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Updated: Mar 24, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Play interventions to reduce anxiety and negative emotions in hospitalized children
William H C Li1, Joyce Oi Kwan Chung2, Ka Yan Ho2
1School of Nursing, The University of Hong Kong, 4/F, William M. W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong, China. william3@hku.hk.
Insights
Hospital play interventions effectively reduce anxiety and negative emotions in children. This study provides evidence for integrating play activities to improve pediatric patient care and well-being during hospitalization.
Area of Science:
- Pediatric Psychology
- Child Life Services
- Healthcare Interventions
Background:
- Hospitalization poses significant emotional challenges for children.
- Hospital play interventions are utilized to prepare children for medical procedures.
- There is a need for empirical evidence on the efficacy of play interventions for hospitalized children.
Purpose of the Study:
- To evaluate the effectiveness of hospital play interventions in reducing anxiety and negative emotions in hospitalized children.
- To provide empirical support for the use of play activities to alleviate psychological distress in pediatric patients.
Main Methods:
- A non-equivalent control group pre-test/post-test design was employed.
- 304 Chinese children (ages 3-12) from two Hong Kong hospitals participated.
- 154 children received hospital play interventions; 150 received usual care.
Main Results:
- Children receiving play interventions showed significantly lower levels of anxiety.
- Participants in the play intervention group exhibited fewer negative emotions compared to the control group.
Conclusions:
- Hospital play interventions are effective in mitigating anxiety and negative emotions in hospitalized children.
- Findings support the integration of play interventions for comprehensive pediatric care.
- Play interventions help ease the psychological burden experienced by children during hospitalization.
Background:
Hospitalization is a stressful and threatening experience, which can be emotionally devastating to children. Hospital play interventions have been widely used to prepare children for invasive medical procedures and hospitalization. Nevertheless, there is an imperative need for rigorous empirical scrutiny of the effectiveness of hospital play interventions, in particular, using play activities to ease the psychological burden of hospitalized children. This study tested the effectiveness of play interventions to reduce anxiety and negative emotions in hospitalized children.
Methods:
A non-equivalent control group pre-test and post-test, between subjects design was conducted in the two largest acute-care public hospitals in Hong Kong. A total of 304 Chinese children (ages 3-12) admitted for treatments in these two hospitals were invited to participate in the study. Of the 304 paediatric patients, 154 received hospital play interventions and 150 received usual care.
Results:
Children who received the hospital play interventions exhibited fewer negative emotions and experienced lower levels of anxiety than those children who received usual care.
Conclusion:
This study addressed a gap in the literature by providing empirical evidence to support the effectiveness of play interventions in reducing anxiety and negative emotions in hospitalized children. Findings from this study emphasize the significance of incorporating hospital play interventions to provide holistic and quality care to ease the psychological burden of hospitalized children.
Trial Registration:
ClinicalTrials.gov NCT02665403 . Registered 22 January 2016.
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