Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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WITHDRAWN
NA
INTERVENTIONAL
2022-03-01
2022-12-31
Brief Summary
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* decrease reported anxiety levels in emergency department (ED) patients,
* decrease salivary cortisol in ED patients,
* decrease total morphine equivalent dosing in the emergency department or at discharge and/or,
* decrease reported stress levels in emergency department providers caring for participating patients
when compared to usual care.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Control
Emergency department patients enrolled in the control arm will receive usual care. Emergency department providers enrolled in the control arm will work their shift as usual.
Control
Control
Intervention
Emergency department patients and providers in the intervention arm will be exposed to and/or interact with a certified therapy dog and handler
Dog Therapy
Exposure to certified therapy dogs and their handler.
Interventions
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Control
Control
Dog Therapy
Exposure to certified therapy dogs and their handler.
Eligibility Criteria
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Inclusion Criteria
* Age 18-89 years
* Chronic pain, defined as pain on most days for \>6 weeks
* Triage pain score \>6 out of 10
OR
* Age 18-89 years
* Currently experience crisis, including suicidality, or
* Meet the standard of a provider assessment of "severe stress" defined by their identification that the patient meets a score of greater than six on the FACES stress scale
Providers
• Faculty, residents, advanced practitioners, and nurses who work in the ED and identify themselves as being the nurse or physician of record for the enrolled patients.
Therapy Dog Handlers
• Handler of a certified therapy dog and volunteer of Eskenazi's Therapy Dog Program
Exclusion Criteria
* Violent behavior
* Overt intoxication
* Non-English speaking
* Any reported prior fear or adverse reaction to dogs
Providers
• Any reported prior fear or adverse reaction to dogs
Therapy Dog Handlers
• None
18 Years
ALL
No
Sponsors
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Healthcare Initiatives, Inc.
UNKNOWN
Indiana University
OTHER
Responsible Party
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Nicholas Pettit
Assistant Professor of Emergency Medicine
Locations
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Eskenazi Health System
Indianapolis, Indiana, United States
Countries
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References
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Braun C, Stangler T, Narveson J, Pettingell S. Animal-assisted therapy as a pain relief intervention for children. Complement Ther Clin Pract. 2009 May;15(2):105-9. doi: 10.1016/j.ctcp.2009.02.008. Epub 2009 Mar 3.
Marcus DA, Bernstein CD, Constantin JM, Kunkel FA, Breuer P, Hanlon RB. Impact of animal-assisted therapy for outpatients with fibromyalgia. Pain Med. 2013 Jan;14(1):43-51. doi: 10.1111/j.1526-4637.2012.01522.x. Epub 2012 Nov 21.
Barker SB, Dawson KS. The effects of animal-assisted therapy on anxiety ratings of hospitalized psychiatric patients. Psychiatr Serv. 1998 Jun;49(6):797-801. doi: 10.1176/ps.49.6.797.
Munoz Lasa S, Maximo Bocanegra N, Valero Alcaide R, Atin Arratibel MA, Varela Donoso E, Ferriero G. Animal assisted interventions in neurorehabilitation: a review of the most recent literature. Neurologia. 2015 Jan-Feb;30(1):1-7. doi: 10.1016/j.nrl.2013.01.012. Epub 2013 May 1. English, Spanish.
Havey J, Vlasses F, Vlasses P, Ludwig P, Hackbarth D. The Effect of Animal-Assisted Therapy on Pain Medication Use After Joint Replacement. Anthrozoos 2014; 27: 361-369.
Smith DD, Kellar J, Walters EL, Reibling ET, Phan T, Green SM. Does emergency physician empathy reduce thoughts of litigation? A randomised trial. Emerg Med J. 2016 Aug;33(8):548-52. doi: 10.1136/emermed-2015-205312. Epub 2016 Mar 21.
Kelm Z, Womer J, Walter JK, Feudtner C. Interventions to cultivate physician empathy: a systematic review. BMC Med Educ. 2014 Oct 14;14:219. doi: 10.1186/1472-6920-14-219.
Other Identifiers
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001968358
Identifier Type: -
Identifier Source: org_study_id
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