A multicenter study of animal-assisted activity and anxiety among older adults hospitalized in acute care settings

Appl Nurs Res. 2021 Aug:60:151447. doi: 10.1016/j.apnr.2021.151447. Epub 2021 May 19.

Abstract

Background: For older adults (≥65 years old), hospitalization can be a stressful and anxiety- provoking event. Due to physiological changes in this population that make pharmacological therapy to manage anxiety challenging, use of alternative therapies, such as animal-assisted activities (AAA), could prove beneficial.

Aim: The purpose of this study was to determine if an AAA visit from a registered human-animal team during hospitalization would reduce perceived anxiety for older adults.

Design: A multicenter, interventional, comparative, pre-post design was used.

Methods: Eligible participants completed a demographic questionnaire and the Spielberger State-Trait Anxiety Inventory 6-item short form (STAI-6) survey prior to the AAA visit. AAA visits included interaction between the human-animal team and the participant at the bedside. At the conclusion of the visit, participants again completed the STAI-6. Demographic variables were analyzed using descriptive statistics and comparative analyses were performed using non-parametric tests to examine differences in pre-post STAI-6 scores.

Results: Participants (n = 141) had a median age of 75 years. The pre-visit median anxiety score was 14 (interquartile range [IQR] 10, 17), corresponding to mild baseline anxiety. The post-visit median anxiety score decreased significantly to 10 (IQR 7, 13) (p < 0.001). Weak associations were observed for gender (p = 0.025, r = 0.0189), and dog ownership (p = 0.026, r = 0.188).

Conclusions: AAA significantly decreased anxiety in older adults with mild anxiety during inpatient hospitalization. This non-pharmacological intervention can be considered as an alternative intervention for anxiety in this population.

Keywords: Animal-assisted activity; Anxiety; Geriatrics; Pet therapy.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Animals
  • Anxiety* / therapy
  • Critical Care
  • Dogs
  • Humans
  • Inpatients*
  • Surveys and Questionnaires