The Effect of Medical/Therapeutic Clowns on the Playfulness of Children with Intellectual Disabilities

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Bibliographic Details
Title: The Effect of Medical/Therapeutic Clowns on the Playfulness of Children with Intellectual Disabilities
Language: English
Authors: Feniger-Schaal, Rinat (ORCID 0000-0002-8324-8030), Stern, Amitai, Elizarov, Einat
Source: Journal of Applied Research in Intellectual Disabilities. Jan 2023 36(1):186-195.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 10
Publication Date: 2023
Document Type: Journal Articles
Reports - Research
Descriptors: Play, Intellectual Disability, Preschool Children, Intervention, Social Development, Emotional Development, Pediatrics, Student Behavior
Assessment and Survey Identifiers: Adaptive Behavior Scale
DOI: 10.1111/jar.13049
ISSN: 1360-2322
1468-3148
Abstract: Background: Play is an essential component of children's development. Children with intellectual disability tend to have poor socioemotional abilities and impaired play. This study examined the effects of a medical/therapeutic clowning play intervention on the playfulness of children with intellectual disability. Method: Two medical clowns facilitated a play intervention in a preschool classroom setting with a total of 52 children with intellectual disability. We compared before and after two groups that received the intervention: group 1 met the medical clowns once a week for 6 months (long-intervention group) and group 2 for 3 months (short intervention group). Children's functioning was assessed using the Vineland Adaptive Behaviour Scales. Children's playfulness was scored using the Test of Playfulness observational assessment. A teachers' focus-group was used to gather additional information on the clowns' work. Results: Children's playfulness increased significantly at the end of the intervention, whereas the improvement in the playfulness scores of group 1 was significantly larger than those of group 2 (t[subscript 50] = -4.82, p < 0.001). The teachers' focus group revealed additional benefits of the medical clowns' work. Conclusion: The results shed light on the play and playfulness of children with intellectual disability and the possible contribution of a clowning play intervention to their development.
Abstractor: As Provided
Entry Date: 2022
Accession Number: EJ1358856
Database: ERIC
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Abstract:Background: Play is an essential component of children's development. Children with intellectual disability tend to have poor socioemotional abilities and impaired play. This study examined the effects of a medical/therapeutic clowning play intervention on the playfulness of children with intellectual disability. Method: Two medical clowns facilitated a play intervention in a preschool classroom setting with a total of 52 children with intellectual disability. We compared before and after two groups that received the intervention: group 1 met the medical clowns once a week for 6 months (long-intervention group) and group 2 for 3 months (short intervention group). Children's functioning was assessed using the Vineland Adaptive Behaviour Scales. Children's playfulness was scored using the Test of Playfulness observational assessment. A teachers' focus-group was used to gather additional information on the clowns' work. Results: Children's playfulness increased significantly at the end of the intervention, whereas the improvement in the playfulness scores of group 1 was significantly larger than those of group 2 (t[subscript 50] = -4.82, p < 0.001). The teachers' focus group revealed additional benefits of the medical clowns' work. Conclusion: The results shed light on the play and playfulness of children with intellectual disability and the possible contribution of a clowning play intervention to their development.
ISSN:1360-2322
1468-3148
DOI:10.1111/jar.13049