Child Life Services

Wilson, Jerriann M

doi:10.1542/peds.2006-1941

Cited by 73 publications

(7 citation statements)

References 50 publications

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“…The child life program aims to help children develop coping skills with two major components. One component is play which is intended to help children feel more comfortable; the other component is psychological preparation [29].…”

Section: Resultsmentioning

confidence: 99%

Clowning in children undergoing potentially anxiety-provoking procedures: a systematic review and meta-analysis

2019

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Background The operation areas of clowns in the medical context are multifaceted. Clowning in children undergoing surgery has been shown to be able to lessen children’s anxiety. Hence, our aim was to assess the effectiveness of clowning on anxiety in children undergoing potentially anxiety-provoking procedures. Methods We searched MEDLINE, CENTRAL, and EMBASE for randomized controlled trials (RCTs) in December 2018. The primary outcome was children’s anxiety. We used the Cochrane risk of bias tool to assess risk of bias of the included studies. Results We found eleven RCTs including 733 children. Their risk of bias was relatively high. Children undergoing clowning were significantly less anxious in preoperative time compared to parental presence or no intervention (mean difference (MD) − 7.16; 95% CI − 10.58, − 3.75) and in operation, induction, or patient room (MD − 20.45; 95% CI − 35.54, − 5.37), but not during mask application or physician examination (MD 2.33; 95% CI − 4.82, 9.48). Compared with midazolam, children’s anxiety was significantly lower in preoperative time (MD − 7.60; 95% CI − 11.73, − 3.47), but not in the induction room (MD − 9.63; 95% CI − 21.04, 1.77). Conclusions Clowning seems to lower children’s anxiety, but because of the increased risk of bias of included studies and the very low quality of evidence, these results should be considered with caution. Systematic review registration PROSPERO CRD42016039045 Electronic supplementary material The online version of this article (10.1186/s13643-019-1095-4) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Clowning in children undergoing potentially anxiety-provoking procedures: a systematic review and meta-analysis

2019

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“…14 Child Life works directly with patients and families to reduce stress related to procedures and hospitalization (eg, blood draws). 15 Although Child Life involvement was seen as a net positive by key stakeholders, research nurses were concerned about having to deviate from scheduled blood draw times, and study staff members were concerned about the feasibility of notifying Child Life of all imminent blood draws.…”

Section: Resultsmentioning

confidence: 99%

Increasing Recruitment Rates in an Inpatient Clinical Research Study Using Quality Improvement Methods

Sauers¹,

Beck

Kahn

et al. 2014

Hospital Pediatrics

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Objective One important benefit of successful patient recruitment is increased generalizability of findings. We sought to optimize enrollment of children admitted with asthma as part of a population-based, prospective, observational cohort study with the goal of enrolling at least 60% of all eligible and staffed patients. Methods Quality improvement methods were used to improve cohort recruitment. Weekly meetings with study staff and study leadership were held to plan and discuss how to maximize recruitment rates. Significant initial variability in recruitment success prompted the team to use small-scale tests of change to increase recruitment numbers. A number of tests were trialed, focusing primarily on reducing patient refusals and improving recruitment process efficiency. Recruitment rates were calculated by dividing eligible by enrolled patients and displayed using annotated Shewhart control charts. Control charts were used to illustrate week-to-week variability while also enabling differentiation of common-cause and special-cause variation. Results The study enrolled 774 patients, representing 54% of all eligible and 59% of those eligible for whom staff were available to enroll. Our mean weekly recruitment rate increased from 55% during the first 3 months of the study to a statistically significant sustained rate of 61%. This was sustained given numerous obstacles, such as departing and hiring of staff and adding a second recruitment location. Conclusions Implementing quality improvement methods within a larger research study led to an increase in the rate of recruitment as well as the stability in recruitment rates from week-to-week.

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“…The W&W curriculum was based upon the previous research and clinical work of child life specialists with hospitalized children and upon a strong foundation of child development and family systems [25][26][27]. Child life specialists promoted effective coping through play, preparation, education, and self-expression activities [28].…”

Section: Intervention and Settingmentioning

confidence: 99%

Wonders & Worries: evaluation of a child centered psychosocial intervention for families who have a parent/primary caregiver with cancer

Phillips

Prezio²

2016

Psycho-Oncology

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The results reported here suggest that this child centered psychosocial intervention promoted positive adaptation by actively supporting families and children while a parent/primary caregiver coped with a cancer diagnosis. Future research is planned utilizing a randomized controlled study design to formally evaluate the effectiveness and preventative impact of this manualized six-week curriculum. Copyright © 2016 John Wiley & Sons, Ltd.

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Child Life Services

Cited by 73 publications

References 50 publications

Clowning in children undergoing potentially anxiety-provoking procedures: a systematic review and meta-analysis

Clowning in children undergoing potentially anxiety-provoking procedures: a systematic review and meta-analysis

Increasing Recruitment Rates in an Inpatient Clinical Research Study Using Quality Improvement Methods

Wonders & Worries: evaluation of a child centered psychosocial intervention for families who have a parent/primary caregiver with cancer

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