Evidence map›Paper›PMID 29945630›Full record

ArticleBMC health services research2018

The impact of service and hearing dogs on health-related quality of life and activity level: a Swedish longitudinal intervention study.

Martina Lundqvist, Lars-Åke Levin, Kerstin Roback, Jenny Alwin

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03270592 (Assessment of Service and Hearing Dogs), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03270592 nacompletednot on this map

Assessment of Service and Hearing Dogs

TypeinterventionalSponsorLinkoeping UniversityRan2009 to 2014Enrolled56ConditionsImpairment, Diabetes, EpilepsyArmsService dog
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Attitudes Toward In-Training Assistance Dogs in University Classrooms.Animals : an open access journal from MDPI · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Issues Regarding the Welfare of Assistance Dogs.Animals : an open access journal from MDPI · 2022
    Article
  10. Article
  11. Interactions between the Public and Assistance Dog Handlers and Trainers.Animals : an open access journal from MDPI · 2021
    Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Martina LundqvistDepartment of Medical and Health Sciences, Linkoping University, Linköping, Sweden. martina.lundqvist@liu.se.
Lars-Åke LevinDepartment of Medical and Health Sciences, Linkoping University, Linköping, Sweden.
Kerstin RobackDepartment of Medical and Health Sciences, Linkoping University, Linköping, Sweden.
Jenny AlwinDepartment of Medical and Health Sciences, Linkoping University, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals 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.

methodsA 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.

resultsFifty-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.

conclusionsThe 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.

trial registrationThe trial was retrospectively registered in http://clinicaltrial.gov , NCT03270592. September, 2017.

Indexed as

DogsExercisePersons with DisabilitiesAdolescentAdultAgedAnimalsDiabetes MellitusEpilepsyFemaleHumansLongitudinal StudiesMaleMiddle AgedQuality of LifeSelf ConceptAlert dogAssistance dogHealth-related quality of lifeSelf-esteemService dogWell-being

Identifiers

PMID29945630
PMCPMC6020368

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.