Effectiveness of the Weighted Blanket With Psychiatric Patients in the Emergency Department: A Pilot Study

Author(s):  
Debra A. Dickson ◽  
Laura Gantt ◽  
Melvin Swanson

BACKGROUND Restraint and seclusion continue to be used with patients demonstrating aggressive and violent behaviors while in the emergency department and as inpatients in behavioral health (BH) units. The use of sensory interventions such as the weighted blanket (WB) is garnering interest as alternatives to aid in managing anxiety, anger, and aggressive behaviors. Reports of the effectiveness of the WB have primarily been anecdotal, and results of research with children have been mixed. Only one study has been conducted with the WB with adults on an inpatient psychiatric unit. OBJECTIVES The aim of this pilot study was to assess the effectiveness of the WB by determining whether it decreases anxiety and/or anger in adult emergency department patients with preexisting psychiatric diagnoses. METHODS The study used a quasi-experimental, nonequivalent control group design with pre- and posttests for anxiety and anger. The intervention was a 15-pound WB. Participants ( N = 15) were in one of three groups, which included no weighted blanket (NWB), WB for 15 minutes, or WB for 30 minutes. RESULTS All three groups showed a decrease in anxiety and anger scores. However, participants in the WB groups had a greater decrease in anxiety and anger posttest scores. CONCLUSIONS The small sample size in this study did not allow for the determination of any differences between groups on anxiety or anger scores that could be viewed as a significant finding.

Criminologie ◽  
2005 ◽  
Vol 30 (2) ◽  
pp. 47-65 ◽  
Author(s):  
Benoît Roy ◽  
Gilles Rondeau

This paper presents the results of an exploratory study on the control exerted by men over their spouse. Four groups of 15 men each, were compared: 1) men with no criminal record and who had volontarily taken part in a community program for violent men; 2) men accused of spouse abuse, exclusively; 3) men accused of spouse abuse and other crimes; 4) men selected at random from the community. The type of sample was non probabilistic. Three questionnaires were administered: 1) a demographic questionnaire 2) the "Abusive Behavior Inventory" (Shepard and Campbell, 1992) and 3) the "Psychological Maltreatment of Women Inventory" (Tolman, 1989). The results demonstrated that the control group (group 4) displayed "stability" in comparaison with the groups of accused men (groups 2 and 3) where important difficulties and "marginality" were observed. "Non accused" spouse abusers (group 1) obtained middle ranged scores. Scores from the four sub-scales in the two attitudinal inventories corrrelated significantly and were in the predicted direction. As the level of psychological or physical abuse increased, so did the desire to dominate and isolate women. Given the small sample size and the quasi-experimental nature of the design, the results are not considered as definitive; however, they provide directions for future research.


2004 ◽  
Vol 17 (1) ◽  
Author(s):  
Paula Mommersteeg ◽  
Cobi Heijnen ◽  
Ger Keijsers ◽  
Marc Verbraak ◽  
Lorenz van Doornen

Cortisol disturbance in employees suffering burnout; a pilot study Cortisol disturbance in employees suffering burnout; a pilot study P. Mommersteeg, C. Heijnen, G. Keijsers, M. Verbraak & L. van Doornen, Gedrag & Organisatie, volume 17, February 2004, nr. 1, pp. 18-31. Burnout symptoms are the result of chronic job stress and insufficient recovery. Deviations in the secretion level of the stress hormone cortisol are associated with chronic stress and stress-related health problems. This study examined whether burnout subjects show a disturbed cortisol profile immediately after awakening, and whether a recovery of the deviating cortisol profile coincides with the relief of burnout symptoms after therapy. In this study the cortisol levels of both a clinical burnout group of employees (n=22) who were treated for their symptoms, and a matched control group (n=21) were determined, half an hour after awakening. The burnout group was sampled once more after 14 treatment sessions over approximately 6 months. At the initial measurement the burnout group showed lower cortisol levels after awakening in comparison to the control group. After treatment the burnout group reported fewer complaints whereas elevated levels of cortisol were found. Paradoxically, the rise in cortisol after therapy seems mainly attributable to subjects showing the least improvement in symptoms of exhaustion. Small sample size and the complexity and dynamics of this stress-response system complicate a clear interpretation of these findings.


2018 ◽  
Vol 27 (3) ◽  
pp. 346-359 ◽  
Author(s):  
Maria Regina Hechanova ◽  
Pierce S. Docena ◽  
Liane Peña Alampay ◽  
Avegale Acosta ◽  
Emma E. Porio ◽  
...  

Purpose The purpose of this paper is to evaluate the effect of a community-based resilience intervention for Filipino displaced survivors of Super Typhoon Haiyan. Design/methodology/approach The researchers used a quasi-experimental and mixed-method design comparing a treatment group with a control group across three time periods: before, immediately after, and six months after the intervention. Findings Results showed significant improvements in survivors’ anxiety scores and resilience scores compared to those who did not undergo the program. However, although there was an increase in adaptive coping of participants immediately after the program, there was a reduction in adaptive coping behaviors for all groups six months after the program. Focus group discussions revealed this might be due to significant environmental challenges among displaced survivors. Research limitations/implications A limitation of the study was the lack of randomization and a small sample size due to attrition. Practical implications The study highlights the positive effects of culturally adapted group interventions. Social implications The results suggest the importance of a systemic approach to enabling the recovery of displaced survivors in developing countries. Originality/value This study provides evidence for a resilience intervention developed in a low-middle income country in Southeast Asia.


2015 ◽  
Vol 26 (6) ◽  
pp. 580-586 ◽  
Author(s):  
Enric Jané-Salas ◽  
Andrés Blanco-Carrión ◽  
Lluís Jover-Armengol ◽  
José López-López

The purpose of this study was to determine the accuracy of autofluorescence techniques for diagnosing oral mucosa lesions, using as reference pattern for comparison the visual diagnosis made by a clinical specialist. A pilot study was conducted with 60 patients divided in a control group without mucosal pathology and a study group with known clinical history for mucosal pathology. Both groups were examined by an oral medicine specialist and by a general dentist who used VELscope(r) system, which applies tissue fluorescence visualization to identify oral mucosal abnormalities. Using the VELscope(r) system, the general dentist made overdiagnosis in two cases and underdiagnosis in one case. The sensitivity and specificity for the oral medicine specialist were 1 (95% CI: 0.884 to 1). For the general dentist, the sensitivity did not improve significantly with the use of VELscope(r) system [0.53 (95% CI: 0.343 to 0.717) versus 0.49 (95% CI: 0.406 to 0.773)] and the specificity was 0.80 (95% CI: 0.614 to 0.923). A limitation of the study is the small sample size, which does not fully represent a population and extrapolation of the data should be done carefully. Based on the obtained results, no clinical benefits were obtained using this VELscope(r) system.


2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Yuwanda Megri Santika ◽  
Otang Kurniaman ◽  
Zariul Antosa

Reading is one of the important aspects in the communication process. Reading can make someone better understand the contents of the reading. In learning to make it easier for students to understand the contents of the reading it will be easier if it begins with the ability to determine the main ideas of the paragraph. Based on this, the researcher conducted a study by applying the Cooperative Integrated Reading and Composition (CIRC) learning model to the ability to determine the main idea of the paragraph at the fifth grade students of SD 003 Pulau Kopung. This study aims to determine the effect of the CIRC learning model on the ability to determine the main ideas of paragraphs of fifth grade students of SD Negeri 003 Pulau Kopung. This research method is a quasi- experimental Nonequivalent Control Group Design. This research was conducted in two classes, the VA class as the control class and VB class as the experimental class with 22 students in each class. The results of the study showed that the CIRC learning model influenced the ability to determine paragraph main ideas with the results of calculations derived from the gain index, the experimental class using the CIRC learning model got an increase in gain of 0.59 with the middle class and the control class with the normal learning model got an increase of 0.31 with medium class.


2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Wawan Kurniawan

ABSTRAK  Latar belakang: Demam Berdarah Dengue (DBD) disebabkan oleh virus Dengue dapat menyebabkan kematian. Pencegahan DBD yang dianggap paling tepat adalah Pemberantasan Sarang Nyamuk (PSN). Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan pengendalian vektor Demam Berdarah pada siswa sekolah dasar terhadap Maya Index di Majalengka. Metode: Penelitian ini menggunakan desain quasi experiment (pretest-posttest control group design). Sebanyak 4 sekolah terpilih sebagai kelompok intervensi dan 4 sekolah lainnya sebagai kontrol. Subyek penelitian adalah siswa kelas IV-VI yang terdiri dari 171 siswa pada kelompok intervensi dan 163 pada kelompok kontrol. Instrumen yang digunakan adalah formulir pemantauan jentik berkala. Hasil: Jumlah rumah dengan kategori Maya Index tinggi berkurang dari 27,5% menjadi 9,4%. Terjadi penurunan angka BRI kategori tinggi pada kelompok intervensi dari 20,5% menjadi 1,8%. Pada kelompok kontrol tidak terjadi penurunan angka BRI kategori tinggi (22,1%), sebaliknya terjadi penurunan kategori rendah dari 34,4% menjadi 3,7%. Tidak terjadi penurunan angka HRI pada kelompok intervensi maupun kontrol. Kesimpulan: Pelatihan pengendalian vektor Demam Berdarah dapat menurunkan nilai BRI dan Maya Index, tetapi tidak berpengaruh terhadap nilai HRI. Tidak adanya perubahan nilai HRI menunjukkan bahwa kebersihan dan sanitasi lingkungan merupakan faktor yang berpengaruh terhadap probabilitas kejadian demam berdarah. Kata Kunci : Demam Berdarah, Maya Index, pelatihan, pengendalian vektor   ABSTRACT Background: Dengue Hemorrhagic Fever (DHF) caused by Dengue virus could cause death. The most appropriate prevention of Dengue is eradication of mosquito nests (PSN). This study aims to determine the effect of Dengue vector control training on elementary students towards Maya Index in Majalengka. Method: This study used quasi-experimental design (pretest-posttest control group design). A total of 4 schools were selected as intervention groups and 4 other schools as controls. The subjects were students in grades IV-VI consisting of 171 students in the intervention group and 163 in the control group. The instrument used was periodic larva monitoring form. Results: The number of houses with a high Maya Index category in the intervention group decreased from 27.5% to 9.4%. There was a decrease in the high BRI category in the intervention group from 20.5% to 1.8%. In the control group, there was no decrease in the high BRI category (22.1%), on the contrary, there was a decrease in the low category from 34.4% to 3.7%. There was no decrease in HRI rates both of intervention or control groups. Conclusion: Dengue Fever vector control training could decrease the value of BRI and Maya Index, but does not affect the value of HRI. The absence of changes in HRI  indicate that environmental hygiene and sanitation are factors that influence the probability of dengue fever occurrence. Keywords: Dengue Hemorrhagic Fever, Maya Index, training, vector control


2019 ◽  
Vol 1 (1) ◽  
pp. 108-114
Author(s):  
I Made Wirta

The main objective of the present study is to investigate the effect of implementing innovative learning approaches upon English students’ achievement. The study was quasi experimental study using the post-test only control group design involving 35 students altogether selected using census sampling technique. The instrument which is used to gather data in the study was test. There were two tests used to gather intended data. They were linguistic test and student achievement test. The obtained data were analyzed statistically using descriptive and inferential analysis. The analysis of covariance was conducted to test the hypotheses.


2020 ◽  
Vol 8 (01) ◽  
pp. 110-126
Author(s):  
Nashran Azizan ◽  
Rahmadani Tanjung

This aimed to know the influence of PjBL model toward learning results of moral lessons in knowing the prophet and apostle in IV grade of Islamic School Padangsidimpuan Angkola Julu in academic year 2019/2020 by using PjBL and Direct Instruction model. The research model used Quasi-Experimental Design with None Quivalent Control-Group Design. The used instrument is the learning result test. Data analysis used t-Test. Research result showed (1) there is the influence of PjBL model toward student's learning test on moral lesson of knowing prophet and apostle material.


2020 ◽  
Vol 7 (2) ◽  
pp. 169-179 ◽  
Author(s):  
Vera Iriani Abdullah ◽  
C.H Haumahu

In the world, around 1.62 billion people have low HB levels, around 30.2% occur in the group of women aged 15-49. In Indonesia, anemia cases rank 4th in the top 10 most disease groups. Prolonged iron deficiency can cause anemia, so it needs to be treated immediately so it doesn’t continue into pregnancy age which can cause complications until maternal and perinatal death. Papua has an abundance of marine wealth; one of those is Kerang Dara. Through this study, researchers wanted to explore the health benefits of nature. The aim is to see the effect of Consumption of Kerang Dara Cookies (Anadara Granosa) on Changes of Hemoglobin Levels of in Woman of Childbearing Age as an Effort to Prevent Anemia in District Aimas, Klaigit Village. Type of this research is quasi-experimental by pretest-posttest control group design method. The population of all the women of Childbearing who live in Klaigit Village, with a total sample of 14 people divided into 2 groups: control and intervention. Data collection techniques using random sampling. The time of data collection occurred for 2 weeks, starting from September 20th to October 4th. The results based on statistical tests using T-Test, then the value 884 is greater than the value of the table 0.05, then the conclusion is there is an Effect of Consumption Kerang Dara Cookies (Anadara Granosa) Towards the Increased of Woman of Childbearing Hemoglobin Levels in Klaigit Village in District Aimas in 2019.


2019 ◽  
Vol 2 (1) ◽  
pp. 34-40
Author(s):  
Diah Evawanna Anuhgera ◽  
Eka Fitria Panjaitan ◽  
Desika Wali Pardede ◽  
Desika Wali Pardede ◽  
Nikmah Jalilah Ritonga ◽  
...  

Spending colostrum in post-cesarean section mothers is difficult in the first week postpartum. Efforts to overcome colostrum disruption can use non-pharmacological methods, namely breast care and endorphin massage. This study aims to determine the expenditure of colostrum by giving breast care and endorphin massage to post-cesarean mothers. This research is a quasi-experimental study with a nonequivalent design posttest control group design. This research was carried out in the midwifery room of the second floor of Grand Medistra Lubuk Pakam Hospital during the June-July 2019 period. There were 48 participants selected using purposive sampling, with 18 assigned in breast care, endorphin massage and combination of breast care and endorphin massage. The time of spending colostrum expenditure is assessed every day while the amount of colostrum expenditure is assessed after intervening. Analysis of the data used is one-way Annova. The results showed that the combination of breast care and endorphin massage was the most effective action in the time of spending colostrum and the amount of colostrum with a value of p = 0,000. The combination of breast care and endorphin massage could be applied as an alternative therapy post-cesarean mothers    


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