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American journal of Alzheimer's disease and other dementias2018; 33(5); 309-317; doi: 10.1177/1533317518772052

Influence of an Equine-Assisted Activities Program on Dementia-Specific Quality of Life.

Abstract: Institutional facilities face challenges providing experiences to residents with dementia that promote participation in meaningful activities. Guided by the Lived Environment Life Quality Model, this study investigated associations between 9 different activity situations-one an equine-assisted activities program (EAAP)-and positive, negative, and neutral behavioral indicators of quality of life (QoL) in 6 residents with dementia who expressed an interest in horses. Direct observational data were collected for 4 hours twice weekly over 8 weeks. Using χ tests, differences across activity situations were tested. More positive patterns of time use (conversation; χ = 44.3, P < .001) and emotional well-being (pleasure; χ = 21.8, P = .001) were found in EAAP compared to other activity situations. Further, EAAP was the only activity situation associated with all positive QoL indicators. These findings add to our understanding the importance of providing meaningful activities that promote use of abilities and provide environmental support, for enhancing QoL, especially for institutionalized people with dementia.
Publication Date: 2018-05-09 PubMed ID: 29742908DOI: 10.1177/1533317518772052Google Scholar: Lookup
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  • Journal Article
  • Observational Study
  • Research Support
  • Non-U.S. Gov't

Summary

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This research explores the effects of an equine-assisted activities program (EAAP) on the quality of life (QoL) for residents with dementia in an institutional setting. The study reports that EAAP was associated with more positive behaviors and emotional well-being, emphasizing the need for meaningful activities to help maintain and improve QoL for people with dementia.

Research Methodology

  • The study was carried out under the guidance of the Lived Environment Life Quality Model.
  • It included six residents with dementia from institutional facilities who expressed an interest in horses. The participants were observed during nine different activity situations— with one specifically being the equine-assisted activities program.
  • The observational data was collected over eight weeks, with data collection sessions taking place twice a week for four hours each time.

Findings

  • The χ tests were used to check differences across activities, particularly looking at behaviors which indicated positive, negative, and neutral quality of life.
  • The equine-assisted activities program tended to encourage more positive patterns of time use, as shown by the increased level of conversation (χ = 44.3, P < .001), and improved emotional well-being, with increased feelings of pleasure (χ = 21.8, P = .001).
  • Indeed, the EAAP was the only situation that was associated with all positive quality of life indicators.

Implications

  • The research highlights the crucial role of meaningful activities, such as the EAAP, in improving the quality of life for people with dementia in institutional settings.
  • The results suggest that programs promoting the use of abilities and providing environmental support—like the EAAP—can significantly enhance the quality of life for people with dementia.
  • This strengthens the argument for incorporating such programs into the routine care practices for people with dementia.

In conclusion, this study provides crucial insights into the beneficial effects of equine-assisted activities on the well-being of dementia patients, paving the way for more holistic, engaging therapies in dementia care.

Cite This Article

APA
Fields B, Bruemmer J, Gloeckner G, Wood W. (2018). Influence of an Equine-Assisted Activities Program on Dementia-Specific Quality of Life. Am J Alzheimers Dis Other Demen, 33(5), 309-317. https://doi.org/10.1177/1533317518772052

Publication

ISSN: 1938-2731
NlmUniqueID: 101082834
Country: United States
Language: English
Volume: 33
Issue: 5
Pages: 309-317

Researcher Affiliations

Fields, Beth
  • 1 Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
Bruemmer, Jason
  • 2 Department of Animal Sciences, Colorado State University, Fort Collins, CO, USA.
Gloeckner, Gene
  • 3 School of Education, Colorado State University, Fort Collins, CO, USA.
Wood, Wendy
  • 4 Department of Occupational Therapy, Colorado State University, Fort Collins, CO, USA.

MeSH Terms

  • Aged, 80 and over
  • Animals
  • Dementia / psychology
  • Dementia / therapy
  • Female
  • Horses
  • Humans
  • Long-Term Care
  • Male
  • Nursing Homes
  • Quality of Life / psychology
  • Recreation / psychology

Citations

This article has been cited 6 times.
  1. Marchand WR. Potential Mechanisms of Action and Outcomes of Equine-Assisted Services for Veterans with a History of Trauma: A Narrative Review of the Literature.. Int J Environ Res Public Health 2023 Jul 16;20(14).
    doi: 10.3390/ijerph20146377pubmed: 37510609google scholar: lookup
  2. Shoesmith E, Surr C, Ratschen E. Animal-assisted and robotic animal-assisted interventions within dementia care: A systematic review.. Dementia (London) 2023 Apr;22(3):664-693.
    doi: 10.1177/14713012231155985pubmed: 36765455google scholar: lookup
  3. Badin L, Alibran É, Pothier K, Bailly N. Effects of equine-assisted interventions on older adults' health: A systematic review.. Int J Nurs Sci 2022 Oct;9(4):542-552.
    doi: 10.1016/j.ijnss.2022.09.008pubmed: 36285074google scholar: lookup
  4. Marchand WR, Andersen SJ, Smith JE, Hoopes KH, Carlson JK. Equine-Assisted Activities and Therapies for Veterans With Posttraumatic Stress Disorder: Current State, Challenges and Future Directions.. Chronic Stress (Thousand Oaks) 2021 Jan-Dec;5:2470547021991556.
    doi: 10.1177/2470547021991556pubmed: 33644617google scholar: lookup
  5. D'Cunha NM, Isbel S, McKune AJ, Kellett J, Naumovski N. Activities outside of the care setting for people with dementia: a systematic review.. BMJ Open 2020 Oct 6;10(10):e040753.
    doi: 10.1136/bmjopen-2020-040753pubmed: 33028565google scholar: lookup
  6. Akintola AA, Achterberg WP, Caljouw MAA. Non-pharmacological interventions for improving quality of life of long-term care residents with dementia: a scoping review protocol.. BMJ Open 2019 Dec 23;9(12):e032661.
    doi: 10.1136/bmjopen-2019-032661pubmed: 31874881google scholar: lookup