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

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.

10.18060/68 ◽  
2004 ◽  
Vol 5 (2) ◽  
pp. 197-210
Michael Sherr ◽  
Terry Wolfer

This pilot study represents an effort to implement and evaluate use of a curriculum module on Charitable Choice and social work practice in a faith-based organization. Using a nonequivalent control group design, repeated measures MANOVA showed significant differences between the treatment (n=54) and comparison groups (n=53) on knowledge and degree of comfort at posttest. Despite the use of a small sample (n=107) of MSW students at a public university in the Southeast, the findings provide initial support for further use and future evaluations of curriculum modules covering specific content on practice in faith-based settings.

2009 ◽  
Vol 10 (4) ◽  
pp. 409-417 ◽  
Diana M. Taibi ◽  
Cheryl Bourguignon ◽  
Ann Gill Taylor

Objectives: To present a pilot study of valerian to explore issues of feasibility and efficacy in studies of sedative herbs for arthritis-related sleep disturbance. Methods: Fifteen persons with arthritis and mild sleep disturbance were randomized to receive 600 mg valerian ( Valeriana officinalis, n = 7) or placebo ( n = 8) for five nights. Results: Protocol adherence (dosing and data collection) was high. Allocation concealment was successful using a novel approach for matching the placebo on the distinctive odor of valerian. Nonsignificant differences between the groups were found on all sleep outcomes, measured by daily diaries and wrist actigraphy. Conclusion: The study methods were feasible, except for recruitment issues (addressed in the discussion), and may guide the testing of other sedative herbs for persons with arthritis. Although efficacy outcomes were inconclusive due to the small sample size of this study, recent evidence from larger trials of valerian also does not support its efficacy.

Zouhui Ji ◽  
Yaping Yang ◽  
Xinfang Fan ◽  
Yuting Wang ◽  
Qiang Xu ◽  

The Stereotype Content Model (SCM) has been validated in multiple countries and regions. However, previous validation studies in China have been limited by small sample size. The current research increased the sample size (n = 184 in the pilot study; n1 = 1315 and n2 = 268 in the formal study) to validate the SCM in mainland China in study 1. Supporting the SCM, 41 social groups were clustered into four quadrants based on warmth and competence dimensions. 35 of the 41 target groups (85.37%) receive ambivalent stereotype. Perceived warmth and competence were positively correlated (r = 0.585, p < 0.001). Status and competence were positively related (r = 0.81, p < 0.001), and competition and warmth were negatively related (r = −0.77, p < 0.001). In addition, 24 typical social groups were selected and a list of stereotype words for these groups was developed in study 2 (n1 = 48, n2 = 52). The implications of the emerging social groups and the applications of this stereotype word list are discussed.

2021 ◽  
Vol 35 (1) ◽  
pp. 13-25
John G. Kruth

This study examined the importance of the judge and the particular investment selection in the associative remote viewing (ARV) process. In Protocol 1, ARV was used to predict investments and to generate funds. Three viewers made weekly predictions on Sunday about an image they would be shown on Friday. Two images were selected to represent different states of a stock (value increase or value decrease), and a judge reviewed the images and the viewers’ information. Based on the judge’s evaluation, a coordinator informed an investor whether to invest for the stock to rise or fall during the weekly session. Though the sessions lost funds due to a complication in the investment process, this was not the focus of the study. A second judge (Protocol 2) and a mock investment instrument (Protocol 3) were included, blinded to all study participants. The second judge (J2) performed at a significantly less accurate level than the first judge (p < 0.05), and J2 also performed significantly lower than could be expected by chance (p = 0.02; effect size = –1.498; power > .80). Both judges performed significantly differently on the target investment than on a control investment. Although this is a pilot study with a small sample size and a limited number of sessions, conclusions are that the selection of a judge, even a very experienced judge, can have a significant effect on the success of an ARV project and that judges’ decisions are more affected by the target investments than by a comparable control investment. Future ARV projects are advised to qualify judges for accuracy just as they qualify viewers for accuracy. Keywords: associative remote viewing; ARV

2020 ◽  
Zouhui Ji ◽  
Qing-Wei Chen ◽  
Xinfang Fan ◽  
徐强 ◽  

The Stereotype Content Model (SCM) has been validated in multiple countries and regions. However, the previous validation studies in China were limited by small sample size. The current research enlarged sample size (n = 184 in pilot study and n = 1315 in formal study) to validate SCM in mainland China. Supporting the SCM, 41 social groups were clustered into four quadrants based on warmth and component dimensions. In addition, 24 typical social groups were selected and a list of stereotype words for these groups was developed. The implications of the emerging social groups and the applications of this stereotype words list were discussed.

2021 ◽  
Vol 108 (Supplement_1) ◽  
M Lloyd ◽  
F Izadi ◽  
S Rahman ◽  
R Walker ◽  
A Hayden ◽  

Abstract Aims We currently cannot predict which patients with locally advanced oesophageal adenocarcinoma will be amongst the 15-20% to gain a clinically important response to neoadjuvant therapy (NAT). This pilot study aimed to identify differentially expressed genes from oesophageal adenocarcinoma pre-treatment biopsies between responders and non-responders to NAT and develop methodology for predicting response. Method Response to NAT was assessed pathologically using Tumour Regression Grading (TRG). Pre-treatment formalin-fixed paraffin embedded samples were analysed with two nuclease protection assays (EdgeSeq, HTG = Oncology Biomarker Panel (OBP) and Precision Immuno-Oncology Panel (PIP)). Sequencing was performed on the NextSeq500 (Illumina). Result Whilst there was no difference in pre-treatment characteristics, responders (TRG1-2, n=26) had significantly better post-treatment pathology and overall survival than non-responders (TRG4-5, n=30). Genes up-regulated in responders were involved in regulating cell cycling, whereas genes up-regulated in non-responders were involved in cytokine signalling and the immune response. Neuronal artificial network models could predict response to NAT with overall accuracy of 73% and 68% for the OBP and PIP, respectively, which is promising considering the small sample size. As no model will be 100% accurate, we developed a model that could take patient's views into consideration with an adjustable probability threshold for classification. Conclusion This pilot study informs a biologically sound hypothesis for the basis of response to NAT and suggests prediction from pre-treatment biopsies may be possible using EdgeSeq. We now aim to validate these results in a larger study to inform a bespoke classifier of response to enable delivery of precision therapy. Take-home message In oesophageal adenocarcinoma, responders and non-responders to neoadjuvant therapy have different expression profiles. Through using EdgeSeq in larger studies, we may be able to predict which patients will respond to treatment, allowing for delivery of precision therapy.

2019 ◽  
Vol 14 (1) ◽  
pp. 107-113 ◽  
Lee Pote ◽  
Candice J Christie

Cricket players nowadays are faced with increased physical demands, and as a result, it is important to manage their workload, particularly to control and predict risk of injury. While this has been investigated at an elite level, few studies have looked at the workloads placed on adolescent cricket players. The purpose of this study was therefore to determine the workloads placed on school boy cricketers, specifically within a South African context. Twelve male school boy cricketers between the ages of 16 and 19 years participated in the study. Match and practice data were collected over a period of 74 days and included number of shuttles run (batsmen), number of deliveries bowled (bowlers) as well as central ratings of perceived exertion (RPE). Injury data were also collected. These data were then used to determine the acute:chronic (a:c) workload ratio (two-week rolling average) as well as session RPE (sRPE). Fast bowlers delivered more balls during matches compared to practices, whereas batsmen ran more shuttles at practices compared to matches. Session RPE was higher for matches compared to practices. There did not appear to be a relationship between workload and injury risk; however, this may have been due to the small sample size. It was concluded that it is important to monitor individual workloads of players. Also, intensities of practices need to be increased to match game demands. Lastly, the study design was effective and the methods used were found to be appropriate for a larger population.

2019 ◽  
Vol 19 (2) ◽  
pp. 68-80
Anna Łaszkiewicz

Abstract Research background: The study examines the degree of the utilization of the idea of co-creating value by companies, taking into account the forms of remuneration of consumers. Purpose: The paper presents the issue of co-creating value with consumers from the perspective of the motivation and rewarding of clients. The article discusses factors determining the collaboration between the business and the virtual community as well as issues related to the remuneration of consumers. Research Methodology: The study covered managers who received questionnaires, developed after previous verification in a pilot study. The survey was conducted from August to October 2016. The questionnaire was prepared in a Polish and English version. The questionnaire in the Polish version was completed by 157 participants, while the questionnaire in the English version was completed by 42 managers. In total, 199 questionnaires were registered, including 134 with complete answers, which were subjected to further statistical analysis. The calculations were carried out using the SPSS v. 21/24 package and Statistica v. 7.1. Results: Enterprises with a high rate of positive answers to questions about the benefits of value creation believe that consumers should work together without remuneration. However, one should remember about the limited value of the interpretation due to the relatively small sample size. Novelty: This paper focuses on the results of analyses taking into account the relationship between the attitudes of entrepreneurs towards rewarding consumers for their contribution to value creation and the attitudes of entrepreneurs towards the issue of cooperation.

2019 ◽  
Vol 13 (4) ◽  
pp. 049501
Timon M Fabius ◽  
Michiel M Eijsvogel ◽  
Ivo van der Lee ◽  
Marjolein G J Brusse-Keizer ◽  
Frans H de Jongh

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