NR717 ErnestYoung Population Health Interventions Example

Population Health Interventions

Determine whether the intervention has the potential to impact the issue. Explain your rationale

Blumenthal et al. (2022) sought to find if lifestyle modifications among individuals who suffered from hypertension would help to control blood pressure effectively. Significant decreases in the clinic blood pressure and improvements in biomarkers of cardiovascular disease are seen after 4 months of a planned physical exercise and nutrition program as supplementary therapy provided in a rehabilitation center. Therefore, this intervention showed a positive outcome in the health of the individuals. Lifestyle modifications such as engaging in exercise, quitting drinking and smoking, and eating a healthy diet are effective strategies to combat hypertension and heart diseases among persons facing disparities of health (Oliveros et al., 2019). They help to keep the body weight in check, thus preventing obesity which has been implicated as the leading risk factor for developing these problems.

Present the translation science model that would best aid the success of this intervention

and discuss how the stakeholders are integrated into the design of the theory or model

The translation science models increase the adoption and utilization of credible evidence to enhance patients’ health outcomes and the overall health of the community (Lee & Ho, 2019). The models provide clarification of the techniques involved in the execution of an approach focusing on evidence-based practice. The Knowledge to Action (KTA) framework was chosen as the choice model. The healthcare industry employs the framework to help various departments to use the research findings. Knowledge generation and implementation are the two pillars of the KTA methodology. Inquiry into a topic, synthesis of that topic, and the use of appropriate knowledge tools all contribute to the development of better interpretation (Lee & Ho, 2019). Taking action requires recognizing the issue at hand and evaluating it in light of the existing literature. Successes and challenges are also highlighted in this process.

Identify where your selected intervention is located on the Minnesota Public Health Wheel.

Undertaking lifestyle modifications fall under the blue wheel. The individuals are taught about the importance of lifestyle modifications and how to go about them. This intervention is individual and community focused. Embracing self-care management is championed by this chosen intervention.

References

Blumenthal, A., Hinderliter, L., Smith, J., Mabe, S., Watkins, L., Craighead, L., Ingle, K., Tyson, C., Lin, H., Kraus, E., Liao, L., & Sherwood, A. (2021). Effects of lifestyle modification on patients with resistant hypertension: Results of the TRIUMPH randomized clinical trial. Circulation, 144(15), 1212–1226. https://doi.org/10.1161/circulationaha.121.055329

Lee, C., & K. (2019). Knowledge to action framework for home health monitoring. Healthcare Management Forum, 32(4), 183–187. https://doi.org/10.1177/0840470419855364

Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, A. (2019). Hypertension in older adults: Assessment, management, and challenges. Clinical Cardiology, 43(2), 99–107. https://doi.org/10.1002/clc.23303

Johns Hopkins Nursing Evidence-Based Practice Appendix G: Individual Evidence Summary Tool

Practice Question: Can lifestyle modifications help to manage resistant hypertension?

Date:

 Article Number   

Author and Date

   

Evidence Type

  Sample, Sample Size, Setting Findings That Help Answer the EBP Question  Observable Measures   

Limitations

  Evidence Level, Quality
1  (Blumenthal et al., 2021)Lifestyle Modification for Resistant Hypertension: The TRIUMPH Randomized Clinical Trial Quantitative, Observational One hundred forty patients suffering from resistant hypertension who were willing to engage in the study were included. They had a mean age of 63 years, with 48% being females, 31% suffering from diabetes, 59% being black, and 21% battling chronic diseases.Only individuals diagnosed with resistant hypertension in the preceding six months of the study were included. Additionally, persons who had received treatment for two or more weeks and who were on three or more antihypertensives from different classes were included,

A random assignment to a four-month Center-Based Lifestyle interventional program included dietary education, weight management, and exercise or a one-time counseling session that provided them with Standardized Education and Physical advice.

The TRIUMPH, a randomized clinical trial, was used to evaluate whether the interventions mentioned above could help lower the participants’ blood pressure.

 

 

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 Patients with resistant hypertension can benefit from reducing their blood pressure through dietary and physical activity changes. Significant decreases in the clinic and ambulatory blood pressure and improvements in chosen biomarkers of cardiovascular disease are seen after four months of a planned exercise and diet program administered as supplementary therapy in a cardiac rehabilitation environment. The purpose of the TRIUMPH research is to assess the effectiveness of center-based lifestyle interventions such as s engagement in physical activity to that of standard education and physician advice (SEPA) in treating patients with resistant hypertension. Participants (n = 150) will be randomly assigned to participate in a standardized behavioral counseling session simulating real-world medical service or a supervised lifestyle modification administered in a cardiac rehabilitation clinic over the course of 4 months. Clinical blood pressure is the primary endpoint; ambulatory blood pressure and various cardiovascular disease biomarkers, such as arterial stiffness, left ventricular hypertrophy,  insulin resistance, lipids, inflammatory markers, and baroreceptor reflex sensitivity, are secondary endpoints. At the 1-year follow-up, it will assess modifiable risk factors for cardiovascular disease such as smoking status, blood pressure, and diet. Since the study was conducted in a single site, the generalizability of its findings may raise concerns. Evidence Level I – RCT
  

 

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Attach a reference list with full citations of articles reviewed for this Practice question.

Population Health Interventions Discussion Instructions

Purpose

The purpose of this discussion is to demonstrate your understanding of interventions to address population health problems and reduce health disparities.

Instructions

Using your selected population, continue your search and appraisal of evidence by analyzing one research study that offers a potential intervention to address your selected population health issue. This intervention must be at the population level. This research study must be new, one that was not used in a previous course.

Appraise a quantitative research study that utilizes an intervention to address the selected health issue identified in Week 2 using the Johns Hopkins Research Appraisal Tool.

Transfer your findings to the Johns Hopkins Individual Evidence Summary Tool.

Analyze the evidence summary tool of the research study to address the following in the discussion:

  1. Determine whether the intervention has the potential to impact the issue. Explain your rationale.  
  2. Attach the completed Johns Hopkins Individual Evidence Summary Tool.
  3. Present the translation science model that would best aid the success of this intervention and discuss how the stakeholders are integrated into the design of the theory or model.
  4. Identify where your selected intervention is located on the Minnesota Public Health Wheel.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Program Competencies

This discussion enables the student to meet the following program competencies:

  1. Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
  1. Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (PO 1)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

  1. Assimilate epidemiology principles and interventions to impact the social determinants of health, Global Burden of Disease, and population health outcomes. (PCs 7, 8; PO 1)
  1. Formulate strategies for providing culturally relevant and high-quality healthcare to vulnerable and high-risk populations to address social injustice and health inequities. (PCs 7, 8; PO 1)