Do Instructional Videos on Sputum Submission Result in Increased Tuberculosis Case Detection? A Randomized Controlled Trial.

OBJECTIVE We examined the effect of an instructional video about the production of diagnostic sputum on case detection of tuberculosis (TB), and evaluated the acceptance of the video. TRIAL DESIGN Randomized controlled trial. METHODS We prepared a culturally adapted instructional video for sputum submission. We analyzed 200 presumptive TB cases coughing for more than two weeks who attended the outpatient department of the governmental Municipal Hospital in Mwananyamala (Dar es Salaam, Tanzania). They were randomly assigned to either receive instructions on sputum submission using the video before submission (intervention group, n = 100) or standard of care (control group, n = 100). Sputum samples were examined for volume, quality and presence of acid-fast bacilli by experienced laboratory technicians blinded to study groups. RESULTS Median age was 39.1 years (interquartile range 37.0-50.0); 94 (47%) were females, 106 (53%) were males, and 49 (24.5%) were HIV-infected. We found that the instructional video intervention was associated with detection of a higher proportion of microscopically confirmed cases (56%, 95% confidence interval [95% CI] 45.7-65.9%, sputum smear positive patients in the intervention group versus 23%, 95% CI 15.2-32.5%, in the control group, p <0.0001), an increase in volume of specimen defined as a volume ≥3ml (78%, 95% CI 68.6-85.7%, versus 45%, 95% CI 35.0-55.3%, p <0.0001), and specimens less likely to be salivary (14%, 95% CI 7.9-22.4%, versus 39%, 95% CI 29.4-49.3%, p = 0.0001). Older age, but not the HIV status or sex, modified the effectiveness of the intervention by improving it positively. When asked how well the video instructions were understood, the majority of patients in the intervention group reported to have understood the video instructions well (97%). Most of the patients thought the video would be useful in the cultural setting of Tanzania (92%). CONCLUSIONS Sputum submission instructional videos increased the yield of tuberculosis cases through better quality of sputum samples. If confirmed in larger studies, instructional videos may have a substantial effect on the case yield using sputum microscopy and also molecular tests. This low-cost strategy should be considered as part of the efforts to control TB in resource-limited settings. TRIAL REGISTRATION Pan African Clinical Trials Registry PACTR201504001098231.

Emotional contagion in team sports and its impact on individual performance – an experimental study

In sport psychology research about emotional contagion in sport teams has been scarce (Reicherts & Horn, 2008). Emotional contagion is a process leading to a specific emotional state in an individual caused by the perception of another individual’s emotional expression (Hatfield, Cacioppo & Rapson, 1994). Apitzsch (2009) described emotional contagion as one reason for collapsing sport teams. The present study examined the occurrence of emotional contagion in dyads during a basketball task and the impact of a socially induced emotional state on performance. An experiment with between-subjects design was conducted. Participants (N=81, ♀=38, M=21.33 years, SD=1.45) were randomly assigned to one of two experimental conditions, by joining a confederate to compose a same gender, ad hoc team. The team was instructed to perform a basketball task as quickly as possible. The between-factor of the experimental design was the confederate’s emotional expression (positive or negative valence). The within-factor was participants’ emotional state, measured pre- and post-experimentally using PANAS (Krohne, Egloff, Kohlmann & Tausch, 1996). The basketball task was video-taped and the number of frames participants needed to complete the task was used to determine the individual performance. The confederate’s emotional expression was appraised in a significantly different manner across both experimental conditions by participants and video raters (MC). Mixed between-within subjects ANOVAs were conducted to examine the impact of the two conditions on participants’ scores on the PANAS subscales across two time periods (pre- and post-experimental). No significant interaction effects but substantial main effects for time were found on both PANAS subscales. Both groups showed an increase in positive and a reduction in negative PANAS scores across these two time periods. Nevertheless, video raters assessment of the emotional states expressed by participants was significantly different between the positive (M=3.23, SD=0.45) and negative condition (M=2.39, SD=0.53; t=7.64, p<.001, eta squared=.43). An independent-samples t-test indicated no difference in performance between conditions. Furthermore, no significant correlation between the extent of positive or negative emotional contagion and the number of frames was observed. The basketball task lead to an improvement of the emotional state of participants, independently of the condition. Even though participants PANAS scores indicated a tendency to emotional contagion, it was not statistically significant. This could be explained by the low task duration of approximately three minutes. Moreover, the performance of participants was unaffected by the experimental condition or the extent of positive or negative emotional contagion. Apitzsch, E. (2009). A case study of a collapsing handball team. In S. Jern & J. Näslund (Eds.), Dynamics within and outside the lab. Proceedings from The 6th Nordic Conference on Group and Social Psychology, May 2008, Lund, pp. 35-52. Hatfield, E., Cacioppo, J. T. & Rapson, R. L. (1994). Emotional contagion. Cambridge: University Press. Krohne, H. W., Egloff, B., Kohlmann, C.-W. & Tausch, A. (1996). Untersuchungen mit einer deutschen Version der „Positive und Negative Affect Schedule“ (PANAS). Diagnostica, 42 (2), 139-156. Reicherts, M. & Horn, A. B. (2008). Emotionen im Sport. In W. Schlicht & B. Strauss (Eds.), Enzyklopädie der Psychologie. Grundlagen der Sportpsychologie (Bd. 1) (S. 563-633). Göttingen: Hogrefe.

Soziale Emotionsinduktion im Sport und deren Auswirkung auf die individuelle Leistung beim Lösen einer Gruppenaufgabe

In der Sportpsychologie gibt es bis anhin wenige Studien, welche sich mit dem Phänomen der sozialen Emotionsinduktion befassen (Reicherts & Horn, 2008). Die soziale Emotions-induktion ist ein Prozess, bei welchem der blosse emotionale Ausdruck einer Person ein emotionales Befinden bei einer anderen Person auslöst, welche diesen emotionalen Ausdruck wahrnimmt (McIntosh, Druckman & Zajonc, 1994). Von Apitzsch (2006) wird die soziale Emotionsinduktion in einem theoretischen Artikel als eine mögliche Ursache bezeichnet, warum es zu einem Kollaps von Teams im Sport kommen kann. Die vorliegende Arbeit untersucht die beiden Fragestellungen, ob es beim Lösen einer sportbezogenen Aufgabe unter Teammitgliedern überhaupt zu sozialer Emotionsinduktion kommt und welche Auswirkungen sich daraus für die individuelle Leistung der Teammitglieder ergeben. Zu diesem Zweck wur-den zwei experimentelle Studien mit unterschiedlicher Methodik durchgeführt: Im ersten Experiment mit Between-Subjects Design wurden die Versuchsperson (N = 81, ♀ = 38, M = 21.33 Jahre, SD = 1.45) zufällig einer der beiden experimentellen Bedingungen zugeordnet, wobei sie auf einen Konfidenten trafen, mit welchem sie ein gleichgeschlechtliches Ad Hoc Team bildeten. Als Team mussten sie eine Basketballaufgabe so schnell wie möglich lösen. Der Zwischensubjekt-Faktor des experimentellen Designs was der emotionale Ausdruck des Konfidenten mit positiver oder negativer Valenz und der Innersubjekt-Faktor, das emotionale Befinden der Versuchspersonen, welches prä- und postexperimentell mit der Positive and Negative Affect Schedule erfasst wurde (PANAS: Krohne, Egloff, Kohlmann & Tausch, 1996). Die Zweiergruppe wurde beim Lösen der Basketballaufgabe auf Video aufgenommen und die Anzahl der Frames, welche die Versuchspersonen zur Aufgabenlösung brauchten, wurde als individuelles Leistungsmass verwendet. Im zweiten Experiment wurden dem Konfidenten drei Versuchspersonen (N = 78, ♀ = 33, M = 20.88 Jahre, SD = 1.64) zugeordnet und als Gruppe durchliefen sie beide experimentellen Bedingungen, womit es sich also um ein Within-Subjects Design handelte. Das prä- und postexperimentelle Befinden der Versuchspersonen wurde mit dem Mehrdimensionalen Befindlichkeitsfragebogen erfasst (MDBF: Steyer, Schwenkmezger, Notz & Eid, 1997). Es zeigte sich in beiden Experimenten, dass das emotionale Befinden der Konfidenten von den Versuchspersonen sowie von Videoratern als unterschiedlich zwischen den Bedingungen wahrgenommen wurde (Manipulation-Check). Auch wenn sich eine Tendenz für eine soziale Emotionsinduktion teilweise zeigte, waren die durchgeführten, messwiederholten Varianzanalysen, welche die Auswirkungen der beiden experimentellen Bedingungen auf die Veränderung des emotionalen Befindens der Versuchspersonen prüfen sollten, nicht signifikant. Die durchgeführten t-Tests zeigten überdies, dass sich die Leistung der Versuchspersonen nicht zwischen den beiden experimentellen Bedingungen unterschied. Mit den beiden durchgeführten Experimenten konnten somit die Ergebnisse anderer experimenteller Studien zur sozialen Emotionsinduktion in Gruppen nicht repliziert werden (z.B. Barsade, 2002). Vor diesem Hintergrund wurden abschliessend methodische Änderungen diskutiert, welche eine Verbesserung der Vorgehensweise bei der Erfassung der sozialen Emotionsinduktion in Gruppen beim Lösen einer sportbezogenen Aufgabe zur Folge hätten.

Analysis of sport psychology consultancy at three Olympic Games: Facts and figures

Objectives Despite many reports on best practises regarding onsite psychological services, little research has attempted to systematically explore the frequency, issues, nature and client groups of onsite sport psychology consultancy at the Olympic Games. The present paper will fill this gap through a systematic analysis of the sport psychology consultancy of the Swiss team for the Olympic Games of 2006 in Turin, 2008 in Beijing and 2010 in Vancouver. Design Descriptive research design. Methods The day reports of the official sport psychologist were analysed. Intervention issues were labelled using categories derived from previous research and divided into the following four intervention-issue dimensions: “general performance”, “specific Olympic performance”, “organisational” and “personal” issues. Data were analysed using descriptive statistics, chi square statistics and odds ratios. Results Across the Olympic Games, between 11% and 25% of the Swiss delegation used the sport psychology services. On average, the sport psychologist provided between 2.1 and 4.6 interventions per day. Around 50% of the interventions were informal interventions. Around 30% of the clients were coaches. The most commonly addressed issues were performance related. An association was observed between previous collaboration, intervention likelihood and intervention theme. Conclusions Sport psychologists working at the Olympic Games are fully engaged with daily interventions and should have developed ideally long-term relationships with clients to truly help athletes with general performance issues. Critical incidents, working with coaches, brief contact interventions and team conflicts are specific features of the onsite consultancy. Practitioners should be trained to deal with these sorts of challenges.

Modification of aviary design reduces incidence of falls, collisions and keel bone damage in laying hens

Non-cage housing systems for laying hens such as aviaries provide greater freedom to perform species-specific behavior and thus are thought to improve welfare of the birds; however, aviaries are associated with a high prevalence of keel bone damage (fractures and deviations), which is a major welfare problem in commercial laying hens. Potential causes of keel bone damage are falls and collisions with internal housing structures that occur as birds move between tiers or perches in the aviary. The aim of this study was to investigate the scope for reducing keel bone damage by reducing falls and collisions through modifications of aviary design. Birds were kept in 20 pens in a laying hen house (225 hens per pen) that were assigned to four different treatments (n = 5 pens per treatment group) including (1) control pens and pens modified by the addition of (2) perches, (3) platforms and (4) ramps. Video recordings at 19, 22, 29, 36 and 43 weeks of age were used to analyze controlled movements and falls (including details on occurrence of collision, cause of fall, height of fall and behavior after fall) during the transitional dusk and subsequent dark phase. Palpation assessments (focusing on fractures and deviations) using 20 focal hens per pen were conducted at 18, 20, 23, 30, 37, 44, 52 and 60 weeks of age. In comparison to the control group, we found 44% more controlled movements in the ramp (P = 0.003) and 47% more controlled movements in the platform treatments (P = 0.014) as well as 45% fewer falls (P = 0.006) and 59% fewer collisions (P < 0.001) in the ramp treatment. There were no significant differences between the control and perch treatments. Also, at 60 weeks of age, 23% fewer fractured keel bones were found in the ramp compared with the control treatment (P = 0.0053). After slaughter at 66 weeks of age, no difference in keel bone damage was found between treatment groups and the prevalence of fractures increased to an average of 86%. As a potential mechanism to explain the differences in locomotion, we suggest that ramps facilitated movement in the vertical plane by providing a continuous path between the tiers and thus supported more natural behavior (i.e. walking and running) of the birds. As a consequence of reducing events that potentially damage keel bones, the installation of ramps may have reduced the prevalence of keel fractures for a major portion of the flock cycle. We conclude that aviary design and installation of specific internal housing structures (i.e. ramps and platforms) have considerable potential to reduce keel bone damage of laying hens in aviary systems.