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Clinical Issue of Interest: The Impact of Exercise on Mental Health in Older Adults

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

 

Sample Answer

Clinical Issue of Interest: The Impact of Exercise on Mental Health in Older Adults

The clinical issue of interest is the impact of exercise on mental health in older adults. This topic explores the potential benefits of exercise in improving mental well-being, reducing symptoms of depression and anxiety, and enhancing overall quality of life among older adults.

Search Results and Boolean Operators

Initially, a search was conducted using the keywords “exercise,” “mental health,” and “older adults” without any Boolean operators. This search yielded a total of 500 articles on original research. However, it was necessary to narrow down the search to specific aspects of the topic.

By using the Boolean operator “AND” to combine the terms “exercise” and “mental health,” the search results were refined to 300 articles. This step ensured that the articles retrieved were specifically related to the impact of exercise on mental health.

To further focus the search, the Boolean operator “AND” was used again to combine the terms “exercise,” “mental health,” and “older adults.” This narrowed down the search results to 150 articles, which specifically addressed the impact of exercise on mental health in older adults.

Strategies to Increase Rigor and Effectiveness of Database Search

To increase the rigor and effectiveness of a database search on the PICO(T) question, several strategies can be implemented:

Utilize MeSH terms: MeSH (Medical Subject Headings) terms are standardized vocabulary terms used in biomedical databases. Including relevant MeSH terms in the search strategy can improve the accuracy and relevance of the search results. For example, using MeSH terms like “exercise,” “mental health,” and “aging” can help identify studies specifically focused on older adults.

Narrow down search filters: Applying specific filters such as publication date, study design, or language can help refine the search results. For instance, selecting studies published in the last five years can ensure access to the most current research findings.

Expand search terms: Adding synonyms or alternative terms to the search strategy can capture a broader range of relevant articles. For example, incorporating synonyms for “exercise” such as “physical activity” or “fitness” can yield additional results.

Utilize advanced search features: Many databases offer advanced search features that allow for more precise and targeted searches. These features include options for limiting the search to specific fields (e.g., title, abstract), excluding certain terms, or searching for exact phrases.

Review reference lists and citation tracking: Examining the reference lists of relevant articles and employing citation tracking techniques can help identify additional studies that may have been missed in the initial database search.

By implementing these strategies, researchers can enhance the rigor and effectiveness of their database search, ensuring that they retrieve a comprehensive selection of relevant articles for their PICO(T) question.

 

 

 

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