1
The impact of Animal Assisted Activity (AAA) in children with oncology diseases 29 1 1 2 2 2 Mugnai, Francesca ; Alexis G. Gerakis ; Caprilli, Simona ; Vagnoli, Laura ; Pecoraro, Federica ; 2 Messeri, Andrea 1. Associazione Antropozoa, Meyer University Children's Hospital, Florence, Italy; 2. Meyer University Children's Hospital, Pain management, Florence, Italy The research aims to assess the efficiency of AAA in Oncology-haematology at the Meyer University Children Hospital, by measuring the satisfaction of children/patients, parents and health staff. The hypothesis is that AAA can change the perception of children towards the hospital context and, consequently improve their emotional condition. The sample is 17 children with an average age of 8 years old. Methods: The research took place during 1 year. The instruments used were: a satisfaction questionnaire about AAA for children, another for parents and one for health professionals; a test to verify the emotional condition of children (S.A.M.); an optional drawing and other. For the statistical analysis the t test by Student was used, with the aim to demonstrate pre and post-test results on the same sample. Results show that 100% of children welcome the presence of dogs in the ward. The S.A.M. test highlights that there is a significant difference (p < 0,05) between the average answers of children given in presence of the dog and in its absence. 8 drawings with dogs were collected. 75% of parents replied that they are completely in favour of the initiative and 94,1% perceived positive change in the behaviour of their own child when dogs were present. 100% of health staff were in favour of AAA and recognise its usefulness for children and parents (100%), as well as for health staff themselves (100%). Conclusion: Results confirm that interaction with dogs influences the emotional condition of children and that the level of comfort, which they experience is greater when the dog is present. This is so much the case that children/patients describe most frequently the hospital context as positive, after having played with dogs, in comparison to when they have not done so. E E E E INSTRUMENTS ! S.A.M. (Self-Assessment Manikin):”Subjective” self-evaluation aimed at evaluating the child’s emotional state at a given moment (Lang et al., 1988, 1994) ! Questionnaire especially prepared with 5 questions regarding the level of appreciation of the initiative; ! Drawings by children after activity with a dog on the topic “Hospitals today”; ! Semantic differential; ! specially prepared self-administered questionnaire with 10 questions which are divided into two parts; ! generic (appreciation of the initiative, benefits for the children, fear of dogs); ! specific (possible changes in the child as regards the presence/absence of a dog; possibility of increasing or not the frequency of the meetings, comments regarding the initiative, suggestions); ! Specially prepared self-administered questionnaire with 6 questions on the level of appreciation of the initiative. To measure the child’s psycho-physical well-being: To detect the parent’s level of appreciation To identify the appreciation level of the health staff Self Assessment Manikin do you feel happy Do you feel strong Do you feel agitated with dog without dog Questions of the S.A.M. Test with dog without dog Results of the semantic differential What do you think of hospitals today? Item 1 = nice/awful Item 2 = safe/dangerous Item 3 = fun/boring Item 4 = friendly/unfriendly Item 5 = good/bad Do you have a pet? Yes (52,9%) - No (47,1%) Are you afraid of dogs? Yes (0%) - Are you happy when dogs come and visit you in hospital? - No (0%) What do you like best doing with a dog? - Patting it (29,4%) - Brushing it (11,8%) - taking it for a walk on the lead - telling it to do certain things (17,6%) - other (11,8%) Would you like the dogs to come more often? - No (0%) No (100,1%) Yes (100%) (41,2%) Yes (100%) Questionnaire for children Changes seen by parents in their child when a dog is present he/she socialises more he/she seems happier he/she accepts more readily being in hospital he/she seems less anxious he/she seems more motivated he/she seems satisfied he/she participates more in recreational activities he/she leaves the room more often he/she seems to have more self-confidence other Association Antropozoa ONLUS - Florence - Italy - www.antropozoa.it - [email protected] Meyer University Chidren Hospital - Florence - Italy - www-meyer.it - [email protected] Meyer Foundation - Florence - Italy - www.meyer.it - [email protected] Livia Benini Foundation - Florence - Italy - www.fondazione-livia-benini.org - [email protected]

The impact of Animal Assisted Activity (AAA) in children ... · The impact of Animal Assisted Activity (AAA) in children with oncology diseases 29 Mugnai, Francesca11; Alexis G. Gerakis

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Page 1: The impact of Animal Assisted Activity (AAA) in children ... · The impact of Animal Assisted Activity (AAA) in children with oncology diseases 29 Mugnai, Francesca11; Alexis G. Gerakis

The impact of Animal Assisted Activity (AAA)in children with oncology diseases

29

1 1 2 2 2Mugnai, Francesca ; Alexis G. Gerakis ; Caprilli, Simona ; Vagnoli, Laura ; Pecoraro, Federica ;2Messeri, Andrea

1. Associazione Antropozoa, Meyer University Children's Hospital, Florence, Italy; 2. Meyer University Children's Hospital, Pain management, Florence, Italy

The impact of Animal Assisted Activity (AAA)in children with oncology diseases

29

1 1 2 2 2Mugnai, Francesca ; Alexis G. Gerakis ; Caprilli, Simona ; Vagnoli, Laura ; Pecoraro, Federica ;2Messeri, Andrea

1. Associazione Antropozoa, Meyer University Children's Hospital, Florence, Italy; 2. Meyer University Children's Hospital, Pain management, Florence, Italy

The research aims to assess the efficiency of AAA in Oncology-haematology at the Meyer University Children Hospital, by measuring the satisfaction of children/patients, parents and health staff. The hypothesis is that AAA can change the perception of children towards the hospital context and, consequently improve their emotional condition. The sample is 17 children with an average age of 8 years old.

Methods:The research took place during 1 year. The instruments used were: a satisfaction questionnaire about AAA for children, another for parents and one for health professionals; a test to verify the emotional condition of children (S.A.M.); an optional drawing and other. For the statistical analysis the t test by Student was used, with the aim to demonstrate pre and post-test results on the same sample. Results show that 100% of children welcome the presence of dogs in the ward. The S.A.M. test highlights that there is a significant difference (p < 0,05) between the average answers of children given in presence of the dog and in its absence. 8 drawings with dogs were collected. 75% of parents replied that they are completely in favour of the initiative and 94,1% perceived positive change in the behaviour of their own child when dogs were present. 100% of health staff were in favour of AAA and recognise its usefulness for children and parents (100%), as well as for health staff themselves (100%).

Conclusion:Results confirm that interaction with dogs influences the emotional condition of children and that the level of comfort, which they experience is greater when the dog is present. This is so much the case that children/patients describe most frequently the hospital context as positive, after having played with dogs, in comparison to when they have not done so.

EEEE

The impact of Animal Assisted Activity (AAA)in children with oncology diseases

29

1 1 2 2 2Mugnai, Francesca ; Alexis G. Gerakis ; Caprilli, Simona ; Vagnoli, Laura ; Pecoraro, Federica ;2Messeri, Andrea

1. Associazione Antropozoa, Meyer University Children's Hospital, Florence, Italy; 2. Meyer University Children's Hospital, Pain management, Florence, Italy

The research aims to assess the efficiency of AAA in Oncology-haematology at the Meyer University Children Hospital, by measuring the satisfaction of children/patients, parents and health staff. The hypothesis is that AAA can change the perception of children towards the hospital context and, consequently improve their emotional condition. The sample is 17 children with an average age of 8 years old.

Methods:The research took place during 1 year. The instruments used were: a satisfaction questionnaire about AAA for children, another for parents and one for health professionals; a test to verify the emotional condition of children (S.A.M.); an optional drawing and other. For the statistical analysis the t test by Student was used, with the aim to demonstrate pre and post-test results on the same sample. Results show that 100% of children welcome the presence of dogs in the ward. The S.A.M. test highlights that there is a significant difference (p < 0,05) between the average answers of children given in presence of the dog and in its absence. 8 drawings with dogs were collected. 75% of parents replied that they are completely in favour of the initiative and 94,1% perceived positive change in the behaviour of their own child when dogs were present. 100% of health staff were in favour of AAA and recognise its usefulness for children and parents (100%), as well as for health staff themselves (100%).

Conclusion:Results confirm that interaction with dogs influences the emotional condition of children and that the level of comfort, which they experience is greater when the dog is present. This is so much the case that children/patients describe most frequently the hospital context as positive, after having played with dogs, in comparison to when they have not done so.

EEEE

INSTRUMENTS

! S.A.M. (Self-Assessment Manikin):”Subjective” self-evaluation aimed at evaluating the child’s emotional state at a given moment (Lang et al., 1988, 1994)! Questionnaire especially prepared with 5 questions regarding the level of appreciation of the initiative;! Drawings by children after activity with a dog on the topic “Hospitals today”;! Semantic differential;

! specially prepared self-administered questionnaire with 10 questions which are divided into two parts;! generic (appreciation of the initiative, benefits for the children, fear of dogs);! specific (possible changes in the child as regards the presence/absence of a dog; possibility of increasing or not the frequency of the meetings, comments regarding the initiative, suggestions);

! Specially prepared self-administered questionnaire with 6 questions on the level of appreciation of the initiative.

To measure the child’s psycho-physical well-being:

To detect the parent’s level of appreciation

To identify the appreciation level of the health staff

The impact of Animal Assisted Activity (AAA)in children with oncology diseases

29

1 1 2 2 2Mugnai, Francesca ; Alexis G. Gerakis ; Caprilli, Simona ; Vagnoli, Laura ; Pecoraro, Federica ;2Messeri, Andrea

1. Associazione Antropozoa, Meyer University Children's Hospital, Florence, Italy; 2. Meyer University Children's Hospital, Pain management, Florence, Italy

The research aims to assess the efficiency of AAA in Oncology-haematology at the Meyer University Children Hospital, by measuring the satisfaction of children/patients, parents and health staff. The hypothesis is that AAA can change the perception of children towards the hospital context and, consequently improve their emotional condition. The sample is 17 children with an average age of 8 years old.

Methods:The research took place during 1 year. The instruments used were: a satisfaction questionnaire about AAA for children, another for parents and one for health professionals; a test to verify the emotional condition of children (S.A.M.); an optional drawing and other. For the statistical analysis the t test by Student was used, with the aim to demonstrate pre and post-test results on the same sample. Results show that 100% of children welcome the presence of dogs in the ward. The S.A.M. test highlights that there is a significant difference (p < 0,05) between the average answers of children given in presence of the dog and in its absence. 8 drawings with dogs were collected. 75% of parents replied that they are completely in favour of the initiative and 94,1% perceived positive change in the behaviour of their own child when dogs were present. 100% of health staff were in favour of AAA and recognise its usefulness for children and parents (100%), as well as for health staff themselves (100%).

Conclusion:Results confirm that interaction with dogs influences the emotional condition of children and that the level of comfort, which they experience is greater when the dog is present. This is so much the case that children/patients describe most frequently the hospital context as positive, after having played with dogs, in comparison to when they have not done so.

EEEE

INSTRUMENTS

! S.A.M. (Self-Assessment Manikin):”Subjective” self-evaluation aimed at evaluating the child’s emotional state at a given moment (Lang et al., 1988, 1994)! Questionnaire especially prepared with 5 questions regarding the level of appreciation of the initiative;! Drawings by children after activity with a dog on the topic “Hospitals today”;! Semantic differential;

! specially prepared self-administered questionnaire with 10 questions which are divided into two parts;! generic (appreciation of the initiative, benefits for the children, fear of dogs);! specific (possible changes in the child as regards the presence/absence of a dog; possibility of increasing or not the frequency of the meetings, comments regarding the initiative, suggestions);

! Specially prepared self-administered questionnaire with 6 questions on the level of appreciation of the initiative.

To measure the child’s psycho-physical well-being:

To detect the parent’s level of appreciation

To identify the appreciation level of the health staff

Self Assessment Manikin

do you feel happy Do you feel strong Do you feel agitated

with dogwithout dog

Questions of the S.A.M. Test

with dog

without dog

Results of the semantic differentialWhat do you think of hospitals today?

Item 1 = nice/awfulItem 2 = safe/dangerousItem 3 = fun/boringItem 4 = friendly/unfriendlyItem 5 = good/bad

Do you have a pet? Yes (52,9%) - No (47,1%)

Are you afraid of dogs? Yes (0%) -

Are you happy when dogs

come and visit you in hospital? - No (0%)

What do you like best doing with a dog?

- Patting it (29,4%)

- Brushing it (11,8%)

- taking it for a walk on the lead

- telling it to do certain things (17,6%)

- other (11,8%)

Would you like the dogs

to come more often? - No (0%)

No (100,1%)

Yes (100%)

(41,2%)

Yes (100%)

Questionnaire for children

Changes seen by parentsin their child when a dog is present

he/she socialises more

he/she seems happier

he/she accepts more readily being in hospital

he/she seems less anxious

he/she seems more motivated

he/she seems satisfied

he/she participates more in recreational activities

he/she leaves the room more often

he/she seems to have more self-confidence

other

Association Antropozoa ONLUS - Florence - Italy - www.antropozoa.it - [email protected]

Meyer University Chidren Hospital - Florence - Italy - www-meyer.it - [email protected]

Meyer Foundation - Florence - Italy - www.meyer.it - [email protected]

Livia Benini Foundation - Florence - Italy - www.fondazione-livia-benini.org - [email protected]