Investigation of the implementation of a Communication Enhanced Environment model on an acute/slow stream rehabilitation and a rehabilitation ward: A before-and-after pilot study

2021 ◽  
pp. 026921552110326
Author(s):  
Sarah D’Souza ◽  
Erin Godecke ◽  
Natalie Ciccone ◽  
Deborah Hersh ◽  
Elizabeth Armstrong ◽  
...  

Objectives: Develop and implement a Communication Enhanced Environment model and explore its effect on language activities for patients early after stroke. Method and design: Before-and-after pilot study. Setting: An acute/slow stream rehabilitation and a rehabilitation ward in a private hospital in Perth, Western Australia. Participants: Fourteen patients recruited within 21 days of stroke. Seven recruited during the before-phase (control group: patients with aphasia = 3, patients without aphasia = 4) and seven recruited in the after-phase (intervention group: patients with aphasia = 4, patients without aphasia = 3). Intervention: The intervention group exposed to a Communication Enhanced Environment model had access to equipment, resources, planned social activities and trained communication partners. Both groups received usual stroke care. Data collection: Hospital site champions monitored the availability of the intervention. Behavioural mapping completed during the first minute of each 5-minute interval over 12 hours (between 7 am and 7 pm) determined patient engagement in language activities. Results: Seventy-one percent of the Communication Enhanced Environment model was available to the intervention group who engaged in higher, but not significant (95% CI), levels of language activities (600 of 816 observation time points, 73%) than the control group (551 of 835 observation time points, 66%). Unforeseen reorganisation of the acute ward occurred during the study. Conclusions: Implementation of a Communication Enhanced Environment model was feasible in this specific setting and may potentially influence patients’ engagement in language activities. The unforeseen contextual challenges that occurred during the study period demonstrate the challenging nature of the hospital environment and will be useful in future research planning.

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Dwi Fitriyanti ◽  
Mardiyono Mardiyono ◽  
Yuriz Bakhtiar

Cervical cancer is the cancer that most often attacks women after breastcancer throughout the world. Around the world every two minutes or everyhour a woman dies from cervical cancer. Every patient newly diagnosed withcervical cancer needs to know information about cervical cancer that canaffect the patient's psychological changes in the form of depression. Thepurpose of this study was to determine the effectiveness of education withanimation media to reduce the depression level of cervical cancer patientswith early diagnosis. The method of this research is a pilot study(preliminary study) or testing the feasibility of animation video media on thelevel of depression. Respondent samples in the animated video media trialincluded 10 intervention samples and 10 control samples. The results of theanimation video media research are feasible to be used in subsequent studiesin cervical cancer patients with an initial diagnosis of depression. Dataanalysis using the Wilcoxon Sign Rank Test showed that there was asignificant difference in the level of depression before and after being giveneducation using the animation video media in the intervention group with avalue of p = 0.005 while in the control group with a value p = 0.102. Theconclusion of this study is that the animation video media is feasible to beused in subsequent studies and can effectively be given to cervical cancerpatients with an initial diagnosis of depression.


2016 ◽  
Vol 23 (4) ◽  
pp. 489-493 ◽  
Author(s):  
Michal Gur ◽  
Vered Nir ◽  
Anna Teleshov ◽  
Ronen Bar-Yoseph ◽  
Eynav Manor ◽  
...  

Background Poor communications between cystic fibrosis (CF) patients and health-care providers may result in gaps in knowledge and misconceptions about medication usage, and can lead to poor adherence. We aimed to assess the feasibility of using WhatsApp and Skype to improve communications. Methods This single-centre pilot study included CF patients who were older than eight years of age assigned to two groups: one without intervention (control group), and one with intervention. Each patient from the intervention group received Skype-based online video chats and WhatsApp messages from members of the multidisciplinary CF team. CF questionnaires, revised (CFQ-R) scores, knowledge and adherence based on CF My Way and patients satisfaction were evaluated before and after three months. Feasibility was assessed by session attendance, acceptability and satisfaction survey. Descriptive analysis and paired and non-paired t-tests were used as applicable. Results Eighteen patients were recruited to this feasibility study (nine in each group). Each intervention group participant had between four and six Skype video chats and received 22–45 WhatsApp messages. In this small study, CFQ-R scores, knowledge, adherence and patient satisfaction were similar in both groups before and after the three-month intervention. Conclusions A telehealth-based approach, using Skype video chats and WhatsApp messages, was feasible and acceptable in this pilot study. A larger and longer multi-centre study is warranted to examine the efficacy of these interventions to improve knowledge, adherence and communication.


2012 ◽  
Vol 36 (2) ◽  
pp. 113-126 ◽  
Author(s):  
Anthony D. Capretto ◽  
Linda A. Keeler

The purpose of this study was to examine the influence of an interactive, educational workshop on hazing knowledge, intentions to haze and intentions to prevent hazing. Components of the workshop included discussion on hazing definitions, prevalence, causes, consequences, and prevention. Nineteen sport club officers at a midsize university served as the intervention group and a convenience sample of 44 sport club student-athletes served as a control group. Hazing knowledge increased among workshop attendees and workshop attendees had greater hazing knowledge before and after the intervention in comparison with the control group who received no intervention. However, intentions to haze and the intentions to prevent hazing did not differ among groups. The intervention group increased their knowledge of where to report hazing acts and attitudes toward alternative activities to hazing. Recommendations for future research and hazing interventions for administrators are provided.


2020 ◽  
Author(s):  
Nanna Møller Lykkegaard Rasmussen ◽  
Alexander Erichsen ◽  
Allan Stubbe Christensen ◽  
Kirstine Guld Frederiksen ◽  
Signe Loftager Okkels ◽  
...  

Abstract Background: Different attempts have been made to improve nutritional care and food intake in hospital inpatients. One way may be to improve the individual customisation of meals and meal time points. This pilot study compared the food concept FoodCare consisting of customised meals served on demand and standardised meals served at fixed time points concerning energy and protein intake in medical inpatients. Method: A pilot study including medical lung inpatients at a Danish regional hospital. The control group received a set menu with limited choices served at fixed times. The intervention group received a menu of customised dishes prepared by food professionals and served on demand. Results: Twelve patients were included in the control group and 26 patients in the intervention group. In the intervention group, the tendency showed an increased energy (8.8 ± 2.7 MJ (mean ± SD) compared with the control group of 7.3 ± 2.0 MJ, p=0.10) and protein intake (74 ± 26 grams compared with the control group of 60 ± 18 (mean ± SD) grams, p=0.08). Conclusion: This pilot study demonstrated that a self-selected menu served on demand may potentially increase energy and protein intake in medical inpatients. The concept should be further tested in a randomised control trial with a sufficient sample size.


2015 ◽  
Vol 23 (4) ◽  
pp. 363-378 ◽  
Author(s):  
Nelly Lakestani ◽  
Virginio Aguirre ◽  
Agustin Orihuela

Children are future consumers; they will impact future animal welfare standards. This pilot study evaluated a nonhuman animal welfare education program, building a farm animal attitude questionnaire for 8- to 10-year-old children. The educational material focused on the behaviors and needs of cows, chickens, and pigs. Knowledge acquisition and attitude change were measured before and after the intervention for children in the intervention group and at a 2-week interval for children in the control group. Reliability of the attitude scale was measured by correlating the answers from the control group at two different time points. Eleven items were significantly correlated at the time points, indicating that those questions were reliably testing children’s views on these items. The educational intervention was successful in increasing children’s knowledge of farm animals and resulted in some changes in attitudes. The type of favorite animal reported shifted to more farm animals after the intervention.


2019 ◽  
Vol 5 (1) ◽  
pp. e000584 ◽  
Author(s):  
Sabine Hoja ◽  
Petra Jansen

ObjectivesMindfulness-based interventions in the context of sports have been shown to result in higher mindfulness scores and improved physiological and psychological parameters. The goal of this pilot study was to investigate the effects of a newly developed seven-session mindfulness-based intervention, mindful emotions, on German tennis players.MethodsThe study was conducted in a pre–post test design with an intervention and a control group. Before and after the mindfulness-based stress reduction training the following dependent measurements were assessed: athletic performance (serve accuracy) and psychological performance indicators (mindfulness, stress and competition anxiety).ResultsThe results indicate a better performance of the intervention group for the difference scores between post-test and pre-test in one of the sport-related anxiety factors, the concentration disturbances index.ConclusionIn order to further investigate the effects of this mindfulness-based intervention in competitive sports, additional studies with a larger number of participants have to follow.


2003 ◽  
Vol 10 (1-2) ◽  
pp. 155-163 ◽  
Author(s):  
M. M. Schoemaker ◽  
A. S. Niemeijer ◽  
K. Reynders ◽  
B. C. M. Smits-Engelsman

The aim of this pilot study was to evaluate the effectiveness of a Neuromotor Task Training (NTT), recently developed for the treatment of children with Developmental Coordination Disorder (DCD) by pediatric physical therapists in the Netherlands. NTT is a task-oriented treatment program based upon recent insights from motor control and motor learning research. Ten children with DCD (intervention group) were tested before and after 9 and 18 treatment sessions on the Movement ABC and a dysgraphia scale in order to measure the effectiveness of treatment on gross and fine motor skills in general and handwriting in particular. Five children (no-treatment control group) were tested twice with a time lag of nine weeks on the Movement ABC in order to measure spontaneous improvement. No improvement was measured for the children in the notreatment control group, whereas a significant improvement was found for children in the intervention group for both quality of handwriting and performance on the Movement ABC after 18 treatment sessions.


10.2196/22041 ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. e22041
Author(s):  
Laya Iyer ◽  
Ranjani B Iyer ◽  
Vetriliaa Kumar

Background HeartBot is an app designed to enable people 14 years and older to use relaxation tools offered by Heartfulness Institute to deal with daily stress and anxiety in a healthy, productive manner. These tools have proven effective in stress management and mental wellness when administered in a controlled environment by a certified proctor. Objective This study aimed to explore the app’s effectiveness and evaluate the implementation of the tools. Methods In this study, 88 participants were recruited and randomly sorted into 2 groups, the HeartBot intervention group (n=46) and the waitlist control group (n=42). Pre- and postsurveys measured participants’ stress levels using the Perceived Stress Scale (PSS) and their social-emotional well-being using the EPOCH (Engagement, Perseverance, Optimism, Connectedness, and Happiness) Measure of Adolescent Well-Being before and after they used the app for 21 days for 30 minutes every day. Results The study received institutional review board approval on August 18, 2019. Participant recruitment lasted from the approval date until September 30, 2019. The 21-day challenge started on October 1, 2019. Of the 135 people who signed up, 88 completed the study. There was a statistically significant difference in the mean PSS scores before and after the intervention (from 18.3 to 7.89; P<.001). The paired Wilcoxon rank sum test on the EPOCH scores indicated a significant difference in the medians of the total scores (W=411.5, P<.001). Conclusions Evidence from this study shows that HeartBot is an effective app that can be used to manage stress and improve positive characteristics of emotional wellness. Future research and widespread usage of the app under this study are encouraged based on this preliminary evidence of its effectiveness. Trial Registration ClinicalTrials.gov NCT04589520; https://clinicaltrials.gov/ct2/show/NCT04589520


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Xu Wen ◽  
Ying Zhang ◽  
Zan Gao ◽  
Wei Zhao ◽  
Jiang Jie ◽  
...  

The study investigated the effect of mini-trampoline physical activity on the development of executive functions (EF) in Chinese preschool children. Fifty-seven children aged 3–5 were randomly assigned to an intervention group (n=29) and a control group (n=28). The children in the intervention and control group had the same classes and care service in the preschool, but children in the intervention group had an extra 20 min of trampoline training after school for 5 school days per week in the 10-week intervention. Spatial conflict arrow (SCA), animal Go/NoGo (GNG), working memory span (WMS), and flexible item selection (FIS) were used to assess children’s EF before and after the intervention. Results revealed that no significant differences emerged in the SCA, GNG, WMS, and FIS tests between two groups postintervention. Findings indicated that a 10-week trampoline PA training may not be sufficient to trigger the improvement of preschool children’s EF. Future research with larger representative samples is warranted to discern the dose-response evidence in enhancing young children’s EF through physical activity.


2014 ◽  
Vol 11 (3) ◽  
pp. 173-178 ◽  
Author(s):  
Michelle Dicker ◽  
Mai Frandsen ◽  
Matthew A. Palmer ◽  
Stuart G. Ferguson

Introduction: Results from observational studies suggest that smoking-related cues play a role in triggering relapse. Coping strategies are among the most commonly used cessation strategies, but little is known about how they aid quitting.Aims: The aim of this pilot study was to evaluate the effect of a suite of selected coping techniques on alleviating cue-induced cravings.Methods: Thirty-seven daily smokers (Intervention: 20; Control: 17) participated in two laboratory cue-reactivity sessions, separated by approximately one week, during which craving was assessed before and after exposure to smoking-related cues. Following the first session, participants in the Intervention Group were taught a suite of coping strategies. During the second session, participants in the Intervention Group were encouraged to use these strategies.Results: Participants in the Intervention Group reported a slight decrease in craving following the acute exposure manipulation at the second session, compared to an increase in craving among participants in the Control Group. Intervention Group participants also reported a decrease in craving following prolonged exposure to the smoking cues (compared to an increase in craving among Control Group participants). In both cases, the difference between groups was more pronounced among smokers who responded to the cue-reactivity manipulation. The observed differences were not significant.Conclusions: The results of this pilot study suggest that coping techniques may be beneficial in alleviating both the initial spike in craving observed following acute cue exposure, and aid recovery during prolonged exposure. These findings need to be replicated in a larger study.


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