The Effects of Hospital-Based School Lessons on Children’s Emotions, Distress and Pain
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Lessons conducted in hospitals ensure school continuity for hospitalized children unable to attend regular school. Hospital-based school (HS) provides a tailored experience that ensures normality for children through education. The objective of this study is to evaluate the effects of the proposed lessons in reducing negative emotions, distress, and pain in children, as well as fostering positive affects. The study was conducted with 32 hospitalized children, aged 8–12 years, in the Onco-Hematology and Pediatric Unit of Meyer Children’s Hospital IRCCS (Florence, Italy). Positive and negative emotions were measured using the Positive and Negative Affect Scale for Children; distress was measured using the Physiological Hyperarousal for Children; pain was measured using the Visual Analogue Scale for children. Variables were assessed before (T0) and after (T1) lessons, for three times; for each variable, collected data were averaged at both T0 and T1. Statistical analyses showed a significant increase in positive emotions in hospitalized children and a significant decrease in negative emotions, distress, and pain; nevertheless, only for pain the significant correlation between its scores before and after the HS lessons indicated that the detected change occurred for all participants in much the same way. These preliminary results suggest that HS lessons can promote hospitalized children’s well-being, at least as far as pain reduction is concerned.
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HBS functions as a symbolic bridge toward life beyond hospitalization.
“our findings demonstrate that HBS functions as a symbolic bridge toward life beyond hospitalization.”
From Sense of School Belonging and School Reintegration for Students Hospitalized With Chronic or Complex Medical Diseases: Insights From a Grounded Theory Study (2026) · cites this paper as [59]
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Bradt, J., Dileo, C., Magill, L., & Teague, A. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006911.pub3 · Cited by 668 · see citing works
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Forrest, C. B., Bevans, K. B., Riley, A. W., Crespo, R., & Louis, T. A. (2011) · Pediatrics · doi:10.1542/peds.2010-3347 · Cited by 150 · see citing works
Sense of School Belonging and Paediatric Illness: A Scoping Review
Tomberli, L., & Ciucci, E. (2021) · Continuity in Education · doi:10.5334/cie.32 · Cited by 21 · see citing works
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Tomberli, L., Vagnoli, L., Pavone, L., Amore, E., & Ciucci, E. (2026) · Journal of School Health · doi:10.1111/josh.70176
“Consistent with research showing that hospital schooling mitigates educational disruption by reinforcing children’s identity as learners rather than patients [59, 60], our findings demonstrate that HBS functions as a symbolic bridge toward life beyond hospitalization.”
Self-citation
- Authors
- Ciucci, E., Tomberli, L., Amore, E., Smorti, A., Maffei, F., & Vagnoli, L.
- Affiliations
- Meyer Children's Hospital (IT)
- Corresponding author
- Ciucci, Enrica
- Venue
- Continuity in Education
- Publisher
- Ubiquity Press, Ltd.
- Published
- 2024
- Volume
- 5
- Issue
- 1
- Pages
- 100-110
- ISSN
- 2631-9179 (ISSN-L)
- PMC
- PMC11259103
- OpenAlex
- W4400657669
- Cited by
- 15
- References
- 3
- Citations by year
- 2026: 11 · 2025: 4
- FWCI
- 10.16
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Continuity in Education (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- children's emotions, distress, pain, biopsychosocial model, educational continuity
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