Capella 4030 Assessment 3 Picot Questions and An Evidence Based Approach

Among the sources mentioned, the most credible are the literature reviews by Choi et al. (2023) and Zeng et al. (2021). These peer-reviewed articles are rigorously examined, ensuring the accuracy, objectivity, and reliability of the research. Choi et al. (2023) are particularly credible due to their comprehensive analysis that demonstrates the efficacy of telemedicine in 37% improvement in medication adherence, underscoring its significance to integration in clinical practice. Similarly, Zeng et al. (2021) also present credible evidence, especially in their comparison of different telehealth modalities (instant messaging versus telephonic calls). This comparison provides precise guidelines for healthcare professionals to optimize telehealth interventions.

Decision-Making on PICO Question 

Based on these findings, the decision to implement telehealth interventions for monitoring medication adherence and disease control in stroke patients is strongly supported. The study by Choi et al. (2023) demonstrated a 37% improvement in medication adherence. This study is particularly relevant to the PICO(T) question, highlighting the efficacy of telehealth in achieving positive outcomes, such as improved treatment and drug adherence, better blood pressure control, reduced readmission rates, and enhanced accessibility to follow-up care.

Likewise, Zeng et al. (2021) found that instant messaging significantly augments adherence rates, suggesting that this specific telehealth feature could be crucial in enhancing patient compliance. Finally, Sharrief et al. (2023) further emphasize the role of telehealth in reducing healthcare disparities by overcoming healthcare barriers like transportation, thereby improving follow-up care and preventing readmissions. These findings collectively suggest that incorporating telehealth into post-stroke care plans is likely to lead to better patient outcomes, making it a valuable intervention for this population.

Conclusion 

In conclusion, managing stroke effectively demands an evidence-based approach. The PICO(T) framework was utilized to address the practice issue of improving medication adherence and enhancing disease control among stroke patients by recommending telehealth interventions. This assessment reviewed credible evidence highlighting the effectiveness of telehealth in improving medication compliance, addressing care disparities, and bettering patient outcomes. The findings underscore the importance of timely follow-up, patient engagement, and healthcare provider expertise in maximizing the benefits of telehealth. Implementing these interventions can lead to better patient outcomes and reduce the global burden of the disease. 

References

American Stroke Association. (n.d.). About the American Stroke Association. https://www.stroke.org/en/about-the-american-stroke-association

Choi, Y. Y. C., Fineberg, M., & Kassavou, A. (2023). Effectiveness of remote interventions to improve medication adherence in patients after stroke: A systematic literature review and meta-analysis. Behavioral Sciences (Basel, Switzerland), 13(3), 246. https://doi.org/10.3390/bs13030246