Critical Appraisal of Research Evidence Based Project

Critical Appraisal Tool Worksheet

Template

Evaluation Table

Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

Full APA formatted citation of selected article.

Article #1

Article #2

Article #3

Article #4

Cleland J. G., Louis, A. A., Rigby, A. S., Jannsens, U., Aggie, H. M.,…& Balk, M. (2005), Noninvasive Home Telemonitoring for Patients with Heart Failure at High Risk of Recurrent Admission and Death: The Trans-European Network-Home-Care Management System(TEN-HMS) Study. Journal of the American College of Cardiology, 45(10), 1654-64.

Zhao, Q., Chen, C., Zhang, J., & Fan, X. (2020). Effects of Self-Management Interventions on Heart Failure: Systematic Review and Meta-Analysis of Randomized Controlled Trials. International Journal of Nursing Studies, doi: 10.1016/j.ijnurstu.2020.103689

Inglis, S. C., Clark, R. A., Direkcx, R., Prieto-Merino, D., 7 Cleland, J. (2015). Structured Telephone Support or Non-Invasive Telemonitoring fpr Patients with Heart Failure. Cochrane Database of Systematic Reviews, 10(1), doi: 10.1002/14651858.CD007228.pub3

Srivastava, A., Do, J., Sales, V. L., Ly, S., & Joseph, J. (2018). Impact of Patient-Centered Home Telehealth Program on Outcomes in Heart Failure. Journal of Telemedicine and Telecare, 0(0), 1-6.

Evidence Level *

(I, II, or III)

Level I – the study uses a randomized controlled trial design

Level I – this is a systematic review of 15 randomized controlled trials

Level I – this is a systematic review of 41 published RCTs of either non-invasive home tele-monitoring or structured telephone support

Level II – the study uses a quasi-experimental research design, where there is no random assignment of subjects to either an experimental or control group. Further, here is no manipulation of variables as in a true experimental design as the study is retrospective and the researchers only observe behavior.

Conceptual Framework

Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**

There is no conceptual framework mentioned in the article

The theoretical basis is Albert Bandura’s self-efficacy theory, which assets that an individual’s ability to exert control over their social environment and behavior is influenced by how much they believe in their individual capacities.

There is no conceptual framework mentioned in the article

There is no conceptual framework mentioned in the article

Design/Method

Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).

Participants were assigned randomly to receive Home Telemonitoring (HTM), Nurse Telephone Support (NTS) and usual care (UC) Consent was obtained after which participants’ baseline was collected. The HTM and NTS were the main points of comparison, with the UC group used as a reference to ascertain whether either NTS or HTM had changed. To be included, one needed to i) have had a hospital admission due to worsening heart failure lasting >48 hours over the past 6 weeks, ii) to be receiving Furosenide at a dose of >=40mg/day (or equivalent, ?1 mg Bumetanide, iii) or ?10mg Torasemide). They also needed to have persistent heart failure symptoms, an LV diastolic dimension >30mm/m (height), and an LV ejection fraction of <40 percent. Patients younger than 18 years were excluded from the study. Participants were given individualized written management plans describing the pharmacological treatment they would receive, in what order, and how monitoring was to take place. The care plan for patients under UC was given to the primary care physician to implement. Those assigned to receive NTS were managed as their UC counterparts, but called by a nurse failure specialist monthly to assess adherence to medication and progression of symptoms. Those randomly assigned to HTM had wrist band electrodes and automated sphygmaomanometers installed in their homes by a service engineer and instructed on how to use the same. The duration of follow-up was 240 days, after which the investigator compared patients under NTS and HTM in terms of the number of days lost due to heart failure hospitalization or death during the 240days of the trial. Every day before breakfast and their evening meal, patients under the HTM measured their weight, rhythm, heart rate, and blood pressure.