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Published on: January 7, 2020
Effects of a Poetry Intervention on Emotional Wellbeing in Hospitalized Pediatric Patients
Anna Delamerced1, Cia Panicker2, Kristina Monteiro3
1The Warren Alpert Medical School of Brown University, Providence, Rhode Island; and.
Insights
Poetry interventions significantly reduced fear, sadness, anger, worry, and fatigue in hospitalized children. This creative, screenless activity also fostered happiness and self-reflection, offering a novel therapeutic approach for pediatric patients.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Creative Arts Therapies
Background:
- Hospitalization presents unique challenges and stressors for pediatric patients and their families.
- Increased stress and anxiety are common during pediatric hospital stays.
- The therapeutic potential of creative interventions in pediatric care is an emerging area of research.
Purpose of the Study:
- To investigate the therapeutic effects of a poetry intervention on the emotional well-being of hospitalized pediatric patients.
- To assess changes in specific emotional and physical symptoms following poetry-based activities.
- To explore patient and parent experiences with the poetry intervention through qualitative feedback.
Main Methods:
- Inclusion of pediatric patients (8-17 years) and their caregivers.
- Utilizing the Pediatric Quality of Life Present Functioning Visual Analogue Scales to measure fear, sadness, anger, worry, fatigue, and pain before and after the intervention.
- Implementing a poetry intervention involving reading and writing exercises.
- Collecting qualitative data via open-ended surveys from participants and parents.
Main Results:
- Statistically significant reductions were observed in fear (P=.021), sadness (P=.004), anger (P=.039), worry (P=.041), and fatigue (P<.001).
- Pain reduction did not reach statistical significance (P=.092).
- Qualitative analysis revealed themes of increased happiness, family involvement, distraction, creativity, and self-reflection.
Conclusions:
- Poetry interventions demonstrate a significant positive impact on multiple emotional and physical symptoms in hospitalized children, excluding pain.
- The findings suggest poetry is a viable and beneficial therapeutic modality for pediatric patients.
- This study provides a foundation for further research into the efficacy of poetry as a complementary therapy in pediatric healthcare settings.
Background And Objectives:
The hospital is often a challenging and unfamiliar environment for families. Hospitalization can increase stress and anxiety among children and caregivers. In this study, we are the first to explore the possible therapeutic effects of poetry on hospitalized pediatric patients' emotional wellbeing.
Patients And Methods:
Patients aged 8 to 17 years old admitted to the inpatient pediatric ward and their parents or guardians were eligible for inclusion. With the validated Pediatric Quality of Life Present Functioning Visual Analogue Scales, 6 items were measured before and after the poetry intervention for each participant: fear, sadness, anger, worry, fatigue, and pain in the present moment. The intervention itself consisted of poetry-based reading and writing exercises. Participants and parents also completed an open-ended qualitative survey on their experience.
Results:
Data from 44 participants were analyzed. Using the Wilcoxon signed rank test, we showed that the poetry intervention had a statistically significant reduction in 5 of the 6 Pediatric Quality of Life Present Functioning Visual Analogue Scales symptom measures: fear (P = .021), sadness (P = .004), anger (P = .039), worry (P = .041), and fatigue (P < .001). Reduction in pain was not statistically significant (P = .092). Six coded themes emerged from qualitative analysis: the poetry intervention facilitated (1) happiness and (2) family involvement, was viewed as a (3) good distraction and (4) screenless activity, and cultivated (5) creativity and (6) self-reflection.
Conclusions:
The poetry intervention led to statistically significant reductions in fear, sadness, anger, worry, and fatigue but not in pain. The study reveals promising results and serves as a starting point for future investigations on the therapeutic impact of poetry on hospitalized pediatric patients.
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