Abstract

Simple SummaryScientific evidence of the effects of intervention with dogs as a non-pharmacological distraction strategy in child hospital care is still small. In addition, the results of implementation of animal-assisted programmes at a paediatric day hospital are not known. Thus, in this pilot study, we conducted preliminary research on the efficacy of an intervention based on the use of therapy dogs at a Spanish day hospital. An intra-subject quasi-experimental longitudinal design was used. The study showed that implementation of an animal-assisted programme at a paediatric day hospital is feasible. Children and parents both gave this programme their highest satisfaction rating. The results portray a significant improvement in the child’s self-assessment of their emotional well-being. In parallel, the parents confirmed this significant improvement in the child’s mood. The research suggests that conducting an animal-assisted session just before an outpatient medical procedure is an effective approach in the promotion of emotional welfare, a compromised area for a high percentage of paediatric patients during hospitalisation periods.There is a growing interest in the use of animal-assisted intervention (AAI) as a non-pharmacological strategy to improve child welfare in hospitals. However, the efficacy of implementation of programmes based on activities with dogs in a paediatric day hospital is not known. An intra-subject quasi-experimental longitudinal design was used for the purpose of assessing the feasibility of such an intervention, as well as exploring the perceptions of its outcomes by children and parents/guardians. A total of 55 children in outpatient care at a paediatric day hospital participated in an AAI session. The application of this intervention was feasible. Self-assessment by the paediatric patients revealed a statistically significant improvement in their emotional state after the session, which was large in size. Parents confirmed this improvement in their child, perceiving significant changes in their mood, which were large in size. This study suggests that AAI is an effective approach when it comes to promoting the emotional welfare of children during their stay in hospital care environments. Participating in recreational occupations with dogs could contribute in a relevant and efficient way to the development of significant and gratifying experiences and to a more positive perception of healthcare centres on the part of children.

Highlights

  • Hospital stays can compromise the emotional welfare of children

  • The doctor in charge of the unit invited a total of 64 patients admitted to the day hospital to participate; six children (9.4%) were not included for the following reasons: no consent was given by parents/guardians or the child did not wish to participate (n = 4); known dog allergy (n = 1); and excessive fear, anxiety or discomfort in the presence of a dog (n = 1)

  • After the animal-assisted intervention (AAI) session, the median score was 1 point, which corresponds to the choice of the face that shows the most positive emotion out of the possible five

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Summary

Introduction

A relevant percentage of children evidence psychological distress during their hospitalisation, stemming from a complex combination of negative emotions such as anxiety, sadness or fear [1,2,3,4,5]. These experiences are common if they are outpatients at the hospital [6,7]. Regarding medical procedures that use needles, a recent systematic review supported the incorporation of distraction strategies with the aim of reducing pain and psychological distress among children, the quality of the evidence was low, arguing for the need to conduct more research in this field [11]

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