Therapeutic play to prepare children for invasive procedures: a systematic review

Silva, Rosalia Daniela Medeiros da; Austregésilo, Sílvia Carréra; Ithamar, Lucas; Lima, Luciane Soares de

doi:10.1016/j.jped.2016.06.005

Cited by 50 publications

(54 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, because of the very nature of the intervention, blinding of patients and outcome assessors would have been difficult. Although children are unlikely to change their behaviour even when they know they are participating in a certain intervention, 9 however, lack of blinding may contribute to an importance source of bias because the assessors know the group allocation of children which likely affect their ratings of children’s emotional manifestation during the CR procedures. Nevertheless, different strategies were employed to minimise the potential bias.…”

Section: Limitationsmentioning

confidence: 99%

“… 8 A recent systematic review of 14 articles found that therapeutic play was commonly employed for children undergoing invasive procedures, such as elective surgery, vaccination, blood collection or dental treatment in inpatient settings, with positive changes in the behaviour of those who participated in play sessions and a reduction in their anxieties. 9 However, some of these studies were limited by the lack of random assignment of subjects into intervention or control groups. Besides, the efficacy of therapeutic play interventions is yet to be determined, as the studies reported were mainly based on clinical observation and most of the play manuals, which should have set out specific procedures to improve fidelity, were not fully described.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial

Wong

Kwok³

et al. 2018

BMJ Open

View full text Add to dashboard Cite

ObjectivesTo examine (1) the effectiveness of therapeutic play in reducing anxiety and negative emotional manifestations among children undergoing cast-removal procedures and (2) the satisfaction of parents and cast technicians with cast-removal procedures.DesignA randomised controlled trial.SettingAn orthopaedic outpatient department of a regional teaching hospital in Hong Kong.ParticipantsChildren (n=208) aged 3–12 undergoing cast-removal procedure were invited to participate.InterventionsEligible children were randomly allocated to either the intervention (n=103) or control group (n=105) and stratified by the two age groups (3–7 and 8–12 years). The intervention group received therapeutic play intervention, whereas the control group received standard care only. Participants were assessed on three occasions: before, during and after completion of the cast-removal procedure.Outcome measuresChildren’s anxiety level, emotional manifestation and heart rate. The satisfaction ratings of parents and cast technicians with respect to therapeutic play intervention were also examined.ResultsFindings suggested that therapeutic play assists children aged 3–7 to reduce anxiety levels with mean differences between the intervention and control group was −20.1 (95% CI −35.3 to −4.9; p=0.01). Overall, children (aged 3–7 and 8–12) in the intervention groups exhibited fewer negative emotional manifestations than the control group with a mean score difference −2.2 (95% CI −3.1 to −1.4; p<0.001). Parents and technicians in the intervention group also reported a higher level of satisfaction with the procedures than the control group with a mean score difference of 4.0 (95% CI −5.6 to 2.3; p<0.001) and 2.6 (95% CI 3.7 to 1.6; p<0.001), respectively.ConclusionTherapeutic play effectively reduces anxiety and negative emotional manifestations among children undergoing cast-removal procedures. The findings highlight the importance of integrating therapeutic play into standard care, in particular for children in younger age.Trial registration numberChiCTR-IOR-15006822; Pre-results.

show abstract

Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial

Wong

Kwok³

et al. 2018

BMJ Open

View full text Add to dashboard Cite

show abstract

“…Similar findings were reported in several studies reporting the outcomes of providing children with pre-operative care in child-friendly environments where children and their PCGs experienced reduced anxiety. Medical procedures often trigger anxiety [63][64][65][66][67].…”

Section: Discussionmentioning

confidence: 99%

User-provider experiences of the implementation of KidzAlive-driven child-friendly spaces in KwaZulu-Natal, South Africa

2020

View full text Add to dashboard Cite

Background: KidzAlive is a child-centred intervention aimed at improving the quality of HIV care for children in South Africa. Through this intervention, 10 child-friendly spaces were created in 10 primary healthcare centres (PHCs) in KwaZulu-Natal to enhance child-centred HIV care. However, the user-provider experiences of these childfriendly spaces in these facilities have not been explored. This paper addresses this gap. Methods: We conducted qualitative interviews with children (n = 30), their primary caregivers (PCGs) (n = 30), and KidzAlive trained healthcare workers (HCWs) (n = 20) using and providing child-friendly spaces, respectively. Data were generated, using a semi-structured interview guide printed in both English and IsiZulu. The interviews were audio-recorded transcribed and translated to English by a research team member competent in both languages. Data were imported to NVivo 10 for thematic analysis. The COREQ checklist was used to ensure that the study adheres to quality standards for reporting qualitative research. Results: Child-friendly spaces contributed to the centredness of care for children in PHCs. This was evidenced by the increased involvement and participation of children, increased PCGs' participation in the care of their children and a positive transformation of the PHC to a therapeutic environment for children. Several barriers impeding the success of child-friendly spaces were reported including space challenges; clashing health facility priorities; inadequate management support; inadequate training on how to maximise the child-friendly spaces and lastly the inappropriateness of existing child-friendly spaces for much older children. Conclusion: Child-friendly spaces promote HIV positive children's right to participation and agency in accessing care. However, more rigorous quantitative evaluation is required to determine their impact on children's HIV-related health outcomes.

show abstract

“…Over-anxiety leads to the children's unwillingness during the medical treatment results in creating negative feelings towards the personnel and preventing effective medical treatment (11). Thus, clinical researchers are required to develop, implement, and evaluate methods to reduce the children's anxiety and their ability to overcome hospitalization and invasive procedures stresses (12). Considering children's age and previous experiences, nurses should make the children ready for the procedure (13).…”

Section: Introductionmentioning

confidence: 99%

Investigating the Effects of picture book on Reducing Anxiety Caused by Intravenous Catheterization among School-aged Children(Randomized Clinical Trial)

Kanikzadeh¹,

Tahmasebi²,

bahreini³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Injections are the main factors provoking pain, fear, and anxiety among hospitalized children. The purpose of this study is investigating the Effects of picture book on Reducing Anxiety Caused by Intravenous Catheterization among School-aged Children. Methods: In this randomized control trial study, seventy 6-12 year-old children were randomly assigned to either intervention or control group. Data was collected from 70 patients at Pediatric Emergency Room in the central Hospital in Bushehr- Iran during the summer and autumn, 2017. The subjects’ anxiety was evaluated before, during, and after the procedure by using Observation Scale of Behavior Distress instrument. Chi-square, Mann-Whitney and Wilcoxon tests were used for data analysis. Results: The mean anxiety scores of the intervention group was significantly less than those of control group after intervention. In addition, a significant difference was observed before and after the intervention in terms of anxiety levels. Conclusions: The school-aged children’s orientation on the intravenous catheterization and serum infusion play a significant role in controlling and reducing their anxiety during and after the intervention. Based on the result we suggested using the picture book to reduce the children anxiety before Intravenous Catheterization. Keywords: anxiety, pediatric, Intravenous Catheterization, education, picture book Trial registration: Current Controlled Trials: IRCT2017041712830N22). 2017-05-29

show abstract

Therapeutic play to prepare children for invasive procedures: a systematic review

Cited by 50 publications

References 23 publications

Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial

Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial

User-provider experiences of the implementation of KidzAlive-driven child-friendly spaces in KwaZulu-Natal, South Africa

Investigating the Effects of picture book on Reducing Anxiety Caused by Intravenous Catheterization among School-aged Children(Randomized Clinical Trial)

Contact Info

Product

Resources

About