My daughter made one of these for her grandmother who was in a nursing home and suffering with Alzheimer's. She made it out of bright colored fleece. Among the attachments that Grandmother seemed to enjoy most was the variety of ribbon, rickrack, lace, and other trims. The grograin ribbon had a rough texture, the satin was very smooth, etc. Unfortunately Grandmother wasn't able to use it very long before her death, but we left it with the nursing home to be washed and passed on to another resident. It's a wonderful way to help keep their hands busy.