Animal-Assisted Intervention and Dementia: A Systematic Review

Clin Nurs Res. 2019 Jan;28(1):9-29. doi: 10.1177/1054773818756987. Epub 2018 Feb 14.

Abstract

This review discusses the relationship between animal-assisted interventions (AAI) and behavioral and psychological symptoms of dementia (BPSD). A systematic search was conducted within CINAHL, Web of Science CAB Abstracts, PubMed, Abstracts in Social Gerontology, Google Scholar, and PsycINFO for primary research articles. A total of 32 studies were included in the final review. Variation was noted in study designs and in study setting. Twenty-seven of 32 studies used dogs as the intervention. Agitation/aggression showed a significant decrease in nine of 15 studies. Eleven of 12 studies demonstrated increased social interaction with AAI. Mood had mixed results in nine studies. Quality of life was increased in three of four studies. Resident activity and nutritional intake were each increased in two studies. Animal assisted activities/interventions showed a strong positive effect on social behaviors, physical activity, and dietary intake in dementia patients and a positive effect on agitation/aggression and quality of life.

Keywords: animal-assisted therapy; dementia; systematic review.

Publication types

  • Systematic Review

MeSH terms

  • Animal Assisted Therapy*
  • Animals
  • Dementia / psychology*
  • Dementia / therapy
  • Dogs
  • Humans
  • Interpersonal Relations*
  • Quality of Life / psychology*