The Meaning and Motivation of Children Participating in Animal-Assisted Therapy: A Pilot Study

Background: Despite claims that animal-assisted therapy is beneficial, there is limited empirical evidence supporting this. Current literature supports the physical, emotional, and psychological benefits an animal can provide, but few studies have explored the outcomes of incorporating an animal into skilled treatment facilitated by a healthcare professional. This study seeks to explore the effects of animal-assisted therapy in outpatient pediatric occupational therapy practice. Purpose: The purpose of this research is to explore the meaningfulness and motivation animal-assisted therapy interventions provide for pediatric clients when compared with traditional occupational therapy treatment. Methods: Researchers utilized a within-participants repeated-measures design for this study. Children receiving animal-assisted therapy at a private practice occupational therapy clinic were videoed performing therapeutic activities with a licensed occupational therapist and trained dogs. The videos were gathered both with and without the animal present in the therapy session and coded to determine the meaningfulness and motivation of animal-assisted therapy versus traditional therapy without a dog. Results: Statistical analysis indicated that the childrens’ scores for initiating interactions with the therapist were significantly higher in the without dog condition than in the live dog condition. Furthermore, four out of the five children demonstrated increased on task/dog comments in the live dog condition than in the stuffed dog condition. The specific intervention activity performed influenced children’s engagement and enjoyment of animal-assisted therapy interventions. Conclusion: This pilot study provides preliminary evidence that animal-assisted therapy increases children’s enjoyment and engagement during therapeutic activities when a dog was present. Furthermore, the type of animal-assisted therapy activity performed may influence the children’s motivation to participate

Considerations for Recommending Service Dogs versus Emotional Support Animals for Veterans with Post-Traumatic Stress Disorder

Background: Health care providers must understand factors that may guide the decision-making process for determining whether a veteran with post-traumatic stress disorder (PTSD) is appropriate for a service dog (SD) versus an emotional support animal (ESA), and assist SD training organizations in determining trained tasks that are suitable for the veteran’s needs. Purpose: This study explored the perspectives of SD training organizations and factors for human health care providers to consider before recommending a veteran with PTSD for a SD versus an ESA. The researchers identified information that providers should give organizations to guide the SD training and placement process. Methods: A nonexperimental web-based survey research design, including closed- and open-ended questions, was used to collect data. The sample population included SD training organizations in the United States and Canada that train SDs for veterans who have PTSD. Results: Results suggest that there are skills that can be completed by both SDs and ESAs, and specific tasks that can be only completed by SDs. Health care providers must consider factors related to animal welfare, human cognitive and psychosocial functioning, symptomatology, and expectations when determining if a veteran is a good fit for a SD versus an ESA. For veterans who are appropriate for a SD, information about individual functioning and needs in the above areas can help trainers make the best decisions regarding SD dog matching and training. Conclusion: Health care providers can play an important role in determining if a veteran with PTSD may benefit from a SD versus an ESA, and help SD training organization make informed decisions regarding SD partnership and training. Health care providers must have a strong understanding of the roles and functions of SDs and ESAs, and how dog partnership may help or hinder a veteran’s pursuit of independence in daily activities at home and in the community

Integration of Animal-Assisted Therapy Standards in Pediatric Occupational Therapy

The primary purpose of this study was to describe how the best practice recommendations and standards of practice related to animal-assisted therapy (AAT) are being incorporated into pediatric occupational therapy (OT). The study design was a nonexperimental survey that identified the qualifications of pediatric occupational therapists that are incorporating AAT, the AAT standards of practice that are or are not used in practice, and the barriers and facilitators to being an AAT qualified occupational therapist. There were 21 respondents to the survey. The majority of respondents had a master’s degree, more than 10 years working as an occupational therapist, less than 10 years of experience with AAT, and practiced in the inpatient rehabilitation setting. The data collected indicated that 2 out of the 13 standards of practice and none of the best practice recommendations are being implemented by 50% or more of respondents. The lack of education and awareness of the AAT standards of practice according to the professional organization Animal Assisted Intervention International and the actual role of volunteer organizations may be impacting the best practice implementations in pediatric occupational therapy practice

Dog Welfare, Well-Being and Behavior: Considerations for Selection, Evaluation and Suitability for Animal-Assisted Therapy

Health care and human service providers may include dogs in formal intervention settings to positively impact human physical, cognitive and psychosocial domains. Dogs working within this context are asked to cope with a multitude of variables including settings, populations, activities, and schedules. In this article, the authors highlight how both the preparation and operation of dogs within animal-assisted therapy (AAT) differs from less structured animal-assisted activities (AAA) and more exclusive assistance animal work; the authors highlight the gaps in our knowledge in this regard, and propose an ethically sound framework for pragmatic solutions. This framework also emphasizes the need for good dog welfare to safeguard all participants. If dogs are not properly matched to a job or handler, they may be subjected to unnecessary stress, anxiety, and miscommunication that can lead to disinterest in the work, overt problematic behavioral or health outcomes, or general unsuitability. Such issues can have catastrophic outcomes for the AAT. The authors propose standards for best practices for selection, humane-based preparation and training, and ongoing evaluation to ensure the health, welfare and well-being of dogs working in AAT, which will have concomitant benefits for clients and the professionalism of the field

Effects of Partnerships between Adolescents with Developmental Disabilities and Service Dogs

Background: With increasing frequency, service dogs are being placed with children with developmental disabilities (DDs). Occupational therapists and other professionals have advocated for the therapeutic use of service dog partnerships to facilitate greater independence and quality of life. There are no studies that examine service dog intervention with adolescents. Method: This study focused on the effects of partnerships between service dogs and three participant dyads, each including an adolescent with DDs and a parent. A single-subject, alternating treatment design was used to compare the effects of two conditions (service dog present or not present). The effects were examined for adolescents’ anxiety behaviors during transitions and during grocery store shopping, for social interactions during grocery store shopping, and for parents’ reported levels of stress. Results: Findings were that service dog partnerships reduced the presence of anxiety behaviors during transitions for one of the three adolescents; reduced the presence of anxiety behaviors during grocery store visits for two of the three adolescents; increased social interactions for all three of the participant dyads; and had no meaningful impact on self-reported parental stress level. Conclusion: For adolescents with DDs, professionals may want to consider service dog partnerships to decrease anxiety behaviors and increase social interactions in the community

Animal-Assisted Interventions: Relationship Between Standards and Qualifications

Ethical practice of animal- assisted interventions (AAI) requires appropriate qualifications and experience for all parties involved. Recently introduced and updated Standards of Practice emphasize the importance of AAI- specific training and qualification for different types of AAI, which should only be delivered within the scope of one’s professional competence. The purpose of this study was (1) to explore how a self- selected group of practitioners delivering AAI describe their work in relation to recent attempts to develop a terminological consensus (IAHAIO, 2014, 2018), and (2) to describe how AAI best practice recommendations (AAII, 2018) are implemented into professional practice among these AAI professionals working with dogs. The study employed an online survey that identified the participants’ qualification level, AAI specific training background, level of AAI experience, and their compliance with recommended guidelines on the documentation and measurement of clients’ progress. Data was collected from an international sample of 239 AAI professionals. A high proportion of respondents who were practitioners in a given field reported holding the necessary basic academic qualification for delivering animal- assisted education (AAE) (82.1%) or animal- assisted therapy (AAT) (91.4%). A substantial proportion delivered specific types of AAI that were beyond their scope of professional practice. A large proportion of respondent practitioners reported that they do not document (27.5%) or measure (28.5%) their clients’ progress as recommended by the professional standards. Experience in AAI was not a significant predictor of compliance with the recommended guidelines on documentation and measurement of clients’ progress; however, professional experience was related to their AAI experience. It is suggested that limitations in the provision of AAI- specific training and awareness of recently updated best practice recommendations influence the quality of AAI across practitioners. Overcoming these issues is essential to further professionalize AAI practice and enhance the quality of intervention programs

TRIM9-dependent ubiquitination of DCC constrains kinase signaling, exocytosis, and axon branching

Extracellular netrin-1 and its receptor deleted in colorectal cancer (DCC) promote axon branching in developing cortical neurons. Netrin-dependent morphogenesis is preceded by multimerization of DCC, activation of FAK and Src family kinases, and increases in exocytic vesicle fusion, yet how these occurrences are linked is unknown. Here we demonstrate that tripartite motif protein 9 (TRIM9)-dependent ubiquitination of DCC blocks the interaction with and phosphorylation of FAK. Upon netrin-1 stimulation TRIM9 promotes DCC multimerization, but TRIM9-dependent ubiquitination of DCC is reduced, which promotes an interaction with FAK and subsequent FAK activation. We found that inhibition of FAK activity blocks elevated frequencies of exocytosis in vitro and elevated axon branching in vitro and in vivo. Although FAK inhibition decreased soluble N-ethylmaleimide attachment protein receptor (SNARE)-mediated exocytosis, assembled SNARE complexes and vesicles adjacent to the plasma membrane increased, suggesting a novel role for FAK in the progression from assembled SNARE complexes to vesicle fusion in developing murine neurons

Translating Evidence-Based Policy to Practice: A Multilevel Partnership Using the Interactive Systems Framework

This is the published version, made available with the permission of the publisher.Despite increases in federal allocations, little is known about how to ensure successful implementation of evidence-based programs. This descriptive case study using the Interactive Systems Framework for Dissemination and Implementation illustrates the Prevention Support System (PSS) implemented for one federal evidence-based policy initiative. Exploring perspectives of intermediary organizations, the article describes the impetus for promoting evidence-based programming, multilevel systemic change, and the collaborations to develop strategic partnerships between national and state entities. Two early adopters, Kansas and Nebraska, illustrate the general capacity-building technical assistance activities conducted to build a multilevel PSS. The article concludes with outcomes, lessons learned, and recommendations for building stronger implementation capacity

Animal-Assisted Intervention: Relationship Between Standards and Qualifications

Ethical practice of animal- assisted interventions (AAI) requires appropriate qualifications and experience for all parties involved. Recently introduced and updated Standards of Practice emphasize the importance of AAI- specific training and qualification for different types of AAI, which should only be delivered within the scope of one’s professional competence. The purpose of this study was (1) to explore how a self- selected group of practitioners delivering AAI describe their work in relation to recent attempts to develop a terminological consensus (IAHAIO, 2014, 2018), and (2) to describe how AAI best practice recommendations (AAII, 2018) are implemented into professional practice among these AAI professionals working with dogs. The study employed an online survey that identified the participants’ qualification level, AAI specific training background, level of AAI experience, and their compliance with recommended guidelines on the documentation and measurement of clients’ progress. Data was collected from an international sample of 239 AAI professionals. A high proportion of respondents who were practitioners in a given field reported holding the necessary basic academic qualification for delivering animal- assisted education (AAE) (82.1%) or animal- assisted therapy (AAT) (91.4%). A substantial proportion delivered specific types of AAI that were beyond their scope of professional practice. A large proportion of respondent practitioners reported that they do not document (27.5%) or measure (28.5%) their clients’ progress as recommended by the professional standards. Experience in AAI was not a significant predictor of compliance with the recommended guidelines on documentation and measurement of clients’ progress; however, professional experience was related to their AAI experience. It is suggested that limitations in the provision of AAI- specific training and awareness of recently updated best practice recommendations influence the quality of AAI across practitioners. Overcoming these issues is essential to further professionalize AAI practice and enhance the quality of intervention programs