Animal-assisted Therapy Sessions Research Articles

The feasibility and acceptability of integrating dogs into inpatient rehabilitation therapy with children with acquired brain injury.

Children with acquired brain injury (ABI) are at risk for poor therapeutic engagement due to cognitive impairment, affect lability, pain, and fatigue. Animal-assisted therapy (AAT) has the potential to improve patient engagement in rehabilitation therapies; however, the feasibility of integrating AAT into the rigorous therapy schedule of inpatient clinical care or its reception by patients, families, and staff is unknown. To examine the feasibility and acceptability of incorporating dogs into physical therapy and occupational therapy sessions with pediatric patients being treated on an inpatient rehabilitation unit for acquired brain injury. A feasibility study of AAT within the context of a within-subjects crossover study. Pediatric inpatient rehabilitation unit. Sixteen patients, aged 7-28 years (mean = 13.6 years, standard deviation [SD] = 5.2 years; 50% male), being treated on the inpatient rehabilitation unit following ABI. AAT - the integration of dogs into inpatient physical therapy and occupational therapy sessions. Feasibility measures: enrollment rate, the proportion of AAT sessions a dog attended, adverse events, instances where therapist or handler ended session early, patient animal closeness, and utilization of dog in session. Satisfaction measures: parent satisfaction questionnaires and therapist feedback. Feasibility was supported by high enrollment rate (88.9%) and dog attendance rate of 93%-95%; 84.3% of sessions used the dog in multiple ways and patients reported a high level of closeness with the dog in session, indicating that the dogs were integrated in meaningful ways. No adverse events were noted, therapists reported that intervention was convenient, and clinical care was not negatively impacted. A high level of satisfaction was reported by families and therapists. Findings suggest that AAT is feasible and acceptable, and it may be a valuable tool for therapists working with patients with ABI on an inpatient rehabilitation unit.

Pilot Study of Animal Assisted Therapy Provided in a Student Run Pro Bono Clinic

Background: Animal assisted therapy (AAT) is therapeutic intervention designed to help patients engage in meaningful life activities.1 Therapy dogs are used in healthcare settings to engage patients in motion, self-care, mental health, motivation, social responses, pain management, and fine motor skills.2 While there is research on the benefits of AAT with children and adults in inpatient settings, there is a lack of information on the benefits and satisfaction of AAT in student-run free clinics (SRFC).
 Methods: Occupational therapy (OT) students, volunteer clinicians, trained therapy dog teams, and patients receiving OT services at the Community Aid, Relief, Education & Support (CARES) SRFC participated in a pilot AAT program. All participants completed a specially designed survey via REDcap immediately following AAT sessions. Surveys focused on the patient’s pain and stress levels, benefits of AAT, and patient satisfaction.
 Results: Ten patients participated in the AAT pilot program alongside thirty-seven students and 4 therapy dog teams. 100% of patients responded therapy dogs helped them reach their goals, 93.8% of handlers and clinicians agreed the dog was a valuable addition to therapy sessions, and 100% of OT students agreed AAT is an important tool for therapists to use in clinical settings. 67.6% of patients reported a decrease in stress and 41.2% of patients who were experiencing pain reported a decrease in symptoms. Students, handlers, and clinicians reported benefits with AAT including range of motion (79.7%), fine motor skills (68.1%), and motivation (68.1%).
 Conclusion: AAT was successfully integrated into CARES SRFC based on feedback and data collected from participants. AAT had a visible impact on patients, students, handlers, and clinicians. Future research on the use of AAT in a SRFC should include a larger sample size and consider how to better define the specific impact of AAT on populations and conditions commonly seen in a SRFC.

Dierondersteunde interventie voor volwassenen met autisme

This article is based on the thesis in which the eff ects of Animal Assisted Therapy (AAT) were explored on, amongst others, self-perceived stress, anxiety, depression, and social communication in adults with autism and an average to high intelligence (Wijker, 2022). AAT is a structured, goal-oriented intervention in which a trained animal plays an integral role. Participants received 10 weekly one-on-one AAT sessions guided by a certified psychologist. The aim of the AAT was to reduce stress and improve social and communication skills. This research shows that 1) after AAT participants experience significantly lower self-perceived stress, agoraphobia, and depression, and informants of AAT participants report significant improvements in social responsiveness, such as social awareness and social communication, 2) that AAT is rated as highly feasible and relevant by both participants and therapists, and 3) that AAT may be effective in generalizing learned skills to participants’ daily lives. Because of its clinically relevant effects and remarkable adherence, AAT can be regarded as a promising therapy for stress-related outcomes, such as anxiety and depression and social awareness and communication in this population. More research however is needed on the effects of AAT in the ASD population and with larger sample sizes.

Human-Animal Bond Generated in a Brief Animal-Assisted Therapy Intervention in Adolescents with Mental Health Disorders.

The human-animal bond is crucial for the proper development of animal-assisted therapy (AAT) sessions. However, in specific cases such as in AAT focused on psychiatric patients who are admitted to acute units, there is only a short period of time available to establish this bond. To assess the degree of HAB generated after two AAT sessions in adolescents admitted to acute psychiatry units. A prospective multicenter cohort study aimed at adolescents aged 13 to 17 years admitted to the acute child and adolescent psychiatry unit of three hospitals. Two weekly 1 h group sessions of AAT with therapy dogs. The Center for the Study of Animal Wellness Pet Bonding Scale Survey (CSAWPB). One hundred and fourteen adolescents participated. A positive perception of the dog was generated, achieving a good level of bonding and attachment. The results obtained make it possible to affirm that a short period of time is enough to establish a good HAB between patients and therapy dogs. This study aims to contribute to the study of non-pharmacological interventions as a complement to pharmacological treatments in adolescents with mental health disorders.

Exploring Animal-Assisted Therapy for Creating Rich Communicative Environments and Targeting Communication Goals in Subacute Rehabilitation.

This study continues our research examining the use of animal-assisted therapy (AAT) for patients with acquired neurogenic communication disorders. AAT pairs an animal/handler team with a licensed therapist during sessions to target discipline-specific goals. Our original study focused on dog/handler teams paired with occupational and physical therapists during inpatient rehabilitation sessions. We documented multiple ways that AAT enriched the communicative environment, increasing the amount, complexity, and voluntariness of patient participation. This study focuses on speech-language pathology sessions, comparing communicative environments during AAT and traditional sessions. We also examined the speech-language pathologists' (SLPs') experiences in learning to plan for and target communication goals for patients during AAT sessions. This interpretive design combines ethnographic methods with participatory action research. We recruited 10 patients from an inpatient rehabilitation unit and two SLPs. We video-recorded 20 speech-language pathology sessions (one AAT and one traditional for each patient) and conducted 26 interviews. We consulted with SLPs on how to incorporate AAT into their treatment during their preparation time and used self-report measures to track changes in their planning time and confidence across the 6-week study. Across participants, AAT sessions provided richer communicative environments than traditional speech-language pathology sessions as measured by participant talk time, mean length of turns, and use of interactional discourse resources such as narrative use and playful language. The SLPs were rapidly able to adapt their clinical practice to incorporate AAT and displayed rapid and marked decreases in their initial planning time and increases in confidence. AAT sessions created meaningful, rich, and complex communicative environments in a clinical space for participants to align with others around a shared interest.

Terapia Assistida por Animais (TAA) em crianças com transtorno do espectro autista atendidas pelo Centro de Atenção Psicossocial

A terapia assistida por animais (TAA) tem por propósito a introdução do animal junto a um indivíduo ou grupo com objetivo de promover a saúde física, mental e emocional através de mecanismos básicos, o estímulo tátil e afetivo. Esta prática tem se tornado cada vez mais frequente no mundo, e vem crescendo no Brasil. Nesse sentido, o presente estudo teve por objetivo relatar sobre a terapia assistida por animais em crianças autistas atendidas pelo Centro de Atendimento Clínico do Instituto de Psicologia (CAPsi) da Prefeitura Municipal de Uberlândia – PMU. Neste estudo foi proposto a escolha de aves jovens (pintinhos) como espécie terapeuta. Os encontros de TAA foram realizados uma vez por semana com duração de uma hora, durante quatro meses. Os pacientes foram selecionados pela equipe de profissionais do CAPsi, num total de cinco participantes, todos autistas, e utilizou-se aproximadamente dez pintinhos. Apenas 25% das crianças que participaram da atividade não apresentaram interesse pelas aves, sendo que 75% demonstraram comportamento afetivo e melhoria no convívio familiar. O uso TAA com pintinhos apresentou resultados favoráveis no aspecto do comportamento familiar e social de crianças autistas atendidas por profissionais da psicopedagogia.

Animal Assisted Therapy for Children and Adolescents with Autism Spectrum Disorder: Parent perspectives.

Animal-Assisted Therapy (AAT) is an intervention for children with Autism Spectrum Disorder (ASD). This study explores parent perspectives of the impact of five AAT sessions involving trained dogs with their children with ASD. A phenomenological qualitative approach was used to explore first-hand perspectives of parents. In-depth, semi-structured interviews were conducted. Data were analyzed using thematic analysis. Seventeen parents reported that the presence of the dogs facilitated their children's engagement, enjoyment, and motivation. Parents also reported that this contributed to gains in the child's communication with others and the dog (n = 11, 64.7%), behavioral regulation (n = 12, 70.6%), and community participation (n = 14, 82.3%). These findings indicate that parents supported the use of AAT and that dogs facilitated therapeutic gains.

Animal-assisted therapy for patients in a minimally conscious state: A randomized two treatment multi-period crossover trial.

ObjectiveTo investigate if animal-assisted therapy (AAT) leads to higher consciousness in patients in a minimally conscious state during a therapy session, measured via behavioral reactions, heart rate and heart rate variability.MethodsIn a randomized two treatment multi-period crossover trial, 10 patients in a minimally conscious state participated in eight AAT sessions and eight paralleled conventional therapy sessions, leading to 78 AAT and 73 analyzed control sessions. Patients’ responses during sessions were assessed via behavioral video coding and the Basler Vegetative State Assessment (BAVESTA), heart rate and heart rate variability (SDNN, RMSSD, HF and LF). Data were analyzed with generalized linear mixed models.ResultsPatients showed more eye movements (IRR = 1.31, 95% CI: 1.23 to 1.40, p < 0.001) and active movements per tactile input during AAT compared to control sessions (IRR = 1.13, 95% CI: 1.02 to 1.25, p = 0.018). No difference was found for positive emotions. With BAVESTA, patients’ overall behavioral reactions were rated higher during AAT (b = 0.11, 95% CI: 0.01 to 0.22, p = 0.038). AAT led to significantly higher LF (b = 5.82, 95% CI: 0.55 to 11.08, p = 0.031) and lower HF (b = -5.80, 95% CI: -11.06 to -0.57, p = 0.030), while heart rate, SDNN, RMSSD did not differ.ConclusionsPatients in a minimally conscious state showed more behavioral reactions and increased physiological arousal during AAT compared to control sessions. This might indicate increased consciousness during therapeutic sessions in the presence of an animal.Trial registrationClinicalTrials.gov NCT02629302.

The Effect of Animal-Assisted Therapy on the State of Patients' Health After a Stroke: A Pilot Study.

A stroke is a condition that can give rise to consequences such as cognitive and physical constraints, which sometimes manifest in the psychological condition of the patient. Such patients commence rehabilitation as soon as is possible, which involves a multi-disciplinary approach to treatment. One aspect of complementary rehabilitation could be animal-assisted therapy (AAT). A total of 15 individuals were split into an experimental group comprising 6 patients (2 males, 4 females), and a control group of 9 patients (3 males, 6 females). The participants in the control group were aged from 43 to 87 years and the experimental group featured participants aged from 45 to 76 years. Both groups received standard physiotherapy and occupational therapy. In addition, the experimental group was supplemented with AAT, with the animal in question being a dog. The tools primarily applied to measure the outcomes were the Barthel index, blood pressure, and heart rate measurements, whereas the Likert scale was employed to discern the mood of the patients. The results showed that changes in the values for heart rate and blood pressure were insignificant. However, a statistically significant aspect of the research pertained to the patients confirming that they felt better after the AAT sessions. Hence, AAT could potentially bolster the effectiveness of other therapies.

Effects of animal-assisted therapy on social behaviour in patients with acquired brain injury: a randomised controlled trial

Animal-assisted therapy (AAT) is increasingly used to address impaired social competence in patients with acquired brain injury. However, the efficacy of AAT has not been tested in these patients. We used a randomised, controlled within subject trial to determine the effects of AAT on social competence in patients undergoing stationary neurorehabilitation. Participants received both AAT sessions and paralleled conventional therapy sessions. The patients’ social behaviour was systematically coded on the basis of video recordings of therapy sessions. Moreover, mood, treatment motivation and satisfaction was measured during each therapy session. We analysed 222 AAT and 219 control sessions of 19 patients with linear mixed models. Patients showed a significantly higher amount of social behaviour during AAT. Furthermore, patients’ positive emotions, verbal and non-verbal communication, mood, treatment motivation and satisfaction were increased in the presence of an animal. Neutral emotions were reduced but no effect was found regarding negative emotions. Our results show that AAT increases aspects of social competence and leads to higher emotional involvement of patients with acquired brain injury, reflected in higher social engagement, motivation and satisfaction during a therapeutic session.

Effects of animal-assisted therapy on concentration and attention span in patients with acquired brain injury: A randomized controlled trial.

Previous studies have reported that brain-injured patients frequently suffer from cognitive impairments such as attention and concentration deficits. Numerous rehabilitation clinics offer animal-assisted therapy (AAT) to address these difficulties. The authors' aim was to investigate the immediate effects of AAT on the concentration and attention span of brain-injured patients. Nineteen patients with acquired brain injury were included in a randomized, controlled, within-subject trial. The patients alternately received 12 standard therapy sessions (speech therapy, physiotherapy, occupational therapy) and 12 paralleled AAT sessions with comparable content. A total of 429 therapy sessions was analyzed consisting of 214 AAT and 215 control sessions. Attention span and instances of distraction were assessed via video coding in Noldus Observer. The Mehrdimensionaler Befindlichkeitsbogen ([Multidimensional Affect Rating Scale] MDBF questionnaire; Steyer, Schwenkmezger, Notz, & Eid, 1997) was used to measure the patient's self-rated alertness. Concentration was assessed through Visual Analogue Scale (VAS) via self-assessment and therapist's ratings. The patients' attention span did not differ whether an animal was present or not. However, patients displayed more instances of distraction during AAT. Moreover, patients rated themselves more concentrated and alert during AAT sessions. Further, therapists' evaluation of patients' concentration indicated that patients were more concentrated in AAT compared with the control condition. Although the patients displayed more instances of distraction while in the presence of an animal, it did not have a negative impact on their attention span. In addition, patients reported to be more alert and concentrated when an animal was present. Future studies should examine other attentional processes such as divided attention and include neurobiological correlates of attention. (PsycINFO Database Record

Evaluation of the animal-assisted therapy in Alzheimer's disease

Animal-assisted therapy sessions have been set up in a protected unit for patients with a dementia-related syndrome. The aim is to measure the effects of animal-assisted therapy on behavioural disorders in daily life and care. The results obtained provided some interesting areas to explore and recommendations with a view to optimising the implementation of such a system.

Dog assisted therapy for teenagers with emotional and behavioural issues: A multicentre study

IntroductionFurther research is still needed to demonstrate the benefits of animal-assisted therapy (AAT) for specific participant profiles, such as children with behavioural disorders.ObjectivesWe wanted to find out if AAT could be considered an efficient therapeutic strategy for the treatment of children with behavioural disorders.AimsWe wanted to study the effects of a preestablished AAT program on the behaviour of children with emotional and behavioural issues in 6 different reception centres for children under government guardianship.MethodsForty-five children (12 to 17 years old) with emotional and behavioural issues participated in a 14-session AAT program. Behavioural measures were those routinely scored as part of therapy; an observational report of 3 different problematic behaviours (such as impulsivity, lack of social skills or lack of personal recognition) was made twice a week for each child (with a score of frequency and intensity). A pre- and post-treatment “global behaviour score” was calculated for each child, as an average value of the 3 problematic behaviours measured during the month pre-treatment and the month post-treatment.ResultsThe 45 participants attended, on average, 72.8% of AAT sessions. Independent behaviour scores differed between the pre- and post-intervention evaluations (n = 135 behaviours) (Wilcoxon test; P &lt; 0.0001). Based on the global behaviour score for each child (n = 45), significant change was found between pre- and post-intervention evaluations (Wilcoxon test; P = 0.0011).ConclusionsOur results suggest AAT could be a beneficial intervention for children with behavioural issues in terms of program adherence and behaviour improvement.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Terapia assistida por animais e sua influência nos níveis de pressão arterial de idosos institucionalizados

A terapia assistida por animais (TAA) é utilizada como instrumento no tratamento de doenças, com diversos efeitos benéficos em paciente psiquiátricos, hospitalizados, idosos, dentre outros. A TAA objetiva promover o bem-estar, saúde emocional, física, social e cognitiva, sendo o animal o principal agente da terapia, que funciona como ponte de ligação entre o tratamento e o paciente. A institucionalização do idoso ocorre, geralmente, após ocorrência de alterações físicas, cognitivas, doenças agudas ou crônicas, perda do cônjuge ou filho, perda de apoios sociais, pobreza, gerando dependência na realização das atividades da vida diária e locomoção. Trata-se de estudo clínico experimental controlado, realizado em uma casa de repouso em Vila Velha, ES, com o objetivo de avaliar a influencia da TAA na pressão arterial de idosos hipertensos institucionalizados. Participaram do estudo 25 idosos. As variáveis utilizadas no trabalho foram TAA (independente), variação de Pressão Arterial (dependente) e idade (controle). Foram realizadas sessões de TAA semanalmente com a duração de 1 hora e a pressão arterial foi aferida com uso de esfigmomanômetro antes e após a cada sessão durante 4 meses. Observou-se melhor controle dos níveis pressóricos além da promoção de momentos de alegria e relaxamento da amostra representativa do grupo de idosos institucionalizados.

Animal Assisted Therapy (AAT) Program As a Useful Adjunct to Conventional Psychosocial Rehabilitation for Patients with Schizophrenia: Results of a Small-scale Randomized Controlled Trial

Currently, one of the main objectives of human–animal interaction research is to demonstrate the benefits of animal assisted therapy (AAT) for specific profiles of patients or participants. The aim of this study is to assess the effect of an AAT program as an adjunct to a conventional 6–month psychosocial rehabilitation program for people with schizophrenia. Our hypothesis is that the inclusion of AAT into psychosocial rehabilitation would contribute positively to the impact of the overall program on symptomology and quality of life, and that AAT would be a positive experience for patients. To test these hypotheses, we compared pre–program with post–program scores for the Positive and Negative Syndrome Scale (PANSS) and the EuroQoL-5 dimensions questionnaire (EuroQol-5D), pre–session with post–session salivary cortisol and alpha–amylase for the last four AAT sessions, and adherence rates between different elements of the program. We conducted a randomized, controlled study in a psychiatric care center in Spain. Twenty–two institutionalized patients with chronic schizophrenia completed the 6–month rehabilitation program, which included individual psychotherapy, group therapy, a functional program (intended to improve daily functioning), a community program (intended to facilitate community reintegration) and a family program. Each member of the control group (n = 8) participated in one activity from a range of therapeutic activities that were part of the functional program. In place of this functional program activity, the AAT–treatment group (n = 14) participated in twice–weekly 1–h sessions of AAT. All participants received the same weekly total number of hours of rehabilitation. At the end of the program, both groups (control and AAT–treatment) showed significant improvements in positive and overall symptomatology, as measured with PANSS, but only the AAT–treatment group showed a significant improvement in negative symptomatology. Adherence to the AAT-treatment was significantly higher than overall adherence to the control group’s functional rehabilitation activities. Cortisol level was significantly reduced after participating in an AAT session, which could indicate that interaction with the therapy dogs reduced stress. In conclusion, the results of this small-scale RCT suggest that AAT could be considered a useful adjunct to conventional psychosocial rehabilitation for people with schizophrenia.

Animal-Assisted Therapy Ameliorates Anhedonia in Schizophrenia Patients

Background: Anhedonia, a component of the negative symptom dimension and a core phenomenon in schizophrenia, is associated with poor social functioning and is resistant to treatment. We tested the hypothesis that animal-assisted therapy (AAT) may improve anhedonia. Objective: To compare the effect of psychosocial treatment sessions in which a dog was an active participant (AAT) with comparable sessions without a dog, using a controlled protocol. Method: The hedonic tone of 10 chronic schizophrenia patients who participated in 10 weekly interactive sessions of AAT was compared to a control group treated without animal assistance. The hedonic tone was measured with the Snaith-Hamilton Pleasure Scale. Subjective quality of life variables and clinical symptoms were also assessed. Results: The AAT group showed a significant improvement in the hedonic tone compared to controls. They also showed an improvement in the use of leisure time and a trend towards improvement in motivation. Conclusion: AAT may contribute to the psychosocial rehabilitation and quality of life of chronic schizophrenia patients.

The Human-Animal Team Approach for Children with Emotional Disorders: Two Case Studies

The therapeutic potential of animal-assisted therapy (AAT) was assessed in two case studies of emotionally disturbed children. Two boys (11 and 12 years of age) participated in weekly AAT sessions for 12 weeks. Progress of individual goals was assessed through The ADD-H Comprehensive Teacher Rating Scale (ACTeRS), direct observation and videotapes of the therapy sessions, Individual Education Plans (IEP), and post-intervention interviews with the participants, their families, and educational professionals. Data analysis revealed progress in most identified goals.