Evaluation of a Pet-Assisted Living Intervention for Improving Functional Status in Assisted Living Residents With Mild to Moderate Cognitive Impairment

Friedmann, Erika; Galik, Elizabeth; Thomas, Sue; Hall, Porsha; Chung, Seon Yoon; McCune, Sandra

doi:10.1177/1533317514545477

Cited by 87 publications

(118 citation statements)

References 93 publications

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“…Earlier studies have shown the effect of AAI on social, behavioural, psychological, and physiological outcomes, such as increased social behaviour (12)(13)(14)(15), decreased depression (19,20,63), increased mood (64), decreased agitation (10,17), and physiological outcomes that might reduce restlessness (for other studies, see the review by Beetz et al (58)). These factors are all linked to fall prevention (65).…”

Section: Discussionmentioning

confidence: 99%

“…Animalassisted activities (AAAs) are one type of AAI and include, for example, dogs and their handlers who visit for 'meet-and-greet' activities (11). Most studies of AAIs have focused on the interventions' impacts on social outcomes (12)(13)(14)(15), behavioural and psychological outcomes (16)(17)(18)(19)(20), and physiological outcomes (21-23), many of which are regarded as risk factors associated with falls. However, there are fewer studies of the effect of AAIs on performance-based physical outcomes and the results from these studies are inconsistent (19,24).…”

Section: Introductionmentioning

confidence: 99%

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Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia

et al. 2016

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Purpose of the study was to examine if animal-assisted activity with a dog (AAA) in homedwelling persons with dementia (PWDs) attending day-care centers would have an effect on factors related to risk of fall accidents, with balance (Berg balance scale) and quality of life (Quality of Life in Late-stage Dementia) as main outcome. The project was conducted as a prospective and cluster-randomized multicenter trial with a follow-up. 16 adapted day-care centers recruited respectively 42 (intervention group) and 38 (control group with treatment as usual) home-dwelling PWDs. The intervention consisted of 30 min sessions with AAA led by a qualified dog handler twice a week for 12 weeks in groups of 3-7 participants. The significant positive effect on balance indicates that AAA might work as a multifactorial intervention in dementia care and have useful clinical implication by affecting risk of fall.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia

et al. 2016

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“…So far, AAA has been carried out mainly in institutions, such as nursing homes; rehabilitation units; psychiatric, surgical, or orthopedic departments of hospitals; or prisons (Abate et al, 2011;Aiba et al, 2012;Beetz et al, 2012;Borgi et al, 2016;Calcaterra et al, 2015;Cole et al, 2007;Friedmann et al, 2015;Harper et al, 2015;Harris, Rinehart, & Gerstman, 1993;Ko et al, 2015;Majic et al, 2013;Menna et al, 2015;Munoz Lasa et al, 2015;Nurenberg et al, 2015;Vagnoli et al, 2015;Wohlfarth et al, 2013). Home visits for AAA are unusual in Europe; however, they are an offered service in the United States for homebound patients and are appreciated by patients who are too sick to leave their homes by themselves (Harris et al, 1993).…”

Section: Introductionmentioning

confidence: 99%

“…Despite their increasing application in a wide range of therapeutic services, the empirical evidence base of AAAs is limited (Beetz, Uvnas-Moberg, Julius, & Kotrschal, 2012;Munoz Lasa et al, 2015). There are only few randomized studies which have investigated the effect of AAA, as listed in Table 1 (Borgi et al, 2016;Calcaterra et al, 2015;Cole, Gawlinski, Steers, & Kotlerman, 2007;Friedmann et al, 2015;Harper et al, 2015;Ko, Youn, Kim, & Kim, 2015;Majic, Gutzmann, Heinz, Lang, & Rapp, 2013;Menna, Santaniello, Gerardi, Di Maggio, & Milan, 2015;Nurenberg et al, 2015;Vagnoli et al, 2015;Wohlfarth, Mutschler, Beetz, Kreuser, & Korsten-Reck, 2013). Most of these studies were carried out in patients with psychiatric disorders.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Home-Use Animal-Assisted Activities in Patients With Implanted Cardiac Electronic Devices

et al. 2016

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Animal-assisted activities (AAAs) are mainly carried out in institutions. The aim of this prospective pilot study was to assess the willingness of patients with cardiac implanted electronic devices (IEDs) to participate in AAA. The sample included 75 ambulatory patients (18 females, M age = 69 years), who attended an outpatient clinic for control of antibradycardic pacemakers (n = 15) or implanted cardioverter defibrillators (n = 60). Twenty-three percent were current and 48% were previous pet-owners. Current pet-owners were younger than non-pet-owners (63.5 vs. 72.0 years, p = .0003). Twelve patients (16%) showed interest in AAA visits. However, only two patients agreed to an AAA visit. Both patients were visited once, but declined further visits. Hence, AAA sessions at home were poorly accepted, mainly because the patients considered themselves too busy or healthy, or due to a general disinterest in AAA. Potential health benefits associated with AAA may not be feasible to investigate during home visits of AAA-teams in patients with IEDs who are healthy enough to leave their homes. For further studies concerning AAA in patients with cardiovascular diseases, we suggest focusing on institutions like rehabilitation centers or day care centers and on more severely sick, homebound patients.

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“…The dogs are used with positive results in healthcare settings in relation to people with dementia or psychiatric disorders [3,4]. A growing scientific evidence base indicates that DAIs can reduce behavioral and psychological symptoms and/or improve quality of life (QoL) in people with dementia [5][6][7][8][9][10][11]. Moreover, the use of therapy dogs can possibly slow down the progression of cognitive impairment in patients with early stage or mild Alzheimer's disease [12].…”

Section: Introductionmentioning

confidence: 99%

Effects of dog-assisted intervention on quality of life in nursing home residents with dementia

Kårefjärd

Nordgren

2018

Scandinavian Journal of Occupational Therapy

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Background: People with dementia often have a poor quality of life. Therefore, methods that can improve their life situation must be identified. One promising method is dog-assisted intervention. Aim: This study aimed to investigate the effects of dog-assisted intervention on quality of life in nursing home residents with dementia. Materials and methods: A one-group, pretest post-test study design was used. Quality of life was measured using the QUALID in 59 nursing home residents prior to and after a dog-assisted intervention. Non-parametric tests were used to analyze the data, and effect sizes were calculated. Results: The participants' total scores improved significantly between baseline and post-test 1 (p ¼ < 0.001) and worsened significantly at post-test 2 (p ¼ 0.025). The largest effect size was found for the item 'Verbalization suggests discomfort' (p ¼ 0.001). Conclusion:The results indicate that dog-assisted interventions can have positive effects on quality of life in nursing home residents with moderate to severe dementia. Significance: The results contribute to a growing knowledge base about non-pharmacological methods that can be used in dementia care. Occupational therapists should consider dogassisted interventions when planning activities that can reduce the illness burden and improve the quality of life for people with dementia.

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Evaluation of a Pet-Assisted Living Intervention for Improving Functional Status in Assisted Living Residents With Mild to Moderate Cognitive Impairment

Abstract: Evidence supports that the PAL program helps preserve/enhance function of AL residents with CI. Additional study is required to evaluate the duration and predictors of effectiveness of the PAL intervention.

Cited by 87 publications

References 93 publications

Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia

Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia

Feasibility of Home-Use Animal-Assisted Activities in Patients With Implanted Cardiac Electronic Devices

Effects of dog-assisted intervention on quality of life in nursing home residents with dementia

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