Play Therapy as an Intervention in Hospitalized Children: A Systematic Review

Godino-Iáñez, María José; Martos-Cabrera, María Begoña; Suleiman‐Martos, Nora; Gómez‐Urquiza, José Luis; Vargas-Román, Keyla; Membrive‐Jiménez, María José; Albendín‐García, Luis

doi:10.3390/healthcare8030239

Cited by 62 publications

(62 citation statements)

References 36 publications

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“…23 58 The term therapeutic play is used inconsistently to describe play with medical equipment, play in preparation programmes, 17 and play therapy, similar to that used in child and adolescent psychiatry. 22 Other subcategories, for example, directed play, non-directed play and supporting play have also been used unevenly. 59 Our framework captures all of these subdivisions and contains a category for play as part of treatment and recovery, including rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Play interventions for paediatric patients in hospital: a scoping review

et al. 2021

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ObjectivePlay is a non-invasive, safe and inexpensive intervention that can help paediatric patients and their families manage difficult aspects of being ill or hospitalised. Although play has existed in hospitals for decades, research on hospital play interventions is scarce. This review aimed to categorise and synthesise the last 20 years of research on hospital play interventions.DesignScoping review.Data sourcesPubMed, CINAHL, CENTRAL, ERIC and PsycINFO (1 January 2000– 9 September 2020).Study selection and data extractionWe systematically searched for original peer-reviewed articles, written in English, on hospital play interventions in paediatric patients (0–18 years) in non-psychiatric settings. Two reviewers independently screened titles and abstracts, reviewed full text of relevant articles and extracted data. We thematically synthesised the data from the included studies, and a descriptive analysis, based on a developed framework, is presented.ResultsOf the 297 included articles, 78% came from high-income countries and 56% were published within the last 5 years. Play interventions were carried out across all ages by various healthcare professionals. Play interventions served different roles within four clinical contexts: A) procedures and diagnostic tests, B) patient education, C) treatment and recovery and D) adaptation. Across these contexts, play interventions were generally facilitated and purpose-oriented and had positive reported effects on pain, stress, and anxiety.ConclusionsPlay in hospitals is an emerging interdisciplinary research area with a significant potential benefit for child and family health. Future research should further describe principles for play in hospitals. High-quality studies investigating short-term and long-term effects are needed to guide when and how to best integrate play in hospitals.

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Section: Discussionmentioning

confidence: 99%

Play interventions for paediatric patients in hospital: a scoping review

et al. 2021

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“…A stepwise explanation of the processes involved in each phase is presented. Likewise, the materials employed are also described; those involved in this study are (1) the tools utilized in the development phase and (2) the gamified application itself. Moreover, this section outlines the gamification features and the implementation of the gamified application features.…”

Section: Methodsmentioning

confidence: 99%

“…DM is an endocrine disease characterized by a person's blood glucose level [1,2]. A significant increase above the normal level will lead to a diagnosis of type 1 or type 2 diabetes mellitus.…”

Section: Introductionmentioning

confidence: 99%

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MyDiabetes—The Gamified Application for Diabetes Self-Management and Care

Tuah¹,

Yoag²,

Ahmedy³

2021

Computers

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Gamified applications are regarded as useful for patients in facilitating daily self-care management and the personalization of health monitoring. This paper reports the development of a gamified application by considering a design that had previously been investigated and reported. Numerous game elements were installed in the application, which covered several tasks aimed at managing diabetes mellitus. The development process utilized the Rapid Application Development (RAD) methodology in terms of system requirements, user design, construction, and cutover; this paper refers to the user design and cutover processes. The developed application was tested through system testing and usability testing. The usability testing adopted the Software Usability Scale (SUS) to assess the usability of the application. Twenty participants were involved in the testing. The result showed that the gamified application is easy and practical to use for an individual with or without diabetes. All the provided functions worked as designed and planned, and the participants accepted their usability. Overall, this study offers a promising result that could lead to real-life implementation.

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“…Therefore, non-drug therapies, such as music therapy, cognitive behavioral therapy and animal assisted therapy (AAT), are preferred by healthcare staff and patients due to their minimal side effects and easy implementation. Among them, the application of AAT, as one of the non-drug intervention methods dealing with children’s pain, is gradually increasing [ [10] , [11] , [12] , [13] ]. Animal-assisted therapy (AAT) is different from common interaction with companion animals.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of animal-assisted therapy on pain in children: A systematic review and meta-analysis

Zhang

Yan

et al. 2021

International Journal of Nursing Sciences

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Aims Animal-assisted therapy (AAT) relieves pain by creating a relaxed and comfortable environment to reduce anxiety in children. Yet little is known about its effects on pain in children. This study aims to systematically evaluate the effects of AAT on pain in children. Methods Eight databases including PubMed, Cochrane Library, Web of Science, CINAHL Complete, Chinese Biomedical Database (CBM), Weipu Database (VIP), China Knowledge Resource Integrated Database (CNKI) and Wanfang Database were retrieved, and all randomized controlled trials or controlled clinical trial using AAT on children’s pain were recruited from inception to October 2019. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. RevMan 5.3 software was employed for meta-analysis. Results Seven published studies containing 4 RCTs and 3 CCTs were included for the systematic review. The results of meta-analysis showed that AAT could reduce children’s pain when compared with the control group [ MD = −0.53, 95% CI (−0.77, −0.30), P < 0.00001]. Conclusion Current evidence shows that AAT can relieve pain in children to some extent. Considering the limited quality and quantity of the available studies, more high quality studies should be performed to verify the above conclusion.

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Play Therapy as an Intervention in Hospitalized Children: A Systematic Review

Cited by 62 publications

References 36 publications

Play interventions for paediatric patients in hospital: a scoping review

Play interventions for paediatric patients in hospital: a scoping review

MyDiabetes—The Gamified Application for Diabetes Self-Management and Care

Effectiveness of animal-assisted therapy on pain in children: A systematic review and meta-analysis

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