Coulston Free, Cameron Kate L, Sellick Kath, Cavallaro Madeline, Spittle Alicia, Toovey Rachel
Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne 3052, Australia.
Clinical Sciences, Murdoch Children's Research Institute, Melbourne 3052, Australia.
J Clin Med. 2023 Mar 4;12(5):2046. doi: 10.3390/jcm12052046.
Circus activities are emerging as an engaging and unique health intervention. This scoping review summarises the evidence on this topic for children and young people aged up to 24 years to map (a) participant characteristics, (b) intervention characteristics, (c) health and wellbeing outcomes, and (d) to identify evidence gaps. Using scoping review methodology, a systematic search of five databases and Google Scholar was conducted up to August 2022 for peer-reviewed and grey literature. Fifty-seven of 897 sources of evidence were included (42 unique interventions). Most interventions were undertaken with school-aged participants; however, four studies included participants with age ranges over 15 years. Interventions targeted both general populations and those with defined biopsychosocial challenges (e.g., cerebral palsy, mental illness, or homelessness). Most interventions utilised three or more circus disciplines and were undertaken in naturalistic leisure settings. Dosage could be calculated for 15 of the 42 interventions (range one-96 h). Improvements in physical and/or social-emotional outcomes were reported for all studies. There is emerging evidence of positive health outcomes resulting from circus activities used in general populations and those with defined biopsychosocial challenges. Future research should focus on detailed reporting of intervention elements and increasing the evidence base in preschool-aged children and within populations with the greatest need.
马戏活动正成为一种引人入胜且独特的健康干预方式。本综述总结了针对24岁及以下儿童和青少年这一主题的证据，以梳理（a）参与者特征、（b）干预特征、（c）健康和幸福成果，以及（d）识别证据空白。采用综述方法，截至2022年8月，对五个数据库和谷歌学术进行了系统检索，以查找同行评审文献和灰色文献。897个证据来源中有57个被纳入（42项独特干预措施）。大多数干预措施针对学龄参与者；然而，四项研究纳入了年龄范围超过15岁的参与者。干预措施针对一般人群以及那些有明确生物心理社会挑战的人群（如脑瘫、精神疾病或无家可归者）。大多数干预措施使用了三种或更多马戏艺术形式，且在自然休闲环境中进行。42项干预措施中有15项的剂量可计算（范围为1 - 96小时）。所有研究均报告了身体和/或社会情感方面的改善。有新证据表明，马戏活动对一般人群以及那些有明确生物心理社会挑战的人群产生了积极的健康成果。未来的研究应侧重于详细报告干预要素，并增加学龄前儿童以及最有需求人群的证据基础。
