Descriptive Analyses
Table 1 and
Table 2 below show the descriptive statistics of socio-demographic variables of the sample and measures of perceived self-efficacy, motivation, work experience and trait dispositions, respectively.
For participants, the motivation factors with higher mean scores were found to be: values (M = 3.61 SD = 0.55), self-enhancement (M = 3.60 SD = 0.73), and knowledge/skills (M = 3.48 SD = 0.69). This result shows that needs attributable to the internal sphere of the person are higher in clown therapists: acting according to higher instances of values whose importance is internally felt, desiring growth and self-improvement, constantly seeking to acquire additional knowledge and skills. In contrast, the motivational factors with lower mean scores are all oriented to the sphere outside the person: deriving opportunities for concrete utility, obtaining protection from the group or institution, acquiring opportunities for new relationships and social contacts. In terms of gender differences, females in the sample showed significantly higher scores for the purposes of self-enhancement (t = −2.239; p = 0.026 CI 95% −0.429; −0.027), knowledge/skills (t = −2.212; p = 0.028 CI 95% −0.405; −0.023), and values (t = −2.472; p = 0.014 CI 95% −0.340; −0.038), demonstrating a greater intensity of the drive from internal motivational factors. The average level of perceived self-efficacy of the sample reports a score in the medium/high range (M = 3.63 SD = 0.48), indicating that overall, the clown therapists who participated in the study had a good perception of appropriateness and competence in the role. There were no significant differences in perceived self-efficacy with respect to gender, educational qualification, marital status, having had specific training prior to undertaking this activity, or target population (children, disabled, psychiatric patients, the elderly).
Regarding the trait measure carried out by ITAPI-G, the factors with the highest mean scores were empathy (M = 3.38 SD = 0.41), dynamism (M = 3.13 SD = 0.50), imagination (M = 3.34 SD = 0.53) and conscientiousness (M = 2.95 SD = 0.55). The prevailing profile shows a clown therapist with pronounced active and creative empathic resonance, but at the same time with a disposition to control and good planning of actions taken. On the opposite polarity is recorded a profile substantially less suited to the delicate task of hospital animation, which exhibits traits of vulnerability (M = 2.28 SD = 0.63), introversion (M = 2.34 SD = 0.63) and defensiveness (M = 2.54 SD = 0.47). Excessive emotional sensitivity and vulnerability, coupled with defensive closure, clearly prevent the caregiver with these characteristics from being able to establish an effective and collaborative helping relationship with the team, but more importantly, they expose the person to absorbing and increasing levels of stress and tension that are not effectively modulated or regulated.
Table 3 below illustrates the associations among the variables that emerged in the study conducted.
As shown in
Table 3, perceived self-efficacy correlated most strongly with value-oriented motivation (0.360 **), knowledge/skills search (0.284 **), self-enhancement orientation (0.207 **), sociality need (0.190 **), while among the dispositional factors with the strongest strength of association were dynamism (0.349 **), empathy (0.232 **), conscientiousness (0.207 **), imagination (0.198 **), and in inverse association, vulnerability (−0.213 **) and introversion (−0.187 **). This set of correlations shows that a good level of perceived self-efficacy in the clown therapist is generally associated with the gratification of needs of the person’s inner sphere (value orientation, knowledge acquisition, self-improvement) and also with the pursuit of social ties and contacts. In terms of traits, the importance of the capacity for activation, positive and constructive adaptation to situations, the ability to establish a relationship of empathetic openness and attunement with the other, without prejudice and defensive closures, is emphasized. Equally interesting are the correlations between individual motivations and personality traits of the clown therapist. Personal utility research showed significant associations with vulnerability (0.220 **), experience (−0.195 **) and imagination (0.178 **). In this case, it is likely that the awareness of personal fragility is accompanied by the desire for compensation by obtaining concrete achievements, without having a specific plan but rather accompanying the path with fantasies and aspirations cultivated in the imagination. The negative association with experience testifies that as practice in clown therapy continues, the driving factor is no longer that of an expectation of personal usefulness, instead other factors evidently gain full prevalence.
The self-improvement motive showed major correlations with empathy (0.279 **), imagination (0.252 **), defensiveness (0.213 **), vulnerability (0.191 **), and conscientiousness (0.181 **). Clown therapists with greater interpersonal skills and who are more prone to emotional sharing are also those who seek further growth through direct contact with a suffering humanity to be sustained through the use of creative means and diffusion into alternative and fantastic scenarios. The association with conscientiousness indicates the seriousness of the task undertaken and the awareness of having to continually improve in perfecting the means and techniques employed. The presence of associations with defensiveness and vulnerability could refer to the desire for more fragile individuals to measure themselves against this delicate task of hospital animation, believing that they can thereby work indirectly in favor of overcoming their perceived vulnerabilities.
The need for protection showed the main correlations with empathy (0.292 **), defensiveness (0.258 **), vulnerability (0.234 **), imagination (0.212 **), and experience (−0.193 **). Again, individuals with frailty and compensatory defensive set-ups can imagine their belonging to the clown therapeutic animation group a sense of protection, identifying themselves in a positive, meaningful, and beneficial role for other, less fortunate people. The inverse association with experience shows that over time the motivation for surrogate protection entrusted to others can give way to a greater awareness of self and one’s autonomy.
The need for sociability reported the strongest correlations with empathy (0.285 **), imagination (0.225 **) and inverse with experience (−0.166 **). Motivation characterized by the search for social contact naturally showed a priority connection with empathic disposition but also with a productive effervescence of mind capable of creative outbursts and brilliant inventiveness. The inverse correlation with experience may indicate that over time this initial need for externalized orientation (bonding and social contact) is not as strong, while at the same time, as noted in previous comments, intrinsic motivational factors of the person may gain more prominence.
Motivation oriented toward acquiring knowledge and skills showed correlations with the trait of dynamism (0.255 **), imagination (0.246 **), empathy (0.223 **), experience (−0.201 **), and vulnerability (0.176 **). Plausibly, a dynamic and mentally active profile is driven by a lively intellectual curiosity and aspiration to acquire further skills. Those who show greater openness to relationships and disposition to mutual understanding are also more oriented toward gathering new knowledge and enhancing their skills precisely through interactive exchange. Those who feel more of their own limitations in terms of personal vulnerability may feel the need to engage in new activities to curb these gaps in their wealth of experience.
Finally, the clown therapist’s value motivation reported significant correlations with empathy (0.381 **), imagination (0.260 **), dynamism (0.258 **), introversion (−0.214 **), and experience (−0.164 **). Once again, an active, open, and dynamic profile appears to be a favorable disposition for an agenticity guided by higher and general value instances, not confined to the mere sphere of self-interest. Introversion, on the other hand, appears more as rigid fixation on one’s ego that renders the person incapable of acting in a genuinely prosocial manner.
The inverse associations with experience, found on as many as five of the six motivational functions, could also have a different interpretation from the one presented earlier: it could be a sign of a decreased involvement of the practitioners who over time may begin to perceive a certain disillusionment from previous expectations, a motivational decline that may sooner or later also lead them to leave the clown therapist activity.
In order to identify predictors of perceived practitioner self-efficacy, a hierarchical regression was performed on motivational and trait variables. The preliminary verifications of the regression assumptions excluded the presence of multivariate outliers. Mardia’s multivariate kurtosis index (245.161) was in fact below the critical value [p (p + 2) = 255]; therefore, the relationship between the variables can be considered substantially linear. Low co-linearity was indicated by the low variance inflation factor (VIF) values < 2 and high tolerance values > 0.60. For verification of the assumptions on the residuals, the average between the standardized and raw residuals was equal to 0; the Durbin–Watson test had a value of 1.88 and was therefore indicative of the absence of autocorrelation.
A hierarchical multiple regression was run to determine if the addition of values, dynamism, vulnerability, conscientiousness, and experience improved the prediction of the perceived self-efficacy. The full model resulted statistically significant, R
2 = 0.305, F(5,258) = 22.206,
p < 0.001; adjusted R
2 = 0.291. The regression model included values and dynamism at step 1, vulnerability at step 2, conscientiousness at step 3, and experience at step 4. The results of the hierarchical multiple linear regressions are presented in
Table 4.
In the regression model, with self-efficacy as outcome variable, values and dynamism jointly explained a 20% portion of the outcome variability. Adding vulnerability at the second step provided a significant improvement in the explained variance, which reached 24%. By adding conscientiousness at the third step, the explained variance further significantly increased to 28%. By adding experience at the fourth step, the explained variance further significantly increased to 31%. Standardized beta values were significant, with a positive sign for values, dynamism, conscientiousness, experience, and a negative sign for vulnerability.
Two additional analyses were then conducted using the selection variable in order to compare:
(1) The predictive pattern of self-efficacy in those working primarily with children (n = 195) compared with those working primarily with the elderly (n = 58). In fact, these represented the most frequent targets, compared with clown therapists working with the disabled (N = 4) and psychiatric patients (N = 2).
(2) The predictive model of self-efficacy in those who work mainly in pairs (N = 111) compared to clown therapists who usually work in teams (N = 144).
Considering the group of clown therapists who work with children, the statistically significant full model was the following: R
2 = 0.315, F(5,194) = 17.371,
p < 0.001; adjusted R
2 = 0.297. The regression model included values and dynamism at step 1, vulnerability at step 2, experience at step 3, and conscientiousness at step 4. The results of the hierarchical multiple linear regressions are presented in the following
Table 5.
In the regression model, with self-efficacy as outcome variable, values and dynamism jointly explained a 22% portion of the outcome variability. Adding vulnerability at the second step provided a significant improvement in the explained variance, which reached 27%. By adding experience at the third step, the explained variance further significantly increased to 30%. By adding conscientiousness at the fourth step, the explained variance further significantly increased to 31%. Standardized beta values were significant, with a positive sign for values, dynamism, conscientiousness, experience, and a negative sign for vulnerability.
Considering, instead, the group of clown therapists who work with the elderly, the statistically significant full model was the following: R
2 = 0.303, F(2,57) = 11.952,
p < 0.001; adjusted R
2 = 0.278. The results of the hierarchical multiple linear regressions are presented in following
Table 6. In the regression model, with self-efficacy as outcome variable, conscientiousness and experience jointly explained a 30% portion of the outcome variability.
Considering the group of clown therapists who routinely work in pairs, the statistically significant full model was the following: R
2 = 0.332, F(4,110) = 13.197,
p < 0.001; adjusted R
2 = 0.307. The regression model included values and vulnerability at step 1, dynamism at step 2, and experience at step 3. The results of the hierarchical multiple linear regressions are presented in
Table 7. In the regression model, with self-efficacy as outcome variable, values and vulnerability jointly explained a 26% portion of the outcome variability. Adding dynamism at the second step provided a significant improvement in the explained variance, which reached 29%. By adding experience at the third step, the explained variance further significantly increased to 33%. Standardized beta values were significant, with a positive sign for values, dynamism, experience, and a negative sign for vulnerability.
Considering the group of clown therapists who routinely work as a team, the statistically significant full model was the following: R
2 = 0.302, F(4,143) = 15.069,
p < 0.001; adjusted R
2 = 0.282. The regression model included values and dynamism at step 1, conscientiousness at step 2, and vulnerability at step 3. The results of the hierarchical multiple linear regressions are presented in
Table 8.
In the regression model, with self-efficacy as outcome variable, values and dynamism jointly explained a 23% portion of the outcome variability. Adding conscientiousness at the second step provided a significant improvement in the explained variance, which reached 27%. By adding vulnerability at the third step, the explained variance further significantly increased to 30%. Standardized beta values were significant, with a positive sign for values, dynamism, conscientiousness, and a negative sign for vulnerability.