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Published on: July 19, 2021
Canine-Assisted Therapy in Hospitalized Patients Awaiting Heart Transplantation
David Snipelisky1, Jessica Smidt1, Shawn Gallup1
1From the Advanced Heart Disease Section, Division of Cardiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, Integrative Medicine and Health Research, Department of Medicine, Complementary and Integrative Medicine, and the Department of Medicine, Division of Hospital Internal Medicine, Mayo Clinic, Rochester, Minnesota, and the Department of Cardiovascular Disease, Mayo Clinic, Jacksonville, Florida.
Insights
Canine-assisted therapy (CAT) may help reduce anxiety and depression in patients awaiting heart transplantation. This study found CAT improved quality of life and was well-received by patients, with no adverse events reported.
Area of Science:
- Cardiology
- Psychiatry
- Animal-assisted interventions
Background:
- Patients awaiting heart transplantation often experience prolonged waiting periods.
- High prevalence of anxiety, depression, and stress is documented in this patient population.
- Current medical care may not fully address the psychological burden of transplantation waiting lists.
Purpose of the Study:
- To evaluate the feasibility and impact of canine-assisted therapy (CAT) for patients awaiting heart transplantation.
- To assess the psychological effects of CAT on anxiety, depression, and stress levels.
- To determine patient perception of CAT's efficacy and their willingness to recommend it.
Main Methods:
- Prospective, multicenter study involving status 1a heart transplantation candidates.
- Administration of Generalized Anxiety Disorder 7-item scale, Patient Health Questionnaire-9, and Perceived Stress Scale at various intervals.
- Post-intervention questionnaire to assess overall efficacy and patient satisfaction with CAT.
Main Results:
- Baseline assessments indicated high levels of anxiety, depression, and stress.
- Trends toward significant decreases in anxiety, depression, and stress scores were observed post-intervention.
- All patients reported improved quality of hospitalization, recommended CAT, and would opt for it again.
- No infectious complications were reported during the study.
Conclusions:
- Anxiety, stress, and depression are significant issues for heart transplantation candidates.
- Canine-assisted therapy (CAT) is a feasible and well-tolerated intervention for this population.
- CAT serves as a valuable adjunct to standard medical care, enhancing patient well-being during the waiting period.
Objectives:
Patients awaiting heart transplantation can be listed for prolonged periods of time and, as a result, the prevalence of anxiety and depression is high. Our study evaluates the feasibility of canine-assisted therapy (CAT) in this population.
Methods:
A prospective, multicenter study was performed on all status 1a patients admitted during a 12-month period to await transplantation. Patients were asked to complete the Generalized Anxiety Disorder 7-item scale and the Patient Health Questionnaire-9 at baseline, week 2, and week 6, and the Perceived Stress Scale at baseline and week 4. At the conclusion of the study, patients completed a questionnaire assessing the overall efficacy of CAT.
Results:
Baseline measures demonstrated high levels of anxiety, depression, and stress. The complete Generalized Anxiety Disorder 7-item scale (average score 10.9 vs 8; P = 0.14) and the Patient Health Questionnaire-9 (average score 12.3 vs 9.5; P = 0.057) scores decreased from baseline to week 6 and the Perceived Stress Scale (average score 29.8 vs 27; P = 0.16) decreased from baseline to week 4 with trends toward significance. All of the patients perceived CAT as improving the overall quality of hospitalization, would recommend CAT to other patients, and would elect for CAT during subsequent admissions. No infectious concerns were reported.
Conclusions:
Anxiety, stress, and depression are prevalent among 1a heart transplantation candidates, and CAT is a welcomed adjunct to the usual medical care in this population.
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