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Animal-Assisted and Pet-Robot Interventions for Ameliorating Behavioral and Psychological Symptoms of Dementia: A Systematic Review and Meta-Analysis

Park, Sangki, Bak, Ahream, Kim, Sujin, Nam, Yunkwon, Kim, Hyeon, Yoo, Doo-Han, Moon, Minho·2020·Biomedicines
DOI 10.3390/biomedicines8060150PMC PMC7345589
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Abstract

Patients with dementia suffer from psychological symptoms such as depression, agitation, and aggression. One purpose of dementia intervention is to manage patients’ inappropriate behaviors and psychological symptoms while taking into consideration their quality of life (QOL). Animal-assisted intervention (AAI) and pet-robot intervention (PRI) are effective intervention strategies for older people with cognitive impairment and dementia. In addition, AAI and PRI have been shown to have positive effects on behavioral and psychological symptoms of dementia (BPSD). However, studies into the association between AAI/PRI and BPSD have elicited inconsistent results. Thus, we performed a meta-analysis to investigate this association. We analyzed nine randomized controlled trials on AAI and PRI for dementia patients published between January 2000 and August 2019 and evaluated the impact of AAI/PRI on agitation, depression, and QOL. We found that AAI and PRI significantly reduce depression in patients with dementia. Subsequent studies should investigate the impact of AAI and PRI on the physical ability and cognitive function of dementia patients and conduct a follow-up to investigate their effects on the rate of progression and reduction of symptoms of dementia. Our research will help with neuropsychological and environmental intervention to delay or improve the development and progression of BPSD.

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Crossref · 10.3390/biomedicines8060150

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Figure 1 Forest plot of the effect of animal-assisted intervention and pet-robot intervention on agitation in dementia patients.
Figure 1 Forest plot of the effect of animal-assisted intervention and pet-robot intervention on agitation in dementia patients.CC BY · PubMed Central
Figure 2 Forest plot of the effect of animal-assisted intervention and pet-robot intervention on depression in dementia patient.
Figure 2 Forest plot of the effect of animal-assisted intervention and pet-robot intervention on depression in dementia patient.CC BY · PubMed Central
Figure 3 Forest plot of the effect of animal-assisted intervention and pet-robot intervention on the quality of life of dementia patients.
Figure 3 Forest plot of the effect of animal-assisted intervention and pet-robot intervention on the quality of life of dementia patients.CC BY · PubMed Central
Figure 4 Funnel plots used to assess the existence of publication bias in the included studies. Publication bias of (A) agitation, (B) depression, and (C) quality of life.
Figure 4 Funnel plots used to assess the existence of publication bias in the included studies. Publication bias of (A) agitation, (B) depression, and (C) quality of life.CC BY · PubMed Central
Figure 5 Flow chart of the systematic literature review.
Figure 5 Flow chart of the systematic literature review.CC BY · PubMed Central

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Cites

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Metadata

Authors
Park, S., Bak, A., Kim, S., Nam, Y., Kim, H., Yoo, D.-H., & Moon, M.
Affiliations
  • Department of Occupational Therapy, Konyang University, 158, Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea
  • Department of Occupational Therapy, Jeonju Kijeon College, 267, Jeonjucheonseo-ro, Wansan-gu, Junju 54989, Korea
  • Department of Biochemistry, College of Medicine, Konyang University, 158, Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea
ORCID
Kim, Hyeon
Venue
Biomedicines
Publisher
MDPI AG
Published
2020-06-02
Volume
8
Issue
6
Pages
150
ISSN
2227-9059
DOI
10.3390/biomedicines8060150
PMC
PMC7345589
Cited by
44
References
12
Language
en
Licence
creativecommons.org/licenses/by/4.0/ (vor)
Funders
Konyang University (Konyang University Research Fund in 2020)

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