Evaluation of a pet-assisted living intervention for improving functional status in assisted living residents with mild to moderate cognitive impairment: a pilot study

Am J Alzheimers Dis Other Demen. 2015 May;30(3):276-89. doi: 10.1177/1533317514545477. Epub 2014 Aug 11.

Abstract

Background: In older adults with cognitive impairment (CI), decreased functional status and increased behavioral symptoms require relocation from assisted living (AL) to nursing homes. Studies support positive effects of pets on health/function.

Purpose: Evaluate the effectiveness of the Pet AL (PAL) intervention to support physical, behavioral, and emotional function in AL residents with CI.

Methods: Cognitively impaired AL residents randomized to 60-90 minute sessions [PAL (n = 22) or reminiscing (n = 18)] twice/week for 12 weeks. PAL interventionist encourages residents to perform skills with the visiting dog; reminiscing interventionist encourages residents to reminisce. Monthly assessment of physical (energy expenditure, activities of daily living), emotional (depression, apathy), and behavioral (agitation) function.

Results: In linear mixed models, physical activity depressive symptoms improved more with PAL.

Conclusion: Evidence supports that the PAL program helps preserve/enhance function of AL residents with CI. Additional study is required to evaluate the duration and predictors of effectiveness of the PAL intervention.

Keywords: activities of daily living; agitation; animal assisted; dementia; depression; intervention; physical activity.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Aged, 80 and over
  • Animal Assisted Therapy / methods*
  • Apathy*
  • Assisted Living Facilities
  • Cognition Disorders / complications
  • Cognition Disorders / therapy*
  • Cognitive Dysfunction / complications
  • Cognitive Dysfunction / therapy
  • Depression / etiology
  • Depression / therapy
  • Energy Metabolism*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Psychomotor Agitation / etiology
  • Psychomotor Agitation / therapy
  • Treatment Outcome