{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T09:09:03Z","timestamp":1789808943210,"version":"4.0.1"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100015539","name":"Australian Government Research Training Program Scholarship","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015539","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dementia"],"abstract":"<jats:p>\n                    Elder clowning is a multi-component, person-centred intervention delivered to persons living with dementia in long-term care to enhance quality of life through individualised social engagement. Although persons with dementia are the target recipients of the intervention, their families may also derive benefits. However, their perspectives currently remain unexplored. This study aimed to explore whether and in what ways families of persons living with dementia in long-term care benefit from elder clowning interventions, from the perspectives of families and long-term care staff. Semi-structured interviews with family members of persons living with dementia and long-term care staff were conducted in four long-term care homes in Eastern Australia. Interviews were audio-recorded, transcribed, and analysed according to Braun and Clarke\u2019s Reflexive Thematic Analysis. Analysis of family member (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 11) and staff (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 20) perspectives on elder clowning generated two main themes: (1) transforming the emotional experience of visiting and (2) strengthening family connections through the shared experience. Elder clowning supported families to have improved visiting experiences with their relative in long-term care, which eased visit-related stress before, during, and after visits. Person-centred engagement through elder clowning was perceived to support the reciprocal interaction and happiness of their relative, which supported positive emotions for families. Families learned about their relative\u2019s communicative capacity and new dementia-specific communication skills, which they then implemented independently from elder clowning. Shared positive experiences supported socialisation, reminiscence, and memory-making, which may have supported family connections. Elder clowning also provided families with opportunities for social support. While some families were actively involved, others preferred to watch, and some were perceived to decline involvement. Families expressed preferences or suggestions regarding intervention delivery, such as continuity and access. The benefits of elder clowning were found to extend beyond entertainment to support psychosocial wellbeing of families of persons living with dementia in long-term care.\n                  <\/jats:p>","DOI":"10.1177\/14713012261487540","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:15:23Z","timestamp":1789604123000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cSomeone\u2019s Acknowledged My Mum\u2026in that Moment she Connected\u201d: A Qualitative Study of Family Benefits of Elder Clowning for Persons With Dementia in Long-Term Care"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4681-5963","authenticated-orcid":false,"given":"Sara-Jane","family":"Roberts","sequence":"first","affiliation":[{"name":"University of Technology Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6984-8702","authenticated-orcid":false,"given":"Serra","family":"Ivynian","sequence":"additional","affiliation":[{"name":"University of Technology Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6121-5409","authenticated-orcid":false,"given":"Tim","family":"Luckett","sequence":"additional","affiliation":[{"name":"University of Technology Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5484-8224","authenticated-orcid":false,"given":"Michelle","family":"DiGiacomo","sequence":"additional","affiliation":[{"name":"University of Technology Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781405186407.wbieco004"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301215581081"},{"key":"e_1_3_8_4_1","first-page":"19","volume-title":"Supporting research in counselling and psychotherapy: Qualitative, quantitative, and mixed methods research","author":"Braun V.","year":"2023","unstructured":"Braun V., Clarke V., Hayfield N., Davey L., Jenkinson E. (2023). Doing reflexive thematic analysis. In Supporting research in counselling and psychotherapy: Qualitative, quantitative, and mixed methods research (pp. 19\u201338). Springer."},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S095925980400108X"},{"issue":"5","key":"e_1_3_8_6_1","first-page":"1240","article-title":"Effectiveness of psychosocial interventions on the psychological health and emotional well-being of family carers of people with dementia following residential care placement: A systematic review","volume":"16","author":"Brooks D.","year":"2018","unstructured":"Brooks D., Fielding E., Beattie E., Edwards H., Hines S. (2018). Effectiveness of psychosocial interventions on the psychological health and emotional well-being of family carers of people with dementia following residential care placement: A systematic review. 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Laughter care. https:\/\/humourfoundation.org.au\/laughter-care\/"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0733464813505701"},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14978"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301207075625"},{"key":"e_1_3_8_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951524000579"},{"key":"e_1_3_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.70002"},{"key":"e_1_3_8_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/21594937.2013.852052"},{"key":"e_1_3_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.03143.x"},{"key":"e_1_3_8_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610212001664"},{"key":"e_1_3_8_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.153684"},{"key":"e_1_3_8_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnad095"},{"key":"e_1_3_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/14713012211046595"},{"key":"e_1_3_8_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.1069846"},{"key":"e_1_3_8_20_1","volume-title":"Dementia reconsidered: The person comes first","author":"Kitwood T.","year":"1997","unstructured":"Kitwood T. 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