Child Behavioral Distress During Invasive Oncologic Procedures and Cardiac Catheterization With the Big Apple Circus Clown Care Unit • 55

Gorfinkle, Kenneth; Slater, Jonathan A.; Bagiella, Emilia; Tager, Felice A.; Labinsky, Ellen

doi:10.1203/00006450-199804001-00076

Cited by 17 publications

(11 citation statements)

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“…These findings complement and expand current understanding of this popular art-based intervention to include disabled children who are experiencing prolonged and/or repeated hospitalizations [6–20]. Furthermore, they demonstrate the value of using a broad spectrum of techniques and sources, especially for heterogeneous populations commonly encountered in rehabilitation hospitals.…”

Section: Discussionsupporting

confidence: 60%

Physiological and Emotional Responses of Disabled Children to Therapeutic Clowns: A Pilot Study

Kingsnorth

Blain

McKeever

2011

Evidence-Based Complementary and Alternative Medicine

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This pilot study examined the effects of Therapeutic Clowning on inpatients in a pediatric rehabilitation hospital. Ten disabled children with varied physical and verbal expressive abilities participated in all or portions of the data collection protocol. Employing a mixed-method, single-subject ABAB study design, measures of physiological arousal, emotion and behavior were obtained from eight children under two conditions—television exposure and therapeutic clown interventions. Four peripheral autonomic nervous system (ANS) signals were recorded as measures of physiological arousal; these signals were analyzed with respect to measures of emotion (verbal self reports of mood) and behavior (facial expressions and vocalizations). Semistructured interviews were completed with verbally expressive children (n = 7) and nurses of participating children (n = 13). Significant differences among children were found in response to the clown intervention relative to television exposure. Physiologically, changes in ANS signals occurred either more frequently or in different patterns. Emotionally, children's (self) and nurses' (observed) reports of mood were elevated positively. Behaviorally, children exhibited more positive and fewer negative facial expressions and vocalizations of emotion during the clown intervention. Content and themes extracted from the interviews corroborated these findings. The results suggest that this popular psychosocial intervention has a direct and positive impact on hospitalized children. This pilot study contributes to the current understanding of the importance of alternative approaches in promoting well-being within healthcare settings.

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Section: Discussionsupporting

confidence: 60%

Physiological and Emotional Responses of Disabled Children to Therapeutic Clowns: A Pilot Study

Kingsnorth

Blain

McKeever

2011

Evidence-Based Complementary and Alternative Medicine

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“…Two studies, performed by the same researchers, examined the effect of clowns as a 'distractive' presence on children undergoing medical procedures (Gorfinkle et al, 1998). In the first study, 32 children in a cancer day hospital were evaluated on two consecutive visits during venupuncture, infusaport access, intra-muscular injection or lumbar puncture.…”

Section: Invasive Medical Proceduresmentioning

confidence: 99%

Therapeutic clowning in paediatric practice

Finlay¹,

Baverstock

Lenton³

2013

Clin Child Psychol Psychiatry

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Over the past 30 years, there has been much research into the health benefits of humour and laughter. Although often viewed very positively, rigorous evaluation of the therapeutic effect of clowning is complex. Clowning is a multi-modal intervention, which may have an impact on medical conditions, procedures, family functioning and health care teams. Clowns help children to adapt to their hospital surroundings and can distract from, and demystify, painful or frightening procedures through 'doses of fun' to complement traditional clinical interventions. This paper provides a review of the paediatric literature and reveals studies looking at the effect of clown interventions on various practical procedures and individual medical conditions, and the effects of clowning within clinical teams.

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“…Despite the favorable results of HC's intervention with pediatric populations, less research has been conducted with other procedures such as cancer treatment. To our knowledge, there are only three studies in this area: two reported in conference proceedings (Petrangeli et al 2012;Gorfinkle et al 1998) and one pilot study (Lopes-Júnior et al 2018). Petrangeli et al (2012) indicated that HCs reduced fatigue in patients aged 7-18 years undergoing chemotherapy, whereas Gorfinkle et al (1998) found no effects from HC presence on distress among 3-18 years old patients.…”

Section: Introductionmentioning

confidence: 99%

“…To our knowledge, there are only three studies in this area: two reported in conference proceedings (Petrangeli et al 2012;Gorfinkle et al 1998) and one pilot study (Lopes-Júnior et al 2018). Petrangeli et al (2012) indicated that HCs reduced fatigue in patients aged 7-18 years undergoing chemotherapy, whereas Gorfinkle et al (1998) found no effects from HC presence on distress among 3-18 years old patients. Finally, Lopes-Júnior et al (2018) study included only six inpatients aged 6-15 years old and found no changes in cortisol, psychological stress or fatigue levels following HC interventions.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Hospital Clowning on Physical and Emotional States of Pediatric Patients During Chemotherapy Treatment

Arriaga

Melo

Caires

2019

Child Youth Care Forum

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Child Behavioral Distress During Invasive Oncologic Procedures and Cardiac Catheterization With the Big Apple Circus Clown Care Unit • 55

Cited by 17 publications

References 0 publications

Physiological and Emotional Responses of Disabled Children to Therapeutic Clowns: A Pilot Study

Physiological and Emotional Responses of Disabled Children to Therapeutic Clowns: A Pilot Study

Therapeutic clowning in paediatric practice

The Effects of Hospital Clowning on Physical and Emotional States of Pediatric Patients During Chemotherapy Treatment

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