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Geriatrie et psychologie neuropsychiatrie du vieillissement2020; 18(3); 273-282; doi: 10.1684/pnv.2020.0854

[Effects of pony-assisted therapy on the behavior of older people with neurocognitive disorders living in nursing homes].

Abstract: Experienced in psychomotricity in two nursing homes, pony-assisted therapy shows first positive effects on psycho-behavioral symptoms. Recognized in the field of disability and psychiatry, this form of therapy is not developed in gerontology. To measure the effects of this therapy on the behavior of elderly people with neurocognitive disorders living in long-term care and especially on the involvement in this activity. Anxiety and apathy were chosen as the measurement criteria. An intervention study with an experimental cross-study design was conducted over two months for 23 subjects. An intervention group was studied during a period with TAP and a period without TAP. Another group without intervention was also studied. All participants were assessed before and after intervention with the NPI-R scale. The engagement during two TAP sessions and one animation time was also evaluated with the ECPAI scale. In the crossover study, positive engagement is more important in participant/pony interaction than in participant/facilitator interaction (p<0.01). The ECPAI score reflecting apathetic behavior was significantly decreased during interaction with the animal than in the interaction with the facilitator in patients undergoing therapy (p<0.01). The ECPAI score reflecting engagement is greater in pony interaction for participants in therapy than in the control group in facilitator interaction (p<0.01). There is no significant change in the scores for the anxiety and apathy items on the NPI-R scale. TAP participates in the positive engagement of the elderly people in the interaction with the animal. These results are consistent with the conclusions of the studies on animal mediation and confirm the clinical observations collected. TAP could work by improving self-esteem and valuing all of the person's preserved abilities.
Publication Date: 2020-07-28 PubMed ID: 32716001DOI: 10.1684/pnv.2020.0854Google Scholar: Lookup
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  • Journal Article

Summary

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The research article examines the effects of Pony-Assisted Therapy (TAP) on the behaviour of elderly individuals with neurocognitive disorders residing in long-term care facilities, focusing particularly on anxiety and apathy.

Research Purpose and Method

  • The study aimed to explore the influence of Pony-Assisted Therapy (TAP) on the behaviour of elderly patients with neurocognitive disorders living in nursing homes. The researchers were especially interested in its potential impact on participants’ degree of involvement in this activity and its effects on anxiety and apathy.
  • The research was framed as an intervention study with an experimental cross-study design and was conducted over two months, involving a total of 23 subjects. A key feature of this design was the inclusion of a control group that did not receive TAP intervention, allowing for a comparative analysis of effects.

Research Findings

  • The results indicated a more significant positive engagement in participant-pony interactions compared to participant-facilitator interactions. This increased engagement was observed during the TAP sessions, suggesting that interacting with the pony was more meaningful and motivating for the participants than their interactions with caregivers or facilitators.
  • In addition, it was found that apathetic behaviour, as measured by the ECPAI scale, had notably decreased during interaction with the animal rather than in the interaction with the facilitator for those who had undergone therapy.
  • Despite these encouraging findings, there was no significant change recorded in anxiety and apathy levels according to the NPI-R scale, suggesting that while TAP may promote engagement, it might not directly impact these particular psychological aspects in the studied population.

Implications of the Results

  • The research concluded that TAP could contribute to the positive engagement of elderly people during their interaction with the animal. The findings confirm previous studies on animal mediation and align with clinical observations collected during the execution of therapy sessions.
  • The study implies that TAP might work by boosting self-esteem and highlighting the person’s preserved abilities rather than directly reducing anxiety or apathy scores. Therefore, the therapy could be a useful tool in encouraging active participation and positive behaviour in elderly patients with neurocognitive disorders.

Despite the lack of evidence showing reductions in anxiety and apathy, the study opens the door for further exploration into alternative, animal-assisted therapies for elderly populations battling neurocognitive disorders. By centralising care around the patient’s preserved capabilities and highlighting their inherent worth, such unique therapeutic measures could contribute to the overall wellbeing and quality of life of the elderly living in nursing homes.

Cite This Article

APA
Carillon B, Jarzebowski W, Fulpin B, Miliotis A, Bernadac A, Saint-Georges Chaumet Y, Belmin J. (2020). [Effects of pony-assisted therapy on the behavior of older people with neurocognitive disorders living in nursing homes]. Geriatr Psychol Neuropsychiatr Vieil, 18(3), 273-282. https://doi.org/10.1684/pnv.2020.0854

Publication

ISSN: 2115-7863
NlmUniqueID: 101553404
Country: France
Language: fre
Volume: 18
Issue: 3
Pages: 273-282

Researcher Affiliations

Carillon, Barbara
  • Sorbonne Université, Paris, France, Pôle médical, Ehpad Arpavie Sainte-Lucie, Issy-les-Moulineaux, France, Pôle médical, Ehpad Korian Hauts de Jardy, Vaucresson, France.
Jarzebowski, Witold
  • Court Séjour Gériatrique, Centre Hospitalier de Bastia, France.
Fulpin, Bénédicte
  • Pôle médical, Ehpad Arpavie Sainte-Lucie, Issy-les-Moulineaux, France.
Miliotis, Adélaïde
  • Pôle médical, Ehpad Korian Hauts de Jardy, Vaucresson, France.
Bernadac, Anne
  • Pôle médical, Ehpad Korian Hauts de Jardy, Vaucresson, France.
Saint-Georges Chaumet, Yann
  • Bioredac, Chambourcy, France.
Belmin, Joël
  • Sorbonne Université, Paris, France, Service de gériatrie, Hôpital Charles-Foix, AP-HP, Ivry-sur-Seine, France.

MeSH Terms

  • Aged, 80 and over
  • Animals
  • Behavior
  • Cross-Over Studies
  • Equine-Assisted Therapy
  • Female
  • Homes for the Aged
  • Horses
  • Humans
  • Long-Term Care
  • Male
  • Neurocognitive Disorders / psychology
  • Neurocognitive Disorders / therapy
  • Nursing Homes
  • Treatment Outcome

Citations

This article has been cited 1 times.
  1. Berardi A, Di Napoli G, Ernesto M, Fabbrini G, Conte A, Ferrazzano G, Viselli F, Galeoto G. The Effectiveness of Equine Therapy Intervention on Activities of Daily Living, Quality of Life, Mood, Balance and Gait in Individuals with Parkinson's Disease. Healthcare (Basel) 2022 Mar 17;10(3).
    doi: 10.3390/healthcare10030561pubmed: 35327039google scholar: lookup