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Id : 85

Author :
Sridharan, K.; Sivaramakrishnan, G.

Title


Therapeutic clowns in pediatrics: a systematic review and meta-analysis of randomized controlled trials.

Reference :


Sridharan, K., & Sivaramakrishnan, G. (2016). Therapeutic clowns in pediatrics: a systematic review and meta-analysis of randomized controlled trials. European journal of pediatrics, 175(10), 1353-1360.

Link to article https://doi.org/10.1007/s00431-016-2764-0
Abstract Children and/or their parents are in fear and anxiety when admitted to hospitals or undergo invasive surgeries or investigations. Clown therapy has been shown as an effective measure in reducing this hospital fear and anxiety. Hence, we carried out a systematic compilation of the existing evidence on the clinical utility of hospital clowns in pediatric population. Electronic databases were searched with an appropriate search strategy, and only randomized controlled trials comparing the effect of clown therapy with standard care in children were included. The key outcome measures were as follows: extent of anxiety and pain felt by children and extent of state and trait parental anxiety. Random effect model was applied when moderate to severe heterogeneity was observed. Forest plot, I2 statistics and risk of bias were evaluated using RevMan 5.3 software. A total of 19 studies were found eligible to be included in the systematic review and 16 for meta-analysis. The pooled SMD 95 % CI for child anxiety score was −0.83 −1.16, −0.51 favoring clown therapy. Similarly, a statistically significant reduction {SMD 95 % CI −0.46 −0.7, −0.21 } in the state anxiety was observed amongst parents.



Results:


                            Impact                            

                   Certainity                   

Health_and_Wellbeing

0.9988
Urban_and_Territorial_Renovation 0.0018
Peoples_Engagement_and_Participation 0.0008
Note: Due to lack of computing power, results have been previously created and saved in database