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| Name | Class |
|---|---|
| Sigma Theta Tau International Honor Society of Nursing | OTHER |
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The goal of this clinical trial is to determine the feasibility and acceptability of a randomized controlled trial comparing a pet dog walking intervention to an attention control education intervention in adult intensive care unit survivors.
The main question[s] it aims to answer are:
The secondary question[s] it aims to answer are:
- What are the differences in depression, anxiety, serum cortisol, and quality of life between and within a companion dog walking intervention compared to an attention control education intervention for ICU survivors?
Participants in the intervention group will be asked to:
Participants in the control group will be asked to:
Participants will be assigned to an intervention group or a control group to see if there are differences in depression, anxiety, serum cortisol, and quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Companion dog walking |
|
| Attention Control Group | Active Comparator | Educational resources about dog health |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Companion Dog Walking | Behavioral | Participants will be asked to walk their dog three times per week, for a minimum of 30 minutes each day of walking, over an 8-week period. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Study Feasibility as assessed by recruitment results, attrition rates, intervention fidelity, and missing data points | Data will be collected to answer the following questions:
| Feasibility data will be collected and analyzed from the time identifying, screening, and recruiting eligible participants begins to the time the final participant completes the study; no more than 12 months. |
| Study Acceptability as assessed by participant responses to survey questions regarding the amount of time spent in the study, the measurement tools used, the masking procedure, and the intervention. | Participants will complete an exit survey and will be asked to report on: (1) the acceptability of the time spent in the study and per session, (2) the acceptability of completing the measurement tools, (3) the acceptability of the masking procedure, (4) the acceptability of the intervention, (5) if they intend to continue the intervention after the end of the study, and (6) to report any suggestions for improvement they have. | Acceptability will be assessed post-intervention after participants complete the 8-week study period. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Depression | The Center for Epidemiologic Studies Depression Scale is a 20-item self-report tool that assesses intensity of depression using a 4-point Likert scale. Lower scores indicate milder levels of depression while higher scores indicate more severe depression (potential score 0-60). Clinically meaningful depression is represented by a score of 16 or greater. | Depression will be measured at baseline, half way through the intervention (at the end of week 4), and post intervention (at the end of week 8). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lindsey Nelson, MSN, RN | University of Missouri, Kansas City | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Penrose Hospital | Colorado Springs | Colorado | 80907 | United States | ||
| St. Francis Hospital |
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| ID | Term |
|---|---|
| C000657744 | postintensive care syndrome |
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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Participants will be randomly assigned and masked to their group assignment
| Attention Control Group | Behavioral | Participants will be asked to read educational materials on dog health once per week, over an 8-week period. |
|
| Change in Anxiety | The Spielberger State Trait Anxiety Inventory is a 40-item self-report assessment tool using a 4-point Likert scale that assesses both trait and state anxiety. The higher a participant's score (potential score 20-80 on each subscale) the higher the level of anxiety. No/low anxiety = 20-37 points; moderate anxiety= 38-44 points; and high anxiety=45-80 points, with a cut-off point of 39 indicting clinically significant symptoms of anxiety. | Anxiety will be measured at baseline, half way through the intervention (at the end of week 4), and post intervention (at the end of week 8). |
| Change in Quality of Life as assessed by health related quality of life indicators including physical functioning, physical and emotional limitations, social functioning, bodily pain, general and mental health. | The Short Form 36 is a 36-item self-report questionnaire using various ranking questions to measure health related quality of life. The Shot Form 36 examines eight dimensions of health related quality of life (physical functioning, physical and emotional limitations, social functioning, bodily pain, general and mental health). The higher the score (max score =100) the better the health and wellbeing, the lower the score (minimum score=0) the poorer the health and wellbeing. | Quality of life will be measured at baseline, half way through the intervention (at the end of week 4), and post intervention (at the end of week 8). |
| Change in Serum Cortisol | Peripheral venous blood samples will be obtained from participants or analysis at a laboratory. | Serum Cortisol will be measured at baseline, half way through the intervention (at the end of week 4), and post intervention (at the end of week 8). |
| Colorado Springs |
| Colorado |
| 80923 |
| United States |