ADassistance dog – Hearing disability
The Facilitating Interactions for Dogs with Occupations (FIDO) project in the Animal Interaction Lab at Georgia Tech aims to facilitate communication between working dogs and their handlers. Here, the authors discuss their research on testing a working dog’s ability to perform distinct tasks in response to vibrations at different points on their body.
The organization Hearing Dogs for Deaf People provides assistance dogs that alert their deaf or hard-of-hearing recipients to key sounds, thus increasing their independence and also providing companionship. Fifty-one recipients took part in a longitudinal study to monitor the dogs’ working performance over time and to examine the social and psychological effects of having a Hearing Dog. The Profile of Mood State (POMS) questionnaire and the General Health Questionnaire (GHQ) were used together with a Hearing Dog Questionnaire (HDQ) specifically developed for this study. There were a number of significant differences in measures of well-being between the period prior to placing the Hearing Dog and the period after placement, but there were no comparable differences during the year-long waiting period prior to placement of the dog. Recipients reported significant reductions in hearing-related problems such as response to environmental sounds; significant reductions in measures of tension, anxiety, and depression; and significant improvements in social involvement and independence. The longitudinal nature of this study supports evidence that these improvements persist for some time after the placement of a dog, with significant differences being reported, in many cases, up to 18 months after acquiring a dog.
Background
Quality of life refers to a person’s experienced standard of health, comfort and happiness and is typically measured using subjective self-report scales. Despite increasing scientific interest in the value of dogs to human health and the growing demand for trained service dogs, to date no research has reported how service dogs may affect client perceptions of quality of life.
Method
We compared quality of life scores on the 16 item Flanagan quality of life scale from individuals who owned a trained service dog with those who were eligible to receive a dog, but did not yet have one (waiting list control). Data were analysed separately from two groups; those with a service dog trained for individuals with physical disabilities (with physical service dog: n = 72; waiting for a service dog: n = 24; recruited from Dogs for Good database) and those with a hearing service dog (with hearing service dog = 111; waiting for a service dog = 30; recruited from Hearing Dogs for Deaf People database).
Results
When controlling for age and gender individuals scored higher on total quality of life scores if they owned a service dog or a hearing service dog, but this was only statistically significant for those with a service dog. Both groups (physical service dog and hearing service dog) scored significantly higher on items relating to health, working, learning and independence if they owned a service dog, in comparison to those on the waiting list. Those with a physical service dog also scored significantly higher on items relating to recreational activities (including items relating to reading/listening to music, socialising, creative expression), and those involving social interactions (including items relating to participating in organisations, socialising, relationship with relatives). Additionally, those with a physical service dog scored higher on understanding yourself and material comforts than those on the waiting list control. In contrast, those with a hearing service dog appeared to receive fewer benefits on items relating to social activities.
Conclusions
Owning a service dog can bring significant specific and potentially general benefits to the quality of life of individuals with physical disabilities and hearing impairments. These benefits may have considerable implications for individuals with disabilities, society and the economy by promoting independence, learning and working abilities.
Emotional aspects of owning hearing dogs were explored in 38 hearing-dog owners and a control group of 23 prospective owners. Both groups listed companionship and hearing assistance as pleasant reasons for owning such dogs. Having a dog and personal independence were reasons mentioned only by prospective owners. Both groups mentioned travel complications as unpleasant problems. Owners referred to dogs’ behavior problems significantly more often than did prospective owners who appeared to have unrealistic expectations that dog ownership would be problem-free.
The relationships between hearing dog ownership and the owners’ levels of loneliness, changes in social interactions with people, and life stress were studied retrospectively by questionnaire in a sample of 38 hearing dog owners and a control group of 15 prospective owners. The hearing dogs fulfilled the owners’ primary expectation of alerting them to sounds. A sense of security, their second highest concern, was also addressed. Owners felt safer when they were alone with their hearing dog than before obtaining one. Companionship was the third-rated reason for acquiring the dog and owners reported being significantly less lonely after receiving a hearing dog (P < 0.01). Most owners and prospective owners described a role of the hearing dog as changing interactions within the family. Owners also felt that the dogs changed their interactions with the hearing community and neighbors, whereas few prospective owners foresaw this effect of the dog (P < 0.01). Apparently stemming from the disability being more obvious, owners also scored lower on a life stress score than prospective owners (P < 0.02).
This paper delves into the development and implications of the Hearing Dog Evaluation and Reporting Overview (HERO) tool, which is a novel initiative built on the Five Domains animal welfare model to comprehensively assess the wellbeing of Hearing Dogs. The HERO’s creation involved two phases. In Phase One, an expert panel was surveyed using an electronic Delphi technique to gather consensus on items for the tool. This phase culminated in 28 items, exhaustively covered the Five Domains, and offered a holistic evaluation of Hearing Dog welfare. Phase One complemented existing assistance animal standards and emphasised the importance of a quality environment and continuous wellbeing monitoring. Phase Two involved 23 Hearing Dog owners, to assess the tool’s usability, particularly its user-friendliness and perceived value. Concerns about handlers’ ability to identify welfare indicators were raised, highlighting the need for additional development of resources and guidance. This preliminary study has shown that the HERO is a promising tool for understanding and promoting Hearing Dog welfare. Future research will look to validate the tool by drawing from expert observations and physiological measures, tailoring survey questions, and creating a user-sharing platform.
Abstract
The purpose of this thesis is to explore human-animal work and interspecies relationships within organizational settings. Previous research in the field of organization studies has been highly anthropocentric, overlooking the valuable roles of animals and their agency in diverse organizational contexts, such as in assistance, security, entertainment, tourism, and healthcare. Despite the growing interest in Human-Animal Studies, our understanding of the social constructs and power dynamics governing interactions between humans and animals within organizations remains limited. Therefore, this study aims to fill the gap and contribute to the new, emerging field of Animal Organization Studies by focusing on a new animal occupation group, pain alert dogs.
The theoretical foundation of this study draws from the interdisciplinary fields of Human-Animal Studies and Animal Organization Studies. To gain a comprehensive understanding of the “more-than-human” phenomenon, the research follows a qualitative research design of multispecies ethnography supported by semi-structured interviews. Data collection took place in April 2023 through observations and interviews involving three dog-human pairs and two pain alert dog trainers. The analysis of data is based on inductive analysis.
The findings shed light on the prominent agency possessed by pain alert dogs in their roles. As trusted individuals, pain alert dogs react and inform their human handlers of increasing pain levels and upcoming pain attacks. With the dogs’ input to care work, humans suffering from chronic pain have found more balance in their lives and control of their pain situation. The findings show that the concept of pain alert work is a mix of animals’ voluntary work for humans and mandated work by humans, where the line between working time and leisure is blurred. The pain alert work is made possible by a strong bond between the dog and the human. Future research should ponder the ethical questions of our relations to animals and continue to further examine non-human workers and their place in organizations.
This study aimed to explore perceptions and experiences about how owning a hearing dog can influence the functioning and the autonomy of people with hearing loss. Three adults participated in a semi-structured interview. The interviews were video recorded, transcribed, and coded. A procedure combining qualitative content analysis and interpretative phenomenological analysis was used. The study shows how specific aspects of hearing dogs are associated with increased autonomy and sense of security among owners. The attentive dog-owner pairing, the outstanding training and the companion role of the hearing dog are the main elements supporting the high satisfaction related by all the participants. In regard of the location context (Quebec, Canada), ongoing challenges for owners are reflected in the lack of visibility of this rehabilitation means and its poor recognition from the society, resulting in the constant burden to explain the dog’s work to others. For adults with hearing loss, the hearing dog is a relevant way of offering both the benefits of functional assistance and the psychosocial support of a pet. The association between owning a hearing dog and improved overall well-being suggests that this form of rehabilitation should be considered as a pertinent option by hearing health professionals.
Background
Individuals with severe disability often require personal assistance and help from informal caregivers, in addition to conventional health care. The utilization of assistance dogs may decrease the need for health and social care and increase the independence of these individuals. Service and hearing dogs are trained to assist specific individuals and can be specialized to meet individual needs. The aim of this study was to describe and explore potential consequences for health-related quality of life, well-being and activity level, of having a certified service or hearing dog.
Methods
A longitudinal interventional study with a pre-post design was conducted. At inclusion, all participants in the study had a regular (untrained) companion dog. Data were collected before training of the dog started and three months after certification of the dog. Health-related quality of life was assessed with EQ-5D-3L, EQ-VAS and RAND-36. Well-being was measured with WHO-5 and self-esteem with the Rosenberg Self-Esteem Scale. In addition, questions were asked about physical activity and time spent away from home and on social activities. Subgroups were analyzed for physical service and diabetes alert dogs.
Results
Fifty-five owner-and-dog pairs completed the study (30 physical service dogs, 20 diabetes alert dogs, 2 epilepsy alert dogs, and 3 hearing dogs). Initially, study participants reported low health-related quality of life compared with the general population. At follow-up, health-related quality of life measured with the EQ-VAS, well-being and level of physical activity had improved significantly. In the subgroup analysis, physical service dog owners had lower health-related quality of life than diabetes alert dog owners. The improvement from baseline to follow-up measured with EQ-5D statistically differed between the subgroups.
Conclusions
The target population for service and hearing dogs has an overall low health-related quality of life. Our study indicates that having a certified service or hearing dog may have positive impact on health-related quality of life, well-being and activity level. Service and hearing dogs are a potentially important “wagging tail aid” for this vulnerable population, able to alleviate strain, increase independence, and decrease the risk of social isolation.
This article examines the social experiences of Service Dog handlers using survey data from adult US Service Dog handlers (N = 482). The main research question examined is how disability visibility impacts the experiences of Service Dog-related discrimination. Analysis reveals that half of all Service Dog handlers report experiencing discrimination but those with invisible disabilities report experiencing significantly more discrimination. For those with invisible disabilities, the decision to use a Service Dog prevents them from ‘passing’ while at the same time opening them up to increased skepticism about the legitimacy of their disability.
The use of dogs to help people with disabilities has been known for a long time. Assistance dogs carry out a variety of practical tasks for disabled people with appropriate and targeted training, including assisting deaf persons or people with profound hearing loss. The benefits of assistance dogs for persons with hearing impairment (hearing dogs) include a) improved ability to carry out daily tasks through the codified reporting of sounds proper of everyday life and/or of dangerous situations and b) psychosocial aspects such as companionship and sense of protection. The benefits derived from the use of assistance dogs for persons with hearing impairment are less studied compared to those of assistance dogs employed for other disabilities. Moreover, the role of hearing dogs may appear rather controversial considering technological advances in the field of surgical or prosthetic rehabilitation for people with hearing impairment. This article aims to review features and training of hearing dogs, the effect of their employment and legislative aspects for their owners.
Abstract
In this chapter, Reeve and Wilson provide a thorough review and discussion of medical alert dogs: dogs that alert people to physiological changes. The authors first orient the reader with a discussion of the terminology surrounding, and the regulation of, medical alert dogs. Next, they discuss how odours emanating from the body signal physiological change, and how the canine olfactory system is well suited to perceive these odours. The chapter then includes a review of empirical studies examining dogs’ ability to detect odours associated with physiological change and how medical alert dogs impact their owners’ health and well-being. The authors explore the current training and selection of medical alert dogs and, finally, present a discussion of medical technology and the future of medical alert dogs.
Background People with hearing loss, particularly those who lose their hearing in adulthood, are at increased risk of social isolation, mental health difficulties, unemployment, loss of independence, risk of accidents, and impaired quality of life. In the United Kingdom (UK), a single third sector organisation provides hearing dogs, a specific type of assistance dog trained to provide sound support to people with hearing loss. These dogs may also deliver numerous psychosocial benefits to recipients. This has not previously been fully investigated. Objective To evaluate the impact of a hearing dog partnership on the lives of individuals with severe or profound hearing loss. Methods and Analysis A two-arm, randomised controlled trial conducted within the UK, with 162 hearing dog applicants, aged 18 years and over. Participants will be randomised 1:1 using a matched-pairs design to receive a hearing dog sooner than usual (intervention arm – Arm B) or to receive a hearing dog within the usual timeframe (comparator arm – Arm A). In the effectiveness analysis, the primary outcome is a comparison of mental wellbeing six-months after Arm B have received a hearing dog (Arm A: not yet received hearing dog), measured using the Short Warwick Edinburgh Mental Wellbeing Scale. Secondary outcome measures include the PHQ-9, GAD-7 and WSAS. An economic evaluation will assess cost-effectiveness including health-related quality-adjusted life years using the EQ-5D-5L and social-care-related-quality-adjusted life-years. Participants will be followed up for up to two years. A nested qualitative study will investigate the impacts of having a hearing dog and how these impacts come about. Results The study was funded by the National Institute for Health Research’s School for Social Care Research. Recruitment commenced in March 2017 and is now complete. 165 participants were randomised. Data collection will continue until January 2020. Results will be published in peer-reviewed journals and at conferences. A summary of the findings will be made available to participants. Ethical approval was received from the University of York’s Department of Social Policy and Social Work Research Ethics Committee (reference SPSW/S/17/1). Conclusions The findings from this study will provide, for the first time, strong and reliable evidence on the impact of having a hearing dog on people’s lives in terms of their quality of life, well-being and mental health. Trial registration The trial has been retrospectively registered International Standard Randomised Controlled Trial Number (ISRCTN) 36452009; https://doi.org/10.1186/ISRCTN36452009.
Service dogs for people with mobility impairments and hearing ear dogs for persons with hearing impairments have grown in popularity because the important practical tasks these dogs perform enhance the independence of their owners. Little is known about the psychosocial impact of service dog ownership, however. The results of a survey of 24 owners and seven trainers on the psychosocial benefits and liabilities of service dog ownership are presented and the implications for social work practice are discussed.
Background and Objectives
The aim of this study was to evaluate whether people living with severe medically refractory epilepsy (PSRE) benefit from a seizure dog.
Methods
An individual-level stepped-wedge randomized controlled trial was conducted. The study was conducted in the Netherlands among adults with daily to weekly seizures. All participants were included simultaneously (on June 1, 2019) while receiving usual care. Then, during the 36-month follow-up, they received a seizure dog in a randomized sequence. Participants kept a seizure diary and completed 3-monthly surveys. Seizure frequency was the primary outcome. Secondary outcomes included seizure-free days, seizure severity, health-related quality of life (HRQoL), and well-being. Data were analyzed using generalized linear mixed modeling (GLMM). The models assumed a delayed intervention effect, starting when the seizure dog reached an advanced stage of training. Effects were calculated as changes per 28-day period with the intervention.
Results
Data were collected from 25 participants, of whom 20 crossed over to the intervention condition. The median follow-up was 19 months with usual care and 12 months with the intervention. On average, participants experienced 115 (SD 164) seizures per 28-day period in the usual care condition and 73 (SD 131) seizures in the intervention condition. Seven participants achieved a reduction of 50% or more at the end of follow-up. GLMM indicated a 3.1% decrease in seizure frequency for each consecutive 28-day period with the intervention (0.969, 95% CI 0.960–0.977). Furthermore, an increase in the number of seizure-free days was observed (1.012, 95% CI 1.009, 1.015), but no effect on seizure severity measured with the NHS3. Generic HRQoL scores improved, as reflected in the decrease in EQ-5D-5L utility decrement (0.975, 95% CI 0.954–0.997). Smaller improvements were observed on overall self-rated HRQoL, epilepsy-specific HRQoL, and well-being, measured with the EQ VAS, QOLIE-31-P, and ICECAP-A, respectively.
Discussion
Seizure dogs reduce seizure frequency, increase the number of seizure-free days, and improve the quality of life of PSRE. The magnitude of the effect on generic HRQoL indicates that seizure dogs benefit PSRE beyond the impact on seizure frequency alone. Early discontinuation of seizure dog partnerships suggests that this intervention is not suitable for all PSRE and requires further study.
