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"Play Therapy - methods"
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Play interventions to reduce anxiety and negative emotions in hospitalized children
Background
Hospitalization is a stressful and threatening experience, which can be emotionally devastating to children. Hospital play interventions have been widely used to prepare children for invasive medical procedures and hospitalization. Nevertheless, there is an imperative need for rigorous empirical scrutiny of the effectiveness of hospital play interventions, in particular, using play activities to ease the psychological burden of hospitalized children. This study tested the effectiveness of play interventions to reduce anxiety and negative emotions in hospitalized children.
Methods
A non-equivalent control group pre-test and post-test, between subjects design was conducted in the two largest acute-care public hospitals in Hong Kong. A total of 304 Chinese children (ages 3-12) admitted for treatments in these two hospitals were invited to participate in the study. Of the 304 paediatric patients, 154 received hospital play interventions and 150 received usual care.
Results
Children who received the hospital play interventions exhibited fewer negative emotions and experienced lower levels of anxiety than those children who received usual care.
Conclusion
This study addressed a gap in the literature by providing empirical evidence to support the effectiveness of play interventions in reducing anxiety and negative emotions in hospitalized children. Findings from this study emphasize the significance of incorporating hospital play interventions to provide holistic and quality care to ease the psychological burden of hospitalized children.
Trial registration
ClinicalTrials.gov
NCT02665403
. Registered 22 January 2016.
Journal Article
The effect of behavioral activation play therapy in adolescents with depression: A study protocol for a randomized controlled trial
Depression is a common psychological problem in adolescents worldwide. Although the World Health Organization recommends that members of this population engage in physical activity to reduce depressive symptoms, compliance with this recommendation is often low. Furthermore, although behavioral activation (BA) is recommended as a treatment for adolescents with depression, the reported effect size is small. Compared with traditional exercises, gamified physical activity (GPA) can be particularly appealing to adolescents because it is perceived as an enjoyable experience. In this study, we integrated BA and GPA to create behavioral activation play therapy (BAPT). We designed a clinical trial to investigate the feasibility, acceptability, and effectiveness of this treatment in adolescents with depression.
This study is a randomized controlled trial (RCT) with a three-arm, assessor-blinded design, conducted to validate the effectiveness and applicability of BAPT for treating adolescent with depression. We will recruit 258 participants and randomly assign them to a BAPT group, BA group, or GPA group using a ratio of 1:1:1. Based on conventional strategies for treatment and care, the three groups will receive nine BAPT sessions, nine BA sessions, or nine GPA sessions, respectively. We will compare the outcomes of the BAPT with those of the BA and GPA interventions.
This is the first RCT to explore the effectiveness and applicability of BAPT in adolescents with depression. This study will provide evidence that may help to decrease depressive symptoms in adolescents, and will demonstrate the treatment effectiveness in terms of increasing levels of physical activity, reducing the rate of non-suicidal self-injury behaviors, and improving sleep quality. We will also assess the presence of side effects and the treatment adherence of patients receiving BAPT.
Trial registration: Chinese Clinical Trial Registry, ChiCTR2300072671. Registered on 20 June 2023.
Journal Article
Accumulating Evidence for Parent-Child Interaction Therapy in the Prevention of Child Maltreatment
In a randomized controlled trial, the effectiveness of Parent-Child Interaction Therapy (PCIT) and correlates of maltreatment outcomes were examined. Mothers (N = 150) had a history or were at high risk of maltreating their children. After 12 weeks and compared to waitlist, PCIT mothers were observed to have improved parent-child interactions and reported better child behavior and decreased stress. At PCIT completion, improvements continued and mothers reported less child abuse potential and had improved maternal sensitivity. Also, PCIT completers were less likely to be notified to child welfare than noncompleters. Finally, those families not notified post-PCIT showed greater reductions in child abuse potential and improvements in observed sensitivity during treatment. Implications for theory and practice are discussed.
Journal Article
The Essence of Play
A unique companion to professional play practice!
All play professionals are united in their belief that play is important for children's development - and there are inherent characteristics of play that underpin professional play practice across contexts. Providing an overarching concept of play, drawing together the evidence base across disciplines and linking theory to practice, The Essence of Play is the ideal handbook for all those working with children.
Play acts as a natural resource for children to meet physical, intellectual and emotional challenges and this book, unusually, considers play from the perspectives of children rather than adults. It provides a baseline of shared knowledge for all play professionals, exploring the fundamental value of play rather than a 'how to' approach to practice. It considers:
the therapeutic potential inherent in play;
how play reflects and promotes physical, emotional, intellectual, linguistic and social abilities;
the emergence of different types of play skills and why these are important;
cross-cultural patterns in play, gender, atypicality and adversity, highlighting the relevance of these issues to professional play practice;
the benefits of utilising play for assessment and other professional practice issues such as ethical play practice, balancing risk with health and safety and the creation and management of boundaries.
This text is designed for students and practitioners working with children across the helping professions, including early years education, play therapy, playwork, childcare, social care, nursing and allied health. Each chapter provides directed reading and small reflective tasks to encourage readers to digest key issues.
eBook
Symbolic Play in School-Aged Minimally Verbal Children with Autism Spectrum Disorder
Few interventions exist for school-aged minimally verbal children with autism spectrum disorder (ASD). Even though play skills are associated with children’s production of language, few studies have focused on play for minimally verbal children. Fifty-eight minimally verbal children with ASD received a naturalistic developmental behavioral intervention. Children were randomized to receive a speech generating device in the context of the intervention or not. Children in both conditions improved in play skills at exit. Children demonstrated an increase in play skills in proximal (sessions) and distal (during blind assessment) contexts. Minimally verbal children with ASD can improve their play skills within a targeted intervention. Increases in symbolic play were associated with increases in expressive language skills.
Journal Article