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

Overview of attention for article published in European Journal of Pediatrics, September 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (94th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Mentioned by

news
1 news outlet
blogs
1 blog
policy
1 policy source
twitter
20 X users
facebook
5 Facebook pages

Citations

dimensions_citation
87 Dimensions

Readers on

mendeley
196 Mendeley
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Title
Therapeutic clowns in pediatrics: a systematic review and meta-analysis of randomized controlled trials
Published in
European Journal of Pediatrics, September 2016
DOI 10.1007/s00431-016-2764-0
Pubmed ID
Authors

Kannan Sridharan, Gowri Sivaramakrishnan

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, I(2) 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. We found that hospital clowns play a significant role in reducing stress and anxiety levels in children admitted to hospitals as well as their parents. • Trials with clown doctors in pediatric population have shown conflicting results in allaying anxiety amongst children undergoing either hospitalization or invasive procedures What is new: • This is the first systematic review and meta-analysis on hospital clowns • We found out that hospital clowns reduce anxiety amongst children before undergoing either hospitalization or invasive procedures.

X Demographics

X Demographics

The data shown below were collected from the profiles of 20 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 196 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 196 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 32 16%
Researcher 19 10%
Student > Master 19 10%
Student > Ph. D. Student 15 8%
Student > Postgraduate 12 6%
Other 36 18%
Unknown 63 32%
Readers by discipline Count As %
Medicine and Dentistry 36 18%
Nursing and Health Professions 35 18%
Psychology 27 14%
Social Sciences 9 5%
Arts and Humanities 5 3%
Other 22 11%
Unknown 62 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 35. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 November 2022.
All research outputs
#1,000,075
of 23,206,358 outputs
Outputs from European Journal of Pediatrics
#67
of 3,802 outputs
Outputs of similar age
#19,941
of 333,531 outputs
Outputs of similar age from European Journal of Pediatrics
#1
of 42 outputs
Altmetric has tracked 23,206,358 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,802 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 333,531 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 42 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.