ArticleDementia (London, England)2017
Presence redefined: The reciprocal nature of engagement between elder-clowns and persons with dementia.
Article in Dementia (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.
- Elder Clowning Interventions for Persons With Dementia in Long-Term Care: A Systematic Review and Metasynthesis of Qualitative Research.Dementia (London, England) · 2026Pooled it
- Article
- The Value of Playwork for Care Home Residents Living With Dementia: A Pilot Study.Dementia (London, England) · 2026Article
- Achieving surprise and play in unexpected places: clowns as artistic resources in oncology and palliative care.Frontiers in psychology · 2026Article
- 'Our role is to listen more than entertain': A qualitative study of techniques used by Laughter Care Specialists with people who have dementia in long-term care.Australasian journal on ageing · 2025Article
- The Impacts of a Clown Doctor Program on an Adolescent Psychiatric Unit: A Mixed Methods Investigation.Child psychiatry and human development · 2025Article
- From living well to dying well with dementia: The significance of an expanded understanding of loss for end-of-life care.Palliative care and social practice · 2025Article
- Exploring presence practices: a study of unit managers in a selected Provincial Hospital in Free State Province.BMC nursing · 2024Article
- "I made you a small room in my heart": how therapeutic clowns meet the needs of older adults in nursing homes.International journal of qualitative studies on health and well-being · 2023Article
- Benefits of Cultural Activities on People with Cognitive Impairment: A Meta-Analysis.Healthcare (Basel, Switzerland) · 2023Review
- Intervention and application of clown care in nursing homes: a scoping review.Aging clinical and experimental research · 2023Article
- Medical clowns in Coronavirus wards: A milestone in further integration into Israeli hospitals.Complementary therapies in clinical practice · 2023Article
- Evaluation of a Study Protocol of the Application of Humor Interventions in Palliative Care Through a First Pilot Study.Palliative medicine reports · 2023Article
- More Than Just an Entertainment Show: Identification of Medical Clowns' Communication Skills and Therapeutic Goals.Qualitative health research · 2023Article
- Rethinking the Precedent Autonomy, Current Minimal Autonomy, and Current Well-Being in Medical Decisions for Persons with Dementia.Journal of bioethical inquiry · 2022Article
- A feasibility study of the use of medical clowns as hand-hygiene promoters in hospitals.PloS one · 2022Article
- Free to be: Experiences of arts-based relational caring in a community living and thriving with dementia.Dementia (London, England) · 2022Article
- A Brief Report on Reviews of Existing Creative Art-Based Interventions in Dementia Care From 2010-2020.Frontiers in aging · 2022Article
- Seriously Foolish and Foolishly Serious: The Art and Practice of Clowning in Children's Rehabilitation.The Journal of medical humanities · 2021Article
- Dancing With Dementia: Exploring the Embodied Dimensions of Creativity and Social Engagement.The Gerontologist · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
Elder-clowns are a recent innovation in arts-based approaches to person-centred dementia care. They use improvisation, humour, and empathy, as well as song, dance, and music. We examined elder-clown practice and techniques through a 12-week programme with 23 long-term care residents with moderate to severe dementia in Ontario, Canada. Analysis was based on qualitative interviews and ethnographic observations of video-recorded clown-resident interactions and practice reflections. Findings highlight the reciprocal nature of clown-resident engagement and the capacity of residents to initiate as well as respond to verbal and embodied engagement. Termed relational presence, this was achieved and experienced through affective relationality, reciprocal playfulness, and coconstructed imagination. These results highlight the often overlooked capacity of individuals living with dementia to be deliberately funny, playful, and imaginative. Relational presence offers an important perspective with which to rethink care relationships between individuals living with dementia and long-term care staff.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.