“In cancer patients with fatigue (P), what is the effect of yoga (I), compared with usual pharmacological care (C), on better management of fatigue and quality of life (O) within 6 months (T)?”

Locate and Identify the “Best Levels of Evidence”

The final step to the perfect PICO search is to determine the level of evidence within each relevant article. In searching for the best available evidence, a hierarchy exists regarding the level and strength of evidence (see Pyramid diagram attached). As you review the journal articles found in discussion 4, select those that are based on the highest level of evidence.

Instructions:

1. Review and use the John Hopkins Appendix H Form (see attachment for Appendix H form) to locate and identify the best level of evidence to answer your developed PICOT question for the Literature Review (attached the  completed form to this discussion).
2. Title the discussion with the PICOT question. (

   “In cancer patients with fatigue (P), what is the effect of yoga (I), compared with usual pharmacological care (C), on better management of fatigue and quality of life (O) within 6 months (T)?”)

3. Initial post: Your post should be within a range of 150-200 words and respond to the following question?
   1. Identify the level type of category of the evidence for the literature review. 
   2. Now that you see all the studies together identify the overall strength of the evidence (strong, compelling, etc.).
   3. Now ask yourself what can be implemented why or why not (feasibility).