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Medical Clowning and Patient Experiences in a Children's Hospital

Measuring Patient Experiences in a Children's Hospital With a Medical Clowning Intervention: A Case-Control Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04312217
Enrollment
70
Registered
2020-03-18
Start date
2018-05-14
Completion date
2018-06-30
Last updated
2020-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Day Surgery

Keywords

patient experience, medical clowning

Brief summary

A case-control study is conducted in Helsinki Children's hospital. Altogether 70 children aged 4-17 years coming for a minor operative procedure including pre-operative cannula insertion will be included. Part of the patients will be exposed to medical clowning intervention and the reference group will be treated preoperatively as routinely without clowns. Emotions, anxiety levels, pain caused by the cannula insertion of the children will be monitored during the day. A survey on the emotions and expectations of the parents will be done.

Detailed description

This study aims to measure experiences of children and their parents during day-surgery in hospital setting. A case-control study is conducted in Helsinki Children's hospital. Altogether 70 children aged 4-17 years coming for a minor operative procedure including pre-operative cannula insertion will be included. Part of the patients will be exposed to medical clowning intervention and the reference group will be treated preoperatively as routinely without clowns. Emotions, anxiety levels, pain caused by the cannula insertion of the children will be monitored during the day. A survey on the emotions and expectations of the parents will be done. A novel digital survey tool will be used to measure patient experiences before and after the insertion of a venous cannula needed for anaesthesia. The research questions are as follows: How does engagement with a medical clown during pre-operative cannulation impact on children and their parents' patient experience? How feasible is a novel data collection tool for measuring patient experience and the impact of an intervention on the patient experience of families?

Interventions

Medical clowning

Sponsors

Aalto University
CollaboratorOTHER
Helsinki University Central Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Intervention model description

Children and their parents entering day surgery are pre-operatively exposed to medical clowning (N=38) or normal pre-operative care (N=32)

Eligibility

Sex/Gender
ALL
Age
4 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

* a patient coming for a day surgery (any) procedure in Helsinki Children's Hospital * understands the Finnish language, * between 4 and 17 years of age and * the procedure includes the insertion of a venous cannula.

Exclusion criteria

* does not understand the Finnish language * the child is under 4 years old or 18 years or older * the procedure does not include the insertion of a cannula but for example mask anaesthesia

Design outcomes

Primary

MeasureTime frameDescription
Change in emotional statusBaseline and 2 hoursSelf reported emotions selected from a list of 11 emotional items. Assessment at baseline and after recovering from anesthesia.

Secondary

MeasureTime frameDescription
Change in anxiety statusBaseline and 2 hoursSelf reported anxiety at a scale 1-5. (1=none,..5=very much). Assessment at baseline and after recovering from anesthesia.

Countries

Finland

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026