Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.

<h4>Objective</h4>To compare the immediate response of nursing home residents to dog visits with or without an activity, and the impact of cognitive ability.<h4>Methods</h4>In a randomly controlled trial, 174 nursing home residents were allocated to 12 bi-weekly 10-minute vis...

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Autores principales:	Karen Thodberg, Poul B Videbech, Tia G B Hansen, Anne Bak Pedersen, Janne W Christensen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f8ed03e37fec4d868cd0ca4f3e791067
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spelling	oai:doaj.org-article:f8ed03e37fec4d868cd0ca4f3e7910672021-11-25T05:54:14ZDog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.1932-620310.1371/journal.pone.0251571https://doaj.org/article/f8ed03e37fec4d868cd0ca4f3e7910672021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251571https://doaj.org/toc/1932-6203<h4>Objective</h4>To compare the immediate response of nursing home residents to dog visits with or without an activity, and the impact of cognitive ability.<h4>Methods</h4>In a randomly controlled trial, 174 nursing home residents were allocated to 12 bi-weekly 10-minute visits: either ordinary dog visits (D, n = 57, 49 analysed), dog visits with an activity (DA, n = 56, 48 analysed), or visits with activity but no dog (A, n = 61, 54 analysed). We recorded frequency and duration of residents' verbal and physical interactions with the dog and persons. Data were analysed in three periods of four visits (period 1-3) as binomial variables (generalised linear models) or durations (non-parametric statistics).<h4>Results</h4>Both visit type and impairment level affected the likelihood of interacting with the dog (D and DA). In some periods increased cognitive impairment lowered odds of touching the dog in DA visits (period 1: F1,85 = 5.17, P < 0.05) and talking to it directly (period 1: F1,90 = 4.60, P < 0.05; period 3: F1,87 = 5.34, P < 0.05). Throughout, residents talked less to persons during DA visits compared to D and A (P = 0.01-0.05), and level of cognitive impairment correlated negatively with talk duration (P < 0.001). Generally, high cognitive impairment level lowered odds of interacting with (period 1: F1,89 = 7.89, P < 0.01; period 2: F1,97 = 6.76, P = 0.01; period 3: F1,92 = 13.57, P < 0.001) and talking about the activities (period 1: F1,89 = 13.78, P <0.001; period 2: F1,88 = 3.27, P = 0.07; period 3: F1,86 = 3.88, P = 0.05).<h4>Conclusion</h4>Visits without specific activities stimulated residents to interact with the dog, whereas increasing the complexity of dog visits by adding activities resulted in less interaction with the dog for severely impaired residents. The optimal dog visit for the less cognitively impaired residents could include activities and thereby a possibility to interact with the dog in different ways, whereas for severely impaired residents, just being with the dog seems more appropriate.Karen ThodbergPoul B VidebechTia G B HansenAnne Bak PedersenJanne W ChristensenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251571 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Karen Thodberg Poul B Videbech Tia G B Hansen Anne Bak Pedersen Janne W Christensen Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.
description	<h4>Objective</h4>To compare the immediate response of nursing home residents to dog visits with or without an activity, and the impact of cognitive ability.<h4>Methods</h4>In a randomly controlled trial, 174 nursing home residents were allocated to 12 bi-weekly 10-minute visits: either ordinary dog visits (D, n = 57, 49 analysed), dog visits with an activity (DA, n = 56, 48 analysed), or visits with activity but no dog (A, n = 61, 54 analysed). We recorded frequency and duration of residents' verbal and physical interactions with the dog and persons. Data were analysed in three periods of four visits (period 1-3) as binomial variables (generalised linear models) or durations (non-parametric statistics).<h4>Results</h4>Both visit type and impairment level affected the likelihood of interacting with the dog (D and DA). In some periods increased cognitive impairment lowered odds of touching the dog in DA visits (period 1: F1,85 = 5.17, P < 0.05) and talking to it directly (period 1: F1,90 = 4.60, P < 0.05; period 3: F1,87 = 5.34, P < 0.05). Throughout, residents talked less to persons during DA visits compared to D and A (P = 0.01-0.05), and level of cognitive impairment correlated negatively with talk duration (P < 0.001). Generally, high cognitive impairment level lowered odds of interacting with (period 1: F1,89 = 7.89, P < 0.01; period 2: F1,97 = 6.76, P = 0.01; period 3: F1,92 = 13.57, P < 0.001) and talking about the activities (period 1: F1,89 = 13.78, P <0.001; period 2: F1,88 = 3.27, P = 0.07; period 3: F1,86 = 3.88, P = 0.05).<h4>Conclusion</h4>Visits without specific activities stimulated residents to interact with the dog, whereas increasing the complexity of dog visits by adding activities resulted in less interaction with the dog for severely impaired residents. The optimal dog visit for the less cognitively impaired residents could include activities and thereby a possibility to interact with the dog in different ways, whereas for severely impaired residents, just being with the dog seems more appropriate.
format	article
author	Karen Thodberg Poul B Videbech Tia G B Hansen Anne Bak Pedersen Janne W Christensen
author_facet	Karen Thodberg Poul B Videbech Tia G B Hansen Anne Bak Pedersen Janne W Christensen
author_sort	Karen Thodberg
title	Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.
title_short	Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.
title_full	Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.
title_fullStr	Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.
title_full_unstemmed	Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.
title_sort	dog visits in nursing homes - increase complexity or keep it simple? a randomised controlled study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f8ed03e37fec4d868cd0ca4f3e791067
work_keys_str_mv	AT karenthodberg dogvisitsinnursinghomesincreasecomplexityorkeepitsimplearandomisedcontrolledstudy AT poulbvidebech dogvisitsinnursinghomesincreasecomplexityorkeepitsimplearandomisedcontrolledstudy AT tiagbhansen dogvisitsinnursinghomesincreasecomplexityorkeepitsimplearandomisedcontrolledstudy AT annebakpedersen dogvisitsinnursinghomesincreasecomplexityorkeepitsimplearandomisedcontrolledstudy AT jannewchristensen dogvisitsinnursinghomesincreasecomplexityorkeepitsimplearandomisedcontrolledstudy
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Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.

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