Emergency Smile Research Project
The project comprises two interconnected studies investigating the emotional and psychosocial impact of healthcare clowning on two populations at the heart of the humanitarian context in Lesvos: field workers supporting displaced communities (Study 1: H.A.H.A.) and unaccompanied migrant minors in their care (Study 2: S.M.I.L.E.).
Together, they will generate robust evidence on the role of arts-based interventions in humanitarian response, filling a significant gap in the existing literature and contributing to policy recommendations for organisations working with displaced communities.
The project is developed in partnership with the Jameel Arts & Health Lab, the WHO Regional Office for Europe, and the National and Kapodistrian University of Athens.
Study 1 (H.A.H.A. — Humour and Arts for Humanitarian Actors)
Study 1 focuses on humanitarian field workers and evaluates the immediate and short-term effects of RED NOSES' 2-hour Humour Relief Workshop on participants' socio-emotional wellbeing.
Using a quasi-experimental design with an intervention and a control group, the study collects data at four time points — screening, pre-test, immediate post-test, and a 3–4 week follow-up. It combines standardised questionnaires across three domains (intrapersonal coping strategies, interpersonal functioning, and mental health), semi-structured interviews, wearable physiological sensors measuring heart rate variability and electrodermal activity, and focus groups with NGO coordinators. An estimated 150 field workers from local partner organisations including Iliaktida and Parèa are expected to participate.
Study 2 (S.M.I.L.E. — Socio-emotional Measurement of Interventions for Life in Emergencies)
This study focuses on unaccompanied migrant minors aged 14–18 residing in Iliaktida-operated shelters in Lesvos. It evaluates the impact of RED NOSES' 3-week Emergency Smile clown mission on participants' socio-emotional wellbeing, sense of belonging, emotion regulation, and anxiety. The study employs a pre-post mixed-methods design combining drawing-based qualitative methods (the Bridge Drawing Test), standardised questionnaires, and physiological measures. Reflecting a commitment to participatory research principles, the design also includes a co-participation session in which a group of UAMs collaboratively interpret and reflect on anonymous drawings produced by peers.
Webinars and presentations
The research project has been presented at a range of international forums, bringing together researchers, practitioners & policymakers working across arts and health, nursing, humanitarian response, and healthcare clowning. Below is a selection of recent and upcoming webinars and conference presentations.
RED NOSES presented the Emergency Smile Research Project at the international webinar "Where Creativity Meets Care: Strengthening Child and Youth Mental Health through the Arts", hosted by the MHPSS Collaborative as part of its Wednesday Webinars for Wellbeing series (Season 2, Episode 3).
The MHPSS Collaborative is a global network coordinated by Save the Children and UNICEF, connecting practitioners and researchers working on mental health and psychosocial support across humanitarian and development contexts.
In January 2026, RED NOSES Research and Learning Manager Silvia De Faveri presented the Emergency Smile Research Project at "The Art of Nursing: Arts in Action", a webinar organised by the Royal College of Nursing Library and Museum (UK) as part of their Art of Nursing series. The session brought together practitioners and researchers exploring how arts-based approaches — from storytelling to clowning — can support healing, connection, and resilience in healthcare and humanitarian settings. RED NOSES contributed insights on how humour and healthcare clowning operate as a form of compassionate care in crisis contexts.
In March 2026, Silvia De Faveri presented the Emergency Smile Research Project at the Healthcare Clowning International Meeting (HCIM 2026), as part of the session "From Relief to Connection: How Humour Rebuilds Trust in Crisis Settings".
Together with Chiara Manavella (Head of Humanitarian Response Programme, RED NOSES International) and Marija Žemaitytė (RED NOSES Lithuania), the presentation explored how humour and interactive exercises can support self-awareness, team cohesion, and empathetic presence among professionals working in crisis and humanitarian contexts.
News and media archive
News of the project has been shared on our website and across the platforms of our partners, funders, and the wider arts and health community. Below is a selection of articles, press releases, and online features since the project's launch.
- Community Jameel, 16 April 2025. Emergency Smile: Clowning for refugees and aid workers on Lesvos with RED NOSES and Jameel Arts & Health Lab | Community Jameel
- Jameel Arts & Health Lab: Emergency Smile Research Project
- RED NOSES International, 16 April 2025. RED NOSES to explore the impact of healthcare clowning in Lesvos, in collaboration with the Jameel Arts & Health Lab and WHO Europe
- Fondation Alta Mane, Emergency Smile Research Project 2025/2027
Research team
The project is led and conducted by an interdisciplinary team of researchers and advisors from universities and institutions across Europe, North America, and international organisations, united by a shared commitment to advancing the evidence base for arts-based interventions in humanitarian settings.