The search within these different tools was made up of a comprehensive literature research to answer the PICOT question being researched. The main idea of the research is to find

The search within these different tools was made up of a comprehensive literature research to answer the PICOT question being researched. The main idea of the research is to find which obese adult is more successful at losing weight and maintaining their weight loss; the one who used a medical intervention, such as medication, or the one who did it through diet and exercise. Due to the parameters that must be followed this research was completed using articles published between 2017 and 2021 and using the following databases: CINAHL, PubMed, Cochrane Library, Dynamed, TRIP Database, SU Library Search, and ScienceDirect. Search terms included “obese adults,” “weight loss with medical intervention,” “weight loss without medical intervention,” “weight loss with diet and exercise,” “lose weight by exercise and diet,” “weight loss maintenance,” “weight loss,” “management, ” “weight loss with medication,” and “long term weight loss management.” The search’s main inclusion criterion were adult subjects, full text, peer-reviewed scholarly, guidelines, and published within the last five years to ensure the most updated research analysis. Explicit exclusion criteria were non-English language, older than 2017, and children or adolescents. The search yielded 723 total articles. Five of the articles with the highest quality, that answer the PICOT question, and are evidence-based will be selected for the upcoming research. Evidence-based research is most accurate and considered in any medical research (JHNEBP, 2017). References The Johns Hopkins Nursing Evidence-Based Practice (JHNEBP)/ Johns Hopkins University School of Nursing. (2017). Exploring the Literature Picot Question: Are obese adults in America (P), more successful at losing weight with a medical intervention such as taking phentermine (I), compared to no medical intervention such as diet and exercise alone (C), at achieving and maintaining a healthy weight (O), over 12 months (T). CINAHL – lose weight by exercise and diet – weight loss maintenance full text, peer reviewed, 2017-2021 weight loss without medical intervention adults 10 research articles I initially searched “lose weight by exercise and diet” yielding 59 articles. I narrowed my search by adding “weight loss maintenance.” Moreover, 10 relevant research articles appeared.  I liked that I could narrow my search to the age group I needed for the PICOT. PubMed weight loss maintenance Free full text, peer reviewed, published within 5 years weight loss without medical intervention adults 141 journal articles This site is easy to navigate. This database had the widest variety of articles. Search can be narrowed by text availability, article type, and publication date. This is my favorite search tool by far. Cochrane Library weight loss with medical intervention 2017-2021 weight loss maintenance none 24 journal articles Searching for weight loss with medical intervention did not provide me with relevant research articles for my PICOT question. I tried an advanced search with MeSH, which did not yielded any articles relevant to my research. I tried the PICO search feature, but it was not very ful. Dynamed weight loss Management 168 journal articles This database had many articles. One can search by content type, which makes it ful. I was able to find articles that could contribute to my research. TRIP Database Population: obese adults Intervention: weight loss with medication Comparison: weight loss with diet and exercise Outcome: weight loss maintenance Systematic Reviews Guidelines-US Since 2017 37 research articles I liked the option to filter by PICO. I had to search in the PICO option when searching this database because the general search yielded too many articles that were not all relevant to my research. I found good information on current guidelines. SU Library Search long term weight loss management Full text Last 5 years Peer-Reviewed (Scholarly) 25 journal articles This database contains a lot of good articles. 203 articles appeared when I searched long term weight loss management. I then used the PICO search and peer-reviewed, which yielded 854 articles. I needed to narrow my search; thus, I tried searching by outcome “weight loss without medication,” and 25 articles appeared relevant to my research. Other Databases: ScienceDirect long term weight loss management 2017-2021 Practice guidelines 318 journal articles This database provides a lot of information in many different publications types such as peer reviewed articles and books. I found peer reviewed articles that will answer my PICO question. This database is reasonably easy to use and can refine search by years, article type, subject area, and publication title.

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