Decreasing Agitation in Patients With Dementia Through the Use of Weighted Blankets
Decreasing Agitation in Patients With Dementia Through the Use of Weighted Blankets: A Pilot Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The Intervention Group
- Patient or Legally Authorized Representative (LAR) will be asked to sign a consent form and will have the study explained.
- Nursing staff will complete baseline assessments to measure behavioral disturbances using the CMAI and CGI and other distressing symptoms using the ESAS-r.
- A weighted blanket, based on admission body weight, will be provided to the patient under nursing supervision.
- For 3 consecutive days after each use of weighted blanket, nursing staff will complete morning assessments to measure behavioral disturbances using the CMAI and CGI and other distressing symptoms using the ESAS-r.
- At the end of the intervention, nursing staff will complete post-intervention assessments to measure behavioral disturbances using the CMAI and CGI and other distressing symptoms using the ESAS-r.
Control Group:
- Patient or Legally Authorized Representative (LAR) will be asked to sign a consent form and will have the study explained.
- The study team will recruit a group of patients with similar characteristics as described in the inclusion criteria; however, the patient will not receive the weighted blanket, but undergo the same assessments as described in 1-5 (above) and in the Schedule of Assessments.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Kristina Dammen
- Phone Number: 507-255-0761
- Email: dammen.kristina@mayo.edu
Study Locations
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients admitted on the inpatient geriatric psychiatry unit, complex interventions unit, internal medicine service and/or admitted hospice GIP
- Documented diagnosis of dementia or suspected major neurocognitive disorder.
- Presence of agitation/aggression symptoms as defined by a minimum aggression score on the Cohen-Mansfield Agitation Inventory Short Version (CMAI): Patients must score 3, 4, or 5 on at least one question related to aggression (items 1-4).
- Have a LAR able to sign the consent on behalf of the patient.
Exclusion Criteria:
- Severe pain likely to be exacerbated by use of weighted blanket
- Inability to remove blanket;
- Skin burns or open wounds;
- Admitted on 72 hour hold.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Weighted Blanket Cohort
Subjects will receive weighted blanket for three nights with monitoring by nurse.
Weight of blanket is determined by weight of the patient (10% of patients body weight).
|
Weighted blanket will be given to patients based on the patient weight (10% of patients body weight) for three nights while on inpatient unit.
|
|
No Intervention: Control Cohort
Subjects will receive treatment as usual while inpatient, no blanket.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cohen-Mansfield Agitation Inventory Short Version (CMAI) Change
Time Frame: At baseline, days 1-3, and then within 72 hours of last use of the weighted blanket
|
Assess the agitation/aggression outcome using numeric scales ranging from 1-5.
The sum of the scores is defined as the agitation/aggression outcome and ranges from 14-70, with the lower score being the better outcome.
|
At baseline, days 1-3, and then within 72 hours of last use of the weighted blanket
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The revised Edmonton Symptom Assessment System Revised (ESAS-r) Change
Time Frame: At baseline and within 72 hours of the last use of the weighted blanket.
|
Assessment of symptoms in palliative patients using numeric analog scales ranging from 0 to 10 to assess levels of pain, tiredness, drowsiness, nausea, appetite, shortness of breath, depression, anxiety, and well-being.
The sum of the scores for all symptoms is defined as the symptom distress score.
The range of the sum is 0-100, with a lower score indicating a better outcome.
The ESAS-r is a validated tool and publicly available for use.
|
At baseline and within 72 hours of the last use of the weighted blanket.
|
|
Clinical Global Impressions (CGI)
Time Frame: At baseline, days 1-3, and then within 72 hours of last use of the weighted blanket
|
Aggression/Agitation as a measure of the global clinical outcome using a numeric scale ranging from 1-7, with a lower score indicating a better outcome.
|
At baseline, days 1-3, and then within 72 hours of last use of the weighted blanket
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Maria Lapid, MD, Mayo Clinic
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Aberrant Motor Behavior in Dementia
- Neurologic Manifestations
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Mental Disorders
- Behavioral Symptoms
- Neurobehavioral Manifestations
- Neurocognitive Disorders
- Dyskinesias
- Psychomotor Disorders
- Pathological Conditions, Signs and Symptoms
- Behavior
- Signs and Symptoms
- Dementia
- Psychomotor Agitation
Other Study ID Numbers
Other Study ID Numbers
- 17-009951
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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