An Animal-Assisted Intervention Study in the Nursing Home: Lessons Learned

AAI studies in the nursing home pose a specific set of challenges. In this article the practical and ethical issues encountered during a Dutch psychogeriatric nursing home AAI study are addressed with the aim of sharing our experiences for future researchers as well as AAI practitioners in general. In our study we compared three groups of clients with dementia who participated in group sessions of either visiting dog teams, visiting FurReal Friend robot animals, or visiting students (control group) and monitored the effect on social interaction and neuropsychiatric symptoms through video analysis and questionnaires. We encountered the following four categories of challenges during our study. Participant-related challenges include the legal implications of working with vulnerable patients, the practical implications of a progressive neurodegenerative disease with accompanying memory loss and behavioral problems, and the ethical implications of the use of robot animals for people with diminished cognitive functions. A very important challenge involves the selection of the participating dogs and ensuring animal welfare during the study. We partnered with a local university of applied sciences to help us successfully address these issues. The nursing home setting poses several practical challenges due to its inherent organizational structure, the high workload of nursing home staff, and an often suboptimal environment for a controlled randomized trial, especially when comparing nonpharmacological interventions. Balancing the desire for scientifically sound procedures with the practical limitations of a nursing home setting is often difficult and requires specific considerations

Evaluating the Effectiveness and Cost-Effectiveness of Seizure Dogs in Persons With Medically Refractory Epilepsy in the Netherlands

__Background:__ Epilepsy is associated with a high disease burden, impacting the lives of people with epilepsy and their caregivers and family. Persons with medically refractory epilepsy experience the greatest burden, suffering from profound physical, psychological, and social consequences. Anecdotal evidence suggests these persons may benefit from a seizure dog. As the training of a seizure dog is a substantial investment, their accessibility is limited in the absence of collective reimbursement as is seen in the Netherlands. Despite sustained interest in seizure dogs, scientific knowledge on their benefits and costs remains scarce. To substantiate reimbursement decisions stronger evidence is required. The EPISODE study aims to provide this evidence by evaluating the effectiveness and cost-effectiveness of seizure dogs in adults with medically refractory epilepsy. __Methods:__ The study is designed as a stepped wedge randomized controlled trial that compares the use of seizure dogs in addition to usual care, with usual care alone. The study includes adults with epilepsy for whom current treatment options failed to achieve seizure freedom. Seizure frequency of participants should be at least two seizures per week, and the seizures should be associated with a high risk of injury or dysfunction. During the 3 year follow-up period, participants receive a seizure dog in a randomized order. Outcome measures are taken at multiple time points both before and after receiving the seizure dog. Seizure frequency is the primary outcome of the study and will be recorded continuously using a seizure diary. Questionnaires measuring seizure severity, quality of life, well-being, resource use, productivity, social participation, and caregiver burden will be completed at baseline and every 3 months thereafter. The study is designed to include a minimum of 25 participants. __Discussion:__ This protocol describes the first randomized controlled trial on seizure dogs. The study will provide comprehensive data on the effectiveness and cost effectiveness of seizure dogs in adults with medically refractory epilepsy. Broader benefits of seizure dogs for persons with epilepsy and their caregivers are taken into account, as well as the welfare of the dogs. The findings of the study can be used to inform decision-makers on the reimbursement of seizure dogs

Defining Terms Used for Animals Working in Support Roles for People with Support Needs

This is the final version. Available on open access from MDPI via the DOI in this recordData Availability Statement: De-identified qualitative data can be made available by contacting the lead author.The nomenclature used to describe animals working in roles supporting people can be confusing. The same term may be used to describe different roles, or two terms may mean the same thing. This confusion is evident among researchers, practitioners, and end users. Because certain animal roles are provided with legal protections and/or government-funding support in some jurisdictions, it is necessary to clearly define the existing terms to avoid confusion. The aim of this paper is to provide operationalized definitions for nine terms, which would be useful in many world regions: "assistance animal", "companion animal", "educational/school support animal", "emotional support animal", "facility animal", "service animal", "skilled companion animal", "therapy animal", and "visiting/visitation animal". At the International Society for Anthrozoology (ISAZ) conferences in 2018 and 2020, over 100 delegates participated in workshops to define these terms, many of whom co-authored this paper. Through an iterative process, we have defined the nine terms and explained how they differ from each other. We recommend phasing out two terms (i.e., "skilled companion animal" and "service animal") due to overlap with other terms that could potentially exacerbate confusion. The implications for several regions of the world are discussed

The emotional lives of companion animals : attachment and subjective claims by owners of cats and dogs

There is a growing body of scientific evidence supporting the existence of emotions in nonhuman animals. Companion-animal owners show a strong connection and attachment to their animals and readily assign emotions to them. In this paper we present information on how the attachment level of companion-animal owners correlates with their attribution of emotions to their companion cat or dog and their attribution of mirrored emotions. The results of an online questionnaire, completed by 1,023 Dutch-speaking cat and/or dog owners (mainly in the Netherlands and Belgium), suggest that owners attribute several emotions to their pets. Respondents attributed all posited basic (anger, joy [happiness], fear, surprise, disgust, and sadness) and complex (shame, jealousy, disappointment, and compassion) emotions to their companion animals, with a general trend toward basic emotions (with the exception of sadness) being more commonly attributed than complex emotions. All pet owners showed strong attachment to their companion animal(s), with the degree of attachment (of both cat and dog owners) varying significantly with education level and gender. Owners who ascribed human characteristics to their dog or cat also scored higher on the Pet Bonding Scale (PBS). Finally, owners who found it pleasant to pet their dog or cat had a higher average PBS score than those who did not like to do so. The relationship between owners’ attributions of mirrored emotions and the degree of attachment to dogs was significant for all emotions, whilst for cats this relationship was significant only for joy, sadness, surprise, shame, disappointment, and compassion

Boer, zorg dat je boer blijft : een onderzoek naar de specifieke waarden van een bedrijfsmatige zorgboerderij

Zorgboeren en zorginstellingen hebben het idee dat het bedrijfsmatige karakter van een boerderij goed is voor de cliënten. Het zou hen het gevoel geven dat wat zij doen er toe doet, omdat zij ´echt´ of noodzakelijk werk verrichten. Maar is het bedrijfsmatige karakter van een boerderij inderdaad de juiste context voor cliënten? En wat zijn de voor- en nadelen van een bedrijfsmatige werksfeer op cliënten in vergelijking met zorgboerderijen zonder een agrarisch bedrijfsmatig karakter? In het onderzoek is de waarde van het agrarisch bedrijfsmatige karakter van een zorgboerderij bestudeerd voor cliënten met een verstandelijke beperking. Zorgboeren en -boerinnen, cliënten en begeleiders zijn geïnterviewd en onderzoekers hebben op verschillende zorgboerderijen een aantal dagen meegekeken.Het onderzoek bevestigt het gevoel van boeren en zorgverleners. De aanwezigheid van een echte boer, noodzakelijke werkzaamheden, kleinschaligheid en kennis van de landbouw bij de begeleiders geven cliënten meer mogelijkheden om zich te ontwikkelen. Ook worden cliënten meer opgenomen in een sociaal netwerk, doordat ze op de boerderij in contact te komen met allerlei mensen. De onderzoekers concluderen dat bedrijfsmatige zorgboerderijen de basale menselijke behoeften meer vervullen dan niet-bedrijfsmatige boerderijen. Als cliënten zien dat zij bijdragen aan de productie en zien dat de producten verkocht worden, voelen zij zich trots. Hun werk ervaren ze dan als echt belangrijk. Ze voelen zich een beetje boer.Het onderzoek laat ook zien dat bedrijfsmatige zorgboerderijen, instellingsboerderijen en landbouw- en zorgsector nog veel van elkaar kunnen leren. Verder onderzoek kan bijdragen aan de professionalisering van de zorglandbouw door zorgboeren beter inzicht te geven in hoe zij hun persoonlijke kwaliteiten in combinatie met een methodische aanpak optimaal kunnen inzetten voor hun cliënten