The Effects of Humor Therapy on Nursing Home Residents Measured Using Observational Methods: The SMILE Cluster Randomized Trial

Low, Lee‐Fay; Goodenough, Belinda; Fletcher, Jennifer; Xu, Kenny; Casey, Anne-Nicole; Chenoweth, Lynn; Fleming, Richard; Spitzer, Peter; Bell, Jean-Paul; Brodaty, Henry

doi:10.1016/j.jamda.2014.03.017

Cited by 38 publications

(34 citation statements)

References 32 publications

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“…It is noted that, of the five (Ghodsbin et al, ; Hirosaki et al, ; Ko & Youn, ; Low et al, ; Shahidi et al, ) studies, only one (Low et al, ) study is humour intervention when comparing the effect of intervention time on depression. Then, the heterogeneity was reduced from 90–0% after removing the study (Low et al, ) of humour intervention. As a result, we only investigated the effect of laughter intervention for the sake of the consistency of the intervention type.…”

Section: Discussionmentioning

confidence: 99%

“…It is noted that, of the five (Ghodsbin et al, 2015;Hirosaki et al, 2013;Ko & Youn, 2011;Low et al, 2014;Shahidi et al, 2011) studies, only one (Low et al, 2014) study is humour intervention when comparing the effect of intervention time on depression. Then, the heterogeneity was reduced from 90-0% after removing the study (Low et al, 2014) of humour intervention. As a result, we only investigated the effect of laughter intervention for the sake of the consistency of the Experimental Study or Subgroup Cai 2014Fukuoka 2016Gelkopf 1993Ghodsbin 2015Hirosaki 2013Kim 2015Ko 2011Low 2013Shahidi 2011 Total (95% CI) Heterogeneity: Tau 2 = 0.09; Chi 2 = 19.48, df = 8 (P = 0.01); I 2 = 59% Test for overall effect: Z = 3.26 (P = 0.001) 360…”

Section: Discussionmentioning

confidence: 99%

“…A total of 10 studies (Cai et al, 2014;Fukuoka et al, 2016;Gelkopf et al, 1993;Ghodsbin, Sharif Ahmadi, Jahanbin, & Sharif, 2015;Hirosaki et al, 2013;Kim, Kim, & Kim, 2015;Ko & Youn, 2011;Low et al, 2014;Memarian, Sanatkaran, & Bahari, 2017;Shahidi et al, 2011) were included in meta-analysis. They were all published in English between 1993 and 2017.…”

Section: Re Sultsmentioning

confidence: 99%

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A meta‐analysis of randomized controlled trials of laughter and humour interventions on depression, anxiety and sleep quality in adults

Zhao¹,

Yin²,

Zhang

et al. 2019

Journal of Advanced Nursing

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Aim To quantify the effect of laughter and humour interventions on depression, anxiety, and sleep quality in adults. Design A meta‐analysis of randomized controlled trials. Data Sources PubMed, Embase, PsycINFO, Web of Science, Cochrane Central Register of Controlled Trials, Chinese National Knowledge Infrastructure, Weipu, and Wanfang Data were searched from their inception up to December 2018. Review methods The reporting of this meta‐analytical review was conducted according to the guidelines of the Cochrane Collaboration. Two reviewers selected the studies, extracted the data, and evaluated the risk of bias (Cochrane Collaboration bias assessment tool) of the included papers independently. Results Ten studies comprising 814 participants were included. Meta‐analysis showed that these interventions significantly decreased adults' depression, anxiety, and improved their sleep quality. The results of subgroup analysis showed that depression benefits more from long‐term laughter intervention. Conclusions This meta‐analysis revealed that laughter and humour interventions are effective in relieving depression, anxiety, and improve sleep quality in adults. More studies with high quality and follow‐up assessment should be conducted for future research. Impact This review synthesized current evidence using laughter and humour interventions to reduce negative emotion and promote better results in adults, especially with respect to target the applicability between different populations or intervention methods. In addition, humour and laughter interventions are safe, convenient, interesting and can promote interpersonal relationship in both patients and medical workers, which have great feasibility and potential to be used as an aspect of psychotherapy for clinical and nursing to improve well‐beings in adults.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Re Sultsmentioning

confidence: 99%

See 1 more Smart Citation

A meta‐analysis of randomized controlled trials of laughter and humour interventions on depression, anxiety and sleep quality in adults

Zhao¹,

Yin²,

Zhang

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…The ODAS consisted of behaviors that were categorized into subscales of facial expression, vocalizations, and body movement or posture (Beck et al., , ). The Behaviour Engagment Affect Measure (BEAM) also included behavior such as mobility status, activity context, agitation, and engagement (Casey, Low, Goodenough, Fletcher, & Brodaty, ; Low et al., ).…”

Section: Discussionmentioning

confidence: 99%

Emotional Expression of Persons with Dementia: An Integrative Review with Implications for Evidence‐Based Practice

Lee

Boltz

et al. 2019

Worldviews Ev Based Nurs

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Background: The ability to express emotion typically is preserved longer than language and cognitive function in persons living with dementia. Emotional expression may be an important indicator of underlying individual needs and feelings and may therefore facilitate person-centered care.Aims: This review aimed to examine how emotional expression has been described, measured, and utilized in empirical studies. Methods:The design of this study was an integrative literature review.Results: Most of the articles used feeling-related terms without specific definitions. Less frequently, terms such as affect, emotion, and mood were defined. Although these terms were used interchangeably in the articles, affect, which was defined as expressed emotion in general, was a comprehensive term to encompass other terms. Measurement of emotional expression was performed using observational methods, with direct observation or video recording using a hand-held camera. In both cases, observed emotion was coded with diverse methods or tools. In studies, the emotional expression was utilized as (a) an outcome to demonstrate the effect of interventions, (b) a factor to show relationship with other variables, or (c) an observed value itself.Linking Evidence to Action: This review provides insights about measurement options for emotional expressions among persons with dementia in long-term care. Long-term care staff should pay attention to emotional expression of persons with dementia to understand underlying unmet needs. Development of adequate measurement of emotional expression could facilitate development of emotion-oriented intervention program to improve psychological well-being and the behavioral and functional health of persons living with dementia.

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“…Humour therapy is likely to exert its therapeutic influence by satisfying some of the unmet needs of residents for stimulation and company. The level of resident engagement is a crucial element of effective psychosocial therapy .…”

Section: Introductionmentioning

confidence: 99%

Effect of humour therapy on psychotropic medication use in nursing homes

2016

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The Effects of Humor Therapy on Nursing Home Residents Measured Using Observational Methods: The SMILE Cluster Randomized Trial

Cited by 38 publications

References 32 publications

A meta‐analysis of randomized controlled trials of laughter and humour interventions on depression, anxiety and sleep quality in adults

A meta‐analysis of randomized controlled trials of laughter and humour interventions on depression, anxiety and sleep quality in adults

Emotional Expression of Persons with Dementia: An Integrative Review with Implications for Evidence‐Based Practice

Effect of humour therapy on psychotropic medication use in nursing homes

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