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The effectiveness of group combined intervention using animal-assisted therapy and integrated elderly play therapy

  • Kil, Taeyoung (Institute of Agricultural Science, Chungnam National University) ;
  • Kim, Hak-man (Department of Social Welfair, Woosong University) ;
  • Kim, Minkyu (Division of Animal and Dairy Science, Chungnam National University)
  • Received : 2019.11.02
  • Accepted : 2019.11.08
  • Published : 2019.11.30

Abstract

The purpose of this study was to investigate the effects of group combined intervention that combined animal-assisted therapy and integrated elderly play therapy on the depression, self-esteem, and emotional expression of geriatric patients residing in nursing homes. This was achieved by providing cognitive, physical, and emotional activities and social interaction at the same time. The group combined intervention method was applied to twelve elderly patients (six in the control group, six in the experimental group) aged 65 or older who live in a nursing home for the elderly in C province, from May 3, 2019 to June 21, 2019, for a total of 8 times (once a week, 50 minutes at a time). The quantitative evaluation was analyzed through SPSS 21.0 for comparison before and after the program was implemented, using the Korean version of the depression and the self-esteem scale. The qualitative evaluation compared emotional expression pre-test and post-test. The major results of the study were as follows: First, the group combined intervention was effective in reducing depression levels of the experimental group among the elderly patients. Second, it was effective in improving the self-esteem of the experimental group among the elderly patients. Third, it showed a significant difference in the emotional expression of the experimental group among the elderly patients. Therefore, it was found that group combined intervention reduces depression and improves self-esteem and emotional expression of the elderly. Based on these results, it is hoped that this study will be a cornerstone in the development of concrete programs for the benefit of elderly patients living in facilities.

Acknowledgement

Supported by : Chungnam National University

References

  1. Kang MS. A psychological study on the adaptation process of inpatients in nursing homes. Korean Soc Gerontol Soc Welf. 2012;2:58-80.
  2. Blazer D. Depression in the elderly. N Engl J Med. 1989;320:164-6. https://doi.org/10.1056/NEJM198901193200306
  3. Lee JH. The effect of group music program on depression in the institutionalized elderly. J Korean Gerontol Nurs. 2001;3:42-52.
  4. Choi YA. A survey on the depression, self-esteem and health behavior of the aged. Korean J Gerontol Soc Welf. 2003;21:27-47.
  5. Park GJ, Lee JH, Bae KE, Kang YH, Song HS. Self-esteem and depression of elders in welfare facilities. J Korean Gerontol Nurs. 2007;9:51-9.
  6. Kim YK. The effect of group theraplay on self-esteem and depression of the elderly in day care center. Korea J Couns. 2011;12:1527-44. https://doi.org/10.15703/kjc.12.5.201110.1527
  7. Chung HJ. Music therapy: understanding and application. Seoul: Ehwa Womans University Press; 2005.
  8. Burgener SC, Yang Y, Gilbert R, Marsh-Yant S. The effects of a multimodal intervention on outcomes of persons with early-stage dementia. Am J Alzheimers Dis Other Demen. 2008;23:382-94. https://doi.org/10.1177/1533317508317527
  9. Carrie I, van Kan GA, Gillette-Guyonnet S, Andrieu S, Dartigues JF, Touchon J, et al. Recruitment strategies for preventive trials. The MAPT study (MultiDomain Alzheimer Preventive Trial). J Nutr Health Aging. 2012;16:355-9. https://doi.org/10.1007/s12603-012-0046-8
  10. Shin SJ, Lee JS, Kim SK, Jeon BJ. The effect of a group occupational therapy on cognitive function and depression for mild dementia patients in a community. Korean J Occup Ther. 2013;21:45-60.
  11. Ngandu T, Lehtisalo J, Solomon A, Levalahti E, Ahtiluoto S, Antikainen R, et al. A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet. 2015;385:2255-63. https://doi.org/10.1016/S0140-6736(15)60461-5
  12. Kim SE, Park SM, Jung MY. Effects of a multimodal intervention program on cognitive function and depression of the elderly with early dementia. Korean J Occup Ther. 2017;25:45-55.
  13. Choi WS. The effects of group art therapy on cognitive functions and depression of the elderly with dementia. Korean J Art Ther. 2005;12:951-85.
  14. Lee SH. A study on group art therapy program for elderly suicide prevention. Korean J Art Ther. 2011;18:153-71. https://doi.org/10.35594/kata.2011.18.1.008
  15. Lee YJ, Lee JH, Kim YJ, Yang NY, Park JH. The effect of multimodal intervention on quality of life, depression, and cognitive function in elderly people with dementia: a pilot study. J Korean Soc Occup Ther. 2014;22:85-97. https://doi.org/10.14519/jksot.2014.22.3.07
  16. Ham MJ, Kim SK, Yoo DH, Lee JS. The effects of a multimodal interventional program on cognitive function, instrumental activities of daily living in patients with mild Alzheimer's disease. J Korean Soc Occup Ther. 2018;26:91-102.
  17. Santos GD, Nunes PV, Stella F, Brum PS, Yassud MS, Ueno LM, et al. Multidisciplinary rehabilitation program: effects of a multimodal intervention for patients with Alzheimer's disease and cognitive impairment without dementia. Arch Clin Psychiatry. 2015;42:153-6.
  18. Olazaran J, Reisberg B, Clare L, Cruz I, Pena-Casanova J, Del ST. Nonpharmacological therapies in Alzheimer's disease: a systematic review of efficacy. Dement Geriatr Cogn Disord. 2010;30:161-78. https://doi.org/10.1159/000316119
  19. Duru AG, Kapucu S. The effect of reminiscence therapy on cognition, depression, and activities of daily living for patients with Alzheimer disease. J Geriatr Psychiatry Neuro. 2016;29:31-7. https://doi.org/10.1177/0891988715598233
  20. Kim OJ. Literature review on the benefits of companion animals to elderly persons. J Anim Assist Psychother. 2018;7:17-31.
  21. Hajar R. Animal-assisted therapy. Heart views. 2015;16:70-1. https://doi.org/10.4103/1995-705X.159228
  22. Schneider N, Yvon C. A review of multidomain interventions to support healthy cognitive ageing. J Nutr Health Aging. 2013;17:252-7. https://doi.org/10.1007/s12603-012-0402-8
  23. Kil TY. The effectiveness verification of integrated elderly play therapy for the older people living alone in a urban and rural complex area: focusing on the depression and interpersonal relationships. J Korean Gerontol Soc Wel. 2017;72:115-40. https://doi.org/10.21194/kjgsw.72.4.201712.115
  24. Rodakowski J, Saghafi E, Butters MA, Skidmore ER. Non-pharmacological interventions for adults with mild cognitive impairment and early stage dementia: an updated scoping review. Mol Aspects Med. 2015;43-44:38-53. https://doi.org/10.1016/j.mam.2015.06.003
  25. Kim BS. The Effects of animal-assisted therapy on the self-esteem and life satisfaction in the elderly living alone [M.S. thesis]. Sanbon (Korea): Wonkwang University; 2019.
  26. Sams MJ, Fortney EV, Willenbring S. Occupational therapy incorporating animals for children with autism: a pilot investigation. Am J Occup Ther. 2016;60:268-74.
  27. Blender JA. A multimodal investigation of the use of animal assisted therapy in a clinical interview [Ph.D. thesis]. New York: University of Rochester Rochester; 2009.
  28. Kim MI, Kang WG, Kim HJ, Ahn JW, Oh DR, Lee SY, et al. The effects of animal assisted activities program on the depression and self-expression in the elderly. J Anim Assist Psychother. 2018;7:33-42.
  29. Fabel K, Wolf SA, Ehninger D, Babu H, Leal-Galicia P, Kempermann G. Additive effects of physical exercise and environmental enrichment on adult hippocampal neurogenesis in mice. Front Neurosci. 2009;3:50.
  30. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. J Korean Neuropsychiatr Assoc. 1996;35:298-307.
  31. Rosenberg M. Society and adolescent self-image. Princeton (NJ): Princeton University Press; 1965.
  32. Jon BJ. Self-esteem: a test of it's measurability. Yonsei Nonchong. 1974;11:107-30.
  33. Ahn SH, Lee SH, Kwon OS. Activation dimension: a mirage in the affective space. Korean J Soc Psychol. 1993;7:107-23.
  34. Yamaguchi H, Maki Y, Yamagami T. Overview of non-pharmacological intervention for dementia and principles of brainactivating rehabilitation. Psychogeriatrics. 2010;10:206-13. https://doi.org/10.1111/j.1479-8301.2010.00323.x
  35. Logsdon RG, McCurry SM, Teri L. Evidence-based interventions to improve quality of life for individuals with dementia. Alzheimers Care Today. 2007;8:309-18.
  36. Graff MJ, Adang EM, Vernooij-Dassen MJ, Dekker J, Jonsson L, Thijssen M, et al. Community occupational therapy for older patients with dementia and their care givers: cost effectiveness study. BMJ. 2008;336:134-8. https://doi.org/10.1136/bmj.39408.481898.BE
  37. Jones ML, Richmond S. Initial tooth movement: force application and pain-a relationship? Am J Orthod. 1985;88:111-6. https://doi.org/10.1016/0002-9416(85)90234-9