Heather Sheafer’s scientific contributions

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Publications (2)


Flowchart of studies that met inclusion/exclusion criteria for qualitative and quantitative analyses.
Publication bias funnel plot. A funnel plot was used to assess risk of publication bias. A symmetrical funnel plot is an indicator for lack of bias in a meta-analysis. A funnel plot loses its utility with a cut-off of 10 studies and this analysis included only 12. The funnel plot for this final analysis was not fully symmetrical, but publication bias cannot be concluded based on the small sample size and heterogeneity of studies. The diagonal lines represent the limits of 95% confidence. Because strict 95% limits are not reported, they are referred to as “pseudo 95% confidence limits.”
Forest plot: results of all included studies. This forest plot summarizes the results of all included studies. The numbers on the x-axis measure treatment effect. The gray squares represent the weight of each study. The larger the sample size, the larger the weight and the size of gray box. The small black boxes with the gray squares represent the point estimate of the effect size and sample size. The black lines on either side of the box represent a 95% confidence interval.
Forest plot: nociceptive versus inflammatory pain. This forest plot summarizes the results of nociceptive pain studies and inflammatory pain studies. The numbers on the x-axis measure treatment effect. The gray squares represent the weight of each study. The larger the sample size, the larger the weight and the size of gray box. The small black boxes with the gray squares represent the point estimate of the effect size and sample size. The black lines on either side of the box represent a 95% confidence interval.
Forest plot: acute versus chronic pain. This forest plot summarizes the results of acute pain studies and chronic pain studies. The numbers on the x-axis measure treatment effect. The gray squares represent the weight of each study. The larger the sample size, the larger the weight and the size of gray box. The small black boxes with the gray squares represent the point estimate of the effect size and sample size. The black lines on either side of the box represent a 95% confidence interval.

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The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis
  • Article
  • Full-text available

January 2016

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8,147 Reads

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240 Citations

Pain Research and Treatment

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Heather Sheafer

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Deborah Tepper

Background. Aromatherapy refers to the medicinal or therapeutic use of essential oils absorbed through the skin or olfactory system. Recent literature has examined the effectiveness of aromatherapy in treating pain. Methods. 12 studies examining the use of aromatherapy for pain management were identified through an electronic database search. A meta-analysis was performed to determine the effects of aromatherapy on pain. Results. There is a significant positive effect of aromatherapy (compared to placebo or treatments as usual controls) in reducing pain reported on a visual analog scale (SMD = −1.18, 95% CI: −1.33, −1.03; p<0.0001 ). Secondary analyses found that aromatherapy is more consistent for treating nociceptive (SMD = −1.57, 95% CI: −1.76, −1.39, p<0.0001 ) and acute pain (SMD = −1.58, 95% CI: −1.75, −1.40, p<0.0001 ) than inflammatory (SMD = −0.53, 95% CI: −0.77, −0.29, p<0.0001 ) and chronic pain (SMD = −0.22, 95% CI: −0.49, 0.05, p=0.001 ), respectively. Based on the available research, aromatherapy is most effective in treating postoperative pain (SMD = −1.79, 95% CI: −2.08, −1.51, p<0.0001 ) and obstetrical and gynecological pain (SMD = −1.14, 95% CI: −2.10, −0.19, p<0.0001 ). Conclusion. The findings of this study indicate that aromatherapy can successfully treat pain when combined with conventional treatments.

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Acculturation and Child Neglect

Abstract This correlational study analyzed the effects of parental acculturation on child neglect. Previous research explored the relationship between acculturation and child abuse, while neglect has been largely ignored, despite potential serious and long-lasting effects, such as health problems, or poor social skills. We hypothesized that acculturative stressors in parents residing in the U.S. would influence how they attend to their children’s needs. Stressors were defined as language obstacles, sadness about immigration, and employment related problems. These issues frequently trigger depression, which could subsequently lead to neglect. Neglect variables, constructed in accordance with behavior characterizing a persistent failure to meet physical and psychological needs (APA, 2015), were extracted from self-reports of the archival database ‘The New Immigrant Study’ formerly conducted by Princeton University (2006). Findings indicated immigrants to appear more resilient than anticipated. Depression was directly related to migration, r = .051, and in 46 out of 2929 cases to seeking psychiatric care. TV watching interfered with young children’s family time, bordering on neglect. Subjects self-report and limited age range produced study limitations. Future studies should include psychometrics geared towards assessing healthy mother child interactions, and a greater age range, as well as very young parents (< 25 years), since research showed them to be at higher risk. There is a need to further study immigrant mental health as it relates to potential threats migration poses to children's healthy development, and the resulting impact on society. A streamlined definition of neglect is needed to research, and serve clients more efficiently. Keywords: Parental Acculturative Stressors, Depression, Child Neglect

Citations (1)


... It is administered through inhalation, massage, or, in some cases, oral administration under professional supervision. Notably, the combination of aromatherapy with massage is widely practiced and has been proven effective for pain alleviation, as massage with essential oils is frequently used to reduce discomfort in cancer patients (11). In reflexology, pressure is applied to specific reflex points on the feet or hands to induce relaxation and promote healing. ...

Reference:

Assessment of non-pharmacological nursing strategies for pain management in tumor patients: a systematic review and meta-analysis
The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis

Pain Research and Treatment