To the Operating Room! Positive Effects of a Healthcare Clown Intervention on Children Undergoing Surgery

Marková, Gabriela; Houdek, Lukas; Kocábová, Zuzana

doi:10.3389/fpubh.2021.653884

Cited by 5 publications

(10 citation statements)

References 71 publications

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“…Whereas regarding work with children, greater importance is given to the emotional impact and the empathic resonance of the setting (for both operators and children), the operator’s dynamic and creative ability to engage and defocus the children, thus triggering positive emotions, imagination, and identification in them, demonstrating at the same time excellent coping skills and personal resilience, nourished by confidence in the human and social value of the work carried out. With regard to the benefits of professional clowning with children having problems of varying severity, recurrent and congruent indications can be found in recent literature [ 73 , 74 , 75 , 76 , 77 , 78 ].…”

Section: Discussionmentioning

confidence: 92%

Motivations and Personal Traits Can Predict Self-Efficacy of the Clown Therapist: A Descriptive Study

Diotaiuti

Mancone

Corrado

2022

IJERPH

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The individual and collective perception of self-efficacy in clown therapists is fundamental in order to be able to be active, restrained, energetic and defocused, if necessary, without being overwhelmed by any problems patients might have. The present study evaluated both the incidence of motivational and dispositional functions on the level of perceived self-efficacy with a sample of 259 Italian clown therapists who were administered The Volunteer Self-Efficacy Scale, the Volunteer Process Model and the Italy Personality Inventory. The significance of a hierarchical linear regression model of perceived self-efficacy was tested. The results showed that the value orientation of the operators mainly influenced the level of perceived self-efficacy, that is, the search for actions with a high social meaning, rather than the orientation towards situations and experiences that allow one to expand one’s knowledge and promote one’s own person. Profiles with higher perceived self-efficacy were associated with the trait of dynamism and conscientiousness, while a person’s vulnerability was found to be a significant negative predictor of self-efficacy. An additional significant predictor was the experience of the clown therapist. The results of the study also showed a positive and functional role of the synergy conferred by teamwork. The group mitigates the emotional difficulties of the individual and supports him/her by orienting him/her technically and compensating for any inexperience in the field of animation in sensitive contexts, such as hospital wards with serious and vulnerable patients, such as children.

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Section: Discussionmentioning

confidence: 92%

Motivations and Personal Traits Can Predict Self-Efficacy of the Clown Therapist: A Descriptive Study

Diotaiuti

Mancone

Corrado

2022

IJERPH

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“…When we look at the studies on the use of laughter and humor in therapy, we can see that the use of laughter and humor in reducing stress and anxiety (Hae Jeong et al 2011, Ensook and Yeon Hee 2012, Kim et al 2015, Yim 2016, Friedler et al 2017, Memarian et al, 2017, Markova et al 2021, Meier et al 2021, which is the most important issue in the region. In terms of reducing the stress of sick individuals, dialysis patients (Bennet et al 2014), women undergoing in vitro fertilization treatment (Friedler et al 2017) studies were conducted.…”

Section: Studies On the Use Of Humor In Therapymentioning

confidence: 99%

“…It has also been observed that the use of clowning therapeutically during venous blood sampling has positive effects on pain and anxiety (Meiri et al 2016, Kurudirek et al 2021. The use of clowns in hospitals has been shown to reduce not only the anxiety of children and adolescents but also that of their parents (Agostini et al 2014;Markova et al 2021). Regarding anxiety reduction, Markova et al (2021) with children between the ages of 5 and 12, the positive effects of a health worker dressed as a clown on reducing anxiety in children undergoing surgery and how parent-child relationships play a role in their effectiveness were examined.…”

Section: Studies On the Use Of Humor In Therapymentioning

confidence: 99%

“…The use of clowns in hospitals has been shown to reduce not only the anxiety of children and adolescents but also that of their parents (Agostini et al 2014;Markova et al 2021). Regarding anxiety reduction, Markova et al (2021) with children between the ages of 5 and 12, the positive effects of a health worker dressed as a clown on reducing anxiety in children undergoing surgery and how parent-child relationships play a role in their effectiveness were examined. Children were observed before surgery with a clown and their parents (experimental group) or only their parents (control group).…”

Section: Studies On the Use Of Humor In Therapymentioning

confidence: 99%

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Gülmek Neden İyileştirir? Terapide Mizah Kullanımı Üzerine Bir Derleme

KANBUR¹,

Baştemur

2023

Psikiyatride Güncel Yaklaşımlar

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Humor is an important tool for expressing many emotions such as happiness, sadness, anger and surprise. In recent years, the use of humor has started to gain the quality of a therapy approach. The use of humor in therapy helps clients to express meaningless situations or inconsistencies in their lives in a humorous way by making them entertaining. At this point, it is very important for the counselor to be able to understand the purpose of the clients' arrival and their sense of humor depending on this purpose and to make interventions accordingly. Since the concepts of humor therapy and Laughter Therapy / Laughter Yoga are often used interchangeably in the literature, this study synthesizes both therapy approaches and tries to reveal their elements and importance. In this review, it is aimed to examine all aspects of the emergence of the use of humor in therapy, basic concepts, sub-dimensions of humor, counselor-client relationship using humor in therapy, humor therapy process, laughter therapy / laughter yoga process, laughter therapy / laughter yoga techniques, studies on the use of humor in therapy, why humor should or should not be used in therapy. In these respects, this study is expected to contribute to the literature and help fill the existing gaps. In addition, it is predicted that the widespread use of humor therapy and the use of humor therapy in different studies will benefit many clients and experts working in this field.

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“…Healthcare clowning aims at addressing these issues by offering individual attention to patients in need, switching focus away from negative emotions to humorous play, and valuing a patient's unique strengths in an otherwise possibly impersonal environment. These encounters lead to improved communication, attention, energy, and mood [13]. Moreover, healthcare clowning has been conceptualized as a model for a more self-compassionate way of dealing with one's own shortcomings and hardships [14].…”

Section: Introductionmentioning

confidence: 99%

Effects of clown visits on stress and mood in children and adolescents in psychiatric care—Protocol for a pilot study

et al. 2022

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Scientific evidence has shown that healthcare clowning can decrease the level of stress and anxiety in pediatric patients. However, little attention has been devoted to the potentially beneficial impact of clown visits in the child and adolescent psychiatry setting. Therefore, this pilot study aims at investigating short-term effects of clown visits by RED NOSES Clowndoctors Austria on stress and mood levels of children and adolescents in psychiatric care. The sample will consist of approximately 50 children and adolescents in inpatient psychiatric wards who receive clown visits on a weekly basis over four consecutive weeks. The examined intervention, i.e., the clown visits, is an integral part within the selected psychiatric institutions. Using a non-controlled pre-/post-test design, the level of salivary cortisol and self-reported stress and mood will be measured as primary outcomes before and immediately after each clown visit. Additionally, self-reported effects on care staff at the health care facilities will be assessed based on a questionnaire after each clown visit within the same time period of four weeks. Secondary outcome measures (i.e., health-related quality of life, emotional and conduct problems, perceived chronic stress) will be assessed at baseline and at close-out assessment after the four intervention weeks. Further control variables and potential moderators are included at baseline. Due to the nested data structure, multilevel modeling will be used to analyze the data. To our knowledge, this is the first study to examine the stress-reducing and mood-improving effects of clown visits on inpatients in child and adolescent psychiatry. Results will be relevant for the design of future large-scale RCTs and might provide valuable implications for the use of healthcare clowning to reduce stress and improve mood in children and adolescents in psychiatric care. The study is registered at ClinicalTrials.gov (Identifier: NCT04844398).

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To the Operating Room! Positive Effects of a Healthcare Clown Intervention on Children Undergoing Surgery

Cited by 5 publications

References 71 publications

Motivations and Personal Traits Can Predict Self-Efficacy of the Clown Therapist: A Descriptive Study

Motivations and Personal Traits Can Predict Self-Efficacy of the Clown Therapist: A Descriptive Study

Gülmek Neden İyileştirir? Terapide Mizah Kullanımı Üzerine Bir Derleme

Effects of clown visits on stress and mood in children and adolescents in psychiatric care—Protocol for a pilot study

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