The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Understanding the Role of Therapy Dogs in Human Health Promotion
Abstract
Dogs may provide humans with a range of physical, mental and social benefits. Whilst there is growing scientific evidence of benefits to humans, there has been less focus on the impact to canine health, welfare and ethical considerations for the dogs. The importance of animal welfare is increasingly acknowledged, indicating that the Ottawa Charter should be extended to include the welfare of non-human animals supporting the promotion of human health. Therapy dog programmes are delivered across a variety of settings including hospitals, aged care facilities and mental health services, highlighting the important role they play in human health outcomes. Research has shown that that there are biomarkers for stress in humans and other animals engaged in human–animal interactions. This review aims to assess the impact of human–animal interactions on therapy dogs engaged in providing support to human health. While challenging, it is paramount to ensure that, within the framework of One Welfare, the welfare of therapy dogs is included, as it is a key factor for future sustainability. We identified a range of concerns due to the lack of guidelines and standards to protect the wellbeing of the dogs engaged in these programmes. Extension of the Ottawa Charter to include the welfare of non-human animals with leveraging through a One Welfare approach would promote animal and human health beyond current boundaries.
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Canine-assisted therapy is a complementary intervention using professionally trained dogs to enhance individuals' physical, social, emotional, or cognitive functioning.
“Canine-assisted therapy is a complementary intervention using professionally trained dogs to enhance individuals’ physical, social, emotional, or cognitive functioning [14, 15].”
From Canine-assisted therapy in reducing stress and anxiety levels of university students: systematic review and meta-analysis of randomized controlled trials (2025) · cites this paper as [14]
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Psychological Stress and Disease
Cohen, S., Janicki-Deverts, D., & Miller, G. E. (2007) · JAMA · doi:10.1001/jama.298.14.1685 · Cited by 3,168
The 2020 five domains model: including human-animal interactions in assessments of animal welfare
Mellor, D. J., Beausoleil, N. J., Littlewood, K. E., McLean, A. N., McGreevy, P. D., Jones, B., & Wilkins, C. (2020) · Animals · doi:10.3390/ani10101870 · Cited by 985
Current knowledge about the risks and benefits of raw meat–based diets for dogs and cats
Freeman, L. M., Chandler, M. L., Hamper, B. A., & Weeth, L. P. (2013) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.243.11.1549 · Cited by 235 · cited 2×
“Participants in contact with therapy dogs may be immunocompromised, thus the shedding of pathogens by dogs poses an increased health risk [74,77].”
BackgroundRaw diets for dogs and cats: a review, with particular reference to microbiological hazards.
Davies, R. H., Lawes, J. R., & Wales, A. D. (2019) · Journal of Small Animal Practice · doi:10.1111/jsap.13000 · Cited by 195 · cited 1×
“Participants in contact with therapy dogs may be immunocompromised, thus the shedding of pathogens by dogs poses an increased health risk [74,77].”
BackgroundMaujean, A., Pepping, C. A., & Kendall, E. (2015) · Anthrozoös · doi:10.2752/089279315x14129350721812 · Cited by 149
Haubenhofer, D. K., & Kirchengast, S. (2006) · Journal of Applied Animal Welfare Science · doi:10.1207/s15327604jaws0902_5 · Cited by 120
Haubenhofer, D. K., & Kirchengast, S. (2007) · Society & Animals · doi:10.1163/156853007x187090 · Cited by 95
Clark, S. D., Smidt, J. M., & Bauer, B. A. (2019) · Journal of Veterinary Behavior · doi:10.1016/j.jveb.2018.12.002 · Cited by 49
Who let the dogs out? Therapy dogs in clinical practice
Jones, M., Rice, S., & Cotton, S. (2018) · Australasian Psychiatry · doi:10.1177/1039856217749056 · Cited by 14
Flagged first, then by citations
Research works printed but not linked: 71
- Lundqvist, M., Carlsson, P., Sjödahl, R., Theodorsson, E., and Levin, L.-Å. (2017). Patient benefit of dog-assisted interventions in health care: A systematic review. BMC Complement. Med. Ther., 17. · DOI
- Gravrok, 2020, Thriving through relationships: Assistance dogs’ and companion dogs’ perceived ability to contribute to thriving in individuals with and without a disability, Disabil. Rehabil. Assist. Technol., 15, 45, 10.1080/17483107.2018.1513574 · DOI
- Mills, 2014, Animal-assisted interventions: Making better use of the human-animal bond, Vet. Rec., 174, 269, 10.1136/vr.g1929 · DOI
- Glenk, L. (2017). Current Perspectives on Therapy Dog Welfare in Animal-Assisted Interventions. Animals, 7. · DOI · Paper page
- Hatch, 2007, The View from All Fours: A Look at an Animal-Assisted Activity Program from the Animals’ Perspective, Anthrozoös, 20, 37, 10.2752/089279307780216632 · DOI · Paper page
- Lerner, H. (2019). A Proposal for a Comprehensive Human-Animal Approach of Evaluation for Animal-Assisted Interventions. Int. J. Environ. Res. Public Health, 16. · DOI
- Pinillos, 2016, One Welfare—A platform for improving human and animal welfare, Vet. Rec., 179, 412, 10.1136/vr.i5470 · DOI
- Pinillos, R.G. (2018). One Welfare: A Framework to Improve Animal Welfare and Human Well-Being, CAB International. · DOI
- Leconstant, 2022, Integrative Model of Human-Animal Interactions: A One Health-One Welfare Systemic Approach to Studying HAI, Front. Vet. Sci., 9, 656833, 10.3389/fvets.2022.656833 · DOI
- Hartwig, 2019, What is important in canine-assisted intervention teams? An investigation of canine-assisted intervention program online screening tools, J. Vet. Behav., 29, 53, 10.1016/j.jveb.2018.09.004 · DOI · Paper page
- King, 2011, Effect of a time-out session with working animal-assisted therapy dogs, J. Vet. Behav. Clin. Appl. Res., 6, 232, 10.1016/j.jveb.2011.01.007 · DOI
- Linder, 2017, Animal-assisted interventions: A national survey of health and safety policies in hospitals, eldercare facilities, and therapy animal organizations, AJIC Am. J. Infect. Control, 45, 883, 10.1016/j.ajic.2017.04.287 · DOI
- Audrestch, 2015, Recognizing the value of assistance dogs in society, Disabil. Health J., 8, 469, 10.1016/j.dhjo.2015.07.001 · DOI
- Schoenfeld-Tacher, R., Hellyer, P., Cheung, L., and Kogan, L. (2017). Public Perceptions of Service Dogs, Emotional Support Dogs, and Therapy Dogs. Int. J. Environ. Res. Public Health, 14. · DOI
- Howell, T.J., Nieforth, L., Thomas-Pino, C., Samet, L., Agbonika, S., Cuevas-Pavincich, F., Fry, N.E., Hill, K., Jegatheesan, B., and Kakinuma, M. (2022). Defining Terms Used for Animals Working in Support Roles for People with Support Needs. Animals, 12. · DOI
- Cobb, 2020, Not all dogs are equal: Perception of canine welfare varies with context, Anim. Welf., 29, 27, 10.7120/09627286.29.1.027 · DOI
- Rock, M., and Degeling, C. (2016). Toward “One Health” Promotion, John Wiley & Sons, Inc. · DOI
- Rock, 2015, Policies on pets for healthy cities: A conceptual framework, Health Promot. Int., 30, 976, 10.1093/heapro/dau017 · DOI
- Fine, A.H. (2019). Handbook on Animal-Assisted Therapy: Foundations and Guidelines for Animal-Assisted Interventions, Academic Press.
- Fraser, 2008, Understanding animal welfare, Acta Vet. Scand., 50, S1, 10.1186/1751-0147-50-S1-S1 · DOI
- Mellor, 2015, Extending the ‘Five Domains’ model for animal welfare assessment to incorporate positive welfare states, Anim. Welf., 24, 241, 10.7120/09627286.24.3.241 · DOI · Paper page
- McDowall, S., Hazel, S.J., Chittleborough, C., Hamilton-Bruce, A., Stuckey, R., and Howell, T.J. (2023). The Impact of the Social Determinants of Human Health on Companion Animal Welfare. Animals, 13. · DOI
- Wenthold, 2007, Ethical Issues with Service Animals, Top. Stroke Rehabil., 14, 68, 10.1310/tsr1402-68 · DOI
- Walker, 2019, Developing Ethical Frameworks in Animal-Assisted Social Service Delivery in Aotearoa New Zealand, Br. J. Soc. Work., 49, 163, 10.1093/bjsw/bcy020 · DOI
- Serpell, 2020, Current Standards and Practices Within the Therapy Dog Industry: Results of a Representative Survey of United States Therapy Dog Organizations, Front. Vet. Sci., 7, 35, 10.3389/fvets.2020.00035 · DOI
- Cobb, 2015, The advent of canine performance science: Offering a sustainable future for working dogs, Behav. Process., 110, 96, 10.1016/j.beproc.2014.10.012 · DOI
- Bremhorst, A., Paolo, M., Tiffani, H., and Lieta, M. (2018). Spotlight on Assistance Dogs—Legislation, Welfare and Research. Animals, 8. · DOI
- Palestrini, 2005, Heart rate and behavioural responses of dogs in the Ainsworth’s Strange Situation: A pilot study, Appl. Anim. Behav. Sci., 94, 75, 10.1016/j.applanim.2005.02.005 · DOI
- Rooney, 2009, A practitioner’s guide to working dog welfare, J. Vet. Behav. Clin. Appl. Res., 4, 127, 10.1016/j.jveb.2008.10.037 · DOI
- Hampton, J.O., Jones, B., and McGreevy, P.D. (2020). Social license and animal welfare: Developments from the past decade in Australia. Animals, 10. · DOI
- Serpell, 2004, Factors influencing human attitudes to animals and their welfare, Anim. Welf., 13, 145, 10.1017/S0962728600014500 · DOI · Paper page
- Iannuzzi, 1991, Ethical Issues in Animal-Assisted Therapy Programs, Anthrozoös, 4, 154, 10.2752/089279391787057116 · DOI · Paper page
- Glenk, 2011, Salivary cortisol, heart rate variability and behavioral assessment in dogs during animal-assisted interventions (AAI) in neuropsychiatry, J. Vet. Behav. Clin. Appl. Res., 6, 81, 10.1016/j.jveb.2010.09.007 · DOI
- Hiby, 2004, Dog training methods: Their use, effectiveness and interaction with behaviour and welfare, Anim. Welf., 13, 63, 10.1017/S0962728600026683 · DOI
- Fine, A., Beck, A., and Ng, Z. (2019). The State of Animal-Assisted Interventions: Addressing the Contemporary Issues That Will Shape the Future. Int. J. Environ. Res. Public Health, 16. · DOI
- MacLean, 2021, The New Era of Canine Science: Reshaping Our Relationships With Dogs, Front. Vet. Sci., 8, 675782, 10.3389/fvets.2021.675782 · DOI
- Gatti, 2009, Cortisol assays and diagnostic laboratory procedures in human biological fluids, Clin. Biochem., 42, 1205, 10.1016/j.clinbiochem.2009.04.011 · DOI
- Cobb, 2016, A systematic review and meta-analysis of salivary cortisol measurement in domestic canines, Domest. Anim. Endocrinol., 57, 31, 10.1016/j.domaniend.2016.04.003 · DOI
- Vormbrock, 1988, Cardiovascular effects of human-pet dog interactions, J. Behav. Med., 11, 509, 10.1007/BF00844843 · DOI
- Odendaal, 2000, Animal-assisted therapy—Magic or medicine?, J. Psychosom. Res., 49, 275, 10.1016/S0022-3999(00)00183-5 · DOI
- Odendaal, 2003, Neurophysiological Correlates of Affiliative Behaviour between Humans and Dogs, Vet. J., 165, 296, 10.1016/S1090-0233(02)00237-X · DOI · Paper page
- Barker, 2005, Measuring Stress and Immune Response in Healthcare Professionals following Interaction with a Therapy Dog: A Pilot Study, Psychol. Rep., 96, 713, 10.2466/pr0.96.3.713-729 · DOI
- Handlin, 2011, Short-Term Interaction between Dogs and Their Owners: Effects on Oxytocin, Cortisol, Insulin and Heart Rate-An Exploratory Study, Anthrozoös, 24, 301, 10.2752/175303711X13045914865385 · DOI · Paper page
- McCullough, 2018, Physiological and behavioral effects of animal-assisted interventions on therapy dogs in pediatric oncology settings, Appl. Anim. Behav. Sci., 200, 86, 10.1016/j.applanim.2017.11.014 · DOI · Paper page
- Palestrini, 2017, Stress level evaluation in a dog during animal-assisted therapy in pediatric surgery, J. Vet. Behav. Clin. Appl. Res., 17, 44, 10.1016/j.jveb.2016.09.003 · DOI · Paper page
- Glenk, 2013, Therapy dogs’ salivary cortisol levels vary during animal-assisted interventions, Anim. Welf., 22, 369, 10.7120/09627286.22.3.369 · DOI · Paper page
- Glenk, 2014, Salivary cortisol and behavior in therapy dogs during animal-assisted interventions: A pilot study, J. Vet. Behav. Clin. Appl. Res., 9, 98, 10.1016/j.jveb.2014.02.005 · DOI · Paper page
- Ng, 2014, The effect of dog–human interaction on cortisol and behavior in registered animal-assisted activity dogs, Appl. Anim. Behav. Sci., 159, 69, 10.1016/j.applanim.2014.07.009 · DOI · Paper page
- Koda, 2015, Stress levels in dogs, and its recognition by their handlers, during animal-assisted therapy in a prison, Anim. Welf., 24, 203, 10.7120/09627286.24.2.203 · DOI · Paper page
- Pirrone, 2017, Measuring social synchrony and stress in the handler-dog dyad during animal-assisted activities: A pilot study, J. Vet. Behav. Clin. Appl. Res., 21, 45, 10.1016/j.jveb.2017.07.004 · DOI · Paper page
- Beerda, 1998, Behavioural, saliva cortisol and heart rate responses to different types of stimuli in dogs, Appl. Anim. Behav. Sci., 58, 365, 10.1016/S0168-1591(97)00145-7 · DOI
- Bergamasco, 2010, Heart rate variability and saliva cortisol assessment in shelter dog: Human–animal interaction effects, Appl. Anim. Behav. Sci., 125, 56, 10.1016/j.applanim.2010.03.002 · DOI
- Silas, 2019, Therapeutic for all? Observational assessments of therapy canine stress in an on-campus stress-reduction program, J. Vet. Behav., 32, 6, 10.1016/j.jveb.2019.03.009 · DOI · Paper page
- Schoberl, I., Wedl, M., Beetz, A., and Kotrschal, K. (2017). Psychobiological Factors Affecting Cortisol Variability in Human-Dog Dyads. (Research Article) (Author abstract). PLoS ONE, 12. · DOI
- Sorge, 2014, Olfactory exposure to males, including men, causes stress and related analgesia in rodents, Nat. Methods, 11, 629, 10.1038/nmeth.2935 · DOI · Paper page
- Fine, A.H., Tedeschi, P., Morris, K., and Elvove, E. (2019). Handbook on Animal-Assisted Therapy, Elsevier/Academic Press. [5th ed.].
- Jones, 2005, Temperament and personality in dogs (Canis familiaris): A review and evaluation of past research, Appl. Anim. Behav. Sci., 95, 1, 10.1016/j.applanim.2005.04.008 · DOI
- Rayment, 2015, Applied personality assessment in domestic dogs: Limitations and caveats, Appl. Anim. Behav. Sci., 163, 1, 10.1016/j.applanim.2014.11.020 · DOI
- Sakurama, M., Ito, M., Nakanowataru, Y., and Kooriyama, T. (2023). Selection of Appropriate Dogs to Be Therapy Dogs Using the C-BARQ. Animals, 13. · DOI
- Cavalli, 2018, Are animal-assisted activity dogs different from pet dogs? A comparison of their sociocognitive abilities, J. Vet. Behav., 23, 76, 10.1016/j.jveb.2017.12.001 · DOI
- Mongillo, 2015, Validation of a selection protocol of dogs involved in animal-assisted intervention, J. Vet. Behav.-Clin. Appl. Res., 10, 103, 10.1016/j.jveb.2014.11.005 · DOI · Paper page
- Binfet, 2018, Dogs on Campus: Holistic Assessment of Therapy Dogs and Handlers for Research and Community Initiatives, Soc. Anim., 28, 489, 10.1163/15685306-12341495 · DOI
- Menna, L., Santaniello, A., Todisco, M., Amato, A., Borrelli, L., Scandurra, C., and Fioretti, A. (2019). The Human–Animal Relationship as the Focus of Animal-Assisted Interventions: A One Health Approach. Int. J. Environ. Res. Public Health, 16. · DOI
- Lefebvre, 2008, A veterinary perspective on the recently published guidelines for animal-assisted interventions in health-care facilities, J. Am. Vet. Med. Assoc., 233, 394, 10.2460/javma.233.3.394 · DOI
- Bokken, 2018, Zoonotic bacteria and parasites found in raw meat-based diets for cats and dogs, Vet. Rec., 182, 50, 10.1136/vr.104535 · DOI · Paper page
- Morelli, G., Bastianello, S., Catellani, P., and Ricci, R. (2019). Raw meat-based diets for dogs: Survey of owners’ motivations, attitudes and practices. BMC Vet. Res., 15. · DOI
- Lefebvre, 2006, Characteristics of Programs Involving Canine Visitation of Hospitalized People in Ontario, Infect. Control Hosp. Epidemiol., 27, 754, 10.1086/505099 · DOI
- Finley, 2007, The risk of salmonellae shedding by dogs fed Salmonella-contaminated commercial raw food diets, Can. Vet. J., 48, 69
- Bert, 2016, Animal assisted intervention: A systematic review of benefits and risks, Eur. J. Integr. Med., 8, 695, 10.1016/j.eujim.2016.05.005 · DOI · Paper page
- Hardin, 2016, Prevention of transmitted infections in a pet therapy program: An exemplar, AJIC Am. J. Infect. Control, 44, 846, 10.1016/j.ajic.2016.01.007 · DOI
- Winkle, 2019, Animal-assisted intervention international: Standards of practice, Anim.-Assist. Interv. Int., 2, 2
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Sim, S. Q., Liu, Z., Wu, Z., Wang, S., & Nisa, C. (2025) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-025-04955-2 · Cited by 14
Metadata
- Authors
- McDowall, S., Hazel, S. J., Cobb, M., & Hamilton-Bruce, A.
- Affiliations
- School of Animal and Veterinary Science, Roseworthy Campus, The University of Adelaide, Roseworthy, SA 5371, Australia
- Animal Welfare Science Centre, Faculty of Veterinary and Agricultural Science, The University of Melbourne, Parkville, VIC 3010, Australia
- Adelaide Medical School, The University of Adelaide, Adelaide, SA 5005, Australia
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2023-05-12
- Volume
- 20
- Issue
- 10
- Pages
- 5801
- ISSN
- 1660-4601
- PMC
- PMC10217936
- Cited by
- 21
- References
- 9
- Language
- en
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