Mental Health Nursing: Literature Review of Obesity Interventions

This report analyzes a systematic literature review that investigates the effects of community-based obesity prevention interventions on the mental health and well-being of adolescents. The review, registered under BMJ Open, examined articles sourced from various databases like CINAHL, MEDLINE, and PsycINFO, adhering to PRISMA guidelines for study selection and evaluation. The inclusion criteria encompassed community-based interventions targeting adolescents, while exclusion criteria focused on individual clinical settings and obesity treatment. The review employed tools like RCT and GRADE to assess methodological quality. Findings indicate that while community-based interventions show positive effects on weight reduction, the reporting of mental health outcomes was limited. The report details the study's methodology, search strategies, inclusion and exclusion criteria, data synthesis, and limitations, providing a comprehensive overview of the research process and its implications for clinical practice.

Mental Health
Nursing -Literature
review

Answer 1
This review objective is to gather the information and understanding of the existing
research article related to the systematic review of the community based obesity prevention
interventions between adolescents and to evaluate its outcomes in mental health well-being.
Answer 2
This research general was registered under the BMJ open 2015; 5:e006586. Soi: 10.
1136/bmjopen-2014 006586. this article was received in 11 September 2014, then revised in 6 of
November 2014, then finally accepted 9 December 2014.
Answer 3
For this review article there are the various factors which consider under the inclusion
and exclusion criteria. Such as the under the inclusion criteria, community based intervention is
considered, along with target group. There they have included the different health care centres
for study and review such as community health care centres, school and cities health care
centres. Other inclusion criteria was the obesity prevention intervention, primary research,
community based, targeted adolescent population, follow-up and measurement of mental health
report. Exclusion criteria in this health care review was the single individual, clinical settings,
obesity treatment, management intervention, focus on particular risk, as it was focus about the
group and community overweight prevention and intervention so that's why they have excluded
the specific management of the obesity.
Answer 3
In this report of review different type of study were included such as the primary and
secondary out come measurement, PRISMA methodology in order to evaluate the evidence
grading and recommendation effectively. Along with the (GRADE) as it aid to conduct the
effective study with qualitative results. Data extraction and data synthesis is used in order to
effectively conduct all inclusion and exclusion criteria.
Answer 5
This review article was developed and sourced with the aid of some database such as
from the CINAHL, Global health, and health source, PsycINFO, nursing, academic edition,

MIDLINE. So all these databases was accesses through EBSCO host along with the guidelines
of PRISMA in order to conduct effective search process.
Answer 6
search terms of this review article was good and best in context to their review project
and objective. Because all implemented search term are good and qualitative in themselves
because it provide the specific steps, techniques and framework of the research along with this it
help to gather the relevant and updated information. Then additionally similar search was done
within the Cochrane Database in order to scree the articles for eligibility, relevancy. Every
search terms and techniques was suitable for this review article because these are the best
database of research and study aid to get the relevant information, in prospect to the specific
review objectives. Such as in context to this article all these research tool helped in the study and
analysis of the obesity overweight prevention plans, process and overweight management
intervention with evidence of affectivity.
Answer 7
Study limit in this report was that they can not conduct the meta analysis due to various
type of mental health measurements and huge component of the intervention, which create the
difficulties in the outcome follow-up. Such as they have conducted the successful study on
weight reduction outcome along with the ensuring that intervention not effecting the mental
health in negative terms. But mental health report was under the process and not reported
specifically.
Answer 8
PRISMA Flow in context to this report is describing the brief explanation of their
inclusion and exclusion criteria. They have explained in that report that why they have selected
that specific inclusion and exclusion criteria. Such as they have yield 621 abstracts with the aid
of EBSCO host and 140 articles through Cochrane database then they were screened for
inclusion and exclusion, they have selected the 46 articles in order to examine and evaluate for
the eligibility, then after the eligibility analysis 39 article was removed with the some reasons
such as 14 article not included the mental health measures, 15 articles did not include population
representative adolescents. 7 articles are removed due to absence of the intervention design, 2

articles was removed due to absence of the metal health outcomes and other 2 article is excluded
because that was not community based research.
Answer 9
In this review article, critical appraisal instrument was the RCT along with the . PRISMA
and Grading of Recommendations, Assessment, Development and Evaluation (GRADE)
guidelines. RCT (randomized controlled trials) is the most effective tool of the critical appraisal
it helps to select the relevant and useful papers for the research, with trustworthy information.
PRISMA it helps in the systematic review of the research with the aid of randomized trial
evaluation it basically focus on the evaluation of interventions. It clear that these critical
appraisal tools are the best and appropriate for rating the quality of systematic evidence in
review. Such as the CRADE ( grading, recommendation assessment, development and
evaluation). This is one of the most effective process of review quality, by helping in the
identification quality evidence.
Answer 10
There is the brief summary of research process along with the explanation of every
important terms such as they have explained the process of inclusion and exclusion with proper
step by step description of PRISMA flowchart techniques. Then in this review report researcher
have explained the study population in the section of community-based obesity prevention
interventions. In which they have elaborated the seven intervention for community along which
include the mental health measurement as a outcome. Their intervention was opportunity of
physical activities and healthy eating behaviour, education related to the healthy food and
physical activities. Improvement of the community areas with educational sessions and
improved canteen quality. They have specified the location such as school and health care
centrers. Their is the brief description of result and outcome in the tabular form of in formation
in context to the each objective of reviews.
Answer 11

All the excluded study material is listed with the different reasons of its exclusion, and
this is already consider in the above discussion. Main reason for exclusion was the absence of
most of the factors such as intervention and objectives.
Answer 12
Data in this review article was extracted and synthesized by the authors of this report (EH
and LM), they have abstracted the list of inclusion with the 41 article in order to conduct the
further eligibility inclusion. Such as they have synthesized their study data by the aid of
categorising the components of obesity prevention intervention and by the mental health
outcome study. Then mental health outcomes after the follow up was used in extraction of main
data and finding.
Answer 13
There is the brief evaluation and analysis of the review study along with the inclusion of
study limitations discussion. As they have explained that there is the prove of positive effect of
community based obesity prevention interventions and there is explication of limitation too, as
they have found that there is the less number of mental health measurement intervention and two
of the study include that but it fail to report at mental health outcome process.
Answer 14
This assessment level is one consider as Experimental Designs because it involve the
systematic review of the Randomized Controlled Trials.
Answer 15
Syntagmatically reviewed information should be applied to clinical practices in the form
of evidence based practices with surety of effects and impact. It helps the professional to select
the correct intervention for specific issues.

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