as risk factors (recall bias).1 Sample or population selection and loss to follow-up is a major potential cause of bias.1 Any loss to follow-up can significantly affect the validity of the
Another issue with the evidence-base program is with the randomized control trial (RCT). The used of the randomized control trial is usefulness but not value. According to Tanenbaum (2005), the effectiveness is due to the methods used can be difficult to understand and can have biases associated with the program (p. 165).
(n.d.). Retrieved March 05, 2018, from http://www.epi.umn.edu/let/nutri/disparities/causes.shtm Chen, J. (2016, February). Retrieved March 05, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4711386/ Disparities in Healthcare Quality Among Racial and Ethnic Minority Groups | AHRQ Archive. (n.d.). Retrieved March 05, 2018, from https://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr10/minority.html Healthy Aging.
Moreover, within the subgroup there are different stressors that may potentially put someone at higher risk for an adverse event. By identifying a subgroup as different it may lead discrimination from other subgroups. However, if disaggregated data was not able to assess sub groups programs could not be responsive to the needs of the subgroup. Hence, the data can determine who is more susceptible for disease, where do they reside, and implement policies to address the issue (Tshabalala & Taylor, 2016). Nonetheless, due to the extensive amount of aggregated data, lack of disaggregated data may lead to poor informed decisions in regards to community needs.
Deb Kanya Initial Post Polit & Beck, (2012) describe Evidence-Based Practice (EBP) as an integration of clinical expertise, patient values, and the best research evidence. One of the more challenging aspects of EBP is the actual research on a particular topic. The fact is there is a multitude of journals and reviews etc. on any given subject; for this reason it is imperative that one knows how to conduct a proper search for pertinent information. Due to the complexity of literature searches and the amount of information available it is prudent to follow a guide while doing research.
How hard is it to say that a child will never really progress further with intervention? Whether or not treating a child past the points of progress have been an ethical issue surrounding Occupational Therapy. There are few studies in the stagnancy of progress with children, so making a decision, while partially uninformed can be quite difficult. A 2004 National Center for Biotechnology Information Study found that waiting to see if further treatment will yield success can be detrimental to the psyche of not only the child but also the parents. This brings forth a critical decision of whether to continue heightening the hopes of a family in distress or to inform the family that treatment is futile. There is a major concern about the welfare
In 2010, the uninsured rate for adults aged 18-34 years was approximately double the uninsured rate for adults aged 45-64 years. • The prevalence of unemployment was much higher among blacks, Hispanics, and American Indian/ Alaska Natives than among whites in 2006- 2010. In 2010, unemployed adults were much less likely than employed adults to report their health as excellent or very good.
In my opinion, in order to understand how socioeconomic status of Hispanics affects the quality of health care, more research still needs to be conducted. This research should be a collaboration between Hispanic communities and researchers, which would build trust and potentially increase sample sizes. Future studies should also take into consideration the cultural variety of Hispanic population. For example, current federal standards require federal agencies use Hispanic or Latino term. Hispanics are identified by Spanish surname, Spanish origin, Spanish language and birthplace in a Latin American country.
In phase two, the TAU group received the treatment and was assessed both before and after receiving it. The results from this were combined with those receiving MBCT in phase one and the two groups were followed up at three months. It was concluded that MBCT group in phase one had significant improvements and a decrease in anxiety while in phase two, both groups at three month follow up showed statistically significant improvements in both anxiety and depression. It was also concluded that the effect on depression/anxiety was brought about by self-compassion. Although the study was successful and showed positive results, it would be better to use larger sample size for the purpose of a substantial
Psychotherapy is as effective as medication in treating depression and is more effective than medication in preventing relapse (DeRubeis, Siegle, & Hollon, 2008). Cognitive-behavioral therapy (CBT) pertains to a class of interventions whose premise is that mental disorders and psychological distress are maintained by cognitive factors. Beck (1970) and Ellis (1962), were the pioneers Cognitive Behavioral Therapy approach of the core premise of holds that maladaptive cognitions contribute to the maintenance of emotional distress and behavioral problems. A review of meta-analytic studies by Hofmann, Asnaani, Vonk, Sawyer, and Fang (2012) examined the efficacy of CBT and it demonstrated that this treatment has been used for a wide range of psychological problems such as cannabis and nicotine dependence, schizophrenia and other psychotic disorders, depression, anxiety disorders, bulimia, insomnia, personality disorders, stress management and more studies being conducted to study its effectiveness. There is a well-established literature regarding effective cognitive behavioral therapy in treating mental health problems, specifically those utilizing face-to-face counseling.