Academic level – Undergraduate 3-4
Type of paper – Analysis
Topic Title – PICOT in the Mental Health Access for Patients in Rural Areas
Using the area of interest “Mental Health Access for patients in rural areas”, address the following:
Draft a PICOT question using the standard quantitative PICOT format.
Identify your practice question, being sure to include the following information and describe each part of the PICOT question in detail:
Population Intervention Comparison Outcome Time In ________(Population) what is the effect of ___________(Intervention) in comparison to ___________ (Comparison) on _____________ (Outcome) to be completed over __________ (Time).
Remember- PICOT should focus on something you as an NP can implement and should focus on measurable health outcomes. Full-practice authority, burnout, satisfaction surveys, and anything that would require a policy or law change should not be used.
In adults with depression living in rural areas, what is the effect of cognitive-behavioral therapy (CBT) delivered through telehealth compared to in-person CBT on reducing depressive symptoms and improving quality of life over a period of 12 weeks?
Population: Adults living in rural areas who have depression are the target demographic. Studies support the allocation of disproportionate and subpar healthcare services. Reasons for the obtained situation include “reduced access to providers and limited availability of specialty mental health care in rural areas, lack of trained mental health providers and care coordination in rural medical care, and underutilization of available services” (Morales et al., 2020, p. 463). Consequently, the target participants include people who could experience geographic barriers, such as a lack of mental health practitioners in their area or limited transportation options, that influence their access to mental health treatments.
Intervention: Cognitive-behavioral therapy (CBT) that is provided via telehealth is the intervention that is being researched. This includes utilizing video conferencing technology to enable people to receive therapy virtually, without having to physically visit a site (Matsumoto et al., 2021, para. 4).
Comparison: In-person cognitive-behavioral treatment is being contrasted. This entails getting therapy in an established face-to-face setting, such as a therapist’s office or a mental health center.
Outcome: The reduction of depression symptoms and the enhancement of quality of life are the main results being measured. Feelings of melancholy, hopelessness, worthlessness, and guilt might be depressive symptoms. An individual’s overall feeling of wellness, encompassing their physical, emotional, and social dimensions, may be referred to as their quality of life.
Time: Twelve weeks will be needed to complete the study. This period of time was chosen to provide the intervention enough time to work and to allow for the observation and measurement of changes in depressed symptoms and quality of life.
Matsumoto, K., Hamatani, S., & Shimizu, E. (2021). Effectiveness of videoconference-delivered cognitive behavioral therapy for adults with psychiatric disorders: Systematic and meta-analytic review. Journal of Medical Internet Research, 23(12). https://doi.org/10.2196/31293
Morales, D. A., Barksdale, C. L., & Beckel-Mitchener, A. C. (2020). A call to action to address rural mental health disparities. Journal of Clinical and Translational Science, 4(5), 463–467. https://doi.org/10.1017/cts.2020.42