Exploring the Impact of Human-Animal Interactions on children with Life-Threatening Conditions and their Parents

探索人与动物的互动对患有危及生命的疾病的儿童及其父母的影响

• 批准号: 9903940
• 负责人: Mary Jo Gilmer
• 金额: $ 24万
• 依托单位: VANDERBILT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-03-01 至 2022-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9903940
• 关键词: Address; Adolescent; Adolescent Development; Advanced Malignant Neoplasm; Affect; Age; Animals; Anxiety; Appointment; Canis familiaris; Caregivers; Child; Child Care; Child Health; Clinic; Clinical Trials; Clinics and Hospitals; Cystic Fibrosis; Data; Diagnosis; Elements; Enrollment; Exposure to; Family; Foundations; Goals; Health; Heart Diseases; Home environment; Hour; Human; Hydrocortisone; Individual; Interdisciplinary Study; Intervention; Investigation; Life; Longevity; Malignant Neoplasms; Measures; Mental Depression; Methodology; Methods; Modification; Morbidity - disease rate; Muscular Dystrophies; Nerve Degeneration; Newly Diagnosed; Norepinephrine; Normalcy; Observational Study; Outcome; Pain; Parents; Pediatric Hospitals; Personal Satisfaction; Physiological; Pre-Post Tests; Privatization; Psychological Stress; Quality of life; Refractory; Relapse; Resources; Role; Safety; Saliva; Salivary; Sampling; Science; Specimen; Stress; Testing; Therapeutic; Time; Training; Triad Acrylic Resin; United States; Urine; Video Recording; Visit; adolescent health; advanced disease; cost effective; design; experience; experimental study; high risk; improved; improved outcome; physically handicapped; psychologic; psychosocial; recruit; urinary

PROJECT SUMMARY Investigations evaluating the impact of human-animal interactions (HAI) in caring for children with serious, advanced illness and their parents are needed to minimize physical and psychological burdens on individuals and their families. Over 500,000 children and adolescents experience a serious life-threatening condition (LTC) in the United States. Availability of resources to help these children and their families is inadequate. Preliminary data with canine interactions show strong promise to improve outcomes for these vulnerable children. It is crucial now to move the science forward with a rigorous study to examine HAI with a LTC to determine variables contributing to best outcomes of well-being and quality of life. The intervention we developed is designed to provide support and a sense of normalcy in what is often a very frightening place for families. This project will serve as a first step in examining the role of HAI in children with advanced cancer, with a long-term goal of reducing suffering of children with all life-threatening conditions. The overall purpose of the study is to examine feasibility and preliminary efficacy of HAI sessions for children (ages 8-17) with a LTC and their parents., Child-parent dyads or triads will be enrolled in a 1-group pre-and post-test clinical trial. They will participate in HAI sessions each time they come to the children's hospital or clinic, but no more often than once/week. These sessions will take place in a private room with a canine registered with Pet Partners and the canine's owner and will last for approximately 15 minutes. During that time, the child may engage in activities identified by Pet Partners, such as petting the dog, having the dog do tricks, or talking to the dog. A video-recording of the interaction will help determine fidelity and specific activities. Children and parents will complete measures focusing on stress, anxiety, depression and quality of life. Physiologic measures will include saliva samples to test cortisol levels and 24-hour urine specimens for nor-epinephrine. This proposal is well-aligned with PAR-18-650 objectives to support interdisciplinary studies to determine the impact of HAI in and outside the home environment on child and adolescent health and development, as well as therapeutically across the lifespan, through observational studies, experiments, and clinical trials. Results of the study will describe the impact of Human-Animal Interactions on child and adolescent health and have the potential to make a substantial impact on the use of HAI with children with LTC.

项目摘要 评估人与动物相互作用（HAI）在照顾患有严重， 晚期疾病及其父母需要尽量减少个人的身体和心理负担 和他们的家人超过500，000名儿童和青少年患有严重危及生命的疾病（LTC） 在美国帮助这些儿童及其家庭的资源不足。 与狗的相互作用的初步数据显示，强有力的承诺，以改善这些脆弱的结果 孩子现在至关重要的是通过严格的研究来推动科学发展，用LTC检查HAI， 确定有助于福祉和生活质量的最佳结果的变量。我们的干预 开发的目的是提供支持和正常感，在什么往往是一个非常可怕的地方， 家庭该项目将作为研究HAI在晚期癌症儿童中作用的第一步， 其长期目标是减少患有各种危及生命的疾病的儿童的痛苦。 研究的总体目的是检查HAI会话的可行性和初步疗效， 拥有LTC的儿童（8-17岁）及其父母。，儿童-父母二人组或三人组将被纳入1组 临床试验前和试验后。他们将参加HAI会议每次他们来到孩子们的 医院或诊所，但不超过每周一次。这些会议将在一个私人房间举行， 狗注册与宠物合作伙伴和狗的主人，将持续约15分钟。 在这段时间里，孩子可以参加宠物伙伴确定的活动，比如抚摸狗， 让狗表演把戏或者和狗说话互动的视频记录将有助于确定保真度 具体活动。儿童和家长将完成侧重于压力，焦虑，抑郁的措施 和生活质量。生理测量将包括唾液样本测试皮质醇水平和24小时尿液 去甲肾上腺素样本 该提案与PAR-18-650目标保持一致，以支持跨学科研究， 家庭环境内外的HAI对儿童和青少年健康和发育的影响，以及 通过观察性研究、实验和临床试验，结果 该研究的第一部分将描述人与动物相互作用对儿童和青少年健康的影响， 有可能对HAI在LTC儿童中的使用产生重大影响。