Cargando…

Medical clowning in hospitalized children: a meta-analysis

BACKGROUND: Medical clowning has been proven effective in reducing pain, anxiety, and stress in many sporadic, usually small-scale studies. Our meta-analysis aims to evaluate the efficiency of medical clowns in reducing pain and anxiety in hospitalized pediatric patients and their parents in differe...

Descripción completa

Detalles Bibliográficos
Autores principales: Kasem Ali Sliman, Rim, Meiri, Noam, Pillar, Giora
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Nature Singapore 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10533584/
https://www.ncbi.nlm.nih.gov/pubmed/37058203
http://dx.doi.org/10.1007/s12519-023-00720-y
_version_ 1785112215713480704
author Kasem Ali Sliman, Rim
Meiri, Noam
Pillar, Giora
author_facet Kasem Ali Sliman, Rim
Meiri, Noam
Pillar, Giora
author_sort Kasem Ali Sliman, Rim
collection PubMed
description BACKGROUND: Medical clowning has been proven effective in reducing pain, anxiety, and stress in many sporadic, usually small-scale studies. Our meta-analysis aims to evaluate the efficiency of medical clowns in reducing pain and anxiety in hospitalized pediatric patients and their parents in different medical fields. METHODS: A thorough literature search was conducted from different databases, and only randomized controlled trials (RCTs) were included with children aged 0 to 18 years old. A total of 18 studies were included, and statistical analysis was performed on the combined data. RESULTS: A total of 912 children (14 studies) showed significantly reduced anxiety when procedures were performed with a medical clown compared with the controls (− 0.76 on anxiety score, P < 0.001). Preoperative anxiety was lower in 512 children (nine studies) with clown interventions than in the controls (− 0.78, P < 0.001). The pain scale was completed by 338 participants (six studies), indicating a trend toward reduced pain during procedures performed while the clown was acting compared to controls (− 0.49, P = 0.06). In addition, medical clown significantly (− 0.52, P = 0.001) reduced parental anxiety in 489 participants in ten studies; in six of the ten studies, with a total of 380 participants, medical clown significantly reduced parental preoperative anxiety (P = 0.02). CONCLUSION: Medical clowns have substantial positive and beneficial effects on reducing stress and anxiety in children and their families in various circumstances in pediatrics. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12519-023-00720-y.
format Online
Article
Text
id pubmed-10533584
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Springer Nature Singapore
record_format MEDLINE/PubMed
spelling pubmed-105335842023-09-29 Medical clowning in hospitalized children: a meta-analysis Kasem Ali Sliman, Rim Meiri, Noam Pillar, Giora World J Pediatr Meta-Analysis BACKGROUND: Medical clowning has been proven effective in reducing pain, anxiety, and stress in many sporadic, usually small-scale studies. Our meta-analysis aims to evaluate the efficiency of medical clowns in reducing pain and anxiety in hospitalized pediatric patients and their parents in different medical fields. METHODS: A thorough literature search was conducted from different databases, and only randomized controlled trials (RCTs) were included with children aged 0 to 18 years old. A total of 18 studies were included, and statistical analysis was performed on the combined data. RESULTS: A total of 912 children (14 studies) showed significantly reduced anxiety when procedures were performed with a medical clown compared with the controls (− 0.76 on anxiety score, P < 0.001). Preoperative anxiety was lower in 512 children (nine studies) with clown interventions than in the controls (− 0.78, P < 0.001). The pain scale was completed by 338 participants (six studies), indicating a trend toward reduced pain during procedures performed while the clown was acting compared to controls (− 0.49, P = 0.06). In addition, medical clown significantly (− 0.52, P = 0.001) reduced parental anxiety in 489 participants in ten studies; in six of the ten studies, with a total of 380 participants, medical clown significantly reduced parental preoperative anxiety (P = 0.02). CONCLUSION: Medical clowns have substantial positive and beneficial effects on reducing stress and anxiety in children and their families in various circumstances in pediatrics. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12519-023-00720-y. Springer Nature Singapore 2023-04-14 2023 /pmc/articles/PMC10533584/ /pubmed/37058203 http://dx.doi.org/10.1007/s12519-023-00720-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Meta-Analysis
Kasem Ali Sliman, Rim
Meiri, Noam
Pillar, Giora
Medical clowning in hospitalized children: a meta-analysis
title Medical clowning in hospitalized children: a meta-analysis
title_full Medical clowning in hospitalized children: a meta-analysis
title_fullStr Medical clowning in hospitalized children: a meta-analysis
title_full_unstemmed Medical clowning in hospitalized children: a meta-analysis
title_short Medical clowning in hospitalized children: a meta-analysis
title_sort medical clowning in hospitalized children: a meta-analysis
topic Meta-Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10533584/
https://www.ncbi.nlm.nih.gov/pubmed/37058203
http://dx.doi.org/10.1007/s12519-023-00720-y
work_keys_str_mv AT kasemalislimanrim medicalclowninginhospitalizedchildrenametaanalysis
AT meirinoam medicalclowninginhospitalizedchildrenametaanalysis
AT pillargiora medicalclowninginhospitalizedchildrenametaanalysis