er: Emergency room canine therapy
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er R Documentation
Emergency room canine therapy
Description
Data from: Controlled clinical trial of canine therapy versus usual care to reduce patient
anxiety in the emergency department.
Abstract
Objective
Test if therapy dogs can reduce anxiety in emergency department (ED) patients.
Methods
In this controlled clinical trial (NCT03471429), medically stable, adult patients
were approached if the physician believed that the patient had “moderate or greater anxiety.”
Patients were allocated on a 1:1 ratio to either 15 min exposure to a certified therapy dog and
handler (dog), or usual care (control). Patient reported anxiety, pain and depression were
assessed using a 0-10 scale (10=worst). Primary outcome was change in anxiety from baseline (T0)
to 30 min and 90 min after exposure to dog or control (T1 and T2 respectively); secondary
outcomes were pain, depression and frequency of pain medication.
Results
Among 98 patients willing to participate in research, 7 had aversions to dogs, leaving 91 (93%)
were willing to see a dog; 40 patients were allocated to each group (dog or control). No data
were normally distributed. Median baseline anxiety, pain and depression were similar between
groups. With dog exposure, anxiety decreased significantly from T0 to T1: 6 (IQR 4-9.75) to T1:
2 (0-6) compared with 6 (4-8) to 6 (2.5-8) in controls (P<0.001, for T1, Mann-Whitney U). Dog
exposure was associated with significantly lower anxiety at T2 and a significant overall
treatment effect on two-way repeated measures ANOVA for anxiety, pain and depression. After
exposure, 1/40 in the dog group needed pain medication, versus 7/40 in controls (P=0.056,
Fisher’s).
Conclusions
Exposure to therapy dogs plus handlers significantly reduced anxiety in ED patients.
Usage
er
Format
A data frame with 84 observations on the following 53 variables:
idSubject ID
conditionWhether the subject saw a Dog or was in the Control group
ageSubject's age in years
genderSubject's self-identified gender
raceSubject's self-identified race
veteranIs the subject a veteran?
disabledIs the subject disabled?
dog_nameThe name of the therapy dog
base_painSubject's self reported pain before the intervention (T0)
base_depressionSubject's self reported depression before the intervention (T0)
base_anxietySubject's self reported anxiety before the intervention (T0)
base_totalThe sum of the subject's base_* scores
later_painSubject's self reported pain after the intervention (T1)
later_depressionSubject's self reported depression after the intervention (T1)
later_anxietySubject's self reported anxiety after the intervention (T1)
later_totalThe sum of the subject's later_* scores
last_painSubject's self reported pain after the intervention (T2)
last_depressionSubject's self reported depression after the intervention (T2)
last_anxietySubject's self reported anxiety after the intervention (T2)
last_totalThe sum of the subject's last_* scores
change_painThe change in subject's pain from before the intervention to after
change_depressionThe change in subject's depression from before the intervention
to after
change_anxietyThe change in subject's anxiety from before the intervention to after
change_totalThe sum of the subject's change_* scores
provider_maleWas the health care provider male?
providerThe health care provider's status: either an Advanced Practitioner,
Resident physician, or Attending physician
heart_rateThe subject's heart rate at baseline (T0)
resp_rateThe subject's respiratory rate at baseline (T0)
sp_o2The subject's SpO2 at baseline (T0)
bp_systThe subject's systolic blood pressure at baseline (T0)
bp_diastThe subject's diastolic blood pressure at baseline (T0)
med_givenWas the subject given medication prior to the study? (T0)
mh_noneNone of the other medical history items were indicated
mh_asthmaMedical history: asthma
mh_smokerMedical history: smoker
mh_cadMedical history: coronary artery disease
mh_diabetesMedical history: diabetes mellitus
mh_hypertensionMedical history: hypertension
mh_strokeMedical history: prior stroke
mh_chronic_kidneyMedical history: chronic kidney disease
mh_copdMedical history: chronic obstructive pulmonary disease
mh_hyperlipidemiaMedical history: hyperlipidemia
mh_hivMedical history: HIV
mh_otherMedical history: other (write-in)
ph_adhdPsychiatric history: attention-deficit/hyperactivity disorder
ph_anxietyPsychiatric history: anxiety
ph_bipolarPsychiatric history: bipolar
ph_borderlinePsychiatric history: borderline personality disorder
ph_depressionPsychiatric history: depression
ph_schizophreniaPsychiatric history: schizophrenia
ph_ptsdPsychiatric history: PTSD
ph_noneNone of the other psychiatric history items were indicated
ph_otherPsychiatric history: other (write-in)
References
Kline, J. A., Fisher, M. A., Pettit, K. L., Linville, C. T., & Beck, A. M. (2019). Controlled
clinical trial of canine therapy versus usual care to reduce patient anxiety in the emergency
department. PloS One, 14(1), e0209232. \Sexpr[results=rd]{tools:::Rd_expr_doi("10.1371/journal.pone.0209232")}
coursekata documentation built on Sept. 11, 2024, 8:42 p.m.
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Emergency room canine therapy
Description
Data from: Controlled clinical trial of canine therapy versus usual care to reduce patient anxiety in the emergency department.
Abstract
Objective
Test if therapy dogs can reduce anxiety in emergency department (ED) patients.
Methods
In this controlled clinical trial (NCT03471429), medically stable, adult patients were approached if the physician believed that the patient had “moderate or greater anxiety.” Patients were allocated on a 1:1 ratio to either 15 min exposure to a certified therapy dog and handler (dog), or usual care (control). Patient reported anxiety, pain and depression were assessed using a 0-10 scale (10=worst). Primary outcome was change in anxiety from baseline (T0) to 30 min and 90 min after exposure to dog or control (T1 and T2 respectively); secondary outcomes were pain, depression and frequency of pain medication.
Results
Among 98 patients willing to participate in research, 7 had aversions to dogs, leaving 91 (93%) were willing to see a dog; 40 patients were allocated to each group (dog or control). No data were normally distributed. Median baseline anxiety, pain and depression were similar between groups. With dog exposure, anxiety decreased significantly from T0 to T1: 6 (IQR 4-9.75) to T1: 2 (0-6) compared with 6 (4-8) to 6 (2.5-8) in controls (P<0.001, for T1, Mann-Whitney U). Dog exposure was associated with significantly lower anxiety at T2 and a significant overall treatment effect on two-way repeated measures ANOVA for anxiety, pain and depression. After exposure, 1/40 in the dog group needed pain medication, versus 7/40 in controls (P=0.056, Fisher’s).
Conclusions
Exposure to therapy dogs plus handlers significantly reduced anxiety in ED patients.
Usage
er
Format
A data frame with 84 observations on the following 53 variables:
idSubject ID
conditionWhether the subject saw a
Dogor was in theControlgroupageSubject's age in years
genderSubject's self-identified gender
raceSubject's self-identified race
veteranIs the subject a veteran?
disabledIs the subject disabled?
dog_nameThe name of the therapy dog
base_painSubject's self reported pain before the intervention (T0)
base_depressionSubject's self reported depression before the intervention (T0)
base_anxietySubject's self reported anxiety before the intervention (T0)
base_totalThe sum of the subject's
base_*scoreslater_painSubject's self reported pain after the intervention (T1)
later_depressionSubject's self reported depression after the intervention (T1)
later_anxietySubject's self reported anxiety after the intervention (T1)
later_totalThe sum of the subject's
later_*scoreslast_painSubject's self reported pain after the intervention (T2)
last_depressionSubject's self reported depression after the intervention (T2)
last_anxietySubject's self reported anxiety after the intervention (T2)
last_totalThe sum of the subject's
last_*scoreschange_painThe change in subject's pain from before the intervention to after
change_depressionThe change in subject's depression from before the intervention to after
change_anxietyThe change in subject's anxiety from before the intervention to after
change_totalThe sum of the subject's
change_*scoresprovider_maleWas the health care provider male?
providerThe health care provider's status: either an
Advanced Practitioner,Residentphysician, orAttendingphysicianheart_rateThe subject's heart rate at baseline (T0)
resp_rateThe subject's respiratory rate at baseline (T0)
sp_o2The subject's SpO2 at baseline (T0)
bp_systThe subject's systolic blood pressure at baseline (T0)
bp_diastThe subject's diastolic blood pressure at baseline (T0)
med_givenWas the subject given medication prior to the study? (T0)
mh_noneNone of the other medical history items were indicated
mh_asthmaMedical history: asthma
mh_smokerMedical history: smoker
mh_cadMedical history: coronary artery disease
mh_diabetesMedical history: diabetes mellitus
mh_hypertensionMedical history: hypertension
mh_strokeMedical history: prior stroke
mh_chronic_kidneyMedical history: chronic kidney disease
mh_copdMedical history: chronic obstructive pulmonary disease
mh_hyperlipidemiaMedical history: hyperlipidemia
mh_hivMedical history: HIV
mh_otherMedical history: other (write-in)
ph_adhdPsychiatric history: attention-deficit/hyperactivity disorder
ph_anxietyPsychiatric history: anxiety
ph_bipolarPsychiatric history: bipolar
ph_borderlinePsychiatric history: borderline personality disorder
ph_depressionPsychiatric history: depression
ph_schizophreniaPsychiatric history: schizophrenia
ph_ptsdPsychiatric history: PTSD
ph_noneNone of the other psychiatric history items were indicated
ph_otherPsychiatric history: other (write-in)
References
Kline, J. A., Fisher, M. A., Pettit, K. L., Linville, C. T., & Beck, A. M. (2019). Controlled clinical trial of canine therapy versus usual care to reduce patient anxiety in the emergency department. PloS One, 14(1), e0209232. \Sexpr[results=rd]{tools:::Rd_expr_doi("10.1371/journal.pone.0209232")}
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