The development and validation of the One Health Community Assessment.

Interdisciplinary collaborations to address human, animal, and environmental health have been emphasized since the inception of the One Health framework. A quantitative survey instrument was developed to measure perceptions of the impacts of pets on One Health. Using the exploratory sequential mixed methods approach, 20 interviews were conducted with individuals from a racially diverse and low-socioeconomic status community in the U.S. to understand their perceptions of One Health. Data from those interviews informed the development of a Likert scale survey measuring individual perceptions of community, human, pet, and environmental health and welfare, as well as the connections between the domains of the One Health triad (human, animal, and environment). The resulting One Health Community Assessment (OHCA) was administered in two urban and two rural underserved U.S. communities longitudinally (2018-2021) through door-to-door data collection as well as phone, email, and text surveys. Validation of the instrument was completed using data collected in the third and fourth years of the study (n = 654). Factor analysis with orthogonal varimax rotation was used to assess the structure and internal consistency of the OHCA. Five subscales explained 42.4% of the variance in our 92-item instrument: community health (Cronbach's α = 0.897), human health (α = 0.842), pet health (α = 0.899), environmental health (α = 0.789), and connections between domains of One Health (α = 0.762). The OHCA represents the first reliable and validated instrument to measure the impacts of pets on One Health.

Corrigendum: Examining human-animal interactions and their effect on multidimensional frailty in later life: a scoping review.

[This corrects the article DOI: 10.3389/fpubh.2023.1214127.].

Examining human-animal interactions and their effect on multidimensional frailty in later life: a scoping review.

This scoping review sought to compile outcomes associated with any human-animal interaction study regarding adults aged 50 and older in any living context and concerning a multidimensional (i.e., physical, psychological, cognitive, and social) perspective of frailty. Despite our best attempts at incorporating the broadest inclusion criteria possible, only four articles were relevant to this review. Participants across the included studies were rural, community-dwelling Japanese or Chinese individuals aged 60 years and older. Thematic analysis of reported results includes dog ownership as a protective factor regarding frailty, the interconnected health effects of pet ownership, and increased meaning and purpose through pet ownership implications. More research is needed globally to determine how human-animal interactions may moderate frailty comprehensively, as well as the efficacy and appropriateness of these interactions or interventions in older adult populations and across cultural boundaries.

Development and initial validation of the Animal Welfare Cultural Competence Inventory (AWCCI) to assess cultural competence in animal welfare.

Cultural competence is recognized as critical to reducing disparities within human healthcare settings, but it is rarely incorporated into evaluations of companion animal services. We developed and validated an animal welfare-focused cultural competence instrument with client and provider versions. We then used the instrument to assess the relationship between animal welfare providers' cultural competence and services provided to clients in historically underserved communities. 24 providers across 17 sites participated in the provider survey. 422 clients across those sites also participated and had their service utilization data analyzed. We found a significant correlation between the number of client-provider interactions and their level of agreement within the instrument's "competence/confidence" subscale. We also found that these interactions had a significant correlation with veterinarian care and spay/neuter services. This study provides initial evidence that increasing the use of culturally competent engagement strategies has the potential to increase service utilization for pets in historically underserved communities.

Mandan, Hidatsa, and Arikara Nation Perspectives on Rez Dogs on the Fort Berthold Reservation in North Dakota, U.S.A.

The research on the relationships between free-roaming dogs, also referred to as reservation dogs or rez dogs, and Indigenous communities is extremely limited. This study aimed to document the cultural significance of rez dogs, challenges related to rez dogs, and community-specific solutions for rez dog issues affecting community health and safety from members of the Mandan, Hidatsa, and Arikara (MHA) Nation, also referred to as the Three Affiliated Tribes (TAT), who live on the Fort Berthold reservation in North Dakota, U.S.A. One hour semi-structured interviews with 14 community members of the MHA Nation were conducted in 2016. The interviews were analyzed via systematic and inductive coding using Gadamer's hermeneutical phenomenology. The primary intervention areas described by the participants included: culturally relevant information sharing, improved animal control policies and practices, and improved access to veterinary care and other animal services.

Molecular Biomarkers of Adult Human and Dog Stress during Canine-Assisted Interventions: A Systematic Scoping Review.

Positive relationships, including those between humans and other animals, particularly dogs, may be a way to reduce stress in humans. However, research into this area is relatively new, and a comprehensive review of the impacts of these interactions on humans and dogs has not been conducted. A scoping review of the scientific literature was conducted to explore what is known about the impacts of canine-assisted interventions on molecular biomarkers (e.g., cortisol and oxytocin) and associated measures (e.g., heart rate and blood pressure) of human and canine stress. As reported across 27 identified studies, canine-assisted interventions have consistently been demonstrated to elicit positive changes in human stress markers, and typically do not cause negative impacts on the studied canine stress markers. However, results were inconsistent across measures of stress. For example, in humans, it was common for a study to show improvements to cortisol levels but no change to self-reported stress, or vice versa. Many of the reviewed studies also had significant methodological issues, such as not aligning the timing of sample collections to when the analyzed stress biomarkers could be expected to peak. More rigorous research should be conducted on the impacts of canine-assisted interventions on a wider range of stress biomarkers.

Improving Engagement in Behavioral and Mental Health Services Through Animal-Assisted Interventions: A Scoping Review.

OBJECTIVE: Client engagement in behavioral and mental health services has been strongly linked to improved outcomes and treatment completion. Animal-assisted interventions (AAIs) are increasingly used to improve client engagement, for example, by involving a dog in therapy to support a client's sense of safety. Although existing research suggests that human-animal interactions may promote engagement, further research is needed to understand the underlying mechanisms, identify procedures needed for treatment fidelity, and determine the populations in which this intervention would be most effective. The aim was to identify the existing knowledge base to inform future research and practice in these areas. METHODS: A review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines to answer three questions: What research has been completed regarding the use of animals to affect client engagement, including measurement of potential processes of change? How have interventions that use animals been structured and protocolized? How is engagement operationally defined by these studies? RESULTS: Ten studies were identified for review. Preliminary evidence indicates that AAIs may support client engagement in behavioral and mental health services. A wide range of conceptualizations in which populations and settings could benefit from AAIs were identified, but it remains unclear who would benefit most. The review did not substantively address the efficacy of AAIs for increasing engagement or factors that may drive engagement. CONCLUSIONS: Further research is needed to quantify the impact of AAIs on service engagement and to identify mechanisms of change.

Trends in Intake and Outcome Data From U.S. Animal Shelters From 2016 to 2020.

In this retrospective, exploratory study, intake and outcome data were compiled from 1,373 U.S. animal shelters for which such data were reported consistently across a five-year study period (2016-2020). Linear regression analysis was used to examine the five-year trends and the impacts of the first year of the COVID-19 pandemic (2020) on the overall trends in intake and outcomes in U.S. animal shelters. The results of the analysis reveal that total intake and euthanasia for both dogs and cats significantly decreased over the study period. The adoption, return-to-owner, return-to-field, and transfer (for cats) categories as a percentage of intake all showed significant increases. Live release rates as a function of total intakes and total outcomes for both dogs and cats showed significant increases over the study period. The findings from this study address a critical gap in the field by summarizing emerging trends at the national level in how cats and dogs are being served in U.S. animal shelters.

Detailed Assessment of Pet Ownership Rates in Four Underserved Urban and Rural Communities in the United States.

Understanding pet ownership in a community is an important factor for assessing the effectiveness of animal welfare programming. Data on pet ownership were collected from 2,327 households in two urban and two rural zip codes. The percentage of households owning pets and the species owned were calculated for the individual communities, the urban and rural pairs, and the aggregate data. Findings were compared to the 2017-2018 AVMA Pet Ownership and Demographics Sourcebook data. The rural communities had an 11.5% higher rate of overall pet keeping and a 19% higher dog ownership rate than the urban communities, but the measured cat ownership rate was similar in all four sites at an average of 19.4% (SD = 2.1%). The community-specific rates of pet ownership were different (p < .0001) than the rates predicted fromthe AVMA-recommended formula, but at 56.8%, the aggregate pet-keeping rate was exactly the same as that calculated by the AVMA. The findings reveal community-level variability in pet-keeping rates that must be accounted for when assessing pet service, emergency planning, and animal welfare programming needs.

Animal Control and Field Services Officers' Perspectives on Community Engagement: A Qualitative Phenomenology Study.

Very little is known about the prevalence, scope, and methods of community engagement employed by animal control and field services officers to address the issue of animal cruelty and neglect. This study used a phenomenological approach to understand how officers defined community engagement. The researchers conducted semi-structured interviews with twenty-nine animal control and field services officers. The definitions of community engagement varied greatly across this sample of U.S. officers. However, most officers agreed that strategies such as relationship-building, providing assistance or information, and allowing time for compliance were among the most effective community engagement strategies. In addition, several barriers to incorporating community engagement strategies in the work of animal control professionals were identified. Future research and policymaking should seek to establish a consistent definition of community engagement in animal control and field services that can then be optimized for specific communities through rigorous evaluation.

Trends in intake and outcome data for animal shelters in Colorado, 2000 to 2007.

OBJECTIVE: To measure trends in animal shelter intake and outcome data for dogs and cats in Colorado on a statewide, urban, and rural basis from 2000 through 2007. DESIGN: Retrospective cohort study. SAMPLE POPULATION: A group of 104 animal shelters and rescue organizations from Colorado representing 92% and 94% of statewide dog and cat intake, respectively, in 2007. PROCEDURES: Annual animal shelter data were analyzed for trends by use of linear regression analysis. Trends in urban and rural subgroups of shelters were compared by use of Student t tests. RESULTS: Statewide, the number of intakes/1,000 residents decreased by 10.8% for dogs during the 8-year study period, but increased by 19.9% for cats. There was no change in the dog euthanasia rate at 3.7/1,000 residents/y, but the rate for cats increased by 35.7% to 3.9/1,000 residents/y. There was no change in the statewide live release rate for dogs or cats, but there was a decrease of 12.6% for cats in the urban subgroup. CONCLUSIONS AND CLINICAL RELEVANCE: The trends suggested that the number of unwanted dogs in Colorado decreased during the study period, whereas the number of unwanted cats in animal shelters increased. There were clear differences in the trends in the urban and rural data, suggesting different needs in each type of community. At the current level of resource allocation, the shelter dynamics for dogs appeared to have reached equilibrium with respect to euthanasia. Transfers were increasingly being used within all regions of the state to optimize the chances of adoption.

Dog training as a complementary intervention to support Veteran mental health and well-being: A scoping review.

BACKGROUND: Military veterans in the United States face a number of complex issues and barriers to successful civilian reintegration. Dog training programs offered to these individuals are being used as a complementary intervention to support multiple aspects of veteran reintegration. This scoping review explored the existing literature on dog training programs as a support for veteran mental health and well-being. METHODS: A scoping review was conducted in accordance with PRISMA guidelines to analyze the existing research on this topic. RESULTS: Five overarching themes were identified, including improvements to mental health, social benefits, a developed sense of purpose, differing impacts of training methods, and potential negative outcomes associated with stressful demands of training. CONCLUSION: The results of this review suggested dog training programs have potentially positive effects on veteran mental health but also revealed a few potential negative impacts and the need for further research on this animal-assisted intervention.

Temporal trends in intake category data for animal shelter and rescue organizations in Colorado from 2008 to 2018.

OBJECTIVE: To investigate trends in animal shelter and rescue organization intake for dogs and cats in Colorado from 2008 to 2018. SAMPLE: 482 animal shelters and rescue organizations that reported annual intake data to the State of Colorado Department of Agriculture for 1,086,630 dogs and 702,333 cats. PROCEDURES: Total intake, intake for each of 5 Pet Animal Care and Facilities Act categories (stray, owner surrender, intrastate transfer, interstate transfer, or other), and community-based intake (total intake after exclusion of transfers) of dogs and cats were assessed in total and for each organization type (shelter or rescue organization). The number taken in per year, number taken in/1,000 capita (human residents)/y, and number in each intake category as a percentage of total intake for the same species per year were analyzed with linear regression models. RESULTS: Trend lines indicated that total dog intake increased over the study period, but there was no change when these data were adjusted for the human population. Cat intake decreased over time according to both of these measures. Total community-based intake decreased, whereas total intake by interstate transfer from other organizations increased for both species during the study period. CLINICAL RELEVANCE: Increased transfer of dogs and cats across state lines into regions with low community-based shelter intake suggested that regional and national animal disease trends could potentially impact disease profiles for recipient areas. Findings supported efforts toward collecting animal shelter and rescue organization intake and outcome data across larger systems.

Measuring Changes in Perceptions of Access to Pet Support Care in Underserved Communities.

Understanding social, economic, and structural barriers to accessing pet care services is important for improving the health and welfare of companion animals in underserved communities in the U.S. From May 2018-December 2019, six questions from the validated One Health Community Assessment were used to measure perceptions of access to pet care in two urban and two rural zip codes. One urban and one rural community received services from a pet support outreach program (Pets for Life), while the other served as a comparison community. After propensity score matching was performed to eliminate demographic bias in the sample (Urban = 512 participants, Rural = 234 participants), Generalized Estimating Equations were employed to compare the six measures of access to pet care between the intervention and comparison communities. The urban community with the Pets for Life intervention was associated with a higher overall measure of access to pet care compared to the urban site that did not have the Pets for Life intervention. When assessing each of the six measures of access to care, the urban community with the Pets for Life intervention was associated with higher access to affordable pet care options and higher access to pet care service providers who offer payment options than the community without the Pets for Life intervention. Further analyses with a subset of Pets for Life clients comparing pre-intervention and post-intervention survey responses revealed statistically significant positive trends in perceptions of two of the six measures of access to pet care. This study provides evidence that community-based animal welfare programming has the potential to increase perceptions of access to pet support services.

Punishment to Support: The Need to Align Animal Control Enforcement with the Human Social Justice Movement.

Due to inherent and systemic biases, animal control policies in the US are over-enforced in low-income communities and communities of color, resulting in worse health outcomes for the pets in these communities. These outcomes are exemplified by higher confiscation, relinquishment, and euthanasia rates, lower return to owner rates, and extended lengths of stay in animal shelters. The Humane Communities framework operationalizes One Health and One Welfare concepts to comprehensively address issues of inequity at both the individual and structural levels to improve animal control policy and outcomes. Person-centered and culturally competent policies and programs that focus resources on addressing root causes of pet health and welfare issues as opposed to an emphasis on code enforcement can create more positive, scalable, and sustainable improvements in human, other animal, and environmental health and welfare outcomes. This shift from punishment-oriented approaches to support-based models of animal control aligns the animal welfare field with the modern human social justice movement.

Human-animal-environment interactions as a context for youth social-emotional health and wellbeing: Practitioners' perspectives on processes of change, implementation, and challenges.

BACKGROUND: Human-animal-environment interactions (HAEIs) are increasingly used in interventions for youth with psychosocial challenges, yet research is limited. Staff from an exemplary program that use HAEIs have unique perspectives on the processes involved in youth outcomes. The aim of this study was to elucidate processes of change that may underly HAEIs and key implementation considerations. MATERIALS AND METHODS: A phenomenological approach was used to ascertain HAEI staff perspectives of how they have seen HAEIs impact youth. Semi-structured interviews were completed with 24 staff at a mental health treatment program that utilizes HAEIs. RESULTS: Six themes were identified, including views that HAEIs had challenges, afforded youth with valuable opportunities, improved mood, facilitated relationships and self-regulation, and strengthened self-conception. CONCLUSION: Findings will inform program development; and future research to assess mediating variables and best practices in implementation of HAEIs.

Factors Informing the Return of Adopted Dogs and Cats to an Animal Shelter.

Although the adoption rate of dogs and cats from animal shelters has increased, a proportion of animals are returned to the shelter after they are adopted. The purpose of this study was to assess the factors informing the return of 102 dogs to an animal shelter over a four-month period, and the return of 72 cats to an animal shelter over a three-month period. Descriptive statistics revealed dogs are most commonly returned for behavior issues related to aggression (38.2%), and cats are most commonly returned due to the adopter's personal reasons (56.9%). The results also indicated that more than half of the dogs (51.0%) and cats (57.0%) returned in this study were owned for more than 60 days. Further research is needed to compare the effectiveness of different pet retention programs in addressing the factors that inform returned adoptions.

Temporal trends in intake and outcome data for animal shelter and rescue facilities in Colorado from 2000 through 2015.

OBJECTIVE To measure temporal trends in animal shelter and rescue intakes and outcomes for dogs and cats in Colorado from 2000 through 2015 and compare trends from 2008 through 2015 with previously reported trends from 2000 through 2007. DESIGN Serial cross-sectional study. SAMPLE 76 animal shelter and rescue facilities with annual intake and outcome data consistently reported to the state of Colorado from 2000 through 2015. PROCEDURES Data were collected for dogs and cats each year during the study period on 5 annual scales: number of animals taken in, number of animals taken in/1,000 state residents, animal outcomes as a percentage of intakes (species-specific scales), and annual live release rate as a function of intakes and outcomes. Aggregate data were analyzed for temporal trends by linear regression modeling. RESULTS Decreases in annual intake and euthanasia rates and a concurrent increase in live release rate were observed for both species. The decreases observed for cats from 2008 through 2015 contrasted with the previously reported findings of increased rates of intake and euthanasia from 2000 through 2007. CONCLUSIONS AND CLINICAL RELEVANCE We believe that these temporal trends suggested substantial improvements in intake and outcome data for sheltered cats and dogs across Colorado that reflected changes in unhoused animal populations, along with the impact of resource allocation to spay-neuter programs, adoption marketing, intershelter transfers, and evidence-based improvements in operations. The findings indicated that consistent data collection and interorganizational collaboration can be used to optimize animal shelter capacity and outcomes across a statewide shelter system.

A Randomized Controlled Trial of Animal-Assisted Therapy as an Adjunct to Intensive Family Preservation Services.

METHOD: Families referred by Child Protective Services ( M child age = 6 years ± 4; M parent age = 32 years ± 8.26) were individually randomized to experimental ( n = 14) or control ( n = 14) intervention. Family functioning outcomes were measured using the North Carolina Family Assessment Scale for Reunification. RESULTS: All four targeted family functioning outcomes were significantly increased for participants who received animal-assisted therapy as an adjunct to intensive family preservation services ( n = 14) with medium to large effect sizes. These improvements were sustained in two of the subscales through discharge. No significant differences were measured for the distal clinical outcome of disposition of children at discharge. CONCLUSIONS: Findings suggest that adding animal-assisted therapy as an adjunct can improve evidence-based clinical interventions aimed at enhancing the caregiving contexts of children.

Race and ethnicity are not primary determinants in utilizing veterinary services in underserved communities in the United States.

A retrospective database analysis (2011-2015) evaluated associations between race and ethnicity and veterinary service utilization by sampling 83,260 companion animals whose guardians (owners) self-identified as White, Black, or Latino/a from 39 Humane Society of the United States Pets for Life (PFL) sites across the United States. Controlling for socioeconomic status, the percentage of nonhuman animals sterilized through PFL whose owners were Latino/a or Black was substantially higher than in previously reported findings. While Latinos/as had the highest mean number of days from first contact with the program to consent, they also had the highest percentage of owners accepting the voucher during initial contact. Logistic regression models suggested that although meaningful, race and ethnicity were not primary determinants of veterinary service utilization. When veterinary and animal welfare organizations deliberately remove structural barriers embedded with racial inequalities, individuals, regardless of race and ethnicity, proceed with companion-animal sterilization. Therefore, service providers must use unbiased, informed, and culturally competent practices to improve companion-animal welfare through the optimization of veterinary services, including spay and neuter.