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The overall research aim of this study is to investigate changes in measures related to the risk of falls among elderly with dementia participating in animal-assisted interventions. Also relatives' experience of own and the elderly's situation during and after the intervention will be examined. The design will be a prospective and cluster randomized multicenter trial, but mixed-methods will be used to target different outcomes. The study population will be elderly (age above 65) at day care centers diagnosed with dementia, or having a cognitive deficit. The intervention will consist of 30 minutes sessions with animal-assisted activity or animal-assisted therapy two times a week for 12 weeks in groups of 4-6 participants. Control groups will receive treatment as usual. Research questions:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Animal-assisted activity | Experimental | 30 minutes group session with animal-assisted activity twice a week for 12 weeks in groups of 4-6 participants. |
|
| Animal-assisted therapy | Experimental | 30 minutes group session with animal-assisted therapy twice a week for 12 weeks in groups of 4-6 participants |
|
| Control | No Intervention | Control group with treatment as usual |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Animal-assisted activity | Other |
| ||
| Animal-assisted therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Norwegian version of Berg balance test | Second last or last week before the intervention starts, after 4 and 8 weeks of the intervention, and first or second week after end of intervention. A follow-up measure 3 months after end of the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Norwegian version of Quality of Life in Late-Stage Dementia (QUALID) | Second last or last week before the intervention starts, after 6 weeks of the intervention, and first or second week after end of intervention. A follow-up measure 3 months after end of the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in physical activity measured by Actigraphy | A device worn by the participants for one week at each time point of measure, night and day, measuring physical movement. Will be used to calculate physical activity during day time and sleep efficacy during the night. | Second last or last week before the intervention starts, after 6 weeks of the intervention, and first or second week after end of intervention |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Camilla Ihlebæk, PhD | Norwegian University of Life Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Solgården Dagsenter | Asker | Norway | ||||
| Lommedalen dagsenter |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27155968 | Derived | Olsen C, Pedersen I, Bergland A, Enders-Slegers MJ, Ihlebaek C. Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia. Geriatr Nurs. 2016 Jul-Aug;37(4):284-91. doi: 10.1016/j.gerinurse.2016.04.002. Epub 2016 May 4. |
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| Other |
|
| Video recordings of two group session at each location | The video recordings will be analyzed with respect to social interaction and group dynamics | After two and ten weeks of the intervention |
| Change in optional and ordinary medication | Second last or last week before the intervention starts, first or second week after the end of intervention. A follow-up measure 3 months after end of the intervention |
| Bærum |
| Norway |
| Vallerhjemmet dagsenter | Bærum | Norway |
| Pålsetunet dagsenter | Fet | Norway |
| Fjerdingby dagsenter | Fjerdingby | Norway |
| Glemmen dagsenter | Fredrikstad | Norway |
| Tjølling dagsenter | Larvik | Norway |
| Husebyjordet dagsenter | Lillestrøm | Norway |
| Åråsveien dagsenter | Lillestrøm | Norway |
| Myraveien Dagsenter | Moss | Norway |
| Skogbrynet dagsenter | Moss | Norway |
| Dagsenter Nedre Eiker | Nedre Eiker | Norway |
| Nes Dagsenter | Nes | Norway |
| Bjønnesåsen Dagsenter | Nøtterøy | Norway |
| Bjørkås dagsenter | Oppegård | Norway |
| Re Dagsenter | Re | Norway |
| Sandetun dagsenter | Sande | Norway |
| Lunden dagsenter | Sandefjord | Norway |
| Sørvald dagsenter | Sørum | Norway |
| Eik dagsenter | Tønsberg | Norway |
| Nes dagsenter | Tønsberg | Norway |
| ID | Term |
|---|---|
| D003704 | Dementia |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D056447 | Animal Assisted Therapy |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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