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A multicenter study of animal-assisted activity and anxiety among older adults hospitalized in acute care settings
For older adults (≥65 years old), hospitalization can be a stressful and anxiety- provoking event. Due to physiological changes in this population that make pharmacological therapy to manage anxiety challenging, use of alternative therapies, such as animal-assisted activities (AAA), could prove bene...
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Published in: | Applied nursing research 2021-08, Vol.60, p.151447-151447, Article 151447 |
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creator | Kowalski, Mildred Ortu Smith, Carnette Cole, Donna A. Bersick, Eileen Keleekai-Brapoh, Nowai Panfile, Patricia Abate, Sami V. |
description | For older adults (≥65 years old), hospitalization can be a stressful and anxiety- provoking event. Due to physiological changes in this population that make pharmacological therapy to manage anxiety challenging, use of alternative therapies, such as animal-assisted activities (AAA), could prove beneficial.
The purpose of this study was to determine if an AAA visit from a registered human-animal team during hospitalization would reduce perceived anxiety for older adults.
A multicenter, interventional, comparative, pre-post design was used.
Eligible participants completed a demographic questionnaire and the Spielberger State-Trait Anxiety Inventory 6-item short form (STAI-6) survey prior to the AAA visit. AAA visits included interaction between the human-animal team and the participant at the bedside. At the conclusion of the visit, participants again completed the STAI-6. Demographic variables were analyzed using descriptive statistics and comparative analyses were performed using non-parametric tests to examine differences in pre-post STAI-6 scores.
Participants (n = 141) had a median age of 75 years. The pre-visit median anxiety score was 14 (interquartile range [IQR] 10, 17), corresponding to mild baseline anxiety. The post-visit median anxiety score decreased significantly to 10 (IQR 7, 13) (p |
doi_str_mv | 10.1016/j.apnr.2021.151447 |
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The purpose of this study was to determine if an AAA visit from a registered human-animal team during hospitalization would reduce perceived anxiety for older adults.
A multicenter, interventional, comparative, pre-post design was used.
Eligible participants completed a demographic questionnaire and the Spielberger State-Trait Anxiety Inventory 6-item short form (STAI-6) survey prior to the AAA visit. AAA visits included interaction between the human-animal team and the participant at the bedside. At the conclusion of the visit, participants again completed the STAI-6. Demographic variables were analyzed using descriptive statistics and comparative analyses were performed using non-parametric tests to examine differences in pre-post STAI-6 scores.
Participants (n = 141) had a median age of 75 years. The pre-visit median anxiety score was 14 (interquartile range [IQR] 10, 17), corresponding to mild baseline anxiety. The post-visit median anxiety score decreased significantly to 10 (IQR 7, 13) (p < 0.001). Weak associations were observed for gender (p = 0.025, r = 0.0189), and dog ownership (p = 0.026, r = 0.188).
AAA significantly decreased anxiety in older adults with mild anxiety during inpatient hospitalization. This non-pharmacological intervention can be considered as an alternative intervention for anxiety in this population.
•Animal-assisted activity is a scientific term for human and animal interactions.•Animal-assisted activities are options to reduce anxiety in older adult (≥65 years old) patients.•Even short visits with dogs (~10–15 min) can reduce anxiety.•Role of gender and dog ownership warrant further exploration.</description><identifier>ISSN: 0897-1897</identifier><identifier>EISSN: 1532-8201</identifier><identifier>DOI: 10.1016/j.apnr.2021.151447</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>Animal-assisted activity ; Anxiety ; Geriatrics ; Nursing ; Pet therapy</subject><ispartof>Applied nursing research, 2021-08, Vol.60, p.151447-151447, Article 151447</ispartof><rights>2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c333t-aced43f229744fa33cf4108c595796e0f452918baea8a5eba0b3346cebeb193c3</citedby><cites>FETCH-LOGICAL-c333t-aced43f229744fa33cf4108c595796e0f452918baea8a5eba0b3346cebeb193c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Kowalski, Mildred Ortu</creatorcontrib><creatorcontrib>Smith, Carnette</creatorcontrib><creatorcontrib>Cole, Donna A.</creatorcontrib><creatorcontrib>Bersick, Eileen</creatorcontrib><creatorcontrib>Keleekai-Brapoh, Nowai</creatorcontrib><creatorcontrib>Panfile, Patricia</creatorcontrib><creatorcontrib>Abate, Sami V.</creatorcontrib><title>A multicenter study of animal-assisted activity and anxiety among older adults hospitalized in acute care settings</title><title>Applied nursing research</title><description>For older adults (≥65 years old), hospitalization can be a stressful and anxiety- provoking event. Due to physiological changes in this population that make pharmacological therapy to manage anxiety challenging, use of alternative therapies, such as animal-assisted activities (AAA), could prove beneficial.
The purpose of this study was to determine if an AAA visit from a registered human-animal team during hospitalization would reduce perceived anxiety for older adults.
A multicenter, interventional, comparative, pre-post design was used.
Eligible participants completed a demographic questionnaire and the Spielberger State-Trait Anxiety Inventory 6-item short form (STAI-6) survey prior to the AAA visit. AAA visits included interaction between the human-animal team and the participant at the bedside. At the conclusion of the visit, participants again completed the STAI-6. Demographic variables were analyzed using descriptive statistics and comparative analyses were performed using non-parametric tests to examine differences in pre-post STAI-6 scores.
Participants (n = 141) had a median age of 75 years. The pre-visit median anxiety score was 14 (interquartile range [IQR] 10, 17), corresponding to mild baseline anxiety. The post-visit median anxiety score decreased significantly to 10 (IQR 7, 13) (p < 0.001). Weak associations were observed for gender (p = 0.025, r = 0.0189), and dog ownership (p = 0.026, r = 0.188).
AAA significantly decreased anxiety in older adults with mild anxiety during inpatient hospitalization. This non-pharmacological intervention can be considered as an alternative intervention for anxiety in this population.
•Animal-assisted activity is a scientific term for human and animal interactions.•Animal-assisted activities are options to reduce anxiety in older adult (≥65 years old) patients.•Even short visits with dogs (~10–15 min) can reduce anxiety.•Role of gender and dog ownership warrant further exploration.</description><subject>Animal-assisted activity</subject><subject>Anxiety</subject><subject>Geriatrics</subject><subject>Nursing</subject><subject>Pet therapy</subject><issn>0897-1897</issn><issn>1532-8201</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kMlOwzAQhi0EEqXwApx85JLiLZvEparYpEpc4Gw5zqS4SpzicSrK0-OqnLnMopnv18xPyC1nC854cb9dmJ0PC8EEX_CcK1WekRnPpcgqwfg5mbGqLjOewiW5Qtwyxrkq2IyEJR2mPjoLPkKgGKf2QMeOGu8G02cG0WGElhob3d7FQxqkxn87ONbD6Dd07NtEmjbJIP0cceei6d1PgpxP3BSBWhOAIsTo_AavyUVneoSbvzwnH0-P76uXbP32_LparjMrpYyZsdAq2QlRl0p1RkrbKc4qm9d5WRfAOpWLmleNAVOZHBrDGilVYaGBhtfSyjm5O-nuwvg1AUY9OLTQ98bDOKEWec4KyWrB06o4rdowIgbo9C6k_8NBc6aPBuutPhqsjwbrk8EJejhBkJ7YOwgarQOfznYBbNTt6P7DfwFDT4bV</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Kowalski, Mildred Ortu</creator><creator>Smith, Carnette</creator><creator>Cole, Donna A.</creator><creator>Bersick, Eileen</creator><creator>Keleekai-Brapoh, Nowai</creator><creator>Panfile, Patricia</creator><creator>Abate, Sami V.</creator><general>Elsevier Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202108</creationdate><title>A multicenter study of animal-assisted activity and anxiety among older adults hospitalized in acute care settings</title><author>Kowalski, Mildred Ortu ; Smith, Carnette ; Cole, Donna A. ; Bersick, Eileen ; Keleekai-Brapoh, Nowai ; Panfile, Patricia ; Abate, Sami V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c333t-aced43f229744fa33cf4108c595796e0f452918baea8a5eba0b3346cebeb193c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Animal-assisted activity</topic><topic>Anxiety</topic><topic>Geriatrics</topic><topic>Nursing</topic><topic>Pet therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kowalski, Mildred Ortu</creatorcontrib><creatorcontrib>Smith, Carnette</creatorcontrib><creatorcontrib>Cole, Donna A.</creatorcontrib><creatorcontrib>Bersick, Eileen</creatorcontrib><creatorcontrib>Keleekai-Brapoh, Nowai</creatorcontrib><creatorcontrib>Panfile, Patricia</creatorcontrib><creatorcontrib>Abate, Sami V.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Applied nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kowalski, Mildred Ortu</au><au>Smith, Carnette</au><au>Cole, Donna A.</au><au>Bersick, Eileen</au><au>Keleekai-Brapoh, Nowai</au><au>Panfile, Patricia</au><au>Abate, Sami V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A multicenter study of animal-assisted activity and anxiety among older adults hospitalized in acute care settings</atitle><jtitle>Applied nursing research</jtitle><date>2021-08</date><risdate>2021</risdate><volume>60</volume><spage>151447</spage><epage>151447</epage><pages>151447-151447</pages><artnum>151447</artnum><issn>0897-1897</issn><eissn>1532-8201</eissn><abstract>For older adults (≥65 years old), hospitalization can be a stressful and anxiety- provoking event. Due to physiological changes in this population that make pharmacological therapy to manage anxiety challenging, use of alternative therapies, such as animal-assisted activities (AAA), could prove beneficial.
The purpose of this study was to determine if an AAA visit from a registered human-animal team during hospitalization would reduce perceived anxiety for older adults.
A multicenter, interventional, comparative, pre-post design was used.
Eligible participants completed a demographic questionnaire and the Spielberger State-Trait Anxiety Inventory 6-item short form (STAI-6) survey prior to the AAA visit. AAA visits included interaction between the human-animal team and the participant at the bedside. At the conclusion of the visit, participants again completed the STAI-6. Demographic variables were analyzed using descriptive statistics and comparative analyses were performed using non-parametric tests to examine differences in pre-post STAI-6 scores.
Participants (n = 141) had a median age of 75 years. The pre-visit median anxiety score was 14 (interquartile range [IQR] 10, 17), corresponding to mild baseline anxiety. The post-visit median anxiety score decreased significantly to 10 (IQR 7, 13) (p < 0.001). Weak associations were observed for gender (p = 0.025, r = 0.0189), and dog ownership (p = 0.026, r = 0.188).
AAA significantly decreased anxiety in older adults with mild anxiety during inpatient hospitalization. This non-pharmacological intervention can be considered as an alternative intervention for anxiety in this population.
•Animal-assisted activity is a scientific term for human and animal interactions.•Animal-assisted activities are options to reduce anxiety in older adult (≥65 years old) patients.•Even short visits with dogs (~10–15 min) can reduce anxiety.•Role of gender and dog ownership warrant further exploration.</abstract><pub>Elsevier Inc</pub><doi>10.1016/j.apnr.2021.151447</doi><tpages>1</tpages></addata></record> |
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subjects | Animal-assisted activity Anxiety Geriatrics Nursing Pet therapy |
title | A multicenter study of animal-assisted activity and anxiety among older adults hospitalized in acute care settings |
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