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Critical Appraisal Of Research Essay Assignment

Critical Appraisal Of Research Essay Assignment

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Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.  Critical Appraisal Of Research Essay Assignment

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Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Evaluation Table

 Part 3A: Critical Appraisal of Research

 

Citation Article #1 Article #2 Article #3 Article #4
Ekhtiari, H., Rezapour, T., Sawyer, B., Yeh, H.-W., Kuplicki, R., Tarrasch, M., Paulus, M. P., & Aupperle, R. (2021). Neurocognitive Empowerment for Addiction Treatment (NEAT): study protocol for a randomized controlled trial. Trials, 22(1), 1–13. https://doi.org/10.1186/s13063-021-05268-8

 

Cavicchioli, M., Movalli, M., & Maffei, C. (2018). The clinical efficacy of mindfulness-based treatments for alcohol and drug use disorders: A meta-analytic review of randomized and non-randomized controlled trials.             European Addiction Research, 24(3), 137-162. https://doi.org/10.1159/000490762

 

J. Richard Korecki, Frank J. Schwebel, Victoria R. Votaw, & Katie Witkiewitz. (2020). Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments. Substance Abuse Treatment, Prevention, and Policy, 15(1), 1–37. https://doi.org/10.1186/s13011-020-00293-3

 

Lorenzetti, V., Gaillard, A., Beyer, E., Kowalczyk, M., Kamboj, S. K., Manning, V., & Gleeson, J. (2023). Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence. BMC Psychiatry, 23(1), 407. https://doi.org/10.1186/s12888-023-04789-7

 

Evidence Level

 

Evidence Level I Level I Evidence Level I Level I
Conceptual Framework

 

 

Dynamic model of craving (DCM).

 

 

No conceptual framework No theory was used in the study No theory
Study Method and Research Design

 

 

This single-blinded RCT utilized a quantitative research design. The study included participants aged from 18 to 55 years. Additionally, the participants had been diagnosed with MUD (Methamphetamine use disorder) or AUD (Opioid use disorder)Critical Appraisal Of Research Essay Assignment . Nonetheless, participants who did not meet behavioral assessment or self-report were excluded from the study. The authors conducted a meta-analytic review of nonrandomized and randomized controlled trials. The studies on the treatment of alcohol and drug disorders conducted up to 31 August 2017 were selected for the review. Studies conducted after this date were excluded from the review. The researchers conducted a comprehensive online literature search. They selected studies conducted between 2016 January and April 2020. The inclusion criteria were evaluating the impact of an MBI program. Additionally, only RCTs were selected. An online literature search was conducted on PsycINFO, CINAHL, Medline, PubMed, Web of Science, and Scopus. The inclusion criteria were studies involving human participants. Secondly, the sample included regular substance users.
Setting and Sample Population

 

 

The sample population included 80 female methamphetamine or opioid users. They were subdivided into eight groups consisting of 9 to 12 participants each. The anticipated attrition rate was approximately 20%.

 

The review included 37 studies with a sample size of 3,531 patients with AUD and DUD. The attrition rate did not have a significant effect on the outcomes. The sample included 30 studies from various databases. A systematic literature review was conducted on seven studies that met inclusion criteria following the literature search.
Studied Variables Neurocognitive empowerment and addiction treatment were the independent and dependent variables, respectively. The independent variable was Mindfulness-Based Treatments (MBT), while the dependent variables were Alcohol Use Disorder (AUD) and Drugs Use Disorders (DUD)Critical Appraisal Of Research Essay Assignment . Mindfulness-based interventions (MBIs) were the independent variable, while the dependent variable was substance use disorder outcomes, including cravings and abstinence rates. The independent variable was mindfulness-based interventions (MBIs), while the dependent variable was SUDs’ psychological outcomes.
Measurement

 

 

NEAT (Neurocognitive Empowerment for Addiction Treatment) sessions of 90 minutes each were delivered twice a week. The project team reviewed the results of 3,531 individuals diagnosed with DUDs and AUD enrolled in therapeutic sessions. The authors systematically reviewed peer-reviewed sources published within the selected period. The clinical question was measured by assessing the impact of MBIs on SUDs-related adverse psychosocial outcomes.
Analysis of Statistical and Qualitative Data The rate of drug craving was expected to reduce after the NEAT sessions. MBIs significantly reduced craving and mental health symptoms compared to other treatment interventions. MBIs demonstrate effectiveness in treating patients with SUDs. The studies did not demonstrate the efficacy of MBIs in mitigating adverse psychological outcomes among SUD patients.
The Study Findings and Recommendations

 

 

The NEAT program reduced drug craving among persons meeting MUD or AUD diagnoses. Hence, the NEAT therapeutic sessions should be used in treating individuals with these addictions. The MBI sessions reduced participants’ cravings, depressive symptoms, and anxiety. This therapeutic intervention should be used to achieve positive mental health outcomes among patients with drug or alcohol addiction. The MBIs program reduced drug and alcohol use quantity and frequency. It also increased abstinence rates and decreased cravings for substance use. This approach should be used to achieve positive outcomes among SUD patients. The effectiveness of MBIs in facilitating brain functioning among SUD patients was reported.
Study Quality and Appraisal

 

 

 

The research benefits the practice since it measures reducing cravings in persons diagnosed with substance use disorders.

 

The most significant strength entails collecting reliable and credible self-reported data from the participants.

The limitation of the study is a significantly high anticipated attrition rate (20%), which might compromise the outcomes.

The risk associated with the proposed intervention is the inability of the participants to remain attentive throughout the 90-minute therapeutic session.

 

The proposed procedure will be implemented to reduce drug cravings among patients seeking treatment for alcohol or substance addictions.

This study is helpful to the practice since it proposes an evidence-based strategy for improving mental health symptoms and cravings in persons diagnosed with substance use disorders.

The study presents credible data collected through a meta-analytic review of reliable sources.

 

The limitation involves uniformity in treatment approaches used in various studies. The risk associated with this approach involves the high cost of hiring qualified psychotherapists to conduct the MBI sessions.

Nonetheless, the practice would implement the MBI sessions to achieve positive health outcomes among individuals diagnosed with drug or substance use disorders.

 

The research is essential since it proposes strategies for preventing cravings in persons with drug addiction.

The strength entails collecting data from peer-reviewed sources obtained via systematic literature review.

The limitation involves studies were conducted in different settings, eliminating uniformity of the collected data.

Risk entails implementing the wrong MBI program.

The practice should implement the MBIs to improve outcomes in AUD patients.

 

The study is essential since it indicates a research gap.

The strength involves obtaining reliable studies from credible databases.

The limitation involves using a small sample population of 7 studies.

Implementing MBIs in clinical practice is costly.

The MBIs should be applied to enhance brain functioning capacity among SUB patients.

 

 

Key findings

 

 

 

The NEAT procedure is a practical approach for reducing cravings among patients struggling with drug or alcohol addiction.

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The findings depict the effectiveness of MBIs in improving mental health and reducing cravings. The study indicated that MBI sessions minimized the frequency and amount of drugs and alcohol consumed and boosted abstinence. MBI boosts brain function capacity in persons diagnosed with SUBS.
 

 

Outcomes

 

 

 

The craving rate among MUD and AUD patients enrolled in the NEAT program would reduce significantly. Drug cravings were reduced dramatically in patients receiving treatment for alcohol or drug addiction following the implementation of the MBIs program. Additionally, this patient profile reported a decline in mental health symptoms. Cravings for drugs and alcohol were reduced, while abstinence improved. Braining functioning among SUBs improved.
Comments Drug addiction rates are a significant challenge facing healthcare organizations. Thus, the NEAT program should be incorporated into treating patients struggling with addiction to minimize cravings.

 

 

 

 

Mental health symptoms, including anxiety and depression, are reported in patients receiving treatment for SUDs or AUDs. Therefore, MBIs should be incorporated into treating these patients to achieve optimal health outcomes. High cravings compromise the ability of persons with SUDs to reduce the amount used and the frequency. Therefore, MBI initiatives should be included in treating persons struggling with addiction or SUDs to minimize cravings and boost abstinence. Incorporating MBIs into the practice will achieve better outcomes in SUB patients.

Part 3A & B: Critical Appraisal of Research

            The incidence of substance and alcohol use disorders has increased dramatically in healthcare organizations. Lorenzetti et al. (2023) reported substance use-related adverse outcomes in approximately 35 million individuals worldwide. Substance use exposes individuals to solid cravings and alters brain functioning capacity. Additionally, SUDs are associated with mental health symptoms, including depression, stress, and anxiety. Therefore, evidence-based interventions should be incorporated into their treatment plan to achieve positive health outcomes.

Based on the reviewed literature, mindfulness-based interventions (MBIs) have effectively achieved positive results in SUBs and AUD patients. Lorenzetti et al. (2023) reported the efficacy of MBIs in preventing adverse psychosocial outcomes among SUD patients. Additionally, Cavicchioli et al. (2018) reported the effectiveness of MBIs in minimizing alcohol and drug cravings and improving mental health outcomes in persons diagnosed with SUBs and AUDs. Ekhtiari et al. (2021) also reported the efficacy of the NEAT procedure in lowering cravings among individuals seeking treatment for drug and alcohol addictions. Furthermore, Richard et al. (2018) reported the effectiveness of MBI sessions in reducing the amount of drug and alcohol used and usage frequency. Additionally, the intervention boosted individuals’ ability to abstain from taking drugs. Therefore, MBI sessions should be incorporated into treating persons receiving treatment for substance use disorders or addiction. This strategy will result in positive outcomes, including reducing cravings, usage rate, and frequency. The MBIs program will also promote mental well-being and brain functioning capacity, enabling persons diagnosed with drug addictions to perform daily activities independently. Critical Appraisal Of Research Essay Assignment

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References

Cavicchioli, M., Movalli, M., & Maffei, C. (2018). The clinical efficacy of mindfulness-based treatments for alcohol and drug use disorders: A meta-analytic review of randomized and non-randomized controlled trials. European Addiction Research, 24(3), 137-162. https://doi.org/10.1159/000490762

Ekhtiari, H., Rezapour, T., Sawyer, B., Yeh, H.-W., Kuplicki, R., Tarrasch, M., Paulus, M. P., & Aupperle, R. (2021). Neurocognitive Empowerment for Addiction Treatment (NEAT): study protocol for a randomized controlled trial. Trials, 22(1), 1–13. https://doi.org/10.1186/s13063-021-05268-8

  1. Richard Korecki, Frank J. Schwebel, Victoria R. Votaw, & Katie Witkiewitz. (2020). Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments. Substance Abuse Treatment, Prevention, and Policy, 15(1), 1–37. https://doi.org/10.1186/s13011-020-00293-3

Lorenzetti, V., Gaillard, A., Beyer, E., Kowalczyk, M., Kamboj, S. K., Manning, V., & Gleeson, J. (2023). Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence. BMC Psychiatry, 23(1), 407. https://doi.org/10.1186/s12888-023-04789-7 Critical Appraisal Of Research Essay Assignment

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