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Systematic review protocol examining the effectiveness of hospital clowns for symptom cluster management in

Luís Carlos Lopes-Júnior1, Regina Aparecida Garcia Lima1, Karin Olson2

  • 1WHO Collaborating Centre for Nursing Research Development. Ribeirão Preto, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirao Preto, Brazil.

BMJ Open
|January 24, 2019
PubMed

Insights

This systematic review evaluates clown intervention for hospitalized children. Evidence suggests it can help manage symptom clusters like anxiety and pain, improving well-being.

Area of Science:

  • Pediatric Healthcare
  • Complementary Therapies
  • Systematic Review Methodology

Background:

  • Clown intervention is a complementary approach in pediatric care.
  • Limited evidence exists on its effectiveness for symptom cluster management in hospitalized children.
  • Minimizing psychological distress during hospitalization is a clinical priority.

Purpose of the Study:

  • To systematically review evidence on clown intervention's effectiveness for symptom cluster management in pediatric inpatients.
  • To evaluate its impact on acute and chronic conditions.
  • To provide quality evidence for clinicians.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs) from 2000-2018.
  • Searched multiple databases including MEDLINE, Web of Science, and PsycINFO.
  • Assessed outcomes such as anxiety, depression, pain, fatigue, stress, and well-being using established appraisal tools.

Main Results:

  • A narrative synthesis of included studies will be performed.
  • Meta-analysis will be conducted if data permits, using Hedges' g for effect sizes.
  • Heterogeneity will be assessed using I² statistics.

Conclusions:

  • This review will synthesize current evidence on clown intervention for pediatric symptom management.
  • Findings will inform clinical practice and highlight areas for future research.
  • Dissemination through publications and conferences is planned.
Abstract

Keywords:
adolescentchildclown interventionpediatricssymptom clusterssymptom management

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