Cited by 85Human-Animal Interaction StudiesAnimal Behavior and Welfare StudiesVeterinary Oncology Research

The DOI matches its Crossref record; 100 of the 100 references it cites were found in a registry or an index; 1 of the 160 sources its claims cite were checked for support.

Therapy Dog Welfare Revisited: A Review of the Literature

Open access
Glenk, Lisa Maria, Foltin, Sandra·2021·Veterinary Sciences

Abstract

During the past decade, the field of human–animal interaction(s) research has been characterized by a significant increase in scientific findings. These data have contributed to our current understanding of how humans may benefit from contact with animals. However, the animal experience of these interactions is still an under-researched area. This paper addresses the welfare of dogs who participate in animal-assisted interventions (AAIs) to improve health in human recipients. This paper builds on previous work by Glenk (2017) and provides an updated review of the literature on therapy dog welfare published from 2017–2021. New advances in scientific methodology, such as the determination of salivary oxytocin, breath rate and tympanic membrane temperature, are analyzed regarding their value and limitations for research in AAIs. Moreover, welfare-related social and environmental factors (e.g., freedom of choice, exploration of novel environments, inequity aversion, individual development, working experience, relationship with handler and handler skills) that profoundly influence dog perception and well-being are reviewed and discussed. Accounting for the globally increasing interest and the number of dogs utilized in AAIs, safeguarding therapy dog well-being, and identifying situations, circumstances and protocols that may challenge animal welfare remains an emerging and crucial area of scientific effort.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This updated literature review (2017–2021) finds no acute distress in therapy dogs across 12 studies, though arousal indicators sometimes rise within physiological ranges. It highlights welfare-relevant factors such as transportation, familiarity, age, handler relationship, inequity aversion, exploration, and puppy exposure, while noting small samples and methodological variability.

Key findings

  • Across 12 peer-reviewed studies, no acute manifestation of distress was reported; when physiological arousal increased, it predominantly remained within the physiological range. Some studies found AAI-related increases in behavioral stress, salivary cortisol, heart rate, and breath rate.
  • Transportation of 50–60 min was related to increased physiological arousal; three studies had sessions of 70–90 min despite an earlier recommendation that AAI sessions be no longer than 60 min. Greater familiarity with the AAI site and regular work in the same environment were linked with less arousal.
  • Handler perceptions sometimes aligned with dog stress: self-reported handler stress was related to more stress behaviors in their dog, and one study reported 25% of therapy dogs had increased stress, 22.5% decreased, and 52.5% no change over a session.
  • Novel methods reviewed include salivary oxytocin, tympanic ear membrane temperature, and respiratory rate; welfare-related social and environmental factors discussed include inequity aversion, exploration, dog age/retirement, and early puppy exposure.

Methods

  • Literature review building on Glenk (2017), including peer-reviewed studies with experimental assessment of dog welfare indicators linked to AAI performance; excluded publications before 2017, duplicates, monographs/theses, commentaries, reviews, and meta-analyses.
  • Searched scientific databases, titles, and keywords for therapy dog, canine, welfare, well-being, stress, arousal, behavior, AAI, and AAT; identified 12 relevant peer-reviewed papers published 2017–2021 after excluding one duplicate.
  • Included studies used visitation programs and measured salivary cortisol, behavior, heart rate, heart rate variability, respiratory rate, salivary oxytocin, tympanic ear membrane temperature, and observed stress levels; dog sample sizes ranged from 2 to 40 (Md = 7.5, SD = 11.45).

Limitations

  • Stated in the paper: small samples (8 of 12 studies had fewer than 10 dogs; median 7.5) hinder generalization; variability across methodology and lack of standardized protocols hinder broad comparisons; long-term effects are unknown; the ideal baseline remains unresolved; no studies are available on inequity aversion in therapy dogs; no experimental data exist on the ideal age for participation; certification procedures vary substantially.
  • Evident from the text: the review synthesizes heterogeneous studies with differing settings, session durations and frequencies, recipient types, and missing information (four studies did not provide interval information, two did not provide recipient information, and one did not provide session-format information), limiting causal conclusions.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3390/vetsci8100226

Cites

100 of 100 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

1 of 160 cited sources checked · 0 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    In Clark et al., the youngest and least experienced dog (seven years old) had higher post-session cortisol values than her conspecifics in all conditions except the weekly interval scenario.

    “Moreover, the youngest and least experienced dog of the sample was seven years old and had higher post-session cortisol values than her conspecifics in all conditions except the weekly interval scenario.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [18] Clark, 2019, Welfare consideration: Salivary cortisol concentrations on frequency of therapy dog visits in an outpatient hospital setting: A pilot study, J. Vet. Behav. source

      The Subjects section identifies Dog 3 as a seven-year-old female, and the Discussion reports that she had the highest postvisit salivary cortisol in treatments A, C, and D, but not B (the weekly-visit treatment). The Discussion says her team was the newest to join the Mayo Clinic program, but also says she had volunteered at other facilities; it does not establish that she was the least experienced dog overall. Page numbers were not available in our copy. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Findingown data

    In all included studies, dogs participated in AAIs organized as visitation programs.

    “In all of the studies, dogs participated in AAIs that were organized as visitation programs (Table 1).”
    Quote in the paperNot a substantial claim
  • Findingown data

    Dog welfare indicators used in the reviewed studies were salivary cortisol, behavior, heart rate, heart rate variability, respiratory rate, salivary oxytocin, tympanic ear membrane temperature and observed stress levels.

    “Dog welfare indicators were salivary cortisol, behavior, heart rate, heart rate variability, respiratory rate, salivary oxytocin, tympanic ear membrane temperature and observed stress levels.”
    Quote in the paperNot a substantial claim
  • Findingown data

    The literature research revealed twelve relevant peer-reviewed papers published between 2017 and 2021.

    “The literature research revealed twelve relevant peer-reviewed papers that were published between 2017 and 2021.”
    Quote in the paperNot a substantial claim
  • Findingown data

    Eight out of twelve studies had dog sample sizes with less than ten individuals.

    “Eight out of twelve studies had dog sample sizes with less than ten individuals.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. 44
  • It may state two separate claims as one. 56
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingnone given

    Evaluations were based on self-reports of dog handlers, recipients and the experimenter.

    “Evaluations were based on self-reports of dog handlers, recipients and the experimenter.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Findingown data

    Seven studies included programs in which recipients participated in groups of two or more; two included single recipient sessions; two included both; one did not provide further information.

    “Seven studies included programs in which recipients participated in groups of two or more individuals. Two studies included programs with single recipient sessions, two studies included both single and group sessions, and one study did not provide any further information.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Findingown data

    Session duration varied between ten and ninety minutes, and intervals between sessions ranged from 15 min to once per month; four studies did not provide further information.

    “As depicted in Table 2, session duration varied between ten and ninety minutes, intervals between sessions ranged from 15 min to once per month; however, four studies did not provide any further information.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingown data

    The number of dogs included in the studies ranged from two to forty individuals (Md = 7.5, SD = 11.45).

    “The number of dogs included in the studies ranged from two to forty individuals (Md = 7.5, SD = 11.45).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Findingown data

    Six studies included adult recipients, four included child recipients, and two did not provide further information.

    “Six studies included adult recipients, four studies included child recipients, and two studies did not provide any further information.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingown data

    AAI sessions were carried out in different environments such as a hospital, healthcare or outpatient unit, kindergarten, school, university campus, prison, and training campsite.

    “The AAI sessions were carried out in different environments such as a hospital, healthcare or outpatient unit, kindergarten, school, university campus, prison, and training campsite of the organization.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Findingcitation

    Research methods in recent AAI dog welfare studies are similar to those described by Glenk, with salivary cortisol, behavior and perceived stress level evaluations continuing to be the most common approaches.

    “Research methods are similar to those described by Glenk [2], thus, the analysis of salivary cortisol, behavior and perceived stress level evaluations continue to be the most common approaches in assessing dog welfare.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [2] Glenk, L.M. (2017). Current Perspectives on Therapy Dog Welfare in Animal-Assisted Interventions. Animals, 7. source
  • It may state two separate claims as one.

    Findingcitation

    Participation in an AAI session stimulated both synchronous behaviors with the owner and socio-positive behaviors such as attention, sniffing, affiliative and playful behavior.

    “Participation in an AAI session stimulated both synchronous behaviors with the owner [13] and socio-positive behaviors such as attention, sniffing, affiliative and playful behavior [17].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [13] Pirrone, 2017, Measuring social synchrony and stress in the handler-dog dyad during animal-assisted activities: A pilot study, J. Vet. Behav. source
    • cites [17] Corsetti, S., Ferrara, M., and Natoli, E. (2019). Evaluating Stress in Dogs Involved in Animal-Assisted Interventions. Animals, 9. source
  • It may state two separate claims as one.

    Findingcitation

    Studies have found an AAI-related increase in behavioral stress, salivary cortisol, heart rate and breath rate.

    “In contrast, studies have found an AAI-related increase in behavioral stress [19], salivary cortisol [21], heart rate [13,21] and breath rate [21]).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [19] Silas, 2019, Therapeutic for all? Observational assessments of therapy canine stress in an on-campus stress-reduction program, J. Vet. Behav. source
    • cites [21] Nunes, 2020, The combined use of salivary cortisol concentrations, heart rate, and respiratory rate for the welfare assessment of dogs involved in AAI programs, J. Vet. Behav. source
    • cites [13] Pirrone, 2017, Measuring social synchrony and stress in the handler-dog dyad during animal-assisted activities: A pilot study, J. Vet. Behav. source
  • Probably not a substantial claim. The paper may give no reason why it holds.

    Findingnone given

    To date, there are no studies available on inequity aversion in therapy dogs.

    “To date, there are no studies available on inequity aversion in therapy dogs.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingnone given

    Novel methods in AAI dog welfare research include the determination of salivary oxytocin, tympanic ear membrane temperature and respiration rates.

    “Novel methods include the determination of salivary oxytocin, tympanic ear membrane temperature and respiration rates.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. It may state two separate claims as one.

    Findingnone given

    The variability across the methodology in these studies and the lack of standardized protocols is a limitation and hinders broad comparisons between studies.

    “Notably, the variability across the methodology in these studies and the lack of standardized protocols is a limitation and hinders broad comparisons between studies.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingnone given

    There are no experimental data available about the ideal age for a dog to participate in therapeutic settings.

    “However, there are no experimental data available about the ideal age for a dog to participate in therapeutic settings.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.

    Findingnone given

    The assessment of oxytocin, tympanic ear membrane temperature and respiration are novel methods in AAI research.

    “The assessment of oxytocin, tympanic ear membrane temperature and respiration are novel methods in AAI research.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim.

    Findingnone given

    There is a gap in knowledge of the long-term effects on dogs participating in AAI programs.

    “There still exists a gap in knowledge of the long-term effects on dogs participating in AAI programs.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim.

    Findingreasoning

    Identification of an ideal baseline remains an unresolved issue.

    “identification of an ideal baseline remains an unresolved issue that will hopefully be addressed in the future.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: There is enormous variability in the living conditions of each dog, including single-households, traditional families, patchwork-families, and individual or conspecific housing.
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.

    Findingnone given

    Currently, there are no standards for best practices in puppy raising techniques.

    “Currently, there are no standards for best practices in puppy raising techniques.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Findingnone given

    Little evidence exists as to the optimal timing of stimulus exposure as well as the initial level of exposure.

    “Little evidence exists as to the optimal timing of stimulus exposure as well as the initial level of exposure.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Findingnone given

    In most studies, sample sizes are relatively small, which hinders the generalization of the findings.

    “In most studies, sample sizes are relatively small which hinders the generalization of the findings.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper may give no reason why it holds.

    Findingnone given

    Therapy dog certification procedures vary substantially.

    “Further, it must be acknowledged that therapy dog certification procedures vary substantially and so do predictors of suitability for the role of a therapy dog.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    The AAII's Standards of Practice state that animals are sentient beings with needs equal to that of the person.

    “Notably, the AAII′s Standards of Practice state that animals are “sentient beings with needs equal to that of the person” [9] (p. 18).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Animal-Assisted Intervention International (AAII) (2021, April 05). Animal-Assisted Intervention International Standards of Practice. Available online: https://aai-int.org/wpcontent/uploads/2019/02/AAII-Standards-of-Practice.pdf.
  • It may state two separate claims as one.

    Premisecitation

    In Pirrone et al., social synchrony occurred prior to and during AAAs, with joint attention being the most prevalent behavior.

    “Social synchrony occurred prior to and during AAAs with joint attention being the most prevalent behavior.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [13] Pirrone, 2017, Measuring social synchrony and stress in the handler-dog dyad during animal-assisted activities: A pilot study, J. Vet. Behav. source
  • It may state two separate claims as one.

    Study design and conductown data

    Duplicate publications were identified and not considered, resulting in the exclusion of one study.

    “As this paper builds on a previous review of the literature [2] duplicate publications were identified and not considered in the present analysis, resulting in the exclusion of one study [12].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [2] Glenk, L.M. (2017). Current Perspectives on Therapy Dog Welfare in Animal-Assisted Interventions. Animals, 7. source
    • cites [12] Palestrini, 2017, Stress level evaluation in a dog during animal-assisted therapy in pediatric surgery, J. Vet. Behav. source
  • It may state two separate claims as one.

    Premisecitation

    In Pirrone et al., heart rate was higher in dogs on working days with AAA sessions compared to control days, but values remained within the common physiological range, suggesting only minor increased arousal.

    “Although heart rate was higher in dogs on working days with AAA sessions compared to control days, values remained within the common physiological range, suggesting only minor increased arousal.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [13] Pirrone, 2017, Measuring social synchrony and stress in the handler-dog dyad during animal-assisted activities: A pilot study, J. Vet. Behav. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    Colussi et al. stated that AAAs can be considered as low-intensity exercises, while dogs provide high psychological support to recipients.

    “The authors stated that AAAs can be considered as low-intensity exercises, while dogs provide high psychological support to recipients.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [15] Colussi, 2018, Variations of salivary cortisol in dogs exposed to different cognitive and physical activities, Ital. J. Anim. Sci. source
  • Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.

    Interpretationreasoning

    Having an additional sentient partner requires the adept skills of the AAI handler in order to split attention, maintain desired outcomes, and respond quickly and appropriately to all participants throughout a session.

    “Having an additional sentient partner requires the adept skills of the AAI handler in order to split attention, maintain desired outcomes, and respond quickly and appropriately to all participants throughout a session.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    In Pirrone et al., individual preferences for physical contact with recipients were described, with some dogs more willing to initiate physical contact than others.

    “Individual preferences for physical contact with recipients were described with some dogs being more willing to initiate physical contact with the recipients than others [13].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [13] Pirrone, 2017, Measuring social synchrony and stress in the handler-dog dyad during animal-assisted activities: A pilot study, J. Vet. Behav. source
  • Probably not a substantial claim. The paper may give no reason why it holds.

    Interpretationnone given

    Adding a sentient being to a therapeutic setting creates a triangular relationship rather than a bidirectional one.

    “Adding a sentient being to a therapeutic setting, therefore, creates a triangular relationship rather than a bidirectional one.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    In Colussi et al., significantly higher pre-session cortisol levels may be associated with anticipation stress or arousal during transportation to the facility, but a causal relationship could not be inferred.

    “Significantly higher pre-session cortisol levels may be associated with anticipation stress or arousal during transportation to the facility, but a causal relationship could not be inferred [15].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [15] Colussi, 2018, Variations of salivary cortisol in dogs exposed to different cognitive and physical activities, Ital. J. Anim. Sci. source
  • It may state two separate claims as one.

    Premisecitation

    In McCullough et al., during AAI sessions, higher salivary cortisol was associated with an increased frequency of stress behaviors and a reduced frequency of affiliative behaviors.

    “However, during AAI sessions, higher salivary cortisol was associated with an increased frequency of stress behaviors and a reduced frequency of affiliative behaviors.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [14] McCullough, 2018, Physiological and behavioral effects of animal-assisted interventions on therapy dogs in pediatric oncology settings, Appl. Anim. Behav. Sci. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Corsetti et al. considered the workload the therapy dogs were exposed to during their investigation as adequate.

    “Accounting for these findings, the authors considered the workload the therapy dogs were exposed to during their investigation as adequate [17].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [17] Corsetti, S., Ferrara, M., and Natoli, E. (2019). Evaluating Stress in Dogs Involved in Animal-Assisted Interventions. Animals, 9. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    The Animal Assisted Intervention International Standards (2019) applies the Five Domains Model, expanding the Five Freedoms by providing an operational methodology for evaluating conditions impacting animal welfare and affecting the quality of the animal's mental state.

    “The Animal Assisted Intervention International Standards (2019) applies the Five Domains Model [9] (p. 4) expanding the “Five Freedoms” by providing an operational methodology for evaluating conditions impacting animal welfare and affecting the quality of the animal′s mental state.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Animal-Assisted Intervention International (AAII) (2021, April 05). Animal-Assisted Intervention International Standards of Practice. Available online: https://aai-int.org/wpcontent/uploads/2019/02/AAII-Standards-of-Practice.pdf.
  • It may state two separate claims as one.

    Premisecitation

    In McCullough et al., more stress-related behaviors were seen if the child put a bandanna on the dog, and fewer affiliative behaviors were found if the child used a stethoscope to listen to the dog's heartbeat, played a game on the dog's vest, or drew a picture of the dog.

    “For instance, more stress-related behaviors were seen if the child put a bandanna on the dog and fewer affiliative behaviors were found if the child used a stethoscope to listen to the dog′s heartbeat, the child played a game on the dog′s vest or drew a picture of the dog [14].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [14] McCullough, 2018, Physiological and behavioral effects of animal-assisted interventions on therapy dogs in pediatric oncology settings, Appl. Anim. Behav. Sci. source
  • It may state two separate claims as one.

    Premisecitation

    Both dogs and robotic animals reduced behavioral and psychological symptoms and depression and improved mood and quality of life among residents with dementia in nursing homes.

    “Both reduced behavioral and psychological symptoms and depression and improved mood and quality of life among residents with dementia in nursing homes.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [42] Aarskog, 2019, Animal-Assisted Interventions with Dogs and Robotic Animals for Residents with Dementia in Nursing Homes: A Systematic Review, Phys. Occup. Ther. I Geritatrics source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Cascading levels of stress may decrease synchrony between interacting individuals.

    “Since cascading levels of stress may decrease synchrony between interacting individuals [53],”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [53] Azhari, 2019, Parenting Stress Undermines Mother-Child Brain-to-Brain Synchrony: A Hyperscanning Study, Sci Rep. source
  • It may state two separate claims as one.

    Premisecitation

    Dogs spent significantly more time in proximity to and touching the recipient while gazing more at their handlers.

    “However, dogs spent significantly more time in proximity to and touching the recipient while gazing more at their handlers.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [50] Wanser, 2019, Does attachment security to a human handler influence the behavior of dogs who engage in animal assisted activities?, Appl. Anim. Behav. Sci. source
  • It may state two separate claims as one.

    Interpretationreasoning

    Although indicators of welfare appeared to be significantly raised, the authors concluded that they predominantly fluctuate within the physiological range.

    “Although indicators of welfare appeared to be significantly raised, the authors concluded that they predominantly fluctuate within the physiological range.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Interpretationown data

    The literature review revealed a median of 7.5 dogs, so the science on therapy dog welfare is still characterized by relatively small samples of included dogs.

    “The literature review revealed a median of 7.5 dogs, thus, the science on therapy dog welfare is still characterized by relatively small samples of included dogs.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Premisecitation

    In study [21], dogs that had to be transported for more than 50 min from their homes to the AAI sites panted more and had higher heart rates.

    “In addition, dogs that had to be transported for more than 50 min from their homes to the AAI sites panted more and had higher heart rates.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [21] Nunes, 2020, The combined use of salivary cortisol concentrations, heart rate, and respiratory rate for the welfare assessment of dogs involved in AAI programs, J. Vet. Behav. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Iannuzzi and Rowan stated in 1991 that AAI sessions should be no longer than 60 min.

    “Although Iannuzzi and Rowan already stated in 1991, that AAI sessions should be no longer than 60 min”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [34] Iannuzzi, 1991, Ethical issues in animal-assisted therapy programs, Anthrozoös source
  • Probably not a substantial claim. It may state two separate claims as one.

    Interpretationcitation

    These findings underline the importance of recipient instruction prior to any human-animal interaction as both recipients and staff members may not automatically interact appropriately with the therapy dog.

    “These findings underline the importance of recipient instruction prior to any human–animal interaction as both recipients and staff members may not automatically interact appropriately with the therapy dog [33].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [33] Hatch, 2007, The view from all fours: A look at an animal-assisted activity program from the animals’ perspective, Anthrozoös source
  • It may state two separate claims as one.

    Premisecitation

    Therapy dogs' post-session cortisol levels were lower in dogs rated as minimally stressed, but there was no change in salivary cortisol in dogs rated as severely stressed by their handlers.

    “However, therapy dogs’ post-session cortisol levels were lower in dogs rated as minimally stressed but there was no change in salivary cortisol in dogs that were rated as severely stressed by their handlers [28].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [28] Koda, 2015, Stress levels in dogs, and its recognition by their handlers, during animal-assisted therapy in a prison, Anim. Welf. source
  • It may state two separate claims as one.

    Premisecitation

    In study [21], some dogs provided values considered outside of physiological thresholds, which were attributed to high temperature, fear of being transported by car and being overcrowded by recipients.

    “Some dogs provided values considered outside of physiological thresholds, which were attributed to high temperature, fear of being transported by car and being overcrowded by recipients [21].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [21] Nunes, 2020, The combined use of salivary cortisol concentrations, heart rate, and respiratory rate for the welfare assessment of dogs involved in AAI programs, J. Vet. Behav. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Restraint has previously been linked with higher arousal that increase urinary adrenaline and noradrenaline.

    “Restraint has previously been linked with higher arousal that increase urinary adrenaline and noradrenaline [32].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [32] Uetake, 2007, Stress response of dogs repeatedly participated in animal-assisted activities at special nursing homes for elderly people, Anim. Behav. Manag. source
  • It may state two separate claims as one.

    Interpretationcitation

    The handler's presence may serve as a secure base for dogs to confidently perform the AAA-related tasks and dogs may use their gaze during social referencing.

    “Thus, the handler′s presence may serve as a secure base for dogs to confidently perform the AAA-related tasks and dogs may use their gaze during social referencing.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Inequity aversion is suggested to be an adaptive mechanism to promote cooperative interactions between non-related individuals.

    “It is suggested to be an adaptive mechanism to promote cooperative interactions between non-related individuals [55].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [55] Brosnan, 2014, Evolution of responses to (un)fairness, Science source
  • It may state two separate claims as one.

    Premisecitation

    Silas et al. revealed inconsistencies when correlating handler and researcher stress level ratings, suggesting that handler perceptions may be more accurate in reflecting their dogs' experiences.

    “The study also revealed some inconsistencies when correlating handler and researcher stress level ratings, suggesting that handler perceptions may be more accurate in reflecting their dogs′ experiences [19].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [19] Silas, 2019, Therapeutic for all? Observational assessments of therapy canine stress in an on-campus stress-reduction program, J. Vet. Behav. source
  • It may state two separate claims as one.

    Premisecitation

    In Melco et al., neither the dogs' salivary cortisol levels nor heart rates showed any changes associated with therapy performance across six sessions.

    “Neither the dogs′ salivary cortisol levels nor heart rates showed any changes associated with therapy performance across six sessions.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [20] Melco, 2020, Investigation of physiological and behavioral responses in dogs participating in animal-assisted therapy with children diagnosed with attention-deficit hyperactivity disorder, J. Appl. Anim. Welf. Sci. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Interpretationcitation

    Frequent gazing at the owner in less secure dogs could be caused by the fact that they require more guidance and reassurance from their handlers.

    “In fact, frequent gazing at the owner in less secure dogs could be caused by the fact that they require more guidance and reassurance from their handlers.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Research in equine-assisted therapy has indicated that synchrony in heart rate varies with the relationship intensity in AAI recipients, horses and therapist.

    “research in equine-assisted therapy has indicated that synchrony in heart rate varies with the relationship intensity in AAI recipients, horses and therapist [52].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [52] Naber, 2019, Heart rate, heart rate variability and salivary cortisol as indicators of arousal and synchrony in clients with intellectual disability, horses and therapist during equine-assisted interventions, Pet. Behav. Sci. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    The human-dog dyad has been characterized as a mutual relationship affecting both physiology and mental state.

    “In fact, the human–dog dyad has been characterized as a mutual relationship affecting both physiology and mental state [44].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [44] Odendaal, 2003, Neurophysiological correlates of affliative behavior between humans and dogs, Vet. J. source
  • It may state two separate claims as one.

    Premisecitation

    Stressful experiences may be buffered by the support of the human attachment figure and different attachment styles are also prevalent in dogs.

    “Moreover, stressful experiences may be buffered by the support of the human attachment figure and different attachment styles are also prevalent in dogs [49].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [49] Payne, 2015, Current perspectives on attachment and bonding in the dog-human dyad, Psychol. Res. Behav. Manag. source
  • It may state two separate claims as one.

    Interpretationcitation

    These data suggest that AAI performances are sometimes linked with higher arousal and that handler perceptions can reflect the dog experience to some extent.

    “In sum, these data suggest that AAI performances are sometimes linked with higher arousal and that handler perceptions can reflect the dog experience to some extent.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Premisecitation

    Range et al. found that unequally rewarded dogs refused participation in a paw lifting task earlier, hesitated longer to respond to human commands and exhibited more stress-related behaviors.

    “The data highlighted that unequally rewarded dogs refused participation in a paw lifting task earlier, hesitated longer to respond to human commands and exhibited more stress-related behaviors [58].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [58] Range, 2009, The absence of reward induces inequity aversion in dogs, Proc. Natl. Acad. Sci. USA source
  • It may state two separate claims as one.

    Premisecitation

    Dogs are sensitive to unequal treatment and may cooperate less if they observe that a conspecific may receive more treats, praise or attention for similar compliance.

    “In such cases, handlers should be aware that dogs are sensitive to unequal treatment and may cooperate less if they observe that a conspecific may receive more treats, praise or attention for similar compliance.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [58] Range, 2009, The absence of reward induces inequity aversion in dogs, Proc. Natl. Acad. Sci. USA source
    • cites [59] Brucks, D., Essler, J.L., Marshall-Pescini, S., and Range, F. (2016). Inequity Aversion Negatively Affects Tolerance and Contact-Seeking Behaviours towards Partner and Experimenter. PLoS ONE, 11. source
  • It may state two separate claims as one.

    Premisecitation

    According to handler ratings in Silas et al., 25% of therapy dogs had increased stress levels, 22.5% had decreased stress levels, and 52.5% had no change in stress level over the course of their time working in a session.

    “According to handler ratings, 25% of therapy dogs had increased stress levels, 22.5% had decreased stress levels, and 52.5% had no change in stress level over the course of their time working in a session.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [19] Silas, 2019, Therapeutic for all? Observational assessments of therapy canine stress in an on-campus stress-reduction program, J. Vet. Behav. source
  • It may state two separate claims as one.

    Premisecitation

    Clark et al. findings suggest that the handlers were sensitive to their dog's experiences and that their perception is in line with the physiological state of their dog.

    “These findings suggest that the handlers were sensitive to their dog’s experiences and that their perception is in line with the physiological state of their dog.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [22] Clark, S.D., Martin, F., McGowan, R.T.S., Smidt, J.M., Anderson, R., Wang, L., Turpin, T., Langenfeld-McCoy, N., Bauer, B.A., and Mohabbat, A.B. (2020). Physiological State of Therapy Dogs during Animal-Assisted Activities in an Outpatient Setting. Animals, 10. source
  • It may state two separate claims as one.

    Premisecitation

    Dogs displayed more stress-related and fewer affiliative behaviors if recipients carried out actions directly on the dog.

    “Additionally, dogs displayed more stress-related and fewer affiliate behaviors if recipients carried out actions directly on the dog [14].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [14] McCullough, 2018, Physiological and behavioral effects of animal-assisted interventions on therapy dogs in pediatric oncology settings, Appl. Anim. Behav. Sci. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    Barber et al. found that robotic dogs may be just as effective and a suitable replacement in certain situations with therapeutic benefits for children and young people.

    “Barber et al. found that robotic dogs may be just as effective and a suitable replacement in certain situations with therapeutic benefits for children and young people [39].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [39] Barber, 2020, Children’s Evaluations of a Therapy Dog and Biomimetic Robot: Influences of Animistic Beliefs and Social Interaction, Intern. J. Soc. Robot. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    Attachment has been associated with the human-dog dyad and is characterized by behaviors like proximity seeking, exploration and separation distress.

    “Thus, attachment has also been associated with the human–dog dyad and is characterized by behaviors like proximity seeking, exploration and separation distress.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [46] Csanyi, 1998, Attachment behavior in dogs (Canis familiaris): A new application of Ainsworth’s (1969) Strange Situation Test, J. Comp. Psychol. source
    • cites [47] Custance, 2003, Is the dog-human relationship an attachment bond? An observational study using Ainsworth’s strange situation, Behaviour source
    • cites [48] Horn, 2013, Dogs’ attention towards humans depends on their relationship, not only on social familiarity, Anim. Cogn. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Robot animals may work as substitutes for living animals to some extent.

    “An emerging body of literature has stated that robot animals may work as substitutes for living animals to some extent [38].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [38] Park, S., Bak, A., Kim, S., Nam, Y., Kim, H.S., Yoo, D.-H., and Moon, M. (2020). Animal-Assisted and Pet-Robot Interventions for Ameliorating Behavioral and Psychological Symptoms of Dementia: A Systematic Review and Meta-Analysis. Biomedicines, 8. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Pirrone et al. did not reveal any synchronic patterns in the physiological reference markers heart rate or salivary cortisol.

    “Although the findings by Pirrone et al. did not reveal any synchronic patterns in the physiological reference markers heart rate or salivary cortisol [13],”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [13] Pirrone, 2017, Measuring social synchrony and stress in the handler-dog dyad during animal-assisted activities: A pilot study, J. Vet. Behav. source
  • It may state two separate claims as one.

    Premisecitation

    Children spent a comparable amount of time stroking both the real-life dog and the robot and spent more time interacting with the robot, even though the children reported they significantly preferred the sessions with the living dog.

    “The children spent a comparable amount of time stroking both the real-life dog and the robot and spent more time interacting with the robot, even though the children reported they significantly preferred the sessions with the living dog.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [39] Barber, 2020, Children’s Evaluations of a Therapy Dog and Biomimetic Robot: Influences of Animistic Beliefs and Social Interaction, Intern. J. Soc. Robot. source
  • It may state two separate claims as one.

    Premisecitation

    In Clark et al., heart rates and right tympanic ear membrane temperatures were significantly lower post-session, indicating a neutral to emotionally positive reaction towards the sessions.

    “heart rates and right tympanic ear membrane temperatures were significantly lower post-session, indicating a neutral to emotionally positive reaction towards the sessions.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [23] Clark, 2020, The Impact of a 20-Minute Animal-Assisted Activity Session on the Physiological and Emotional States in Patients with Fibromyalgia, Mayo Clin. Proc. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Silas et al. explain their findings with a certain excitement arising in therapy dogs when they are taken to a novel environment.

    “The authors explain their findings with a certain excitement arising in therapy dogs when they are taken to a novel environment.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [19] Silas, 2019, Therapeutic for all? Observational assessments of therapy canine stress in an on-campus stress-reduction program, J. Vet. Behav. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.

    Premisenone given

    This effect has often been accompanied by decreases in cortisol.

    “This effect has often been accompanied by decreases in cortisol.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Interpretationreasoning

    The level of arousal pre-session is likely affected by previous experience, the novelty of the environment, and whether the dog is comfortable with transportation.

    “Thus, the level of arousal pre-session is likely affected by previous experience, the novelty of the environment, and whether the dog is comfortable with transportation.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    Mills et al. identified stressor aspects (affective quality, intensity, magnitude, and duration) and proposed predictability and expectation to decrease their negative impact.

    “Mills et al. identified stressor aspects (affective quality, intensity, magnitude, and duration) and proposed predictability and expectation to decrease their negative impact [86].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [86] Mills, 2014, Stress—Its Effects on Health and Behavior: A Guide for Practitioners, Vet. Clin. Small Anim. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.

    Premisenone given

    Oxytocin is a molecule of particular interest given its potency in buffering stress responses by acting on both glucocorticoid and beta-adrenergic receptors.

    “Oxytocin is a molecule of particular interest given its potency in buffering stress responses by acting on both glucocorticoid and beta-adrenergic receptors.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Premisecitation

    Acute stress and emotional arousal have been related to changes in right ear tympanic membrane temperature.

    “Acute stress [100] and emotional arousal [101] have been related to changes in right ear tympanic membrane temperature.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [100] Pereira, 2019, Rightward Tympanic Membrane Temperature Bias During Acute Restraint-Isolation Stress in Marmoset Monkeys, Front. Neurosci. source
    • cites [101] Mazzotti, 2009, The right ear but not the left ear temperature is related to stress-induced cortisolaemia in the domestic cat (Felis catus), Laterality source
  • It may state two separate claims as one.

    Premisecitation

    Emotions affect ventilation and the respiratory rate increases, for instance, with experimentally-induced anticipatory anxiety.

    “Emotions affect ventilation and the respiratory rate increases, for instance, with experimentally-induced anticipatory anxiety [103].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [103] Nicolò, A., Massaroni, C., Schena, E., and Sacchetti, M. (2020). The Importance of Respiratory Rate Monitoring: From Healthcare to Sport and Exercise. Sensors, 20. source
  • It may state two separate claims as one.

    Premisecitation

    Respiration is sensitive to movement and various cognitive tasks, proportionally increasing with the difficulty of a task.

    “Furthermore, respiration is sensitive to movement and various cognitive tasks, proportionally increasing with the difficulty of a task [106].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [106] Grassmann, 2016, Respiratory Changes in Response to Cognitive Load: A Systematic Review, Neural Plast. source
  • Probably not a substantial claim. It may state two separate claims as one.

    Premisecitation

    Environment affects socialization and it is vitally important to rear the young dogs in optimal settings, introducing them to a range of stimuli in a positive, controlled, and gradual way in order to minimize fears.

    “Environment affects socialization and it is vitally important to rear the young dogs in optimal settings, introducing them to a range of stimuli in a positive, controlled, and gradual way in order to minimize fears [84].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [84] Rooney, 2007, Behavioural and glucocorticoid responses of dogs (Canis familiaris) to kennelling: Investigating mitigation of stress by prior habituation, Physiol. Behav. source
  • It may state two separate claims as one.

    Premisecitation

    When puppies are removed from their mothers as well as their familiar social and physical environment, a particularly sensitive phase is initiated since separation may cause behavioral and physiological distress and augment manifestations of anxiety and depression-like behaviors.

    “When puppies are removed from their mothers as well as their familiar social and physical environment, a particularly sensitive phase is initiated since separation may cause behavioral and physiological distress and augment manifestations of anxiety and depression-like behaviors [73].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [73] McMillan, 2017, Behavioral and psychological outcomes for dogs sold as puppies through pet stores and/or born in commercial breeding establishments: Current knowledge and putative causes, J. Vet. Behav. source
  • It may state two separate claims as one.

    Premisecitation

    Early life is an important time of enhanced synaptic plasticity, where exposure to environmental stimuli has a profound influence on later behavior.

    “Early life is an important time of enhanced synaptic plasticity, where exposure to environmental stimuli has a profound influence on later behavior [80].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [80] Casey, 2008, The effects of additional socialisation for kittens in a rescue centre on their behaviour and suitability as a pet, Appl. Anim. Behav. Sci. source
  • Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it.

    Premisecitation

    Exploration, in the best sense, allows dogs to act autonomously and by their own initiative.

    “Exploration, in the best sense, allows dogs to act autonomously and by their own initiative [63].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [63] Foltin, 2021, Exploration Behavior of Pet Dogs During Off-Leash Walks, J. Veter. Sci. Med. source
  • It may state two separate claims as one.

    Premisecitation

    Dogs are motivated to use or enhance their cognitive skills and may suffer when prevented from doing so.

    “Dogs are motivated to use or enhance their cognitive skills and may suffer when prevented from doing so.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [63] Foltin, 2021, Exploration Behavior of Pet Dogs During Off-Leash Walks, J. Veter. Sci. Med. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Foltin postulated that an owner who is supporting the dog's attempts to independently explore leads to more confident, self-reliant dogs displaying cognitive variance and becoming more autonomous.

    “Foltin postulated that an owner who is supporting the dog′s attempts to independently explore leads to more confident, self-reliant dogs displaying cognitive variance and becoming more autonomous [63].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [63] Foltin, 2021, Exploration Behavior of Pet Dogs During Off-Leash Walks, J. Veter. Sci. Med. source
  • It may state two separate claims as one.

    Premisecitation

    Exploratory behavior is considered an aspect of sensory processing involved in investigating novel stimuli, rather than an instinctive behavior, and partially depends on the motor and spatial capabilities and on the motivation to explore.

    “Exploratory behavior is considered an aspect of sensory processing involved in investigating novel stimuli, rather than an instinctive behavior [65] and partially depends on the motor and spatial capabilities and on the motivation to explore [66].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [65] Boulton, 1989, Exploration and its measurement: A psychopharmacological perspective, Psychopharmacology: Neuromethods source
    • cites [66] Caston, 1998, Role of the cerebellum in exploration behavior, Brain Res. source
  • It may state two separate claims as one.

    Premisecitation

    Cognition is a cause and consequence of welfare but can later affect cognitive functions.

    “Cognition is a cause and consequence of welfare but can later affect cognitive functions [62].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [62] Franks, B. (2018). Cognition as a cause, consequence, and component of welfare. Advances in Agricultural Animal Welfare, Woodhead Publishing. source
  • It may state two separate claims as one.

    Premisecitation

    Higher basal oxytocin levels have been related to increased anxiety, relationship distress and higher stress vulnerability in humans.

    “In fact, higher basal oxytocin levels have been related to increased anxiety [92], relationship distress [93] and higher stress vulnerability in humans [94].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [92] Taylor, 2006, Relation of oxytocin to psychological stress responses and hypothalamic-pituitary-adrenocortical axis activity in older women, Psychosom. Med. source
    • cites [93] Turner, 1999, Preliminary research on plasma oxytocin in normal cycling women: Investigating emotion and interpersonal distress, Psychiatry source
    • cites [94] Glenk, 2020, Salivary cortisol responses to acute stress vary between allergic and healthy individuals: The role of plasma oxytocin, emotion regulation strategies, reported stress and anxiety, Stress source
  • It may state two separate claims as one.

    Premisecitation

    Recent data suggest that salivary oxytocin may, in fact, better reflect cerebrospinal fluid concentrations than plasma concentrations and, therefore, its scientific use is warranted.

    “Recent data suggest that salivary oxytocin may, in fact, better reflect cerebrospinal fluid concentrations than plasma concentrations and, therefore, its scientific use is warranted [89].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [89] Martin, 2018, Oxytocin levels in saliva correlate better than plasma levels with concentrations in the cerebrospinal fluid of patients in neurocritical care, J. Neuroendocrinol. source
  • It may state two separate claims as one.

    Premisecitation

    Early environmental experiences strongly influence the emotional stability of dogs and too much stress can cause pathologic difficulties rather than physical or psychological advantages.

    “Early environmental experiences strongly influence the emotional stability of dogs and too much stress can cause pathologic difficulties rather than physical or psychological advantages [79].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [79] Battaglia, 2009, Periods of Early Development and the Effects of Stimulation and Social Experiences in the Canine, J. Vet. Behav. source
  • It may state two separate claims as one.

    Interpretationcitation

    Puppies are not socially, neurologically, or developmentally mature enough to participate in any AAI setting as they have not yet developed strategies to react to stressful situations.

    “Therefore, puppies are not socially, neurologically, or developmentally mature enough to participate in any AAI setting as they have not yet developed strategies to react to stressful situations [82].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [82] Schmidt, 2019, Evidence against conflict monitoring and adaptation, Psychon. Bull. Rec. source
  • It may state two separate claims as one.

    Premisecitation

    Older animals naturally become less resilient, need more time to recover from stress, and thus, may not be as adept at managing social situations.

    “Older animals naturally become less resilient, need more time to recover from stress, and thus, may not be as adept at managing social situations [71,72].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [71] Mongillo, 2015, Validation of a selection protocol of dogs involved in Animal Assisted Intervention, J. Vet. Behav. source
    • cites [72] Roth, 2015, Assessing companion dog behavior in a social setting, J. Vet. Behav. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    The Animal Assisted Intervention International Standards (2019) of Practice set forth that the relationship between the human partner and the dog should be one of secure attachment where the dog may rely on their human partner to provide a safe base to obtain their needs and to explore their external environment.

    “The Animal Assisted Intervention International Standards (2019) of Practice set forth that the relationship between the human partner and the dog should be one of secure attachment where the dog may rely on their human partner to provide a safe base to obtain their needs and to explore their external environment [9].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Animal-Assisted Intervention International (AAII) (2021, April 05). Animal-Assisted Intervention International Standards of Practice. Available online: https://aai-int.org/wpcontent/uploads/2019/02/AAII-Standards-of-Practice.pdf.
  • It may state two separate claims as one.

    Premisecitation

    The development of the stress system plays a crucial part in shaping its function during adulthood and impacts stress resilience and vulnerability to stress-related disorders later in life.

    “The development of the stress system plays a crucial part in shaping its function during adulthood and impacts stress resilience and vulnerability to stress-related disorders later in life [81].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [81] Huber, 2020, How Dogs Perceive Humans and How Humans Should Treat Their Pet Dogs: Linking Cognition with Ethics, Front. Psychol. source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.

    Premisenone given

    Previous studies have shown that oxytocin levels rise during affiliate human-dog interactions.

    “Previous studies have shown that oxytocin levels rise during affiliate human–dog interactions.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Premisenone given

    Puppies are not yet fully developed, physically or mentally, and their social skills are shaped and continuously reinforced by internal and external processes.

    “Additionally, puppies are not yet fully developed, physically or mentally, and their social skills are shaped and continuously reinforced by internal and external processes.”
    Quote in the paperNot a substantial claim
89 of 89
  • The paper relies on this without support.

    Dogs are the species most often involved in AAIs because they are convenient to work with, can be easily trained, and are widely available.

    “Dogs are the species most often involved in AAIs as they are convenient to work with, can be easily trained, and are widely available.”
  • The paper relies on this without support.

    Humans and dogs do not share equal privilege or power in AAIs.

    “Although “partners” in AAIs, humans and dogs do not share equal privilege or power and it is questionable whether dogs give any form of free and informed consent to fulfill the tasks assigned to them.”
  • The paper relies on this without support.

    Animal welfare is interconnected with recipient welfare.

    “The rationale for this paradigm alteration is practical and ethical since animal welfare is interconnected with recipient welfare.”
  • The paper relies on this without support.

    Many handlers do not use a gradual approach when introducing puppies to AAI settings.

    “In practice, many handlers unfortunately do not use this gradual approach.”
  • The paper relies on this without support.

    Often a puppy is immediately exposed to unfamiliar locations, in the presence of new people, having been transported in a new vehicle to the location.

    “Often a puppy is immediately exposed to unfamiliar locations, in the presence of new people, having been transported in a new vehicle to the location.”
  • The paper relies on this without support.

    The number of potential stressors is significant in AAI settings.

    “The number of potential stressors is significant in AAI settings.”
  • The paper relies on this without support.

    Dogs are exposed to frequently changing settings: different rooms, people, as well as temperature, and olfactory and visual information.

    “Dogs are exposed to frequently changing settings: different rooms, people, as well as temperature, and olfactory and visual information.”
  • The paper relies on this without support.

    There is enormous variability in the living conditions of each dog, including single-households, traditional families, patchwork-families, and individual or conspecific housing.

    “It should be acknowledged that there is enormous variability in the living conditions of each dog. Dogs may live in single-households, traditional families, or patchwork-families, and may be individually-housed or with conspecifics.”
8 of 8

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Tympanic temperature method attributed to two different studies

    Minor

    The methods section attributes Clark et al.'s tympanic ear thermometer measurement to [22], while the earlier study summary identifies tympanic ear membrane temperature as a measure used in Clark et al. [23].

  • Oxytocin result attributed to two different studies

    Minor

    The methods section attributes the finding of no change in dogs' oxytocin to Clark et al. [22], but the earlier study summary reports that finding for Clark et al. [23]. The summary of [22] describes cortisol measurements, not oxytocin measurements.

2 of 2

Citations

Cites

Flagged first, then by citations

Research works printed but not linked: 4

  1. Fine, A.H. (2006). Animal-assisted interventions in mental health: Definitions and theoretical foundations. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice, Academic Press. [2nd ed.].
  2. Beauchamp, T.L., and Childress, J.F. (2009). Principles of Biomedical Ethics, Oxford University Press.
  3. Scott, J.P., and Fuller, J.L. (1965). Genetics and the Social Behavior of the Dog, The University of Chicago Press.
  4. Kubinyi, 2015, The personality of dogs, Dog Behaviour, Evolution, and Cognition, Volume 81, 392

Cited by

Sorted by citations

Metadata

Authors
Glenk, L. M., & Foltin, S.
Affiliations
  • University of Vienna (AT)
  • University of Duisburg-Essen (DE)
Corresponding author
Glenk, Lisa Maria
Venue
Veterinary Sciences
Publisher
MDPI AG
Published
2021-10-12
Volume
8
Issue
10
Pages
226
ISSN
2306-7381 (ISSN-L)
OpenAlex
W3205614379
Cited by
71
References
97
Citations by year
2026: 20 · 2025: 18 · 2024: 13 · 2023: 9 · 2022: 11
FWCI
1.03
Type
journal article
Language
en
Open access
Locations
  • Veterinary Sciences (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Veterinärmedizinische Universität Wien
Topics
  • Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Human-Animal Interaction Studies
  • Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Behavior and Welfare Studies
  • Health Sciences › Veterinary › Small Animals › Veterinary Oncology Research
Keywords
therapy dogs, animal welfare, animal-assisted interventions, human-animal interaction, salivary oxytocin, respiratory rate, tympanic temperature, freedom of choice, inequity aversion, work experience

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