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Animal-Assisted Activity Among Patients With Cancer: Effects on Mood, Fatigue, Self-Perceived Health, and Sense of Coherence
Abstract
Purpose/objectives To identify to what extent an animal-assisted activity (i.e., visits with a dog) affects the mood, self-perceived health, and sense of coherence among patients undergoing radiation therapy. Design Pretest/post-test between and within groups. Setting Radiation oncology units of two hospitals in a mid-sized, midwestern city. Sample 30 adult patients undergoing nonpalliative radiation therapy. Methods After giving informed consent, participants were randomly assigned to receive 12 dog visits, 12 human visits, or 12 quiet reading sessions over a four-week period. Findings No statistically significant differences were found; however, compared with others their age, patients receiving dog visits viewed their health as improved over the four-week period. Participants described each of the three activities as beneficial. The study is primarily useful as a basis for planning additional research. Conclusions The study warrants replication with a larger sample to determine applicability of animal-assisted activity in patients with cancer who are undergoing radiation therapy. Implications for nursing Patients may want and express benefit from animal-assisted activity dog visits, but the outcomes of the visits may not be measureable. Nurses should assess to what extent patients believe that such visits are beneficial by asking them. The visits may be valued by patients as helping to relieve their anxiety and as distractions from their disease and therapy.
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Johnson et al. 2008 found no beneficial effects of AAI.
“Johnson et al. (2008) found no beneficial effects of aaI”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
Only two studies, Johnson et al. 2008 and Villalta-Gil et al. 2009, utilized an active control group that participated in a comparison intervention rather than a waitlist control or treatment as usual.
“only two studies (Johnson et al. 2008;Villalta-Gil et al. 2009) utilized an active control group which participated in a comparison intervention as opposed to a waitlist control condition or treatment as usual.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
It is unclear whether the null findings obtained by Johnson et al. 2008 may be attributed to a lack of efficacy of AAI with dogs, individual sessions, inadequate dosage, or simply lack of power.
“thus, it is unclear whether the null findings obtained by Johnson et al. (2008) may be attributed to a lack of efficacy of aaI with dogs, which is unlikely given the findings of other well-controlled studies, individual sessions (as opposed to group sessions), inadequate dosage, or simply lack of power.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
In Johnson et al., even unstructured human interaction at the same frequency and intensity was not helpful.
“Importantly even unstructured human interaction at the same frequency and intensity was not helpful.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
Johnson et al. had a small sample and a shorter intervention duration of 15 minutes, three times per week, for four weeks, than other studies in both session duration and length of treatment.
“however, the sample was small and the intervention was shorter in duration (15 minutes, three times per week, for four weeks) than those described in other studies both in terms of session duration and length of treatment.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
All but one study, Johnson et al. 2008, reported at least some beneficial psychological effects of AAIs.
“all but one study (Johnson et al. 2008) reported at least some beneficial psychological effects of aaIs.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
The only study that used individual sessions as opposed to group sessions, Johnson et al. 2008, found no beneficial effects as a result of dog-assisted therapy.
“the only study that used individual sessions as opposed to group sessions (Johnson et al. 2008) found no beneficial effects as a result of dog-assisted therapy.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
The only non-significant study, Johnson et al. 2008, involved a minimal, short-term, unstructured intervention with cancer patients in active radiotherapy.
“the only non-significant study (Johnson et al. 2008) involved a minimal, short-term, unstructured intervention with cancer patients in active radio therapy.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
There was no evidence for the use of canine-assisted therapy with cancer patients.
“In contrast, there was no evidence for the use of canine-assisted therapy with cancer patients (Johnson et al. 2008)”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Johnson et al. 2008
Our previous research demonstrated that emotionally stressed adult cancer patients who interacted quietly with a companion animal reported the visiting dog provided them comfort and was a confidant who made them happy and gave them energy.
“Our previous research demonstrated that emotionally stressed adult cancer patients who interacted quietly with a companion animal reported the visiting dog provided them comfort and was a confidant who made them happy and gave them energy [73].”
From Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans (2018) · cites this paper as [73]
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Effectiveness of animal-assisted therapy: A systematic review of randomized controlled trials
Kamioka, H., Okada, S., Tsutani, K., Park, H., Okuizumi, H., Handa, S., Oshio, T., Park, S.-J., Kitayuguchi, J., Abe, T., et al. (2014) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2013.12.016 · Cited by 323
Maujean, A., Pepping, C. A., & Kendall, E. (2015) · Anthrozoös · doi:10.2752/089279315x14129350721812 · Cited by 149
Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans
Johnson, R. A., Albright, D. L., Marzolf, J. R., Bibbo, J. L., Yaglom, H. D., Crowder, S. M., Carlisle, G. K., Willard, A., Russell, C. L., Grindler, K., et al. (2018) · Military Medical Research · doi:10.1186/s40779-018-0149-6 · Cited by 105
Self-citationWhite, J. H., Quinn, M., Garland, S., Dirkse, D., Wiebe, P., Hermann, M., & Carlson, L. E. (2015) · Integrative Cancer Therapies · doi:10.1177/1534735415580678 · Cited by 22
Metadata
- Authors
- Johnson, R. A., Meadows, R. L., Haubner, J. S., & Sevedge, K.
- Affiliations
- University of Missouri (US)
- ORCID
- Johnson, Rebecca A.
- Venue
- Oncology Nursing Forum
- Publisher
- Oncology Nursing Society (ONS)
- Published
- 2008-03-01
- Volume
- 35
- Issue
- 2
- Pages
- 225-232
- ISSN
- 0190-535X (ISSN-L)
- 1538-0688
- OpenAlex
- W1965769264
- Cited by
- 128
- References
- 0
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 10 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 10 · 2018: 12 · 2017: 6 · 2016: 6 · 2015: 15 · 2014: 12 · 2013: 6 · 2012: 6
- FWCI
- 6.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Oncology nursing forum (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Human-Animal Interaction Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- animal-assisted activities, cancer patients, radiotherapy, mood, fatigue, health perception, sense of coherence, distraction, anxiety reduction, oncology nursing
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Aged, Animals, Animals, Domestic, Dogs, Fatigue, Female, Humans, Male, Middle Aged, Neoplasms, Oncology Nursing, Self Concept
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