“…Health professionals have used puppets with children since the 1950 s (Bromfield, 1994;Ekstein, 1964;Howells & Townsend, 1954). The impact of their use by health professionals has been reported with positive results in the areas of reducing children's experience of fear and anxiety in hospital (Green, 1975;Hawkins, 1991;Johnson & Stockdale, 1975;Stewart, Algren, & Arnold, 1993); helping children to manage their illness, hospitalization and surgery (Linn, 1978;Vulcan, 1983;Walker, 1988); teaching health promotion strategies (Synovitz, 1999;Zaccone-Tzannetakis, 1995); preparing children pre-operatively (Whitson, 1972); educating children about diabetes (Pélicand, Gagnayre, Sandrin-Berthon, & Aujoulat, 2006), and as a means for children to recognise, clarify and articulate their feelings.…”