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This study investigated the effects of hospital Clown Doctors intervention on child and
caregiver preoperative anxiety at the entrance to the surgery care unit and separation
from caregivers. A total of 88 children (aged 4-12 years) were assigned to one of the
following two groups: Clown Doctors intervention or control group (standard care).
Independent observational records using the modified Yale Preoperative Anxiety Scale
instrument assessed children’s anxiety, while the State-Trait Anxiety Inventory
measured caregiver’s state anxiety. In addition, caregivers assessed the children’s
functional health problems by completing the Functional Status Questionnaire. Although
no effects of Clown Doctors were found on children’s anxiety, results showed that both
low functional health problems and Clown Doctors intervention were significant
predictors of lower caregiver anxiety. Caregivers also reported being very satisfied with
their intervention. Overall, this study demonstrated the positive role of Clown Doctors
for caregivers at a specific pediatric hospital setting.peer-reviewe
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