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Signorelli C, Kelada L, Wakefield CE, Alchin JE, Adam I, Hoffmann P. Pilot testing "Teach Ted": A digital application for children undergoing blood tests and their parents. PEC INNOVATION 2024; 4:100251. [PMID: 38274175 PMCID: PMC10808896 DOI: 10.1016/j.pecinn.2023.100251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 12/12/2023] [Accepted: 12/14/2023] [Indexed: 01/27/2024]
Abstract
Objective In this pilot study, we evaluated the acceptability and preliminary evidence of the impact of a new educational mobile application, "Teach Ted", for children undergoing blood tests. Methods Parents of children (4-10 years) completed questionnaires on anxiety and pain before their child had a blood test, and after using Teach Ted and receiving their blood test. Health professionals at each patient's blood test (e.g. technician/nurse) completed questionnaires on patient outcomes and procedure-related outcomes (e.g. time taken). Results Nine parents and eight health professionals participated. All but one parent (n = 8/9) reported Teach Ted was useful. Seventy-eight percent (n = 7/9) reported they would use Teach Ted again. All health professionals who completed the acceptability measure (n = 3/3) strongly agreed that Teach Ted was relevant/helpful. Many parents perceived Teach Ted helped reduce their/child's anxiety (n = 3/5, 60% and n = 4/6, 67% respectively), although child's pain and child's/parent's anxiety remained similar before and after using Teach Ted (all p > 0.05). The average blood test duration was 7.6 min (range ≤1 to 22), which health professionals (n = 3/3) reported was not elongated by offering Teach Ted. Conclusions Participants reported that Teach Ted was acceptable. Further evaluation of Teach Ted's impact on patient's outcomes are needed. Innovation Teach Ted is an innovative mobile application with potential to educate young children about their upcoming procedure and mitigate negative outcomes.
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Affiliation(s)
- Christina Signorelli
- Kids Cancer Centre, Sydney Children's Hospital, Randwick, NSW, Australia
- School of Clinical Medicine, UNSW Medicine & Health, Discipline of Paediatrics, UNSW Sydney, NSW, Australia
| | - Lauren Kelada
- Kids Cancer Centre, Sydney Children's Hospital, Randwick, NSW, Australia
- School of Clinical Medicine, UNSW Medicine & Health, Discipline of Paediatrics, UNSW Sydney, NSW, Australia
| | - Claire E. Wakefield
- Kids Cancer Centre, Sydney Children's Hospital, Randwick, NSW, Australia
- School of Clinical Medicine, UNSW Medicine & Health, Discipline of Paediatrics, UNSW Sydney, NSW, Australia
| | - Joseph E. Alchin
- Kids Cancer Centre, Sydney Children's Hospital, Randwick, NSW, Australia
- School of Clinical Medicine, UNSW Medicine & Health, Discipline of Paediatrics, UNSW Sydney, NSW, Australia
| | - Irene Adam
- Kids Cancer Centre, Sydney Children's Hospital, Randwick, NSW, Australia
| | - Peta Hoffmann
- Acute Allied Health Services, Canberra Hospital, ACT, Australia
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2
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Heath G, Screti C, Knibb R. Exploring how 'wish-granting' interventions foster wellbeing for children with life-threatening health conditions and their families: A qualitative study. J Child Health Care 2024:13674935241287865. [PMID: 39329202 DOI: 10.1177/13674935241287865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/28/2024]
Abstract
Wish-granting is a form of positive psychological intervention that seeks to promote child wellbeing by fulfilling a wish of their choice. This study aimed to explore families' experiences of receiving wish-granting interventions to understand how wishes impact wellbeing. Fifty in-depth semi-structured interviews were carried out with 22 families (23 parents, 17 young people); seven charity volunteers; and five health professionals, recruited from the United Kingdom. Interviews were transcribed verbatim and analysed using a thematic framework approach. Findings suggest wishes improve wellbeing by increasing positive emotion; by broadening families' horizons; by providing an alternative focus; and by fostering opportunities for togetherness. To grow and maintain impact, consideration should be given to developing strategies that increase anticipation; keep wish memories alive; encourage children to make wishes that stretch their perceived limitations; and facilitate families to share their experiences and 'give back' to the community.
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Affiliation(s)
- Gemma Heath
- School of Psychology, Aston University, Birmingham, UK
| | | | - Rebecca Knibb
- School of Psychology, Aston University, Birmingham, UK
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3
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Sundal H. Home-like care: Collaboration between parents and nurses in everyday situations when children are hospitalized. J Child Health Care 2024; 28:565-577. [PMID: 36606622 PMCID: PMC11457426 DOI: 10.1177/13674935221149778] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
When children are hospitalized, parents and nurses need to collaborate. This study aims to investigate how parents and nurses experience collaborating and sharing responsibilities and tasks when providing home-like care for hospitalized children in everyday situations. This qualitative study used a hermeneutic phenomenological approach with observations and interviews and was conducted in a general medical pediatric unit. Twelve parents of eleven hospitalized children between the ages of 1 and 6 years with various medical diagnoses and seventeen nurses who cared for those children participated in the study. Parents and nurses collaborated and shared responsibilities and tasks to provide home-like care for hospitalized children in everyday situations by making mealtimes seem familiar, maintaining customary sleeping patterns, adapting washing and dressing routines, and facilitating play and activity. Parents and nurses collaborated to maintain a familiar rhythm in an unfamiliar environment to enhance the children's well-being. The nurses' degree of involvement in the children's everyday situations varied from little to moderate to strong, with parents assuming the main responsibilities. Nurses' involvement in children's everyday situations was variable, depending on the complexity of the situations.
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Affiliation(s)
- Hildegunn Sundal
- Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway
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Miranda CB, Maia EBS, Almeida FDA. Perspectives of BrinquEinstein healthcare professionals on the implementation of therapeutic play in pediatrics. CIENCIA & SAUDE COLETIVA 2024; 29:e05142024. [PMID: 39140534 DOI: 10.1590/1413-81232024298.05142024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 03/26/2024] [Indexed: 08/15/2024] Open
Abstract
The benefits of therapeutic play (TP) in pediatrics are widely reported in the literature, however its use by health professionals is still limited. The objective was to understand how professionals belonging to the BrinquEinstein group evaluate the process of systematic implementation of TP in hospital pediatric units. Exploratory study, with a qualitative approach, developed in the pediatric and intensive care units of extra-large general hospital in São Paulo. The sample consisted of 13 professionals from different categories belonging to BrinquEinstein. Data was collected through individual semi-structured and audio-recorded interviews, being analyzed based on the Inductive Thematic Analysis proposed by Braun and Clark. From the analysis of the interviews, five themes emerged: experiencing a transforming process; the benefits that strengthen the path; the facilities that encourage the walk; the barriers that challenge the process; the future prospects. For the interviewed professionals, it is essential that the use of TP becomes a routine practice in different contexts of the child´s healthcare, in which managers and institutions play a fundamental role in its implementation.
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Affiliation(s)
- Carolline Billett Miranda
- Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein. R. Comendador Elias Jafet 755, Morumbi. 05653-000 São Paulo SP Brasil.
| | - Edmara Bazoni Soares Maia
- Departamento de Enfermagem Pediátrica, Escola Paulista de Enfermagem, Universidade Federal de São Paulo. São Paulo SP Brasil
| | - Fabiane de Amorim Almeida
- Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein. R. Comendador Elias Jafet 755, Morumbi. 05653-000 São Paulo SP Brasil.
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Kuang W, Yang EJ, Truong R, Woo BK. Bringing Virtual Reality to Mainstream Pediatric Care. J Patient Cent Res Rev 2024; 11:107-111. [PMID: 39044851 PMCID: PMC11262837 DOI: 10.17294/2330-0698.2063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2024] Open
Abstract
Virtual reality (VR) stands as an innovative technology transforming our interactions with the digital world. Its integration into health care has proven advantageous for both patients and health care providers across multiple levels and modalities. Given that VR is becoming increasingly accessible and prevalent, health care providers should explore incorporating the technology into their practices, particularly within the pediatric population, which is becoming progressively more accustomed to the technology. This topic synopsis provides a broad discussion of the current literature, exploring current and probable future applications of VR in pediatric patient care, particularly in improving the hospital experience, facilitating education during hospitalizations, providing an alternative to pharmacological therapy for pain management, and enhancing mental health care practices.
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Affiliation(s)
- Wayne Kuang
- Department of Pediatrics, Los Angeles General Medical Center, Los Angeles, CA
- Keck School of Medicine, University of Southern California, Los Angeles, CA
| | - Eric J. Yang
- Keck School of Medicine, University of Southern California, Los Angeles, CA
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California, Los Angeles, Los Angeles, CA
| | - Roland Truong
- KPC Health Graduate Medical Education, Hemet Valley Medical Center, Hemet, CA
- Department of Anesthesiology, Indiana University School of Medicine, Indianapolis, IN
| | - Benjamin K.P. Woo
- Department of Psychiatry, Olive View – UCLA Medical Center, Sylmar, CA
- Chinese American Health Promotion Laboratory, University of California, Los Angeles, Los Angeles, CA
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Hüzmeli H, Semerci R, Kebudi R. The effect of therapeutic play on fear, anxiety, and satisfaction levels of pediatric oncology patients receiving chemotherapy. J Pediatr Nurs 2024; 77:e195-e201. [PMID: 38627170 DOI: 10.1016/j.pedn.2024.04.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 04/05/2024] [Accepted: 04/05/2024] [Indexed: 07/07/2024]
Abstract
OBJECTIVE This study aimed to examine the effect of therapeutic play on the levels of fear and anxiety towards chemotherapy in pediatric oncology patients and evaluate the satisfaction of children and parents regarding therapeutic play. METHODS The study was conducted with a one-group pretest-post-design and was developed as a prospective quasi-experimental study. The study was conducted with 40 pediatric oncology patients aged 5-12 and their parents. Data were collected by Child Information Form, Child Fear Scale (CFS), Child State Anxiety (CSA), and Visual Satisfaction Scale. RESULTS The mean age was 8.98 ± 2.76, 65% were males. The CSA score was decreased at the end of the second cycle compared to the first (p < 0.001). The CFS score was reduced at the end of the second cycle compared to the first (p < 0.001). There was a statistically significant decrease in CFS scores at the end of the first cycle compared to the beginning (p < 0.001). The decrease in CFS scores at the end of the second cycle compared to the beginning was statistically significant (p < 0.001). CONCLUSION The results of the study show that there was a significant decrease in the fear and anxiety levels of children against chemotherapy in the pre-and post-treatment evaluations. Children and their families were satisfied with the therapeutic play intervention. PRACTICE IMPLICATIONS Therapeutic play may be an effective method to reduce fear and anxiety levels against chemotherapy in pediatric oncology patients. The use of therapeutic play from the moment of diagnosis is recommended to reduce children's fear and anxiety related to chemotherapy.
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Affiliation(s)
- Hazal Hüzmeli
- American Hospital, Department of Pediatric Oncology, İstanbul, Turkey.
| | - Remziye Semerci
- Koç University, School of Nursing, Department of Pediatric Nursing, İstanbul, Turkey.
| | - Rejin Kebudi
- İstanbul University, Oncology Institute, Pediatric Hematology-Oncology, Istanbul, Turkey
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Sari Ozturk C, Kilicarslan E. A picture of hope: From the perspective of adolescents with cancer-A phenomenological-visual qualitative study. Nurs Health Sci 2024; 26:e13127. [PMID: 38797524 DOI: 10.1111/nhs.13127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Revised: 04/07/2024] [Accepted: 05/07/2024] [Indexed: 05/29/2024]
Abstract
This study aims to investigate the phenomenon of hope in adolescents diagnosed with cancer and examine adolescents' lived experiences of hope. The study was conducted between November 2022 and March 2023. The study used a phenomenological-visual qualitative research design with 20 adolescents in the pediatric oncology ward. The purposive sampling method was used in the study. Data were collected using "Descriptive Characteristic Form," "Semi-structured Interview Form," "Drawing Technique," and "Mutual Storytelling Technique". The adolescents were instructed, "Let us draw our hopes," and asked to draw pictures. Each adolescent was interviewed about the drawings and asked four semi-structured questions. Audio recordings of the interviews were made and transcribed. A hermeneutic phenomenological approach was used in the analysis of the data. Two main themes and four subthemes were identified in the study. Metaphorical and conceptual context was included in the theme of symbolizing and linking hope. Two subthemes, facilitators and barriers, were identified in the main theme of rooting hope. The study sheds light on hope experiences in adolescents receiving cancer treatment and guides healthcare professionals.
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Affiliation(s)
- Cigdem Sari Ozturk
- Nursing Faculty, Pediatric Nursing Department, Gazi University, Ankara, Turkey
| | - Ebru Kilicarslan
- Nursing Faculty, Pediatric Nursing Department, Gazi University, Ankara, Turkey
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Yu C, Weaver S, Walker M, Hess J, Mac A, Ross T. Opportunities for play in paediatric healthcare environments: a scoping review. FRONTIERS IN REHABILITATION SCIENCES 2024; 5:1415609. [PMID: 38872999 PMCID: PMC11169685 DOI: 10.3389/fresc.2024.1415609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Accepted: 05/20/2024] [Indexed: 06/15/2024]
Abstract
Play spaces are important components of paediatric healthcare environments. They provide children with critical opportunities to experience the social, emotional, and developmental benefits of play while in healthcare settings for appointments or hospitalizations. These spaces can help to mitigate stress, provide a sense of normalcy in unfamiliar environments, and facilitate social engagement for children and their families. Given the benefits of play spaces in paediatric healthcare settings, it is important to understand how these spaces can be designed to enhance children's inclusion and quality of care. The aim of this scoping review was to explore the current understanding of paediatric play space design. Using search terms related to children, health care, and play space, six interdisciplinary databases were searched over a 30-year period. The search found 2,533 records from which eighteen were included for review. Findings suggest that although it is well-documented that play spaces offer valuable social and emotional benefits, little is known about the specific design features that can and should be incorporated to enhance play opportunities and ensure that they benefit all children and families. Further, the literature mostly considers play spaces in the context of designated play or recreational rooms. Scholars are encouraged to consider how play opportunities can be incorporated into the designs of paediatric healthcare environments beyond the boundaries of these rooms. Future studies should also consider the diversity of play space users, including children of varying ages and abilities, to create more accessible and inclusive paediatric play spaces for children and their families. Advancing knowledge on play space design can help to optimize the quality of these important spaces and to ensure their designs meaningfully enhance children's play experiences and quality of care.
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Affiliation(s)
- Clarissa Yu
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Sophie Weaver
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Meaghan Walker
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Julia Hess
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Amanda Mac
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Timothy Ross
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
- Department of Geography & Planning, University of Toronto, Toronto, ON, Canada
- Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
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Chang LC, Chen CJ, Chen CI, Sun FK. The initial experiences of junior nursing college students when communicating with children during pediatric clinical practicum: A phenomenological study. J Pediatr Nurs 2024; 76:e77-e84. [PMID: 38336568 DOI: 10.1016/j.pedn.2024.01.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Revised: 01/20/2024] [Accepted: 01/21/2024] [Indexed: 02/12/2024]
Abstract
PURPOSE Nursing students feel stressed during pediatric clinical practicum due to limited communication encounters with hospitalized children. The purpose of this study was to describe junior nursing college students' experiences of communicating with children during pediatric clinical practicums. DESIGN AND METHODS A qualitative phenomenological research design was used. Purposive sampling was used to recruit 18 junior nursing college students who completed their pediatric clinical practicum. Data were collected using semi-structured interviews and were analyzed using Colaizzi's seven-step method for data analysis. RESULTS Three themes emerged from the data. (1) Difficulties in communicating during initial practicum: fear, rejection, self-doubt of communication abilities, and unfamiliarity with the application of communication techniques posed frustrations among nursing students. (2) Efforts to learn during practicum: self-empowerment, seeking a diverse support system, adjusting communication methods, and striving to establish good relationships allowed nursing students to adapt to the pediatric curriculum. (3) Effective communication at the later stages of practicum: mastering fundamental communication techniques and exercising pediatric therapeutic communication techniques allowed nursing students to feel accomplished. CONCLUSIONS Junior nursing college students initially encountered difficulties and frustration when communicating with children during their pediatric clinical practicum. This study serves as a guide for educators of pediatric nursing to design courses on communication with hospitalized children. PRACTICE IMPLICATIONS These findings could be used to develop foundation courses on communicating with children for first-time pediatric nursing practicum students; for example, formulating a course on therapeutic play for children that encompasses communication techniques, pediatric ward simulation, and introduction to therapeutic play.
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Affiliation(s)
- Li-Chuan Chang
- Department of Nursing, National Tainan Junior College of Nursing, No.78 Min Zu road section 2, Tainan 700007, Taiwan, ROC.
| | - Chen-Jung Chen
- Department of Nursing, MacKay Medical College, No.46 Zhongzheng road section 3, Sanzhi Dist., New Taipei City 252, Taiwan, ROC.
| | - Chiu-I Chen
- Department of Nursing, Chang Jung Christian University, No.1 Changda road, Gueiren Dist., Tainan 711301, Taiwan, ROC.
| | - Fan-Ko Sun
- Second Degree Bachelor of Science in Nursing, National Taiwan University, No.1 Jen Ai road section 1, Taipei 100, Taiwan, ROC; Department of Nursing, National Taiwan University Hospital Yunlin Branch, Taiwan, ROC.
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Loreskär P, Binder PE. Nothing less than a creative triumph: a study of children admitted to hospital for serious somatic illness or injury and their experience of art therapy. Front Psychol 2024; 15:1353507. [PMID: 38558783 PMCID: PMC10979798 DOI: 10.3389/fpsyg.2024.1353507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2023] [Accepted: 02/15/2024] [Indexed: 04/04/2024] Open
Abstract
Background Hospitalization can be an extremely distressing experience for seriously ill and injured children. Art therapy has a well-established clinical history, and recent research has begun to demonstrate its effectiveness in somatic pediatric wards. Descriptive and statistical research indicates that art therapy can alleviate anxiety and fear, improve mood, and enhance communication among children, parents, and healthcare professionals. This study aims to enhance our understanding of the specific elements of art therapy that facilitate a connection with the healthier aspects of the self. Method A total of 12 hospitalized children, aged 4-12, participated in an art therapy session led by a certified art therapist. Verbalizations during the sessions were recorded, and subsequent observations were synchronized with verbatim transcriptions of audio recordings. A reflexive thematic analysis was conducted to identify relevant patterns of meaning. Findings The study identified four significant dimensions of the children's experiences during art therapy: (1) The child feels safe, (2) The child becomes a competent artist, bursting with creativity, (3) The healthy child emerges, and (4) The child achieves something beyond its limits - a triumph. Discussion The active ingredients contributing to effective art therapy include the stimulation of creativity, guided art-making with scaffolding support, task variation, granting children control over the artistic process, encouragement of free expression, and the display of positive regard. This study also delves into the therapeutic alliance, emphasizing its role in facilitating children's learning, self-expression, concentration, and the creation of work they take pride in. Additionally, certain psychotherapy-like interactions, such as control-mastery dynamics, were observed. Nevertheless, more extensive research with larger sample sizes is required to draw broader conclusions.
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Affiliation(s)
- Patricia Loreskär
- Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
- Educational and Psychological Counselling Service, Bergen Municipality, Bergen, Norway
| | - Per-Einar Binder
- Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
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Ramdaniati S, Lismidiati W, Haryanti F, Sitaresmi MN. The effectiveness of play therapy in children with leukemia: A systematic review. J Pediatr Nurs 2023; 73:7-21. [PMID: 37597401 DOI: 10.1016/j.pedn.2023.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 08/08/2023] [Accepted: 08/08/2023] [Indexed: 08/21/2023]
Abstract
PROBLEM Leukemia is the most common form of childhood cancer worldwide. Children living with leukemia experience various problems because of the disease's progression, harmful effects of treatment, and prolonged hospitalization process. To increase their well-being and alleviate their problems, these children require ongoing support. One solution that both parents and professionals can use is play therapy. This systematic review aimed to identify the type and effectiveness of play therapy in children living with leukemia. ELIGIBILITY CRITERIA We searched PubMed, Scopus, ScienceDirect, and ProQuest databases. Additionally, we performed manual searches on Google Scholar, Google Web, and grey literature. Inclusion criteria comprised: 1) Studies that implemented play therapy on leukemia children, 2) Full-text articles available in English or Indonesian languages from January 2000 to December 2021 and updated until July 2023, and 3) Intervention studies employing quasi-experimental or randomized controlled trial (RCT) designs. SAMPLE From 1099 articles, 16 studies were selected. Several forms of play therapy were found, including pretend, music, art, and sand play therapy. RESULTS Of the sixteen studies in this systematic review, fifteen demonstrated beneficial effects on psychological issues, particularly anxiety, despair, stress, and physical problems (fatigue and pain). CONCLUSION Play therapy effectively alleviates some physical and psychosocial problems in children living with leukemia. IMPLICATION Nurses can utilize play therapy as an intervention for children living with leukemia. Additionally, comparative research is recommended with a similar research strategy concerning studies with the same design. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42022318549.
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Affiliation(s)
- Sri Ramdaniati
- Doctorate Program of Medical and Health Science, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Department of Nursing, Bandung Health Polytechnic, Bandung, Indonesia.
| | - Wiwin Lismidiati
- Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
| | - Fitri Haryanti
- Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
| | - Mei Neni Sitaresmi
- Department of Pediatrics, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Department of Pediatric, Dr. Sarjito Hospital, Yogyakarta, Indonesia.
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Goren K, Cen Y, Montemurri V, Moodley D, Sutton A, Ahmed A, Alphonsus L, Denezis P, Fleming C, Guertin H, Hyland K, Kalim A, Kim HH, Krause S, Liang A, Maclean E, Neocleous P, Patel A, Pritchard S, Purcell V, Qaqish M, Ryall S, Shum K, Suwary K, Vucetic A, Skinner J, Woolsey A, Marcotte E. The impact of music, play, and pet therapies in managing pain and anxiety in paediatric patients in hospital: a rapid systematic review. Paediatr Child Health 2023; 28:218-224. [PMID: 37287483 PMCID: PMC10243982 DOI: 10.1093/pch/pxad010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 01/29/2023] [Indexed: 06/09/2023] Open
Abstract
Background Hospitalized children face pain and anxiety associated with the environment and procedures. Objective This review aimed to assess the impact of music, play, pet and art therapies on pain and anxiety in hospitalized paediatric patients. RCTs assessing the impact of music, play, pet, and/or art therapies on pain and/or anxiety in hospitalized paediatric patients were eligible. Methods Database searching and citation screening was completed to identify studies. A narrative synthesis was used to summarize study findings and certainty of evidence was assessed using GRADE. Of the 761 documents identified, 29 were included spanning music (n = 15), play (n = 12), and pet (n = 3) therapies. Results A high certainty of evidence supported play in reducing pain and moderate certainty for music and pet. A moderate certainty of evidence supported music and play in reducing anxiety. Conclusion Complementary therapies utilized alongside conventional medical treatment may mitigate pain and anxiety in hospitalized paediatric patients.
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Affiliation(s)
- Katherine Goren
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Yuchen Cen
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Vanessa Montemurri
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Dirusha Moodley
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Arielle Sutton
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Alveena Ahmed
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Lotus Alphonsus
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Peter Denezis
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Courtney Fleming
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Hailey Guertin
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Kiley Hyland
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Ayesha Kalim
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Harry Hyunteh Kim
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Sarah Krause
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Aileen Liang
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Eleanor Maclean
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Penelope Neocleous
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Arjun Patel
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Sharon Pritchard
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Victoria Purcell
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Michael Qaqish
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Stephanie Ryall
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Kathryn Shum
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Kylie Suwary
- Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
| | - Andrea Vucetic
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Jamila Skinner
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Amadene Woolsey
- Schulich School of Medicine and Dentistry, Western University, London, Ontario
| | - Emily Marcotte
- Department of Paediatrics, Schulich School of Medicine and Dentistry, University of Windsor, Windsor, Ontario
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Koury RDMDS, Monteiro EMLM, Lima LSD. [Validation of an instructional therapeutic tool to demonstrate cardiac catheterization]. CIENCIA & SAUDE COLETIVA 2023; 28:1799-1808. [PMID: 37255156 DOI: 10.1590/1413-81232023286.16832022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 11/03/2022] [Indexed: 06/01/2023] Open
Abstract
The scope of this work was to validate a toy and a narrative as an instructional tool to present to children who are to be submitted to cardiac catheterization. Content validation was performed by 23 specialist judges (storytellers, child educators, nurses, medics, educational psychologists, occupational therapists, and a psychologist), by using a form considering the following topics: goals, structure and presentation, as well as relevance. Quantitative data was analyzed through the Content Validation Index (CVI) and a cutoff of 0.80 was adopted. Qualitative data was then submitted to thematic content analysis. The toy is composed of: figurines representing the child, the healthcare team, and the person responsible for the child, prototypes of the angiography equipment and the anesthesia equipment, and objects used in hospital for anesthetic induction and vein puncture. The narrative addresses the physical structure of the Hemodynamics room and all steps comprising pre-, trans- and post-cardiac catheterization in a playful way. The technology was validated by the judges with a total CVI of 0.95. The validated toy and narrative constitute a dialog between health, education and art that may contribute to integral and humanized care to the child.
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Affiliation(s)
- Rosalia Daniela Medeiros da Silva Koury
- Programa de Pós-Graduação em Enfermagem, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
| | - Estela Maria Leite Meirelles Monteiro
- Programa de Pós-Graduação em Enfermagem, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
- Programa de Pós-Graduação em Saúde da Criança e do Adolescente, UFPE. Recife PE Brasil
| | - Luciane Soares de Lima
- Programa de Pós-Graduação em Enfermagem, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
- Programa de Pós-Graduação em Saúde da Criança e do Adolescente, UFPE. Recife PE Brasil
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Divya KY, Begum F, John SE, Francis F. DIR/Floor Time in Engaging Autism: A Systematic Review. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2023; 28:132-138. [PMID: 37332371 PMCID: PMC10275467 DOI: 10.4103/ijnmr.ijnmr_272_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 12/28/2022] [Accepted: 01/03/2023] [Indexed: 06/20/2023]
Abstract
Background Autism Spectrum Disorder (ASD) is a pervasive developmental disorder, which affects various multiple areas of a child's development. The objective of this study was to systematically review the available literature and appraise the effect of floortime in engaging autism disorder among children. Materials and Methods A systematic review was performed using PubMed, PsycINFO, Science Direct, Scopus, Google Scholar, and Medline. The search terms used were DIR/floor time, ASD, floortime and autism, relationship therapy and autism, floortime, and ASDs. The studies, which described floortime in engaging children with ASD, full-text available in English, the sample had no comorbid psychiatric diagnosis, and the articles published in English from 2010 to 2020 were included in the review. Twelve studies meeting the inclusion criteria were included in the review. Results The results showed substantial progress in different levels of functioning of autistic children with floortime. Home-based floortime improved emotive functioning, communication, and daily living skills, the parent-child interactions were improved as expressed by mothers, and also certain demographic factors of the parents have significantly influenced the floortime outcome. There were no adverse events to children or parents during floortime. Conclusions In general, we concluded that floortime is a cost-effective, completely child-led approach, which could be initiated as early as possible. If started early by healthcare professionals, it can be vital in improving social and emotional development among children.
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Affiliation(s)
- KY Divya
- Department of Community and Mental Health, College of Nursing, Sultan Qaboos University, Oman, and PhD Scholar @Sri Ramachandra Institute of Higher Education and Research, Chennai, India
| | - Farzana Begum
- College of Applied Medical Sciences, Taif University, Saudi Arabia
| | - Sheeba Elizabeth John
- Department of Maternal and Child Health, College of Nursing, Sultan Qaboos University, Oman
| | - Frincy Francis
- Department of Maternity and Child Health, College of Nursing Sultan Qaboos University and Phd Scholar at Sri Ramachandra Institute of Higher Education and Research, Chennai, India
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Ciuffo LL, Souza TVD, Freitas TMD, Moraes JRMMD, Santos KCOD, Santos RDOJFLD. The use of toys by nursing as a therapeutic resource in the care of hospitalized children. Rev Bras Enferm 2023; 76:e20220433. [PMID: 37042927 PMCID: PMC10084775 DOI: 10.1590/0034-7167-2022-0433] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 11/24/2022] [Indexed: 04/13/2023] Open
Abstract
OBJECTIVES to describe the use of toys by nursing during the care of children in the inpatient unit; to analyze the factors that influence the use of therapeutic toys by nursing in the care of hospitalized children. METHODS qualitative research, conducted in a pediatric hospital in Rio de Janeiro between July and August 2019. Semi-structured interview and thematic analysis were used as methodological procedure. RESULTS the 12 nurses and 7 nursing technicians revealed minimizing fear, relieving tension, and creating a bond between the child and the professional as the main benefits; they use as resources: children's toys, hospital materials, cartoons, and children's videos. The high demand for work, deficit of human resources, and appropriate ludic materials are factors that interfere with the use of toys as a therapeutic resource. FINAL CONSIDERATIONS although the participants recognize the importance of the toy as a therapeutic resource, there is no systematization of its use in pediatric practice.
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Affiliation(s)
- Lia Leão Ciuffo
- Universidade Federal do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Thais Mello de Freitas
- Universidade Federal do Rio de Janeiro, Instituto de Puericultura e Pediatria Martagão Gesteira. Rio de Janeiro, Rio de Janeiro, Brazil
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Shahrbabaki RM, Nourian M, Farahani AS, Nasiri M, Heidari A. Effectiveness of listening to music and playing with Lego on children's postoperative pain. J Pediatr Nurs 2022; 69:e7-e12. [PMID: 36543727 DOI: 10.1016/j.pedn.2022.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 11/19/2022] [Accepted: 11/19/2022] [Indexed: 12/24/2022]
Abstract
PURPOSE The present study aimed to compare the effectiveness of music and playing with Lego in postoperative management pain in children. DESIGN AND METHODS In this three-group quasi-experimental study, the participants in this interventional study were 96 children aged 6 to 12 years admitted to the pediatric surgery ward of Mofid Hospital and Medical Center in Tehran. The participants were selected using convenience sampling. They were then randomly placed into three intervention groups. Pain intensity was measured for the participants in all three groups before the intervention. The intervention was performed in two 15-min sessions with an interval of 5 min in three intervention groups. Then pain intensity was measured using the Oucher Pain Scale before the intervention and in four intervals: Immediately after the intervention, half an hour, one hour, and 3 h after the intervention, respectively. Pain intensity was also measured at the same time intervals for the participants in the control group. The collected data were analyzed with SPSS-25 software using descriptive statistics, the Bonferroni test, and Tukey's test. RESULTS The data showed that the three groups were identical in terms of demographic characteristics (p > 0.05).A comparison of the music listening group and the control group showed statistically significant difference in terms of postoperative pain (P < 0.05).However, the data showed significant differences between the control group and the Lego group in terms of pain intensity immediately after the intervention, half an hour, one hour, and 3 h after the intervention, respectively (p < 0.05).The data also revealed a significant difference between the children in the music group and the Lego group at all phases (p < 0.05), and the children in the Lego group reported less pain after the intervention compared to the children in the music listening group. Nevertheless, there was a statistically significant difference between the three groups in terms of reported pain intensity half an hour, one hour, and three hours after the intervention (p < 0.05). CONCLUSION The results showed that playing with Legos had a greater effect on reducing postoperative pain in children than listening to music. Thus, nurses are recommended to make arrangements for children to play with Legos after surgery. PRACTICE IMPLICATION Playing with Legos can be used to control postoperative pain in school-age children in medical centers and wards of pediatric hospitals.
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Affiliation(s)
- Reihane Moghimian Shahrbabaki
- MSc in Pediatric Nursing, Department of Pediatric Nursing & Neonatal Intensive Care Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Manijeh Nourian
- PhD in Nursing, Associate Professor, Department of Pediatric Nursig & Neonatal Intensive Care Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Azam Shirinabadi Farahani
- PhD in Nursing, Associate Professor, Department of Pediatric Nursig & Neonatal Intensive Care Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Malihe Nasiri
- Department of Biostatics, Faculty of Paramedic, Shahid Beheshti University, Tehran, Iran
| | - Amir Heidari
- Heidar Amir, Department of Cardiovascular, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Lo KW, Yang BH. Development and learning efficacy of a simulation rubric in childhood pneumonia for nursing students: A mixed methods study. NURSE EDUCATION TODAY 2022; 119:105544. [PMID: 36115070 DOI: 10.1016/j.nedt.2022.105544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 08/24/2022] [Accepted: 09/06/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Nursing students often lack knowledge, skills, and appropriate attitudes toward chest physiotherapy, which affects the quality of care provided to children with pneumonia in clinical practice. Helping students learn about the effectiveness of simulations can improve their nursing ability. OBJECTIVES To develop a rubric associated with the simulation of childhood pneumonia and to examine the learning efficacy of students using the rubric to assess the knowledge, skills, and attitudes in the simulation. DESIGN A mixed methods study using a post-test survey and a descriptive qualitative analysis of students' reflective journals. SETTINGS A paediatric simulation classroom at the University Clinical Skills Centre in Northern Taiwan. PARTICIPANTS 214 third-year students enrolled in a four-year nursing programme. METHODS Quantitative and qualitative data were collected after the course to obtain a comprehensive understanding of its effects. Quantitative data from the questionnaire were analysed using descriptive statistics. Qualitative data were analysed using content analysis. RESULTS The quantitative results showed that mean knowledge and nursing students' attitudes were moderate. Of the six sub-indices, chest percussion technique and communication with family and children had the highest mean with 3.32 ± 0.67 and 3.01 ± 0.68, respectively. The students discovered that they often focused on performing technical steps without pre-analysing patient information. Most students also indicated difficulty showing emotional caring behaviours toward patients. The qualitative results revealed that students reflected on their learning post-self-evaluation of the rubric, particularly regarding knowledge of systemic assessments, patient-centred nursing skills, and caring attitudes. CONCLUSIONS The knowledge, skills, and attitude rubric can help students develop their learning process in a more organised manner, promote the development of their caring performances toward children, and assist them in their future clinical care practices.
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Affiliation(s)
- Kao-Wen Lo
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
| | - Bao-Huan Yang
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan.
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The beneficial effect of medical clowns on performance of EEG in young children: a randomized controlled study. Eur J Pediatr 2022; 181:3449-3457. [PMID: 35838778 DOI: 10.1007/s00431-022-04555-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 06/28/2022] [Accepted: 07/01/2022] [Indexed: 11/03/2022]
Abstract
UNLABELLED Electroencephalography (EEG) is an important test in the diagnosis of epilepsy. To perform the test, many electrodes are placed on the child's scalp, a stressful situation that may contribute to uncooperative behavior. The aim of our study was to investigate the effects provided by a close collaboration with medical clowns on the performance of EEG in young children. A prospective randomized control study was conducted between July 2020 and September 2021. The study included children aged 1-5 years who were scheduled to undergo EEG testing at the Bnai Zion Medical Center. The children were randomly allocated to each group (study group with medical clowns and control group without medical clowns) according to the day of the test. The medical clowns, the EEG technician, and the children's caregivers all independently rated the entire process in designated questionnaires composed of items rated on a 5-point Likert scale. In addition, the technical quality of all EEG tests was evaluated and rated by one neurologist (G.J.) in a blinded manner. One hundred children participated in the study. Fifty children underwent the EEG accompanied by one of two medical clowns (study group), and fifty children underwent routine EEG, without medical clowns (control group). The physician-rated technical score of the EEG recording was significantly higher in the study group (p < 0.001). Among parents of the study group, 96% were highly satisfied from the presence of the medical clowns during the EEG (median 5). Both the EEG technician and the parents denoted a significantly higher cooperation rate in the study group children, of 72% and 82%, respectively, compared to the control group. The rating of child/parent's cooperation was not correlated with age, sex, or ethnicity of the child. There was no need for sedation in the study group. CONCLUSION Performing EEG in young children in collaboration with medical clowns can increase the quality of the EEG recording possibly due to higher cooperation rates, which in turn lead to mutual satisfaction of both parents and technicians with the procedure. TRIAL REGISTRATION NCT05257096. WHAT IS KNOWN • Performing EEG in young children may be a stressful experience. • Use of sedation during EEG may cause side effects. To avoid need for sedation various methods are used to overcome the stressful experience: Natural daytime nap, partial sleep deprivation, oral melatonine and reassurance of parents. WHAT IS NEW • Performing EEG in young children in collaboration with medical clowns can increase the quality of the EEG recording. • Medical clown intervention led to mutual satisfaction of both parents and technicians with the EEG test procedure.
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Melesse TG, Chau JPC, Nan MA. Effectiveness of psychosocial interventions on health outcomes of children with cancer: A systematic review of randomised controlled trials. Eur J Cancer Care (Engl) 2022; 31:e13695. [PMID: 36004749 DOI: 10.1111/ecc.13695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 06/17/2022] [Accepted: 08/12/2022] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Nowadays, there is promising evidence that psychosocial interventions could be helpful in paediatric oncology. Thus, this review aimed to describe the impact of psychosocial interventions on cancer-related health outcomes in children. METHODS Fifteen English electronic databases were searched from October to December 2020. Only randomised controlled trials that (1) included children ≤18 years old diagnosed with cancer, (2) evaluated the effects of psychosocial interventions, and (3) reported health outcomes including quality of life, anxiety, depression, stress, distress, self-esteem, psychological adjustment, treatment adherence, pain, fatigue, and academic performance were included. RESULTS Ten RCTs were included in this review. Six types of psychosocial interventions (social skill training, music-based intervention, therapeutic play, cognitive therapy, wish intervention, and art therapy) were identified. The studies were assessed as having low to high risk of bias. Nine of the studies reported significant improvement in at least one outcome measure. But quantifying the pooled effect was not applicable due to the heterogeneity of interventions. CONCLUSION Psychosocial interventions could be beneficial in paediatric oncology. Yet, the outcomes were reported in heterogeneous types of interventions and participants. The results underscore the need to conduct further studies that include participants with specific cancer diagnoses and types of interventions.
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Affiliation(s)
- Tenaw Gualu Melesse
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.,Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Janita Pak Chun Chau
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| | - M A Nan
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
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Delemere E, Guerin S, Kiernan G, Kinsella E, Gitonga I, Maguire R. Perceived impacts of a therapeutic recreation based hospital outreach programme (HOP) for children with chronic or severe illness: Qualitative analysis. Complement Ther Clin Pract 2022; 49:101646. [DOI: 10.1016/j.ctcp.2022.101646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 07/21/2022] [Accepted: 07/24/2022] [Indexed: 11/03/2022]
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Bharuchi V, Rasheed MA. Development and feasibility testing of the mental status examination scale to assess functional status of young, hospitalized children in Pakistan. SSM - MENTAL HEALTH 2022. [DOI: 10.1016/j.ssmmh.2022.100126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Thomas S, White V, Ryan N, Byrne L. Effectiveness of play therapy in enhancing psychosocial outcomes in children with chronic illness: A systematic review. J Pediatr Nurs 2022; 63:e72-e81. [PMID: 34776315 DOI: 10.1016/j.pedn.2021.10.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 09/16/2021] [Accepted: 10/13/2021] [Indexed: 12/25/2022]
Abstract
PROBLEM To examine the nature, quality, and effectiveness of Play Therapy (PT) interventions in children with chronic health conditions (CHC) and to identify the measures used to evaluate psychosocial outcomes. ELIGIBILITY CRITERIA Systematic searches of the databases: Medline complete, PsycINFO, CINHAL, Embase and Sport Discuss were conducted to identify peer reviewed papers reporting original studies published in English between January1990 - April 2020. Studies testing any type of PT or Filial Therapy (FT) with children with CHC aged between 3 and 11 years, or their parents if FT, where outcomes were primarily psychosocial were eligible. SAMPLE AND RESULTS The title and abstract search identified 6742 papers and six studies (three each for PT and FT) including two randomized control trials were identified as eligible for review. All FT interventions involved group-based training, while only one PT study used a group format. Outcomes for children included emotional and behavioural issues including anxiety, depression, and self-concept and while constructs were broadly comparable across studies, the measures used differed. Sample size ranged between 4 and 58. Two studies suggested positive impact of PT on depression, with one finding improvements in self-concept. Three studies with sample sizes less than 30 found no effect. CONCLUSION With varied study designs, and small sample sizes, current evidence regarding the effectiveness of PT in improving psychosocial outcomes for children with chronic illnesses is inconclusive. IMPLICATIONS The field should move from small underpowered studies to randomized trials with comprehensive protocols and larger sample sizes.
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Affiliation(s)
- Sangeetha Thomas
- School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia.
| | - Victoria White
- School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
| | - Nicholas Ryan
- School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
| | - Linda Byrne
- School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
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Yang DJ, Lu MY, Chen CW, Liu PC, Hou IC. Developing the Therapeutic Video Game with MDA Framework to Decrease Anxiety for Pre-school Children with Acute Lymphoblastic Leukemia: Mix-method Approaches (Preprint). JMIR Serious Games 2022; 10:e37079. [PMID: 35994340 PMCID: PMC9446132 DOI: 10.2196/37079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 05/01/2022] [Accepted: 06/12/2022] [Indexed: 11/25/2022] Open
Abstract
Background Preschool-aged children with acute lymphoblastic leukemia (ALL) receive long-term treatment according to the Taiwan Pediatric Oncology Group (TPOG)–ALL 2013 protocol. Severe anxiety and noncompliance ahead of frequent invasive therapies leads to an increase in health care costs. Previous studies have shown that therapeutic video games (TVGs) can decrease the anxiety experienced by children who are ill. To our knowledge, no existing TVG has been designed specifically for preschool-aged children with ALL in Taiwan. Objective The purpose of this study was to develop a TVG using the popular Mechanics, Dynamics, and Aesthetics (MDA) framework for game design and to investigate the effect of this TVG on the reduction of therapy-related anxiety among preschool-aged children with ALL. Methods This study used a mixed methods approach over three phases: (1) develop a TVG using the MDA framework, (2) test the reliability of the TVG among three certified children’s art therapists, and (3) evaluate the reduction of therapy-related anxiety among participants after using the TVG for 6 weeks, using a two-group, stratified randomized controlled trial at a medical center in northern Taiwan. Eligible preschool-aged children with ALL were randomly assigned 1:1 into an experimental group or a control group. The two groups of subjects received the same usual care, and only the experimental group had access to and used the TVG. The children’s anxiety responses were reported by their family caregivers using the face rating scale (FRS). Descriptive analyses, the Fisher exact test, the Pearson chi-square test, and the Mann-Whitney U test were used to statistically analyze the variables. Results Six mechanics rules supported the dynamics of the TVG using four main features—character, nursery, tasks, and market—in order to complete all of the therapy-related anxiety reduction scenarios and to achieve eight aesthetics goals. The results of reliability test showed that participants found the TVG to be useful and trustworthy for preschool-aged children with ALL (Cronbach α=.98). A total of 15 participants were enrolled and randomly allocated to the experimental group (n=7) or the control group (n=8). The average number of TVG log-ins was 37.9 (SD 15.30, range 14-62) in the experimental group. The demographic data showed homogeneity across the two groups regarding age (3 to 5 years), sex (male), risk classification (standard risk), and treatment status (continuation therapy). The mean FRS score was 6.16 (SD 3.31) for the experimental group as compared to 7.45 (SD 2.71) for the control group (P=.04), which represented a significant difference between the groups at the 6-week follow-up. Conclusions This research provides evidence that using a TVG can decrease anxiety in preschool-aged children with ALL in Taiwan. The TVG could be used to support clinical professionals before they perform invasive therapies. However, it is recommended to increase the statistical power for inference. Trial Registration ClinicalTrials.gov NCT04199637; https://www.clinicaltrials.gov/ct2/show/NCT04199637
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Affiliation(s)
- Dai-Jie Yang
- College of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan
- Department of Nursing, National Taiwan University Hospital, Taipei City, Taiwan
| | - Meng-Yao Lu
- Department of Pediatrics, National Taiwan University Hospital, Taipei City, Taiwan
| | - Chi-Wen Chen
- College of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan
| | - Pei-Ching Liu
- College of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan
| | - I-Ching Hou
- College of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan
- Efficient Smart Care Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan
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Gjærde LK, Hybschmann J, Dybdal D, Topperzer MK, Schrøder MA, Gibson JL, Ramchandani P, Ginsberg EI, Ottesen B, Frandsen TL, Sørensen JL. Play interventions for paediatric patients in hospital: a scoping review. BMJ Open 2021; 11:e051957. [PMID: 34312210 PMCID: PMC8314749 DOI: 10.1136/bmjopen-2021-051957] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVE Play is a non-invasive, safe and inexpensive intervention that can help paediatric patients and their families manage difficult aspects of being ill or hospitalised. Although play has existed in hospitals for decades, research on hospital play interventions is scarce. This review aimed to categorise and synthesise the last 20 years of research on hospital play interventions. DESIGN Scoping review. DATA SOURCES PubMed, CINAHL, CENTRAL, ERIC and PsycINFO (1 January 2000- 9 September 2020). STUDY SELECTION AND DATA EXTRACTION We systematically searched for original peer-reviewed articles, written in English, on hospital play interventions in paediatric patients (0-18 years) in non-psychiatric settings. Two reviewers independently screened titles and abstracts, reviewed full text of relevant articles and extracted data. We thematically synthesised the data from the included studies, and a descriptive analysis, based on a developed framework, is presented. RESULTS Of the 297 included articles, 78% came from high-income countries and 56% were published within the last 5 years. Play interventions were carried out across all ages by various healthcare professionals. Play interventions served different roles within four clinical contexts: A) procedures and diagnostic tests, B) patient education, C) treatment and recovery and D) adaptation. Across these contexts, play interventions were generally facilitated and purpose-oriented and had positive reported effects on pain, stress, and anxiety. CONCLUSIONS Play in hospitals is an emerging interdisciplinary research area with a significant potential benefit for child and family health. Future research should further describe principles for play in hospitals. High-quality studies investigating short-term and long-term effects are needed to guide when and how to best integrate play in hospitals.
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Affiliation(s)
- Line Klingen Gjærde
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
| | - Jane Hybschmann
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
| | - Daniel Dybdal
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
| | - Martha Krogh Topperzer
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
| | - Morten Arnborg Schrøder
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
| | - Jenny Louise Gibson
- Centre for Research on Play in Education, Development & Learning, Faculty of Education, Cambridge University, Cambridge, UK
| | - Paul Ramchandani
- Centre for Research on Play in Education, Development & Learning, Faculty of Education, Cambridge University, Cambridge, UK
| | - Elisabeth Ida Ginsberg
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
| | - Bent Ottesen
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Thomas Leth Frandsen
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
| | - Jette Led Sørensen
- Children's Hospital Copenhagen and Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Abstract
Gamified applications are regarded as useful for patients in facilitating daily self-care management and the personalization of health monitoring. This paper reports the development of a gamified application by considering a design that had previously been investigated and reported. Numerous game elements were installed in the application, which covered several tasks aimed at managing diabetes mellitus. The development process utilized the Rapid Application Development (RAD) methodology in terms of system requirements, user design, construction, and cutover; this paper refers to the user design and cutover processes. The developed application was tested through system testing and usability testing. The usability testing adopted the Software Usability Scale (SUS) to assess the usability of the application. Twenty participants were involved in the testing. The result showed that the gamified application is easy and practical to use for an individual with or without diabetes. All the provided functions worked as designed and planned, and the participants accepted their usability. Overall, this study offers a promising result that could lead to real-life implementation.
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Zhang Y, Yan F, Li S, Wang Y, Ma Y. Effectiveness of animal-assisted therapy on pain in children: A systematic review and meta-analysis. Int J Nurs Sci 2020; 8:30-37. [PMID: 33575442 PMCID: PMC7859554 DOI: 10.1016/j.ijnss.2020.12.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 12/09/2020] [Accepted: 12/15/2020] [Indexed: 12/14/2022] Open
Abstract
Aims Animal-assisted therapy (AAT) relieves pain by creating a relaxed and comfortable environment to reduce anxiety in children. Yet little is known about its effects on pain in children. This study aims to systematically evaluate the effects of AAT on pain in children. Methods Eight databases including PubMed, Cochrane Library, Web of Science, CINAHL Complete, Chinese Biomedical Database (CBM), Weipu Database (VIP), China Knowledge Resource Integrated Database (CNKI) and Wanfang Database were retrieved, and all randomized controlled trials or controlled clinical trial using AAT on children’s pain were recruited from inception to October 2019. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. RevMan 5.3 software was employed for meta-analysis. Results Seven published studies containing 4 RCTs and 3 CCTs were included for the systematic review. The results of meta-analysis showed that AAT could reduce children’s pain when compared with the control group [MD = −0.53, 95% CI (−0.77, −0.30), P < 0.00001]. Conclusion Current evidence shows that AAT can relieve pain in children to some extent. Considering the limited quality and quantity of the available studies, more high quality studies should be performed to verify the above conclusion.
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Affiliation(s)
- Yuanyuan Zhang
- Evidence-Based Nursing Center, School of Nursing of Lanzhou University, Lanzhou, Gansu, China
| | - Fanghong Yan
- Evidence-Based Nursing Center, School of Nursing of Lanzhou University, Lanzhou, Gansu, China
| | - Sijun Li
- Evidence-Based Nursing Center, School of Nursing of Lanzhou University, Lanzhou, Gansu, China
| | - Yutan Wang
- Evidence-Based Nursing Center, School of Nursing of Lanzhou University, Lanzhou, Gansu, China
| | - Yuxia Ma
- Evidence-Based Nursing Center, School of Nursing of Lanzhou University, Lanzhou, Gansu, China
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