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Aim and Background: Art therapy has been known as an innovative way of growth and development of human’s physical, mental, and emotional health. Through the intricate process of painting and drawing, a child would be able to engage discrete elements of his/her experiences to create the totality of a meaningful work. Within this productive mechanism, a child, in format of artwork, is representing something beyond a simple work which is his/her attempts to display a part of his/her ego as well as how he/she thinks feels, and sees. This study aimed to evaluate the effectiveness of painting therapy on of self-esteem and self-efficacy among unaccompanied children of 5-12 years old in Karaj City, Iran. Methods and Materials: This was a semi-experimental study with pretest/posttest method and control group. The sample was 15 boys and 15 girls at the age of 5-12 years who were randomly selected from unsupervised children at Karaj Welfare. Children and adolescents’ self-efficacy questionnaire (SEQ-C), Coopersmith children and adolescents’ self-esteem questionnaire, and the projection painting were utilized as evaluation tools. In order to analyze the data and test the hypothesis, one-way univariate analysis of covariance, and the average evaluation of two independent groups for differential grading were used. Findings: The intervention in research affected the enhancement of unaccompanied children’s general self-esteem, social self-esteem, and self-esteem total score as well as emotional, social, and general self-efficacy. Conclusions: Painting therapy as a psychological intervention could be used as effective strategy to increase self-esteem and self-efficacy in child advocacy centers.

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Aim and Background: Poor designing of these hospitals, ignoring physical and emotional needs of children, could deteriorate the conditions and lead to added harm for these children. The main purpose of this research is to diagnose practical, important factors which can promote the environmental quality of hospitalization for children by incorporating their ideas and emotions.
Methods and Materials: The research plan is qualitative and the implemented qualitative research plan is Thematic Analysis by Braun & Clarke Approach. The statistical population of the study is children between 7 to12, hospitalized in Imam Hossein Hospital in Esfahan. Sample size was carefully selected according to the purpose of the study to achieve Theoretical saturation. In order to grasp their idea of a qualified hospital room, the 40 paintings made by targeted children were then analyzed by Thematic Analysis and ATLAS-ti 7.
Findings: According to the findings focusing on children’s perceptions and ideas, it was realized that the quality of hospital room is influenced by five factors including; items and features located in room, visual effects, practical attractions, personalized environment and rearranging the accepted order of the environment.
Conclusions: According to the outcomes of the research, it was concluded that by improving the details and items located in rooms and creating visual and practical attractions as well as reducing limitations for children with the purpose of allowing them personalize their environment, the quality of hospitalization environment could be enhanced to a great extent. Their ideas supported the interactive approach required in determining influential factors on the quality of architecture.