shh.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
A therapy dog's impact on daytime activity and night-time sleep for older persons with Alzheimer's disease: a case study
Sophiahemmet University.ORCID iD: 0000-0002-0781-3771
Sophiahemmet University.ORCID iD: 0000-0002-0197-9121
2014 (English)In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 2, no 4, 80-93 p.Article in journal (Refereed) Published
Abstract [en]

Background: Animal-Assisted Therapy using dogs have been described as having a calming effect, decrease sundowning and blood-pressure in persons with Alzheimer’s disease. The aim was to investigate how continuous and scheduled visits by a prescribed therapy dog affected daytime and night-time sleep for persons with Alzheimer’s disease.

Methods: In this case study, registration of activity and sleep curves was conducted from five persons with moderate to severe Alzheimer’s disease living at a nursing home, over a period of 16 weeks using an Actiwatch. Data was analysed with descriptive statistics.

Result: The study shows no clear pattern of effect on individual persons daytime activity and sleep when encounter with a therapy dog, but instead points to a great variety of possible different effects that brings an increased activity at different time points, for example during night-time sleep.

Conclusions: Effects from the use of a Animal-Assisted Therapy with a dog in the care of persons with Alzheimer’s disease needs to be further investigated and analysed from a personcentred view including both daytime and nightime activities.

Place, publisher, year, edition, pages
2014. Vol. 2, no 4, 80-93 p.
Keyword [en]
Alzheimer's disease, Animal-assisted therapy, Activity, Nursing, Sleep
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-1689DOI: 10.5430/cns.v2n4p80OAI: oai:DiVA.org:shh-1689DiVA: diva2:748077
Available from: 2014-09-18 Created: 2014-09-18 Last updated: 2015-04-08Bibliographically approved
In thesis
1. "Being in the present": the meaning of the interaction between older persons with Alzheimer's disease and a therapy dog
Open this publication in new window or tab >>"Being in the present": the meaning of the interaction between older persons with Alzheimer's disease and a therapy dog
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The number of persons with Alzheimer’s disease is increasing world-wide and the disease affects the persons, their families, the health care system and the economy within society worldwide. The symptoms and behaviours caused by Alzheimer’ disease may be difficult to manage for the person and their caregivers. Alternative methods are recommended before pharmacological treatment. The presence of a therapy dog has been described as beneficial, in for instance increasing well-being and alleviating symptoms and dementia behaviours. The overall aim of this thesis was to gain a deeper understanding of the influence of therapy dogs on persons with Alzheimer’s disease from the person’s and the dog handler’s perspectives. Further, adopting a longitudinal perspective, the study investigates the therapy dog’s influence on activity and sleep for persons with Alzheimer’s disease. Video observations of five persons with Alzheimer’s disease interacting with a therapy dog (I, II), as well as interviews with nine dog handlers (III) were gathered and transcribed. Data was analyzed using a phenomenological hermeneutical method (I, II, III). Registration of activity and sleep was conducted over a period of 16 weeks using an Actigraf that generated curves, and were then analysed using descriptive statistics (III). The time spent with the dog revealed memories and feelings resulting in existential thoughts of oneself and life, which then connected to the present situation (I). Distancing oneself from the symptoms of the disease when interacting with the dog showed a person functioning in the present with the dog, striving for the dog’s best and putting the dog before and above oneself (II). The therapy dog’s presence showed no pattern of effect on the patients’ daytime activity and sleep. The findings instead pointed to a great variety of possible different effects, bringing about increased activity at different time points, for example during night-time sleep (III), creating a respite from illness and contributing wordlessly to an existence but thoroughly directed by the dog handler, where the person was comfortable and took the initiative (IV). In conclusion, the therapy dog team’s presence with the person with Alzheimer’s disease induced meaning that allowed the person’s hidden qualities and abilities to develop and, when observed from a person-centred perspective, also brought out the individual in each person

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2015. 69 p.
Keyword
Animal-assisted therapy, Alzheimer's disease, Descriptive statistics, Lifeworld, Memories, Person-centred care, Phenomenological hermeneutics, Therapy dog
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-1828 (URN)978-91-7549-847-8 (ISBN)
Public defence
2015-04-17, H3 blå, Alfred Nobels Allé 23, Huddinge, 09:00
Opponent
Supervisors
Available from: 2015-04-08 Created: 2015-04-08 Last updated: 2016-06-09Bibliographically approved

Open Access in DiVA

fulltext(408 kB)156 downloads
File information
File name FULLTEXT02.pdfFile size 408 kBChecksum SHA-512
50c818e114246adb63da8410a3fbc48fb6a70d805e1d4a463469c09525d56345d8fd2163424382928a92b6091d085923be65ea66770e7ef2e7b7cdd09d8417ba
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Swall, AnnaLundh Hagelin, Carina
By organisation
Sophiahemmet University
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 162 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 446 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf