Publicación:
Effects of dog-assisted therapy in adults with dementia: a systematic review and meta-analysis

Vista sencilla de ítem
dc.citation.issue1
dc.citation.spage2009
dc.citation.volume19
dc.contributor.authorZafra-Tanaka, Jessica Hanae
dc.contributor.authorPacheco-Barrios, Kevin
dc.contributor.authorAndree Tellez, Walter
dc.contributor.authorTaype Rondán, Álvaro
dc.date.accessioned2019-02-13T14:37:51Z
dc.date.available2019-02-13T14:37:51Z
dc.date.issued2019-01
dc.description.abstractBackground: Dog-assisted therapy (DAT) is a non-pharmacological intervention based on the interaction between patients and dogs, which has been proposed to help adults with dementia. However, evidence to support it is lacking. Thus, we aim to evaluate the effects of DAT on this population and to assess the certainty of the evidence of the RCTs estimates. Methods: A systematic search was performed. We included randomized controlled trials (RCTs) and quasi-experimental (QE) controlled studies published up to March 2018, which evaluated the beneficial and deleterious effects of DAT in adults with dementia. Mean differences (MD) or standardized mean differences (SMD) and their 95% confidence intervals (95% CI) were calculated and random effects meta-analyses were performed. Certainty of evidence was assessed for RCTs estimates using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. The study protocol has been registered in PROSPERO (CRD42018090434). Results: Ten studies (six RCTs and four QE controlled studies) were eligible for inclusion. Meta-analysis of RCTs showed no effect of DAT in daily life activities (SMD: 0.16; 95% CI: -0.80 to 1.12), depression (SMD: -0.45; 95% CI: -2.81 to 1.91), agitation (SDM: -1.12; 95% CI: -2.67 to 0.43), quality of life (SDM: 0.16; 95% CI: -0.41 to 0.73), and cognitive impairment (SDM: -0.52; 95% CI: -1.33 to 0.30), but it found a beneficial effect in apathy (1 study, n = 37, MD: 1.81; 95% CI: 1.26 to 2.36). All outcomes had a very low certainty of evidence according to GRADE methodology. Conclusions: RCTs evidence of very low certainty suggests that, in adults with dementia, DAT has no effect in daily life activities, depression, agitation, quality of life, and cognitive impairment, although one small study found an apparent beneficial effect in apathy. More well-designed and correctly reported studies are needed in order to provide a conclusion. Trial registration: CRD42018090434 (PROSPERO).es_ES
dc.description.peer-reviewRevisado por pareses_ES
dc.formatapplication/pdfes_ES
dc.identifier.doi10.1186/s12888-018-2009-z
dc.identifier.issn1471-244X
dc.identifier.journalBMC Psychiatryes_ES
dc.identifier.urihttps://hdl.handle.net/20.500.14005/8582
dc.identifier.urihttp://dx.doi.org/10.1186/s12888-018-2009-z
dc.identifier.wos000457124300001
dc.language.isospaes_ES
dc.publisherBioMed Central Ltd.es_ES
dc.relation.ispartofBMC Psychiatry
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.sourceUniversidad San Ignacio de Loyolaes_ES
dc.sourceRepositorio Institucional - USILes_ES
dc.subjectAnimal Assisted Therapyen
dc.subjectCognitive Dysfunctionen
dc.subjectDementiaen
dc.titleEffects of dog-assisted therapy in adults with dementia: a systematic review and meta-analysises_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dspace.entity.typePublication
Archivos
Colecciones
Artículos Académico-científicos