Bibliography - Assistance Dogs

Collection 1

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1 Assistance Dogs in general

Purpose: First-time assistance dog handlers experience a profound life change when they bring an assistance dog into their home. Therefore, this article investigates the broad context of handlers’ lived experiences prior to and throughout the first year after acquiring an assistance dog.

Materials and methods: To understand holistic experiences better, semi-structured interviews were conducted with first-time assistance dog handlers (n = 7), parents (n = 7), assistance dog instructors (n = 6), carers/other individuals (n = 3) at four time points: before an individual received an assistance dog, and then at three further times for up to one year after they received the assistance dog.

Results: Inductive content analysis revealed that four main contextual factors (societal, social support, environmental and personal) influenced the lived experience of working with an assistance dog. Many of these factors were outside of the handler and the assistance dog organization’s control, and they were shown to cause many challenges for handlers.

Conclusion: These factors must, therefore, be taken into consideration when organizations make decisions about placing an assistance dog.

IMPLICATIONS FOR REHABILITATION
Societal influences can both hinder and facilitate the benefits first-time handlers receive with their assistance dog in public.
Support from others is important to successfully integrate an assistance dog into a first-time handler’s life.
A handler’s level of environmental control can influence their experiences with their assistance dog.
Personal factors such as a handler’s experience of disability and motivation or resilience can impact experiences with their assistance dog.

OBJECTIVE: The purpose of this study was to describe, qualitatively the use of service dogs by persons with physical disabilities and the meaning of this experience. METHOD: Five service dog owners were observed and interviewed on multiple occasions through an ethnographic approach. RESULTS: Identified themes were increased community participation, "closer than family" increased social contact, personal skill development, having fun, responsibility, adjustment, challenges, independence, "someone to watch over me," and "feel like an able-bodied person." CONCLUSION: Service dogs are used to enhance independence in occupational performance areas and contribute to improvements in psychosocial functioning. Given these benefits, service dogs could be viewed as a form of assistive technology that occupational therapists may want to consider as an alternative to traditional devices for some clients.

Diese Studie hat die Nutzung von Assistenzhunden und ihre Bedeutung für Menschen mit physischen Behinderungen untersucht. Zu diesem Zweck wurden fünf Besitzer von Assistenzhunden zu zahlreichen Anlässen beobachtet und befragt. Zu den Ergebnissen gehörten erhöhte Beteiligung an der Gemeinschaft, verstärkter sozialer Kontakt, Entwicklung eigener Fähigkeiten, Spaß, Verantwortlichkeit, Anpassung, Herausforderung, Unabhängigkeit sowie das Gefühl, dass jemand aufpasst und dass man sich körperlich-gesund fühlt. Aus den Antworten lässt sich schließen, dass Assistenzhunde genutzt werden, um Unabhängigkeit in zahlreichen Lebensbereichen zu fördern und das psychosoziale Befinden zu verbessern. Mit diesen Vorteilen könnten Assistenzhunde als eine Form der assistiven Technologie agieren, die viele Therapeuten als Alternative für traditionelle Mittel vorschlagen könnten.

Defining and predicting a dog’s personality is a major concern for groups providing service and/or working dogs. The Mira Foundation is a non-profit organisation offering service dogs to autistic children and individuals with motor or visual disabilities. Since its establishment in 1981, the Foundation has donated thousands of dogs and registered behavioural data on its dogs by relying on rigorous and standardised procedures. First, at 6 and 12 months of age, while the dogs are in a foster family, data are collected using questionnaires to assess the presence or absence of specific behaviours (QFFs). Then, at 1  year of age, just prior to receiving professional training, dog trainers conduct a set of short behavioural tests to evaluate dogs for various traits that are key for training. Exploiting the unique database created by the Foundation, this study aimed to investigate whether, as pointed out in the literature, fearfulness can be a reliable predictor of adult dog personality traits and of qualification as a service dog. More specifically, three goals were pursued in the present study: 1) to study the possibility of extracting fearfulness dimensions at 6 months and 1 year of age; 2) to assess the stability of this dimension across development and across the types of evaluations; 3) to assess its predictive value for future qualification as a service dog (i.e. guide dog, assistance dog, dog for ASD children, or breeder); and 4) to investigate the impact of sex and breed on the likelihood of achieving qualification as a service dog and on Fear/Reactivity at 1 year of age. The analysis revealed the presence of a Fear/Reactivity personality dimension in dogs across the three evaluations. The results confirmed the consistency of this dimension between 6 and 12 months of age (QFFs), and in the behavioural evaluation at 1 year of age. Furthermore, the Fear/Reactivity dimension significantly predicted dog disqualification from training programmes and also the subtype of the programme in which dogs will be certified. Finally, the results indicated that a dog’s Fear/Reactivity and likeliness to qualify in a specific programme varied according to its sex and breed.

Assistance dogs are trained to support persons living with disability and mitigate limitations that hinder their participation in everyday activities. Despite participation being a frequent challenge for people with disabilities, evidence linking assistance dog provision to improved participation outcomes is underdeveloped. This scoping review aimed to improve understanding by mapping the participation outcomes claimed in research on assistance dogs using the International Classification of Functioning (ICF), Disability and Health framework.

Previous studies have revealed cultural differences in perceptions of assistance dogs, but this has not been investigated in almost 20 years. This study aimed to develop an understanding of the Australian public’s perceptions toward both assistance and companion dogs. A questionnaire was completed by 258 Australians asking about their interest in, attitudes towards, and perceived happiness of the two types of dogs. Results revealed participants were equally interested in them, but supportive of the use of assistance dogs, and perceived them as happier. Qualitative analysis revealed participants commonly endorsed the practical benefits of assistance dogs and the emotional benefits of companion dogs. Differences in happiness ratings can potentially be explained by the common endorsement that companion dogs are sometimes neglected while assistance dogs enjoy working and constant companionship with their handler. However, several participants expressed concern regarding the restrictive nature of the assistance work. There was an increase in concerns raised for the welfare of both dogs as compared to previous studies, suggesting a rise in concern about dog welfare and the ethics of keeping dogs for human benefits.

Introduction:
Assistance dogs are often written about and featured in human interest pieces that focus on the amazing talents of the dog. Those studies that do exist focus on the positive elements of partnership. The purpose of this study was twofold: to add a realistic assessment of positive and negative aspects of assistance dog partnership, and to provide the training agency data to back up anecdotal evidence that recipient’s lives have been changed by their dogs.
Methods:
A selected number of disabled people who had been partnered with assistance dogs for over a year participated in interviews. Interviews were performed face-to-face and over the telephone. The interview tool was a predominantly scale-based questionnaire with several open ended questions to capture both qualitative and quantitative information from participants concerning the life changes they have experienced since receiving their dog.
Results:
The most challenging aspect of owning an assistance dog was the physical act of caring for the dog. The rewarding aspect of the partnership was independence - both reduced reliance on human caregivers and increased ability to stay home or go out alone - as the major benefit. Secondarily, the respondents reported the emotional aspects of their relationship with their dog (having a constant companion and someone to love them unconditionally) as a strong positive element of partnership.
Respondent satisfaction was high, both with dog ownership and with the agency. Almost unanimously, interviewees agreed they would get another dog in the future and recommend this agency to friends seeking an assistance dog.

In vielen Werken von menschlichem Interesse wird über Assistenzhunde und ihre erstaunlichen Talente berichtet. Existierende Studien konzentrieren sich auf die positiven Elemente der Partnerschaft. Diese Studie hatte zwei Ziele: eine realistische Einschätzung über die positiven und negativen Aspekte der Partnerschaft mit einem Assistenzhund zu geben und die anekdotischen Belege, dass das Leben der Menschen durch ihren Hund verbessert wurde, mit Daten für die Ausbildungsagentur zu unterstützen.
Zu diesem Zweck wurden Menschen mit Behinderung interviewt, die seit mehr als einem Jahr einen Assistenzhund besaßen. Die Befragungen wurden persönlich oder per Telefon durchgeführt. Die Fragen basierten überwiegend auf Skalen mit einigen offenen Fragen, um sowohl qualitative als auch quantitative Informationen der Patienten bezüglich der Lebensveränderungen durch ihren Assistenzhund zu erfahren.
Die größte Herausforderung beim Besitzen eines Assistenzhundes war die körperliche Betätigung, um für den Hund zu sorgen. Der größte Vorteil der Partnerschaft war Unabhängigkeit, sowohl durch reduziertes Vertrauen in menschliche Pflegekräfte als auch durch die verbesserten Möglichkeiten, zuhause zu bleiben oder alleine nach draußen zu gehen. Zudem berichteten die Teilnehmer über die positiven emotionalen Auswirkungen der Partnerschaft (jemanden zu haben, der sie stetig begleitet und bedingungslos liebt). Die Zufriedenheit der Teilnehmer war hoch, sowohl im Bezug auf den Besitz eines Assistenzhundes als auch im Bezug auf die Agentur. Fast ausnahmslos gaben sie an, dass sie zukünftig noch einen Hund annehmen würden und die Agentur an Freunde, die einen Assistenzhund suchen, weiterempfehlen würden.

Posttraumatic stress disorder (PTSD) can have corrosive impacts on family relationships and individual functioning. Emerging evidence has shown that psychiatric service dogs may be an effective complementary treatment for military veterans with PTSD, benefiting veterans’ mental and social health. However, few studies have examined the effects of psychiatric service dogs on the family members of veterans, specifically their partners. Mixed-methods data from 60 veteran-partner dyads examined individual and relationship functioning among partners of veterans paired with a service dog (service dog group; n = 37) and those awaiting placement (waitlist group; n = 23). While there were no statistically significant differences across groups, the effect sizes for group differences suggested that partners in the service dog group (relative to those on the waitlist) may experience higher levels of resilience and companionship, and lower levels of anger, social isolation, and work impairment. A topical survey of partner qualitative data within the service dog group indicated that service dogs provided more benefits than challenges. Partners reported improvements in veteran functioning, family relationships, and partners’ quality of life. Results, although preliminary, suggest that psychiatric service dogs may provide modest positive experiences for some veteran family systems.

Currently, the supply of service dogs is limited. Of the more than 49 million Americans with a disability, fewer than 16,000 have a service dog. Every year, the Delta Society's National Service Dog Center—a clearinghouse for information about obtaining or training service dogs—receives thousands of calls from people who want, but cannot obtain, such a dog. This article reviews for professionals in rehabilitation the current research into the use of service dogs and/or animal-assisted therapy. Service dogs may help the clients of rehabilitation nurses meet their rehabilitation goals; therefore, it is incumbent upon nurses to be familiar with the research in this area. Another article by Susan Modlin, which discusses the author's personal experience with a service dog training program, will be published in the January/February 2001 issue of Rehabilitation Nursing.

The use of assistance dogs has a long and honorable history. Guide dogs have been held in high regard since the 1930s and since the 1980s, assistance dogs have rapidly expanded to fill new roles, particularly in the U.S. (1). Alongside these burgeoning possibilities for canine assistance, the social and regulatory environment for these dogs has become increasingly complex and some areas of confusion and social conflict have emerged (2). The nomenclature used in describing these dogs adds confusion: at the worldwide agency Assistance Dogs International (ADI), the inclusive term used is assistance dogs for guide, hearing and service (all other assisting roles, including for autism or psychiatric disabilities) dogs (3). In contrast, the U.S. American Disabilities Act uses the inclusive term service dogs (4).

Veterinarians and social scientists have special responsibilities to work together to support people with disabilities and their assistance dogs. This requires a seamless integration of animal and human medicine that includes a full range of service providers. This “One Health” world is more often aspirational than actual, and scientists and professionals are critical to bridging this gap.

Many highly capable agencies support people with disabilities, provide and support service animals, and advocate for them. However, it is researchers, veterinarians, and human health providers that make the connections between domains that are needed to allow the assistance-dog handlers to carry out their everyday activities with the ease and access that is their right.

This Research Topic aims to showcase some of the work being done to find a constructive way forward, expanding the effective and responsible employment of assistance dogs while managing the associated risks and conflicts. This includes supporting research into efficacy and best practices, promoting wider access to and for assistance dogs, and developing the support systems for handlers and their dogs.

This report has been prepared for the National Disability Insurance Agency (NDIA). The NDIA is tasked with providing Australians with disability the reasonable and necessary supports they need to achieve their goals and live an ordinary life. Some Australians with disability currently use assistance animals as a disability support. Therefore, the NDIA commissioned a group of expert researchers from La Trobe University to review the effectiveness and cost-benefits of assistance animals, such that decisions made around assistance animal provision could be based on the latest available scientific evidence. In order to accomplish this task, the research team undertook a review of existing scientific literature, a survey of assistance animal provider organisations, consultations with current owners of assistance animals in Australia, and a health economics analysis. The existing evidence base supporting use of dogs to assist vision- and hearing-impaired individuals is considered established, so this study focused on use of AAs in other roles. Some data are included about traditional guide and hearing dogs throughout the report. This information is presented solely to provide context for the use of assistance animals in management of other impairment types.

I argue that the discursive tactics used to maintain a clear boundary between “legitimate” and “illegitimate” service animals rely on a set of assumptions that perpetuate unequal relations of power, and ultimately harm others (human and nonhuman alike). In support of this argument, I outline my theory of crip spacetime, which draws upon the material feminist notion that disability is an intersectional and emergent phenomenon, becoming (rather than being) through intra-active environments. Thinking through the ontology of service animals and their human companions in terms of crip spacetime demands that we apply what Christine Kelly (2016) has called accessible care in relationships.

Purpose: To qualitatively describe and compare the expectations and experiences of living with a mobility or medical service dog among those with a physical disability or chronic condition.

Materials and methods: A total of 64 participants living with a service dog and 27 on the waitlist to receive a service dog participated in a cross-sectional open-ended survey. Qualitative content analysis was used to identify themes and sub-themes.

Results: A total of 101 codes were summarized into themes of Physical Benefits, Psychosocial Benefits, and Drawbacks to having a service dog. Psychosocial benefits included the human–animal relationship as well as emotional, quality of life, and social benefits. Drawbacks included service dog care, public access and education, lifestyle adjustments, and dog behaviour. While participants on the waitlist were more likely to anticipate physical benefits of having a service dog, those with a service dog largely described psychosocial benefits. Findings also suggest that some drawbacks, such as public discrimination, may be unanticipated by the waitlist.

Conclusions: A comparison of expectations and experiences of service dog ownership highlights both the positive and negative aspects of the service dog–owner relationship and identifies potential aspects of having a service dog that may be unanticipated or overestimated by those on the waitlist.

Implications for Rehabilitation
When asked about helpful and important aspects of having a service dog, 98% of service dog owners described the psychosocial benefits of their dog’s assistance and companionship.
The human–animal relationship was the most discussed psychosocial benefit from both current owners as well as those on the waitlist, demonstrating the unique strength of the service dog–owner bond in this population.
Those on the waitlist to receive a service dog did not anticipate as many drawbacks as current owners described. In particular, difficulties with public access and education as well as dog behaviour were commonly experienced, but not expected, drawbacks to service dog ownership.
Findings identify aspects of having a service dog that may be unanticipated or overestimated by those on the waitlist, providing rehabilitation professionals with a basis for preparing those who may be considering incorporating a service dog into their lives.

The purpose of this project was to assess and observe the matching process and to identify the role of an occupational therapist in aiding the evaluation process with potential handlers and assistance dogs. Three sites were explored within California: Canine Support Teams, Canine Companions for Independence, and Guide Dogs for the Blind. Interviews were conducted with twenty-five participants about roles, routines, physical environment, need for an assistance dog, and additional support.

Key findings from this project revealed a need for occupational therapy within the evaluation process and two-week team training. Therapists could aid with adapting learning material, addressing performance patterns, conducting home evaluations, and educating staff about a range of clients who have different disabilities.

Attachment styles have been shown to affect quality of life. Growing interest in the value of companion animals highlights that owning a dog can also affect quality of life, yet little research has explored the role of the attachment bond in affecting the relationship between dog ownership and quality of life. Given that the impact of dog ownership on quality of life may be greater for assistance dog owners than pet dog owners, we explored how anxious attachment and avoidance attachment styles to an assistance dog affected owner quality of life (n = 73). Regression analysis revealed that higher anxious attachment to the dog predicted enhanced quality of life. It is suggested that the unique, interdependent relationship between an individual and their assistance dog may mean that an anxious attachment style is not necessarily detrimental. Feelings that indicate attachment insecurity in other relationships may reflect more positive aspects of the assistance dog owner relationship, such as the level of support that the dog provides its owner.

Occupational therapists have recognized the benefits that service dogs can provide people with disabilities. There are many anecdotal publications extolling the benefits of working with service dogs, but few rigorous studies exist to provide the evidence of the usefulness of this type of assistive technology option. This systematic review evaluates the published research that supports the use of service dogs for people with mobility-related physical disabilities.
Articles were identified by computerized search of PubMed, CINAHL, PsycINFO, OT Seeker, the Cochrane Database of Systematic Reviews, SportDiscus, Education Research Complete, Public Administration Abstracts, Web of Knowledge and Academic Search Premier databases with no date range specified. The keywords used in the search included disabled persons, assistance dogs or service dogs and mobility impairments. The reference lists of the research papers were checked as was the personal citation database of the lead author. Twelve studies met the inclusion criteria and whereas the findings are promising, they are inconclusive and limited because of the level of evidence, which included one Level I, six Level III, four Level IV and one Level V. All of the studies reviewed had research design quality concerns including small participant sizes, poor descriptions of the interventions, outcome measures with minimal psychometrics and lack of power calculations. Findings indicated three major themes including social/participation, functional and psychological outcomes; all of which are areas in the occupational therapy scope of practice. Occupational therapists may play a critical role in referral, assessment, assisting clients and consulting with training organizations before, during and after the service dog placement process. In order for health care professionals to have confidence in recommending this type of assistive technology, the evidence to support such decisions must be strengthened. Copyright © 2011 John Wiley & Sons, Ltd.

Therapeuten haben die Vorteile erkannt, die Servicehunde Menschen mit Behinderungen bieten können. Es gibt viele anekdotische Veröffentlichungen, die die Vorteile der Arbeit mit einem Servicehund anpreisen, aber es existieren wenige gründliche Studien, die Beweise für die Nützlichkeit dieser Form der Hilfstechnologie liefern. Diese systematische Untersuchung bewertet die veröffentlichte Forschung, die die Nutzung von Servicehunden für Menschen mit mobilitätseinschränkenden körperlichen Behinderungen unterstützt. Zu diesem Zweck wurden Artikel aus zahlreichen Datenbanken ohne spezielle Zeitspanne identifiziert. Zu den gesuchten Schlüsselwörtern gehörten Menschen mit Behinderung, Assistenzhunde oder Servicehunde und Mobilitätseinschränkungen. Das Literaturverzeichnisse der Forschungsarbeiten und die persönliche Zitationsdatenbank der leitenden Autoren wurden überprüft. Zwölf Studien erfüllten die Aufnahmekriterien. Die Befunde waren vielversprechend, aber nicht beweiskräftig und aufgrund des Beweisniveaus limitiert. Alle untersuchten Studien hatten Defizite bei der Versuchsgestaltung, unter anderem durch geringe Teilnehmerzahlen, schlechte Beschreibungen der Interventionen, Ergebnismessungen mit minimaler Psychometrie und einem Mangel an Kraftberechnungen. Die Befunde zeigten drei Hauptthemen, einschließlich sozialer Partizipation, funktionaler und psychologischer Ergebnissen, alle davon sind Bereiche der ergotherapeutischen Praxis. Ergotherapeuten könnten vor, während und nach dem Vermittlungsprozess der Servicehunde eine entscheidende Rolle bei der Verweisung, Bewertung, Begleitung von Klienten und beim Konsultieren von Ausbildungsorganisationen einnehmen. Damit medizinische Fachkräfte die Zuversicht haben, diese Form der Hilfstechnologie zu empfehlen, müssen die Belege, die solche Entscheidungen unterstützen, verstärkt werden.

2 Assistance Dog-Handler Interactions

Chronic low back pain is a significant societal and personal burden that negatively impacts quality of life. Dog ownership has been associated with health benefits. This study evaluated the feasibility of surveying people with chronic low back pain to assess the relationship between dog ownership and well-being. A mail-out survey was sent to 210 adult patients with chronic low back pain. Measures of quality of life, pain, physical activity, emotional health, social ties and dog ownership were included. Feasibility was assessed by examining survey response rate, responses to established and newly developed measures, and the potential relationships between dog ownership and a number of key well-being variables in this patient population. There were 56 completed surveys returned (n = 36 non-dog owners and n = 20 dog owners). Established, adapted and newly developed scales revealed promising results. Dog owners reported fewer depression and anxiety symptoms, and more social ties than non-dog owners. Living with a dog may be associated with improved well-being for people with chronic pain. The findings from this feasibility study will inform a general population survey, to be conducted with a larger, more representative sample of people living with chronic pain.

A guide dog is a domestic dog (Canis familiaris) that is specifically educated to provide mobility support to a blind or visually impaired owner. Current dog suitability assessments focus on behavioural traits, including: trainability, reactivity or attention to environmental stimuli, low aggressiveness, fearfulness and stress behaviour, energy levels, and attachment behaviour. The aim of this study was to find out which aspects of guide dog behaviour are of key importance to guide dog owners themselves. Sixty-three semi-structured interview surveys were carried out with guide dog owners. Topics included the behaviour of their guide dog both within and outside their working role, and also focused on examples of behaviour which might be considered outside a guide dog owner’s typical expectations. Both positive and negative examples and situations were covered. This allowed for the discovery of new perspectives and emerging themes on living and working with a guide dog. Thematic analysis of the results reveals that a dog’s safe behaviour in the face of traffic was the most important positive aspect of a guide dog’s behaviour and pulling or high tension on the lead and /or harness was the most discussed negative aspect. Other aspects of guide dog behaviour were highlighted as particularly pleasing or disappointing by owners including attentiveness to the task, work, environment and owner; confidence in work and decision making (with confident dogs resulting in confident owners) obedience and control; calmness and locating objectives. The results reveal important areas of behaviour that are not currently considered priorities in guide dog assessments; these key areas were consistency of behaviour, the dog’s maturity and the dog’s behaviour in relation to children. The survey revealed a large range in what owners considered problematic or pleasing behaviours and this highlights the heterogeneity in guide dog owners and the potential multifarious roles of the guide dog. This study contributes to the literature on which behaviour is considered appropriate or inappropriate in dogs and on the nature of human-animal interactions.

OBJECTIVE. The purpose of this study was to examine the effects of partnerships between people with disabilities and service dogs on functional performance and social interaction.

METHOD. A single-subject, alternating treatment design was used. The participants were 3 women with mobility challenges who owned service dogs. For each participant, time and perceived amount of effort for two tasks were measured for functional performance. Interaction and satisfaction levels were measured for social interactions.

RESULTS. Primary findings were that service dog partnerships decreased performance time for four of the six tasks, decreased effort for five of the six tasks, increased social interactions for 2 of the participants, and increased levels of satisfaction with social interactions for all participants.

CONCLUSION. For adult women with mobility challenges, service dog partnerships may contribute to energy conservation through decreased time and effort required to complete some tasks and may increase social interactions.

Background: With increasing frequency, service dogs are being placed with children with developmental disabilities (DDs). Occupational therapists and other professionals have advocated for the therapeutic use of service dog partnerships to facilitate greater independence and quality of life. There are no studies that examine service dog intervention with adolescents.

Method: This study focused on the effects of partnerships between service dogs and three participant dyads, each including an adolescent with DDs and a parent. A single-subject, alternating treatment design was used to compare the effects of two conditions (service dog present or not present). The effects were examined for adolescents’ anxiety behaviors during transitions and during grocery store shopping, for social interactions during grocery store shopping, and for parents’ reported levels of stress.

Results: Findings were that service dog partnerships reduced the presence of anxiety behaviors during transitions for one of the three adolescents; reduced the presence of anxiety behaviors during grocery store visits for two of the three adolescents; increased social interactions for all three of the participant dyads; and had no meaningful impact on self-reported parental stress level.

Conclusion: For adolescents with DDs, professionals may want to consider service dog partnerships to decrease anxiety behaviors and increase social interactions in the community.

Noting the human inclination to extend ability by “harvesting” nonhuman animal powers, there are calls for greater equality in the multispecies rendering of services. In this study, medical alert assistance dogs who coexist with chronically ill human individuals illustrate the possibilities of mutualism in symbiotic relationships. The dogs are trained to alert and are used in the scent detection of symptoms of hypo- or hyperglycemia in their human partners so that preventative treatment can be effected and unconsciousness or coma avoided. The canine-human collaborative partnership is based on the dogs’ keen sense of smell and cooperation to attain a reward. The article illustrates a cross-species embodiment of moral interdependence that extends the biomedical armamentarium.

Although there are some indications that dogs (Canis familiaris) use the eyes of humans as a cue during human–dog interactions, the exact conditions under which this holds true are unclear. Analysing whether the interactive modalities of guide dogs and pet dogs differ when they interact with their blind, and sighted owners, respectively, is one way to tackle this problem; more specifically, it allows examining the effect of the visual status of the owner. The interactive behaviours of dogs were recorded when the dogs were prevented from accessing food that they had previously learned to access. A novel audible behaviour was observed: dogs licked their mouths sonorously. Data analyses showed that the guide dogs performed this behaviour longer and more frequently than the pet dogs; seven of the nine guide dogs and two of the nine pet dogs displayed this behaviour. However, gazing at the container where the food was and gazing at the owner (with or without sonorous mouth licking), gaze alternation between the container and the owner, vocalisation and contact with the owner did not differ between groups. Together, the results suggest that there is no overall distinction between guide and pet dogs in exploratory, learning and motivational behaviours and in their understanding of their owner’s attentional state, i.e. guide dogs do not understand that their owner cannot see (them). However, results show that guide dogs are subject to incidental learning and suggest that they supplemented their way to trigger their owners’ attention with a new distal cue.

Purpose: Companion dogs can provide psychosocial benefits for their owners. Assistance dogs reportedly provide similar benefits, while also performing specific tasks. These psychosocial benefits may increase their handler’s quality of life and ability to thrive – defined as having the ability to grow and flourish, especially in the face of adversity. Currently, no studies compare assistance dogs’ effectiveness to companion dogs’ in assisting their handler/owner to thrive, an important comparison given that companion dogs are typically less expensive to acquire, and more readily available.

Methods: The Thriving Through Relationships (TTR) theory was used to inform the development of a human-dog relationship survey, which was distributed through assistance dog organizations and to the general public.

Results: Participants were divided into three groups: persons with a disability who had an assistance dog (n = 165), persons with a disability who had a companion dog (n = 249) and persons with no disability who had a companion dog (n = 198). Perceived overall support was statistically different between the three groups, F (2, 394) = 14.45, p < .001. Assistance dog handlers reported receiving significantly higher levels of support than companion dog owners with disabilities (p < .01) or without disabilities (p < .001). In fact, assistance dogs were reported to provide more support (p < .017) than companion dogs on nine out of ten separate indicators of thriving.

Conclusion: Overall, dogs are perceived to provide support that improves their handler/owner’s ability to thrive. Most importantly, however, assistance dogs may provide greater support than companion dogs for persons with a disability and, therefore, may be worth the additional time and financial cost.

Implications for Rehabilitation
Assistance dogs could assist rehabilitation by improving coping skills, especially during times of adversity, as demonstrated through the ten indicators of thriving.
Assistance dogs and companion dogs are not inter-changeable when it comes to providing support for individuals with a disability.

Purpose: As the popularity of using dogs to assist individuals with disability grows, there is a need for increased understanding of assistance dog handlers’ experiences of living and working with their dog. This is particularly pertinent to first-time handlers and during the initial placement period, where the handler and assistance dog, and the relationship forming between them, may be extremely vulnerable. The aim of this study was to better understand first-time assistance dog handlers’ experience of the placement period, especially any challenges that they experience.

Materials and methods: Semi-structured interviews were conducted with two youth and five adult handlers, and one parent of a young handler, recruited from three Australian assistance dog organizations. Interviews were conducted 1 month following the initial acquisition of an assistance dog. Meleis’ transitions theory was used to develop a better understanding of the transition process for first-time handlers.

Results: Inductive content analysis identified various challenges that first-time handlers experience throughout the transition period. These included: the initial response to living with the assistance dog; renegotiating relationships and social interactions; and, adjusting expectations regarding the assistance dog’s behavior and capabilities.

Conclusion: First-time handler experiences indicate a need for assistance dog organizations to develop initiatives to further assist their handlers through a smooth transition into assistance dog ownership.

Implications for rehabilitation
Integrating an assistance dog into a first-time handler’s life is a long process full of challenges.
Provider organizations and other support members markedly impact the ease of transitioning an assistance dog into a handler’s life.
Organizations should be aware of the role they have and employ strategies to create as smooth a transition as possible.
Support from other support members is crucial to ease the challenges experienced.

The purpose of this study was to explore first time handlers’ experiences when working with an assistance dog (AD). Interviewees included seven first time AD handlers and 14 other individuals close to these handlers, including family members, carers and AD instructors. Semi-structured interviews were conducted six months and one year after each handler received their AD. Interview questions were informed by the Thriving Through Relationships theory of social support and previous interviews with the participants. Inductive content analysis corroborated previous findings regarding the benefits that ADs provide. In addition, four factors were revealed to substantially influence the challenges handlers experienced when learning to utilize their dog. These included the handlers’ medical conditions, cognitive ability and social environment, and dog-related factors. Organizations would benefit from considering these factors in their operational processes.

Conclusion: These factors must, therefore, be taken into consideration when organizations make decisions about placing an assistance dog.

IMPLICATIONS FOR REHABILITATION
Societal influences can both hinder and facilitate the benefits first-time handlers receive with their assistance dog in public.
Support from others is important to successfully integrate an assistance dog into a first-time handler’s life.
A handler’s level of environmental control can influence their experiences with their assistance dog.
Personal factors such as a handler’s experience of disability and motivation or resilience can impact experiences with their assistance dog.

This paper examines one approach to the ethics of companion animals, which emerges from the dominant historical tradition and is increasingly familiar in everyday life as well as in work on companion animals in the social sciences. I label it the “utilization with welfare-safeguards” model, or, more gently worded, “seeking benefits while ensuring welfare.” Some of the “benefits” considered are complex ones (like guiding the sight impaired) and others simpler (like reducing stress or providing affection). I explore several problems involved in this approach (including the sometimes jarring inappropriateness of “benefit” terminology). I then offer an alternative account where the primary moral obligation toward companion animals is to develop, nurture, respect, and protect the loving relationship between them and their human companions, since thriving in such a relationship, I claim, has become part of their evolved telos (to use Bernard Rollin’s term) or evolved nature. This priority naturally leads to ensuring welfare, but the highly pro-active approach involved takes the obligation beyond standard welfare provision and “TLC” (“tender loving care”). Some implications of this position are explored.

The visually impaired have been a longstanding and well-recognized user group addressed in the field of Human-Computer Interaction (HCI). Recently, the study of sighted dog owners and their pets has gained interest in HCI. Despite this, there is a noticeable gap in the field with regards to research on visually impaired owners and their dogs (guide dog teams). This paper presents a study that explores the interactions of guide dog teams revealing a rich, holistic understanding of their everyday lives and needs, across both work and leisure activities. Our findings inform and inspire future research and practices suggesting three opportunity areas: supporting working guide dog teams, enhancing play-interaction through accessible dog toys utilizing sensor technologies, and speculative and exploratory opportunities. This work contributes to the growing research on designing for human-canine teams and motivates future research with guide dog teams.

This study explored the relationships between adults with disabilities and service dogs through leisure participation. The relationships between service dog and owner and perceptions of and access to leisure were explored via semi-structured interviews. Emergent themes included feelings of interdependence and a lifelong emotional connection. Themes related to perceptions of and access to leisure included service dog orientation and the influence of lifestyle. Owners felt that having a service dog was a positive influence on leisure activities. The emotional connection between owner and service dog was multidimensional, inclusive of trust, maintaining independence, increased socialization, and creating a need to participate in leisure experiences. The cognitive hierarchy model, and experiential learning and transformational learning theories were applied.

This study shows longitudinal development of human-dog interactions in a guide dog raising program. Social play interactions between potential guide dogs for the blind (puppies) and their adult female raisers (PWs) were videotaped at home during the period from two months to 11 or 12 months of the puppies’ age. The puppies and PWs established close proximity relationships by two to three months of age. The older the puppies became, the shorter time the puppies and PWs spent in intensive fighting and chasing play. The older the puppies became, the longer the puppies and PWs spent in waiting, seeking and possessing together play which needed the puppies’ self-control, concentration and ability to cooperate with the PWs. Whether or not these behavioral tendencies which the puppies showed were appropriate for guide dog candidates is also discussed.

We analyzed dyadic interactions between 12 neutered dogs (6 females and 6 males) and 44 humans (20 women, 14 men, and 10 girls) who were unfamiliar with each other. We also examined the effect of sex differences in dogs and humans as well as age differences in humans on human-dog interactions in a guide-dog turning program. Female dogs more actively regulated their distance from humans than male dogs. Dogs made contact with women more frequently than with men, and men nude contact with dogs more frequently than women. Girls initiated interactions with dogs more frequently than women; girls formed reciprocal interactions with dogs less frequently than women.

We explored individuals' relationships with an assistance dog from an attachment-theory perspective. We used both inductive and deductive thematic methods to analyze semi-structured interviews with 25 participants who had lost an assistance dog to retirement or death. Analyses revealed attachment processes of safe haven, secure base, and separation anxiety. Although attachment dynamics were an important feature of these relationships, caregiving was equally important. When confronted with the loss of their dog, almost all participants experienced intense grief. Most grief responses were consistent with the loss of a caregiving relationship. Findings suggest that grief is a natural response to the loss of a beloved companion who fulfilled fundamental needs for attachment and caregiving.

Introduction:

In spite of the vast amount of literature on pet therapy and dog companionship, limited studies exist on older adults with vision loss and the experience of owning a dog guide. The purpose of this study is to explore the facilitators and barriers of first-time ownership and utilization of a dog guide as experienced by older adults with vision loss.

Methods:

Data were gathered among seven participants using open-ended semistructured telephone interviews. Participants described their experiences related to owning a dog guide. Using phenomenological analysis, themes were extracted from verbatim transcriptions.

Results:

Through constant comparison methods, five themes emerged: increased responsibilities for new dog guide owners, changes in habits and routines, quick human–dog guide bonding, increase in community integration, and enhancement of autonomy through dog guide ownership.

Discussion:

The study results suggest that obtaining a dog guide increased the older adults with vision loss everyday engagement in community activities. The increased confidence in independent mobility may have led participants to engage in activities in unfamiliar environments, thus improving their autonomy, self-esteem, and physical abilities. These changes resulted in increased feelings of independence and freedom for the older adults with vision loss. Participants also revealed positive changes in their daily habits. Due to the increased physical ability and motivation needed to complete activities, making adjustments to owning a dog guide became easier. Furthermore, a human–dog guide bond was prevalent among all seven participants.

Implications for practitioners:

Themes extracted provide health practitioners and dog guide organizations insight into how owning dog guides may empower older adults with vision loss.

Individuals with visual impairments lead less active lifestyles than their sighted counterparts. Reduced physical activity in this population can be attributed to a lack of opportunities combined with fewer intervention opportunities, less experience in sport and recreational activities, and decreased perceived motor competence. Furthermore, individuals with visual impairments report lower values in all domains of quality of life when compared with their sighted counterparts. Therefore, it is imperative that opportunities are developed to increase self-determination leading to higher levels of physical activity for individuals with visual impairments. Running is a popular physical activity for active individuals; however, there are many barriers to running for individuals with visual impairments. To increase these opportunities, a school for guide dogs has recently started training guide dogs to run. The purpose of this study was to determine the perspectives of adults with visual impairments on their experiences running with trained running guide dogs. Ten adults who are blind were interviewed on phone by two researchers. Qualitative research questions were validated by two adults who are blind, three specialists in adapted physical education, and one guide dog trainer. Interviews were transcribed, and themes were extracted by three of the authors. The four major themes that emerged from this research study were (1) running guide dogs’ contribution to mental and physical health, (2) independence as a result of running with a guide dog, (3) The dog is key to increased/improved running, and (4) barriers and supporters to running. Our results indicate that there are numerous positive effects that a running guide dog has on the health, independence, and quality of life of individuals who are blind or visually impaired. The results indicated that making running guide dogs available could provide increased self-determination for adults who choose to take advantage of this program leading to a healthier lifestyle.

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.

Trial Registration

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

Individuals who have a functional or health impairment, are often in great need of conventional healthcare, social care and support, as well as help from family and friends. The use of dogs may be an important assistive support for this population. Assistance dogs are trained to assist with their owners’ specific needs. The aim of this study is to explore service and hearing dog ownership from the owner´s perspective, by examining the owner's expectations before training a dog, and experiences after having a certified dog. This study was designed as a longitudinal intervention study with pre-post design. The participants included in the study trained their own dogs to become service or hearing dogs. A number of open-ended questions were answered by the participants before the training of the dog started, three months after the dog was certified, and 1–3 years after the first follow-up. Data were analysed using thematic content analysis. The participants’ expectations of what the dog would contribute after being certified was high. Their perceived experiences in many ways reflected their expectations. For example, they perceived that the dog contributed to improved health status, a more active lifestyle, improved ability to feel secure, and that they had become more independent. They also felt that the dog had strengthened their social relationships. Negative experiences were also identified. Not being allowed to bring their dog into public places and negative attitudes from other people were examples of this. This study shows that individuals being supported by an assistance dog experience the dog as an invaluable help in their everyday life. By improving the owners’ lives in many ways, a certified service or hearing dog is a novel and important assistive support for people with a functional or health impairment.

The term 'service animals' describes animals who render assistance of some sort to people with disabilities. This essay examines the boundaries of this concept of service animals, and also the blurriness around the edges, a blurriness which surfaces when we consider service animals in relation to companion animals, working animals, military animals, pack animals, harness animals, prison animals, and comfort animals. In some sense, all people have disabilities: none of us is perfect. There are a range of 'animal powers' that people do not have as keenly as other animals do. This sense of the animal strengths that humans lack combined with a sense of entitlement means that in our perennial disability we are inclined to harvest, or coopt, or borrow, or steal some aspect of those abilities, that able-ness, from other creatures.

Periodic monitoring of the training of prospective guide dogs for the blind was evaluated to determine if the monitoring is useful in gauging the potential suitability of guide dogs. We selected 8 dogs as test dogs on the basis of their medical check and pretraining evaluation. Beginning with day 1 of training, we monitored their progress every 2 weeks for 12 weeks. The evaluation was designed to assess task performance, stress, excitement, and concentration for the task. We set the test course in a residential district, but in an area that was not used for daily training. In some variables, such as tail position, duration of distraction, and effect of the training break, there were some differences between a dog that successfully completed guide training and dogs that did not.

The number of stress reactions was significantly different between successful and unsuccessful dogs. Only 1 dog out of the 8 observed became a guide dog; however, the present study suggests that it is possible to detect some traits in the early stages of training that determine whether or not a dog successfully becomes a guide dog.

In two studies, we have investigated the co-operative behaviour between dogs and their owners. We supposed that co-operative behaviour is an inherited trait in dogs, and is a major contributing factor in the development of successful guide dog performance. According to our view, leading a blind person involves complex behaviour where success depends on the ability of the participants to synchronise their actions. In Study I, we observed both British and Hungarian blind owners taking a half-hour walk in their neighbourhood. In Study II, both guide dogs with their blind and pet dogs with their blind-folded owners had to master an obstacle course. Measuring the frequency of initiations of various actions during leading their owners, dogs did not keep the role of the initiator to themselves. However, both dogs and humans were found to initiate more often in some types of actions, for example, guide dogs initialised avoidance or stepping up more often than their owners. Further, the role of the initiator was kept only for short durations, longer sequences of initialising were rare.

Despite many differences among groups studied, we observed some qualitative similarities in the co-operative behaviour of dogs. We assume that during domestication, dogs have been selected for the ability to change to-and-fro the role of the initiator that seems to be fundamental in this type of co-operation. In the case of leading the blind, information should not only be provided but also accepted by both parties in the course of the joint actions, therefore, the leadership (the role of the initiator) may vary form one action to the next.

The social and therapeutic benefits of pet ownership or simply interacting with a companion animal are well documented. In contrast, limited research exists on the effect of assistance animals on the quality of life for persons with disabilities. The specific aim of this exploratory study was to investigate the effect of partnering with an assistance dog on two sources of well-being: self-esteem and social connectedness. A multi-method design including pre-test/posttest surveys, interviews, and observations was used. The study consisted of 15 adults with cross-disabilities who were applicants to the assistance dog placement program at the National Education for Assistance Dogs Service in Princeton, MA.^ The findings of this study suggest that assistance dogs not only ameliorate functional limitations, but also enhance self-perceptions and relationships with others. An understanding of this effect enables human service workers and health care practitioners to engage more effectively with the disabled population.

Assistance dogs not only ameliorate functional limitations, but also enhance the psychological and social aspects of the lives of persons with disabilities. Insights on the individual meaningfulness of the companionship provided by partnering with an assistance dog are valuable in understanding the disability experience. Note: Humans' and assistance dogs' names were changed to maintain confidentiality.

Purpose: To evaluate the effects of service dogs on psychosocial health and indicators of wellbeing among individuals with physical disabilities or chronic conditions.

Materials and methods: A total of 154 individuals participated in a cross-sectional survey including 97 placed with a mobility or medical service dog and 57 on the waitlist to receive one. Hierarchical regression evaluated the effect of having a service dog on standardized measures of psychosocial health (Pediatric Quality of Life Inventory) as well as anger, companionship, and sleep disturbance (Patient Reported Outcome Measurement Information System). Among those with a service dog, the Monash Dog–Owner Relationship Scale quantified the human–animal bond.

Results: Results indicated that compared to those on the waitlist, individuals with a service dog exhibited significantly better psychosocial health including higher social, emotional, and work/school functioning. There was no significant effect of having a service dog on anger, companionship, or sleep disturbance. Among those with a service dog, emotional closeness, dog–owner interaction, and amount of time since the service dog was placed were weak correlates of outcomes.

Conclusions: Findings suggest that service dogs may have measurable effects on specific aspects of psychosocial health for individuals with physical disabilities or chronic conditions.

Implications for rehabilitation
Health care providers should recognize that in addition to the functional benefits service dogs are trained to provide, they can also provide their handlers with psychosocial benefits from their assistance and companionship.
Results indicate that having a service dog was related to better emotional functioning, social functioning, and work/school functioning. Areas with no significant relationship with having a service dog included social companionship, sleep, and anger.
Although findings are from a large and representative sample of mobility and medical service dogs, there may be individual differences in how service dogs affect the psychosocial health of their handlers.

The exploratory study reported in this chapter asked blind people how their lives are with and without guide dogs. Semi-structured interviews were conducted with 80 21–71 yr old and older blind people in Germany, 40 of whom had a guide dog. Content analyses revealed that dependence on others, constant nervous strain, social problems, and communication problems are the primary stress factors of blind people. Social support and the support given by a guide dog are some of the coping strategies that are used in regard to these stress factors.
A comparison of the use of mobility canes with the company of a guide dog indicated that those blind people who own a dog clearly prefer the animal, at least in most situations. To a lesser extent, this statement also holds for a comparison of human chaperones with guide dogs. Blind guide dog owners feel more independent with their dogs than they do in the company of a chaperone. Further, these data also indicate that the support provided by the guide dogs to their owners actually surpasses the initial high hopes held by the owners. Finally, both blind owners and nonowners perceive many benefits from a guide dog. (PsycINFO Database Record (c) 2019 APA, all rights reserved)

This study explores the bond between persons with physical or perceptual disabilities an~d their Assistance Dogs. It was hypothesized that these relationships would be different from relationships between pet dogs and owners, and that the bonds may resemble attachment relationships. The project utilized three questionnaires. The IHuman- Animal Attachment Measure (HAAM) instrument was created for this thesis to gauge attachment on Proximity Seeking, Secure Base and Safe Haven components. The Lexington Attachment to Pets Scale (LAPS) and the Relationship Questionnaire (RQ) were comparison measures. 162 participants reporting no disability, mobility disability or perceptual disability responded. Analysis consisted of reliability tests, factor analyses and multivariate analysis of variance (MANOVA) across the groups. Results demonstrated statistically significant differences between pet owners and Assistance Dog owners on attachment as measured by the HAAM, but not on the LAPS or RQ. Findings generally supported the hypotheses within the limitations of the study.

People with disabilities and those working to train, provide and support assistance animals, along with their veterinary teams, would all benefit if they RETHINK their perspective and viewpoint, and roles when these very special relationships come to an end. The end of the relationship may be when the assistance animal must retire, must be redirected, or euthanized due to illness or cancer. The loss or separation at the end of an assistance animal's service marks a heavy loss for the disabled person. Emotions emerge when the assistance animal is sick or has developed cancer or is approaching the difficult period known as “end of life.” Anticipatory grief and heartbreak may be very difficult to manage and support. We can help ease the burden of decision making when euthanasia is needed for the assistance animal. If the disabled person takes on the good shepherd role and if the veterinary team emulates the minister or Mother Nature's role at the end of life or at the end of the working relationship, heartache may be lifted from both sides of the leash.

Purpose: The objectives of this study were to (1) describe the sociodemographic profile of service dog users, their physical disabilities, main occupations, living environment, and use of technical aids in daily life and (2) evaluate the impact of service dogs on wheelchair travel and picking up objects. Method: Sociodemographic and clinical data were collected and various mobility tests were conducted in the service dog users’ home environment (n = 199). Results: The service dog users had injuries to the central or peripheral nervous system (55%), spinal cord (33%), or musculoskeletal or orthopedic system (12%). In the wheelchair travel on flat terrain test (n = 67), users travelled a longer distance in a shorter time, improving their average speed to 1.28 m/s with the service dog compared to 0.75 m/s without (p < 0.001). In a wheelchair propelling up a slope, 42% improved with the service dog (n = 60). Mounting a threshold/curb in a wheelchair, 41% improved with the service dog (n = 39). In a test where walkers and wheelchair users picked up three objects off the ground, 44% improved with the service dog (n = 164). Conclusion: Service dogs significantly improved wheelchair travel speed and distance on flat and ascending terrain, mounting a threshold/curb and picking up objects off the ground.

Implications for Rehabilitation
For people with motor impairments:
Service dogs are most often used as a technical aid to pick up objects (96%), open doors (36%) and pull the wheelchair during travel (34%).
Clients’ performance in significant travel in a wheelchair (on flat terrain, on an upslope, mounting a threshold) improved with the service dog compared to their own performance without the dog.
Clients’ grasping performance (picking up three significant objects off the ground) improved with the service dog compared to their own performance without the dog.

Dogs that are trained without dependence on the attentional focus of human beings (experimental group: a guide dog and guide dog candidates) were compared with those trained with the usual level of attentional focus (control group: a service dog, service dog candidates, a search and rescue dog, and pet dogs) to examine whether the ability of a dog to read the attentional focus of a human being was influenced by guide dog training. An experimenter commanded the dogs to sit using several predetermined postures, which included the direction of the experimenter’s head, eyes, and body. The results indicated that there were no statistical differences between the 2 groups. Dogs from both the groups gave a significantly reduced response to commands when the experimenter’s head was not oriented toward them, response to commands was not affected by the direction of the experimenter’s eyes or body. This study suggests that the ability of a dog to read the attentional focus of a human being is not affected by guide dog training.

Hunde, die ohne Abhängigkeit vom Aufmerksamkeitsfokus der Menschen ausgebildet werden (Versuchsgruppe: ein Blindenführhund und Blindenführhund-Kandidaten), wurden mit Hunden verglichen, die mit dem üblichen Niveau des Aufmerksamkeitsfokus ausgebildet werden (Kontrollgruppe: ein Servicehund, Servicehund-Kandidaten, ein Such- und Rettungshund und Haushunde), um zu bestimmen, ob die Fähigkeit von Hunden, den Aufmerksamkeitsfokus von Menschen zu erkennen, von der Ausbildung zum Blindenführhund beeinflusst wird. Ein Experimentator befahl den Hunden mit mehreren vorgegebenen Körperhaltungen (welche die Richtung des Kopfes, der Augen und des Körpers einschlossen) zu sitzen. Die Ergebnisse zeigten, dass es zwischen den zwei Gruppen keine statistischen Unterschiede gab. Hunde beider Gruppen gaben eine signifikant reduzierte Rückmeldung auf Befehle, wenn der Kopf des Experimentators nicht in ihre Richtung gerichtet war. Reaktionen auf Befehle wurden nicht von der Richtung des Körpers oder der Augen des Experimentators beeinflusst. Diese Studie zeigt, dass die Fähigkeit von Hunden, den Aufmerksamkeitszustand von Menschen zu erkennen, nicht durch die Blindenführhund-Ausbildung beeinflusst wird.

The guide dog partnership begins at the point of matching, when careful assessment of a trained guide dog and an understanding of the functional needs and expectations of the prospective owner are considered alongside each other. Guide Dogs UK invest much time and resources to the process of matching a client with a dog in order to fulfil client expectations and create a lasting partnership. This study explores: (1) the meaning and importance of social (non-working) behavior to guide dog owners; (2) how firsthand experience and knowledge shape individual owner expectations for behavior; and (3) how, and in what ways, social behavior impacts the guide dog partnership. The focus group method was used to collect qualitative data from a total of 11 participants. The data were analyzed using a thematic analysis procedure which identified six overarching themes: “social behavior to me means,” internal and external factors influencing social behavior, training and matching, socially desirable and undesirable behaviors, maintaining and managing social behavior, and practical and emotional issues. Findings show that social behavior is as important as guiding skills and mobility for guide dog owners, and behavioral compatibility is held to be crucial in a successful partnership. Participants put an emphasis on consistency of behavior in social settings, while recognizing that a guide dog's non-working behavior is subject to multifarious internal and external influences. The findings of this study indicate an opportunity for Guide Dogs UK, and similar assistance dog organizations, to observe fully the importance of social behavior and, in response, place even greater emphasis on lifestyle and behavioral compatibility when training dogs and matching them with clients.

3 Assistance Dogs in the Public

Assistance dogs are specially trained to undertake a variety of tasks to help individuals with disabilities. This review gives an overview of the different types of assistance dogs in the UK, including guide dogs, hearing dogs, mobility assistance dogs, service dogs and dual-purpose dogs. The literature describes many benefits of assistance dogs, including their impact on physical wellbeing and safety of their ‘owners,’ as well as on psychological wellbeing and social inclusion. The role of assistance dogs in society is widely recognized by the public, but is not currently acknowledged in government social policy. The current evidence on the benefits of assistance dogs is limited by the type and scale of current research. This article highlights the need for independent funding for high quality research to enable social care and policy makers to make evidence-based decisions on the value of assistance dogs to people with disabilities.

Purpose: This cross-sectional study examined whether partnering with service dogs influenced psychosocial well-being and community participation of adult individuals using wheelchairs or scooters.
Method: One hundred and fifty-two people were recruited and group-matched, resulting in 76 participants with and 76 without service dogs. Standardized scale scores for affect, depressive symptoms, self-esteem, and loneliness were used to operationally define psychosocial well-being. Community participation was assessed with the ‘Social Integration’ domain of the Craig Handicap Assessment and Reporting Technique.
Results: Psychosocial characteristics did not differ significantly between those partnered with and without service dogs overall. However, of participants with progressive conditions, those with service dogs demonstrated significantly higher positive affect scores than comparison group participants. Among those with clinical depression, service dog partners scored significantly higher in positive affect. Finally, regardless of whether individuals had service dogs, fewer depressive symptoms and being female or married were predictors of greater community participation.
Conclusion: Select individuals may experience psychosocial benefits from partnering with service dogs. However, it is unclear if these benefits might also be derived from companion dogs. Further research is needed to substantiate the findings of this study.

Able-bodied people often exhibit behaviors that show them to be socially uncomfortable upon encountering a physically disabled stranger. These behaviors include less eye contact, gaze avoidance, greater personal distance, and briefer social interactions. This study examined whether persons in wheelchairs with service dogs receive more frequent social acknowledgement from able-bodied strangers than people in wheelchairs without dogs receive. Behaviors of passersby were recorded by an observer who followed a person in a wheelchair at a distance of 15 to 30 feet. Observations were made in public areas amid pedestrian traffic, areas such as shopping malls and a college campus. The behaviors of passersby to the person in a wheelchair, with or without a service dog, were recorded, including smiles, conversation, touch, gaze aversion, path avoidance, or no response. Results indicated that both smiles and conversations from passersby increased significantly when the dogs were present. These findings suggest that the benefits of service dogs for their owners extend beyond working tasks to include enhanced opportunities for social exchange. The service dogs substantially reduced the tendency of able-bodied people to ignore or avoid the disabled person.

My ethnographic informants at an assistance dog agency say that dogs and humans can read each others' minds, have saved each others' lives, hear for one another, and are family and business partners. These clients, assistance dogs, staff, and volunteers have uniquely intimate, interdependent interspecies relationships despite the power of absolutist distinctions between humans and other animals. I explore how my informants understand and create shared and unshared dimensions between them as they also navigate and change ideas about the family, workplace, and larger society. Explored in tandem these relationships and cultural domains illuminate the anxieties, ambiguities, and securities experienced in both. Central to this project are the ways that shared embodied relational meaning emerges as my informants make meaningful lives together.

Blindness has previously been associated with impaired quality of life (QOL). Guide dogs may not only support blind people in their independency, but also facilitate social relationships and overall health. This study sought to investigate whether blind people from Austria with a guide dog, when compared with blind people without a guide dog, differ in their QOL, annual medical costs, and attitudes towards the human–guide dog relationship. Participants (n = 36) filled out an online accessible questionnaire that consisted of the World Health Organization (WHO)QOL-BREF and additional self-designed questions. Guide dog ownership was not associated with a better QOL. However, yearly medical cost expenditures were descriptively lower in guide dog owners, who were also more likely to believe that guide dogs can increase their independency and exert positive effects on health. Moreover, guide dog owners more likely considered a guide dog as a family member than non-guide dog owners. Although within the framework of this study, owning a guide dog was not significantly associated with increased QOL, some differences between the groups regarding health beliefs, attitude towards the dog, and relationship with the dog were identified. Accounting for the emerging prevalence of visual impairment, further research into this topic is warranted.

The use of service or assistance dogs has increased over the past three decades but is still considered by many to be an emerging concept for assisting people with disabilities to navigate a number of environments. This is predominately due to the minimal research that has been done on the effect and promising practices. One area, employment, has been completely overlooked in research related to service dogs. This research project undertook an exploratory study to gather data on the elements of service dog partnerships that have been successful in the workplace. A structured methodology using mixed methods was used to gather ideas from a diverse group of stakeholders, people with service dogs, trainers, vocational rehabilitation counselors, and other healthcare professionals, to form a common framework for addressing the issue in future research and development of interventions. The results identified 68 elements that respondents perceived and rated to be important or highly important to the phenomenon. They were categorized into six clusters: (1) dog preparation, (2) monitoring, (3) employee competence, (4) legal knowledge, (5) information and education, and (6) coworker preparation. The discussion identified key points that might support the development of successful employment outcomes for people working with service dogs.

This study examines alleged discrimination towards people partnered with assistance dogs, as represented by Canadian newspapers. Doing so expands understanding of attitudes held toward assistance dogs and highlights everyday challenges faced by the people with whom they are partnered. Articles included for analysis were tabulated according to where instances of alleged discrimination happened, the type of assistance dog that was involved, and the reported reasons that were given as grounds for denying accommodation. Reported reasons were grouped further into five themes (health risks; ignorance; nuisance; cultural beliefs and/or religious convictions; and assault). Education programs, intersectoral collaboration, and policy changes are all recommended to tackle the challenges identified.

The most convenient and efficient way to travel for the visually impaired is still with a guide dog. At present, my country's legislation on the accessibility of guide dogs in public places is small in number, low in level, and unclear in legal responsibilities. There is still a gap between legislation and practice. In terms of safeguarding measures to enhance the accessibility of guide dogs to public places, we should first improve legislation, improve the qualification certification and marking system for guide dogs, and clarify the participants in disputes and their rights and obligations; second, we should strengthen judicial and supervision in the process of law enforcement, and promote the improvement of special procedures for the disabled and the community legal aid system. Once again, law enforcement should be improved, and cases should be handled flexibly; finally, the popularization of guide dogs should be strengthened for the society, and online information should be established online. Feedback platform to establish social service work points offline.

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 retrospective study of people in wheelchairs who have service dogs reports their experiences with strangers in public before and after obtaining their dogs. The specific hypothesis tested was that the acquisition of a service dog would increase the number of friendly approaches by strangers. Subjects reported a significantly higher number of social greetings from adults and children on typical shopping trips with the dog as compared with those received on trips before they had the dog or with recent trips when the dog was not present. Subjects with service dogs reported more approaches than a control group without dogs. After obtaining dogs, subjects also increased their evening outings.

It is becoming more common for people with disabilities to procure service dogs as a form of assistive technology (AT). However, there is little qualitative research examining the impact of service dogs on engagement in valued daily activities (occupations) among persons with mobility impairments. This study used a qualitative descriptive methodology to learn about the experiences of four female service dog owners with mobility impairments, with a focus on the impact of service dog use on the performance of daily occupations and participation in social activities, and their experiences utilizing a service dog as a form of AT. Data analysis indicated that each participant’s service dog made a significant impact on their everyday lives and their ability to independently perform everyday activities; however, there are also unique challenges associated with service dog ownership that must be considered when evaluating benefits of service dog partnership. Overall, the positive outcomes reported by participants indicate that service dogs can be considered a beneficial, adaptable form of AT for some persons with mobility impairments.

Canadian news coverage is reflecting and shaping an evolution of thought about how we must publicly account for animals’ roles in the disability rights movement. Through a textual analysis of 26 news media articles published between 2012 and 2017, this research demonstrates that the media play a key role in reporting on discrimination, yet media narratives about service animals and their owners too often fail to capture the complexity of policies and laws that govern their lives. In Canada, there is widespread public confusion about the rights of disabled people and their service animals. This incertitude is relevant to both disability and animal oppression. This research identifies nine frames within the media narratives, as well as evaluating perspectives from critical animal studies in the news articles. These frames, which emerge in the media reports, in their descriptions of human and (less often) animal rights, illustrate public confusion surrounding these rights. The confusion is inevitable given the many laws in Canada that govern service animals. Thus, to give context to the news coverage, this article also surveys the legal protections for disabled people who use service animals in Canada, and suggests that until the news media understand the legalities surrounding service animals, they will not be well equipped to fulfil their role of informing the public. This is a lost opportunity in light of the media’s potential role as a pivotal tool to educate the public about disability and animal rights.

While service dogs are known to perform important tasks for people using wheelchairs, such as retrieving dropped items or pulling a wheelchair, they may also serve as an antidote for social ostracism. Adults in wheelchairs have been found to receive many more social acknowledgments when a service dog is present than when not. This study examined whether disabled children in wheelchairs with service dogs receive more frequent social acknowledgment than when no dog is present. Behaviors of passersby in response to children in wheelchairs were recorded in shopping malls and on school playgrounds. In both settings, social acknowledgments (e. g., friendly glances, smiles, and conversations) were substantially more frequent when a service dog was present. Social effects of the dog were more pronounced in shopping malls, typical of unfamiliar settings where the child would be likely to experience being ignored or overlooked. Service dogs may assist in normalizing the social interactions for children with disabilities producing social isolation.

Despite over 70% of guide dog owners reporting that their emotional wellbeing had been affected by a dog attack on their guide dog, in-depth qualitative studies examining this issue are lacking. The aim of this work was to further our understanding of the impact of a dog attack on the overall, holistic wellbeing of the guide dog owner. A total of 20 in-depth semi-structured interviews were conducted with guide dog owners whose dogs had been the victim of a dog attack. The data were analysed thematically. Findings suggest that a dog attack can have a long-term impact on a guide dog owner’s physical, emotional, social, and spiritual wellbeing. As such, service providers who manage the aftermath of an attack should recognise the potentially multiple and long-term effects on guide dog owner wellbeing and the importance of more holistically oriented support.

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.

This paper explores the effect of peoples' association with guide dogs on how they understand and feel about themselves and how they are regarded by those with whom they interact. The concepts of personal, collective, and social identity are used to situate the discussion. Of central importance is the way working with a guide dog shapes public interaction and how owner' self definitions and social identities are extended by being intimately involved in the owner—dog team.

As service dogs, emotional support dogs, and therapy dogs have become more prevalent in the USA, so too has the controversy surrounding their legitimacy. Yet, there is a lack of objective data regarding the public’s understanding of the role played by each of these types of animals, as well as their perceptions regarding the legitimacy of their integration. An anonymous, online survey was distributed to examine the perceptions of US adults who do not own any type of assistance animal. A total of 505 individuals responded to the online survey, yielding 284 usable responses. Results suggest widespread misconceptions about definitions, rules, regulations, and rights associated with each type of assistance dog. In general, service dogs are more likely to be perceived as helping with a legitimate need, and their access to public spaces is viewed favorably. While there are some concerns about the legitimacy and necessary access rights for emotional support dogs, members of the public correctly identified the roles and rights of therapy dogs. Despite the media’s focus on abuses and false representation of these dogs, most participants reported feeling the majority of people are not taking advantage of the system.

Japan learnt how to promote assistance dogs effectively by deliberating the issues and challenges that surrounded assistance dogs in the USA and Europe and the Act on Assistance Dogs for Physically Disabled Persons was issued in 2002. The aim of this paper is to provide information that may be useful for countries and areas that are seeking ways to regulate assistance dogs, especially in the context of the global problem in which dogs are falsely claimed to assist their partners. First, there is a description of the process through which Japan, where pet dogs have not been accepted in society, established the Act, which overcame the shortcomings of the previous situation. Second, it is shown the ways in which people living with assistance dogs have gained the right to have their dogs accompany them in public. Third, the current challenges faced by people with assistance dogs are documented. Finally, pictures of an example of an assistance dog certificate and of an assistance dog sign reveal how far the regulation of assistance dogs is achieved in Japan.

There is a long history of service dog usage to assist people with physical disabilities (e. g., dogs for the blind, deaf, and disabled). In comparison, however, relatively little empirical research has been conducted into the use of service or emotional support dogs for people with psychiatric disabilities (e. g., PTSD, bipolar disorder, anxiety disorder and schizophrenia). Given this research shortfall, the present study sought to provide insights into the post-war dog ownership experiences of contemporary veterans from the Iraq and Afghanistan fields of engagement, particularly in relation to the differences adopted dogs have made to the veterans' readjustment back into society. In this regard, reporters' media accounts of the experiences of veterans with PTSD and the general public's social media response comments were subjected to a triangulated three-phase content analysis to explore the role dogs seemingly play in helping contemporary veterans to readjust to civilian life. The core theme to emerge from the study was one of: “‘Nudging them back to reality’: Toward a growing public acceptance of the role dogs fulfill in ameliorating contemporary veterans' PTSD symptoms.” In light of the difficulties of interpreting the accounts of veterans through the filter of media coverage and social commentary, this core finding may prove to provide insights into how contemporary veterans diagnosed with PTSD utilize the assistance of dogs to help deal with their fundamental human needs for safety, affiliation, and succourance. Finally, the difficulties associated with dogs as therapeutic agents are discussed.

This study investigates ontogenetic aspects of attachment behaviour in guide dogs using the Strange Situation Test (SST). Seventeen dogs were tested three times in different periods of the guide dog training program. The first test was carried out when the dogs were 11–15 months old and before entering the training program; the second test took place after 4 months of training; the last test was carried out after more than 1 year of service as guide dogs. Therefore three different human figures were involved in the program: the puppy walker, the trainer and the blind owner. In each test the dogs’ behaviour was video recorded and subsequently scored using a 5-s point sampling method; furthermore heart rate (HR) was recorded both before (HR basal average) and during the SST.

Results of the present study show that when tested for the first time at the age of 11 months, dogs exhibited an intense play activity and a limited discrimination of the attachment figure: during separation from the puppy walker their attention was directed towards the stranger that could offer comfort rather than to the owner's exit from the room. On the contrary, the same dogs tested when adult, after 1 year of life with the blind owner were specifically interested in regaining contact with their owner despite the presence of another friendly human (the stranger) available for support. The three repetitions of the SST had only a limited impact on dogs behaviour: previous experiences with the room and the procedure of the test did determine a decrease of exploratory behaviour and of puppet fear, but not of the emotional response to separation from the owner. As the heart rate curve was available only for a limited number of dogs cautious conclusions are drawn on cardiac activity: when adult, dogs showed a higher cardiac activation despite a decrement in HR baseline. Overall, the outcome of the present study indicate that a full-fledged attachment is showed when guide dogs reach maturity and that repeated bond breaking is not detrimental to forming attachment later in life.

Implications for Rehabilitation
For people with motor impairments:
Service dogs are most often used as a technical aid to pick up objects (96%), open doors (36%) and pull the wheelchair during travel (34%).
Clients’ performance in significant travel in a wheelchair (on flat terrain, on an upslope, mounting a threshold) improved with the service dog compared to their own performance without the dog.
Clients’ grasping performance (picking up three significant objects off the ground) improved with the service dog compared to their own performance without the dog.

Background: People with disabilities may benefit from an assistance dog (AD). Despite regulations that prohibit the denial of ADs to public places, this still occurs on a regular basis. The main argument for denial of access is that dogs compromise hygiene with their presence, which could cause a health hazard. Meanwhile, people are allowed to walk into and out of public places freely.

Objective: As a pilot study, to investigate the number of Enterobacteriaceae and the presence of Clostridium difficile bacteria on the paws of ADs and pet dogs (PDs) as well as the shoe soles of their users and owners. With the results, an assessment can be made as to whether measures are required to reduce environmental contamination (e.g., in hospitals).

Methods: In total, 25 ADs, 25 PDs, and their 50 users/owners participated in the study. Each participant walked their dog for 15–30 min prior to the sampling of the front paws. Each PD owner or AD user filled out a general questionnaire about the care of their dogs, and AD users were asked to fill out an additional questionnaire on their experiences regarding the admittance of their ADs to public places (in particular, hospitals). Dutch hospitals were questioned on their protocols regarding the admittance of ADs and their visitor numbers, including the percentage of AD users, to put these numbers into perspective.

Results: Dog paws were more often negative for Enterobacteriaceae compared to shoe soles (72% and 42%, respectively) and also had significantly lower bacterial counts (mean of 3.54log₁₀ and 5.03log₁₀ colony-forming units (CFUs), respectively; p < 0.05). This was most distinct in the comparison between PDs and their owners (3.75log₁₀ and 5.25log₁₀ CFUs; p < 0.05); the numbers were similar between ADs and their users (3.09log₁₀ and 4.58log₁₀ CFUs; p = 0.2). C. difficile was found on one (4%) AD user’s shoe soles. Moreover, 81% of AD users had been denied access with their current AD once or several times, the main reason being hygiene. The results of the visibly and invisibly disabled were significantly different. The number of AD users as opposed to the total number of hospital visitors was 0.03% in one hospital and is estimated to be 0.02% in the Netherlands.

Conclusions: The general hygiene of dogs’ paws is far better than that of shoe soles, mostly demonstrated by the better general hygiene of PD paws compared with their owners’ shoe soles; ADs and their users had comparable levels of general hygiene. In addition, the number of AD users amongst the total number of hospital visitors in the Netherlands is very limited. Thus, hygiene measures to reduce any contamination due to dog paws do not seem necessary.

4 Assistance Dogs in Office/School

With the rising use of service dogs to support students with disabilities, it is important that teachers are knowledgeable about how they can be incorporated into their classroom. A recent ruling from the U.S. Supreme Court has highlighted the legal responsibility of schools to allow access to the service dogs of students. However, information focusing on the preparation of teachers for this possibility is lacking. This article provides both general and special education teachers with guidelines for including service dogs in their classroom. Background information regarding service dogs is included in addition to practical considerations concerning students, the classroom, the service dog, and planning process.

The use of service or assistance dogs has increased over the past three decades but is still considered by many to be an emerging concept for assisting people with disabilities to navigate a number of environments. This is predominately due to the minimal research that has been done on the effect and promising practices. One area, employment, has been completely overlooked in research related to service dogs. This research project undertook an exploratory study to gather data on the elements of service dog partnerships that have been successful in the workplace. A structured methodology using mixed methods was used to gather ideas from a diverse group of stakeholders, people with service dogs, trainers, vocational rehabilitation counselors, and other healthcare professionals, to form a common framework for addressing the issue in future research and development of interventions. The results identified 68 elements that respondents perceived and rated to be important or highly important to the phenomenon.
They were categorized into six clusters: (1) dog preparation, (2) monitoring, (3) employee competence, (4) legal knowledge, (5) information and education, and (6) coworker preparation. The discussion identified key points that might support the development of successful employment outcomes for people working with service dogs.

Human-animal interaction (HAI) studies are on the rise to test the hypothesis that assistive dogs provide positive support to persons with disabilities. We review findings from our pilot study, which approached significance in demonstrating HAI as a promising means of helping those with Autism Spectrum Disorders (ASD) to acquire adaptive social behaviors. We discuss elements drawn from multiple disciplines to highlight the value that assistive dogs deliver when considering employment supports for individuals with ASD. These elements include the neurological functions that influence social behavior, HAI, and ASD, adaptations emerging from an HAI integrated employment setting, and considerations for designing, implementing, and evaluating quality HAI supports. We contribute this information as points of consideration for individuals with autism as they pursue employment in integrated settings. We provide implications for rehabilitation practice and research.

The presence of and request for assistance, service, and support animals has skyrocketed on college campuses in recent years. The purpose of this literature review is to explore potential benefits in the utilization of assistance animals within higher education, especially as it concerns disability service offices. It begins with an overview of the dilemma of increased use of animals with limited shared knowledge base on the benefits of that use and the myriad of terms that are used to describe the therapeutic use of animals. It reviews relevant meta-analyses, moves to a focus of assistance animals in educational settings, especially with college students, highlighting the limited available information on the use of animals by university offices, especially the disability service office. Strength of the research in this literature review is limited due to narrow research availability, small sample sizes, qualitative methods employed in some of the studies, and the limited connections specifically to the dilemmas faced by disability offices in their decision-making about therapeutic animals. This paper concludes with recommendations for future research and for practitioners in disability service offices and related areas.

Diversity strengthens science, but current policies need to do more to explicitly address inclusion of the growing population of people with disabilities who rely on service dogs. Here, I discuss my personal experiences of attempting to access laboratories with a service dog.

I have been told that I would not be able to access laboratories with a service dog (SD) and that I would have to change my major. These words will be forever branded in my memory. I did not change my major, although there were times I questioned why I stayed.

Service dogs have been used in the adult population for decades. Recently, there has been a diversification in types of service dogs, specifically for the pediatric population. Although guide dogs and mobility dogs are accepted in society, autism assistance dogs, seizure alert and response dogs and diabetic alert dogs are relatively new. As pediatric service dogs attract more attention, pediatric providers need to be prepared to answer parental inquires regarding service dog use. The pediatric provider is well equipped to identify children who could benefit from a service dog intervention and should be able to make a referral to a reputable service dog provider. This article presents guidance on appropriate patient selection, making a service dog referral, and risks and benefits involved. Pediatric providers are ideally positioned to be leaders in implementing this evolving new assistive technology that can help to alleviate pediatric disabilities for both the patient and family.

Posttraumatic Stress Disorder (PTSD) is one of the most commonly occurring disabilities among the Veteran population, as 20% of Operation Iraqi Freedom/Operation Enduring Freedom Veterans have a diagnosis of PTSD. This disorder is associated with work-related difficulties, being that PTSD is linked to exacerbated rates of unemployment and missed work days. The use of service dogs for Veterans with PTSD may improve workplace success by the dog's performance of tasks specific to de-escalation of the handler's PTSD symptomology, providing a structured schedule to aid in military-to-civilian transition and transition to life with a disability, and fostering of a friendly, supportive workplace environment. Limitations of current knowledge of service dog benefits and areas for future research will be discussed.

For decades, universities have been accommodating physically disabled students who require guide dogs and other types of service animals. Within the past several years, however, mentally disabled students have increasingly petitioned colleges with no-pet policies to permit them to bring their animals on campus because they need a companion or emotional support animal to make college life easier and to reduce their stress, loneliness, depression, and/or anxiety. Institutions that unlawfully reject such requests are finding themselves in court and charged with disability discrimination. Schools are understandably confused about their obligation, if any, to waive their no-pet rules under these circumstances. This article discusses pets on campus and provides administrators guidance with respect to this increasingly contentious issue and to keep their organizations “out of the legal dog house.”

5 Selection of Assistance Dogs

An early understanding of behavioral suitability for guiding work in domestic dogs (Canis familiaris) would be useful for organizations which train dogs as mobility aids, such as the Guide Dogs for the Blind Association. We explored the potential for a standardized test of behavior in young dogs to reflect subsequent success in guide dog training. Five hundred eighty-seven potential guide dogs were exposed to a series of eight stimuli at 6-8 weeks of age. The responses of dogs were scored on a 7-point scale according to either responsiveness to human assessor or to environmental stimuli, on stimuli comprising following when called; retrieve; gentle restraint; noise; stroking; a moving toy squirrel; encouragement to go through a tunnel; and encouragement to go over a ramp. Five of these stimuli showed some association with success in guide dog training, and three of these stimuli could be usefully combined in a logistic regression model of success in training. There is potential for this test to be used to predict suitability for guiding work but adjustments to the scoring protocol are recommended.

The overall goal of this work was to measure the efficacy of fMRI for predicting whether a dog would be a successful service dog. The training and imaging were performed in 49 dogs entering service training at 17–21 months of age. 33 dogs completed service training and were matched with a person, while 10 were released for behavioral reasons (4 were selected as breeders and 2 were released for medical reasons.) After 2 months of training, fMRI responses were measured while each dog observed hand signals indicating either reward or no reward and given by both a familiar handler and a stranger. Using anatomically defined ROIs in the caudate, amygdala, and visual cortex, we developed a classifier based on the dogs’ subsequent training outcomes. The classifier had a positive predictive value of 94% and a negative predictive value of 67%. The area under the ROC curve was 0.91 (0.80 with 4-fold cross-validation, P = 0.01), indicating a significant predictive capability. The magnitude of response in the caudate was positively correlated with a successful outcome, while the response in the amygdala depended on the interaction with the visual cortex during the stranger condition and was negatively correlated with outcome (higher being associated with failure). These results suggest that, as indexed by caudate activity, successful service dogs generalize associations to hand signals regardless who gives them but without excessive arousal as measured in the amygdala.

Assistance dogs aid people with various impairments on a daily basis. To become an assistance dog, a strict selection procedure and intensive training period must be successfully completed. Consequently, not every dog acquired for this purpose, becomes an assistance dog. The purpose of this study was to investigate reasons for failure and the financial consequences thereof for assistance dog associations that do not have a dedicated breeding program for their dogs. Data were collected for a total of 537 dogs enlisted between 2001 and 2015 and purchased out of the general dog population by five Belgian assistance dog associations. Only 60 percent of the dogs actually became an assistance dog and the main reasons for failure were related to undesirable behavioural characteristics and orthopaedic disorders. The estimated average financial loss per rejected dog was found to be 10524 euro. A detailed comparison of the two most popular breeds (Golden Retriever and Labrador Retriever) within the guide dogs and mobility assistance dogs revealed no significant difference in probability of successfully completing the training. However, a comparison of orthopaedic screening methods revealed a higher rejection with computed tomography for elbow dysplasia and laxity-based radiographical techniques for hip dysplasia compared to radiography and the standard ventrodorsal hip extend radiograph alone, respectively. Based on these results, we provide several suggestions to increase the probability of success.

Assistance dogs can greatly improve the lives of people with disabilities. However, a large proportion of dogs bred and trained for this purpose are deemed unable to successfully fulfill the behavioral demands of this role. Often, this determination is not finalized until weeks or even months into training, when the dog is close to 2 years old. Thus, there is an urgent need to develop objective selection protocols that can identify dogs most and least likely to succeed, from early in the training process. We assessed the predictive validity of two candidate measures employed by Canine Companions for Independence (CCI), a national assistance dog organization headquartered in Santa Rosa, CA. For more than a decade, CCI has collected data on their population using the Canine Behavioral Assessment and Research Questionnaire (C-BARQ) and a standardized temperament assessment known internally as the In-For-Training (IFT) test, which is conducted at the beginning of professional training. Data from both measures were divided into independent training and test datasets, with the training data used for variable selection and cross-validation. We developed three predictive models in which we predicted success or release from the training program using C-BARQ scores (N = 3,569), IFT scores (N = 5,967), and a combination of scores from both instruments (N = 2,990). All three final models performed significantly better than the null expectation when applied to the test data, with overall accuracies ranging from 64 to 68%. Model predictions were most accurate for dogs predicted to have the lowest probability of success (ranging from 85 to 92% accurate for dogs in the lowest 10% of predicted probabilities), and moderately accurate for identifying the dogs most likely to succeed (ranging from 62 to 72% for dogs in the top 10% of predicted probabilities). Combining C-BARQ and IFT predictors into a single model did not improve overall accuracy, although it did improve accuracy for dogs in the lowest 20% of predicted probabilities. Our results suggest that both types of assessments have the potential to be used as powerful screening tools, thereby allowing more efficient allocation of resources in assistance dog selection and training.

Dogs perform a variety of integral roles in our society, engaging in work ranging from assistance (e.g., service dogs, guide dogs) and therapy to detection (e.g., search-and-rescue dogs, explosive detection dogs) and protection (e.g., military and law enforcement dogs). However, success in these roles, which requires dogs to meet challenging behavioral criteria and to undergo extensive training, is far from guaranteed. Therefore, enhancing the selection process is critical for the effectiveness and efficiency of working dog programs and has the potential to optimize how resources are invested in these programs, increase the number of available working dogs, and improve working dog welfare. In this paper, we review two main approaches for achieving this goal: (1) developing selection tests and criteria that can efficiently and effectively identify ideal candidates from the overall pool of candidate dogs, and (2) developing approaches to enhance performance, both at the individual and population level, via improvements in rearing, training, and breeding. We summarize key findings from the empirical literature regarding best practices for assessing, selecting, and improving working dogs, and conclude with future steps and recommendations for working dog organizations, breeders, trainers, and researchers.

A continuing debate in studies of social development in both humans and other animals is the extent to which early life experiences affect adult behavior. Also unclear are the relative contributions of cognitive skills (“intelligence”) and temperament for successful outcomes. Guide dogs are particularly suited to research on these questions. To succeed as a guide dog, individuals must accomplish complex navigation and decision making without succumbing to distractions and unforeseen obstacles. Faced with these rigorous demands, only ∼70% of dogs that enter training ultimately achieve success. What predicts success as a guide dog? To address these questions, we followed 98 puppies from birth to adulthood. We found that high levels of overall maternal behavior were linked with a higher likelihood of program failure. Furthermore, mothers whose nursing style required greater effort by puppies were more likely to produce successful offspring, whereas mothers whose nursing style required less effort were more likely to produce offspring that failed. In young adults, an inability to solve a multistep task quickly, compounded with high levels of perseveration during the task, was associated with failure. Young adults that were released from the program also appeared more anxious, as indicated by a short latency to vocalize when faced with a novel object task. Our results suggest that both maternal nursing behavior and individual traits of cognition and temperament are associated with guide dog success.

As part of a collaborative project involving five guide and service dog organizations in the USA (Canine Companions for Independence, Guide Dogs for the Blind, Guiding Eyes for the Blind, Leader Dogs for the Blind and The Seeing Eye), volunteer puppy raisers provided information about the behavior of the guide and service dogs in their care via a questionnaire (the Canine Behavioral Assessment and Research Questionnaire, or C-BARQ©; www.cbarq.org). The surveys were completed online when the puppies were 6 months old and again at 12 months of age. Dogs were tracked through training and those that successfully completed training and were matched with a blind/disabled handler or were selected as breeders were classified as successful while dogs rejected from the program due to behavioral issues were classified as released (dogs rejected for medical reasons were excluded from analysis). A total of 11,997 C-BARQ evaluations for 7696 dogs were analyzed. Generalized linear modeling for each of the five schools revealed that dogs that successfully completed training scored more favorably on 27 out of 36 C-BARQ traits at both 6 and 12 months of age compared to those that were released from the programs. The most predictive trait at both age levels was pulls excessively hard on leash, for which each unit increase in score was associated with a 1.4 increase in the odds of being released from the program. The ability of the C-BARQ to discriminate between dogs that were later successful or released differed across organizations (P = 0.001 and P < 0.0001 for 6- and 12-month surveys, respectively), most likely due to differences in the procedures used when making decisions about whether or not to release dogs. These findings provide convincing evidence that the C-BARQ is able to discriminate between dogs that are behaviorally suited for guide or service work and those that are not and may provide trainers with useful information about potential training or breeding candidates as early as 6 months of age.

Als Teil eines kollaborativen Projekts mit fünf Blindenhund- und Servicehund-Organisationen in den USA (Canine Companions for Independence, Guide Dogs for the Blind, Guiding Eyes for the Blind, Leader Dogs for the Blind and The Seeing Eye) beantworteten freiwillige Hunde-Erzieher den C-BARQ-Fragebogen über das Verhalten von Blinden- und Servicehunden aus ihrer Obhut. Diese wurden ausgefüllt, als die Hunde sechs Monate und zwölf Monate alt waren. Assistenzhunde, die die Ausbildung abgeschlossen haben und einem Menschen mit Behinderung übergeben wurden oder zur Züchtung ausgewählt wurden, wurden als erfolgreich eingeordnet, während Hunde, die aufgrund von Verhaltensproblemen abgelehnt wurden, als entlassen klassifiziert wurden. Tiere, die aus medizinischen Gründen abgelehnt wurden, wurden in der Studie nicht beachtet. Insgesamt wurden 11997 Evaluationen mit Angaben über 7696 Hunden analysiert. Es ergab sich, dass Hunde, die eine Ausbildung komplett absolviert haben, im Alter von sechs und zwölf Monaten in 27 von 36 Untersuchungsmerkmalen besser abschnitten als Hunde, die aus dem Programm entlassen wurden. Die Fähigkeit, mit dem C-BARQ-Test zwischen später erfolgreichen und später entlassenen Hunden zu unterscheiden, wurde stark von der jeweiligen Organisation beeinflusst, da jede Organisation andere Bewertungskriterien angesetzt hat. Die Ergebnisse zeigen, dass man mit dem C-BARQ-Test zwischen Hunden, deren Verhalten für die Arbeit als Blinden- oder Servicehund geeignet ist, und Hunden, deren Verhalten nicht für die Arbeit als Blinden- oder Servicehund geeignet ist, unterscheiden kann. Schon im Alter von sechs Monaten können mögliche Übungen vorgeschlagen oder Kandidaten für die Züchtung erkannt werden.

Assistance dog puppies live with their raisers for up to 16 months before entering advanced training and, hopefully, becoming qualified to help people with a disability. Almost half of the puppies fail to meet the behavioural standards required for assistance dogs, and some puppy raisers produce more behaviourally favourable puppies than others. It is unclear what factors influence puppy-raising practice quality. To understand this, we interviewed 17 participants, including experienced puppy raisers (n = 8), provider organisation staff (n = 4), and those who have served both as puppy raisers and staff (n = 5). Results of a thematic analysis suggest three groups of influencing factors, namely intrapersonal factors, social support, and puppy characteristics. Intrapersonal factors such as expectations, competency, perseverance and passion were reported to influence puppy raisers’ experiences, puppy-raising quality, and continuity of service. Contextual factors such as availability of social support (informational and emotional supports) and less-demanding puppies both led to positive puppy-raising experiences, while the former also contributed to puppy raisers’ perceptions of competency. Future research should quantitatively examine the interrelationships of these factors concerning puppies’ behavioural development. Meanwhile, organisations could consider these factors when developing their recruitment and puppy-raiser support programs.

Problem behaviors are the most common reason to reject young dogs from entering advanced training and obtaining certification for work as an assistance dog. Therefore, working toward preventing undesirable behaviors should be prioritized to reduce failure rates. The development of problem behaviors in puppies, such as those associated with fearfulness and anxiety, results from the interplay between their genetic predisposition, puppyhood experiences, and other factors in their raising environment. This article uses an adapted general systems model as a framework to review relevant literature, following its three-stage structure, that is, input, throughput, and output. To produce desirable behavioral traits (output), much effort has been devoted to optimizing puppy breeding and selection (input) and developing training and socializing protocols (throughput). However, findings are mixed and the effects generally small. In this article, we suggest that, although it is critical that the industry enroll suitable puppies (input) and adopt evidence-based program designs (organizational levels of throughput), it is the puppy raisers that play a central role in program implementation (individual level of throughput). Puppy raisers' individual differences will likely influence their adherence to programs developed by assistance dog provider organizations. Specifically, puppy raisers with prior experience will likely be more competent at puppy handling and therefore raise behaviorally favorable puppies. When lacking experience and competency in dog handling skills, novice puppy raisers may rely on methods associated with their existing parenting and attachment styles when addressing puppies’ undesirable behaviors. Future research should therefore investigate these human factors, so as to inform puppy training and behavioral management protocols to ensure they are effective in spite of puppy raiser differences.

Service dogs, also known as assistance dogs, are seen increasingly in public places, including healthcare settings. Whereas an earlier article reviewed literature relevant to the human‐animal bond in general, this, article recounts my personal and professional experiences as a volunteer for Canine Companions for Independence (CCI). Rehabilitation professionals are advocates for their clients, and this article provides important information about the issues, benefits, and challenges in obtaining, training, and living with a service dog. For additional information, sources available through the Internet and a bibliography are provided.

The purpose of this study was to attempt to find related variables of the canine genome with behavioural traits of dogs maintained and tested in a guide dog facility which provided a relatively uniform environment. The study involved 81 Labrador Retrievers that were being trained as guide dogs. Each dog was taken on walk‐out sessions in which the trainer weekly recorded observations that were related to behavioural traits. The records were subjected to key‐word analysis of 14 behaviour‐related words. A factor analysis on the appearance rate of the 14 key words or phrases resulted in the extraction of six factors that accounted for 67.4% of the variance. Factor 1, referred to as aggressiveness, was significantly related to the success or failure of the dog in qualifying as a guide dog, and was also related to the variable of litter identification. Factor 2, referred to as distraction, was related to the variable of trainer. Factor 3, activity level, was related to the variable of sex, and was significantly related to the polymorphisms of c.471T>C in the solute carrier family 1 (neuronal/epithelial high affinity glutamate transporter) member 2 gene and c.216G>A in the catechol‐O‐methyltransferase gene. The involvement of polymorphisms c.471T>C and c.216G>A in behavioural patterns related to activity level is similar to comparable genetic studies in other mammalian species. These results contribute to a greater understanding of the role of these genes in behaviour.

The aim of this study was to determine whether objective measures of laterality could be used to identify dogs with a high probability of successfully completing a Guide Dog Training Programme. Three categories of laterality (motor, sensory, and structural), were assessed in 114 dogs entering guide dog training. Significant predictors of success were identified: the direction of laterality (P = 0.028), paw preference category in the ‘Kong’ test ( = 0.050). This is the first study to report a structural marker of canine behaviour. All three categories of laterality may be used to predict the suitability of dogs for guiding work, and by identifying predictors of success, resources can be more efficiently utilised on dogs with greater potential.P = 0.043), hindpaw clearance height (P = 0.002), laterality indices for a number of measures in the Sensory Jump test, and chest hair whorl direction (P = 0.050). This is the first study to report a structural marker of canine behaviour. All three categories of laterality may be used to predict the suitability of dogs for guiding work, and by identifying predictors of success, resources can be more efficiently utilised on dogs with greater potential.

A range of mobility aids are available to assist people living with vision impairment, and of these, guide dog ownership offers them several unique benefits. However, training a dog to be a successful guide dog comes at a high cost (approximately AU$30,000). Therefore, the aim of this study was to determine whether temperament testing and kennel behavior measures could be used by Guide Dog Organizations for the early identification of dogs suitable for guiding work and thus to reduce production costs. Temperament tests (Passive and Noise, Sudden Appearance, and Dog Distraction Tests) and kennel behavior assessments (Activity Level, Salivary Immunoglobulin A Concentration, and Kennel Surveillance) were assessed in potential guide dogs (n = 25-113) at the Guide Dogs NSW/ACT Training Centre, Glossodia, New South Wales, Australia. Several significant predictors of guide dog success were identified. The presence of panting (P = 0.029) and licking (P = 0.005) when contrasted with baseline observations in the Dog Distraction Test, significantly reduced the probability of guide dog success. Success was also reduced with the latency for a dog to sit in the third Noise Test (P = 0.028), and when the time spent resting was reduced during the evening period (P = 0.018) in the Kennel Surveillance assessment. This study reports that 4 specific behavioral responses, which may reflect anxiety and restlessness, predict low suitability of dogs for guiding work. Through the identification of early predictors of guide dog success, resources can be more appropriately focused on dogs with a higher probability of success, whereas unsuitable dogs can be rehomed.

6 Assistance Dog Training

This study examined 60 juvenile Labrador (LR) and golden retrievers (GR) and their puppy raisers (PR) to determine the effect of training (n = 20) and socialization (n = 20) compared with a control group (n = 20). These potential guide dogs were randomly allocated into 3 groups of 20 (2 treatment groups and 1 control). Training sessions ran for 6 weeks (only 5 of which were attended by the dogs), and socialization groups ran for 5 weeks (all of which were attended by the dogs). Training involved teaching a bridge (clicker); basic obedience behaviors including sit, drop, loose-leash walking, and recalls; as well as desensitization to handling, discussions about anxiety and environmental enrichment, and play time. Socialization classes covered the same discursive material, but without the training and bridge components. The control group comprised other pups and their PRs within the guide dog puppy-raising program but who were not given access to these additional classes. Like the dogs in both the treatments, these control dogs also underwent the Guide Dog NSW/ACT program but received no direct intervention through the current study.

The authors hypothesized that training and socialization would improve the success rates of dogs in the guide dog program. However, the treatments did not influence the rate of success nor the likelihood of PRs raising a subsequent pup. The interaction between color and sex had some effect on success rates; yellow female LRs had the greatest chance of success, and female GRs had the lowest chance of success. This difference may warrant further investigation in a broader study to assist in decisions as to which breeds and sexes are most successful in guide dog organizations.

Trained service dogs assist and also add pride, self-reliance, and personal satisfaction to an individual's daily life. However, well-bred, trained dogs are very expensive. To explore decreasing the cost of a service dog by increasing the number of dogs successfully completing training, the authors analyzed tasks that service dogs are expected to perform, measuring some of the inherent physical stresses the dogs encounter and considering training techniques to better prepare the dogs for more successful completion of tasks. Observing working dogs, the authors found that undue stress was placed on many of the dogs while performing tasks; that motivational gestures for performance were not fully extended; and that, many times, handlers did not instruct the dogs properly. The working dogs observed often were required to perform tasks that put them at risk of injury and performance failure. Important future considerations for training and handling working dogs will include proper training of handlers and a better understanding of the complexities of the instinctive and physical capabilities and limitation of dogs.

This Comment is a supplemental feature of the Journal of Visual Impairment & Blindness October-November 2011 Special Issue on Orientation and Mobility and Professional Preparation: Celebrating 50 Years. This commentary is based on presentations the authors gave at the 2011 Josephine L. Taylor Leadership Institute in Seattle, Washington, and the 2010 North Central Orientation and Mobility Association (NCOMA) conference in Kalamazoo, Michigan.

For the dog to become a safe and fluent guide for a vision impaired person it will be necessary for it to employ the cognitive processes of selective attention, pattern recognition, categorisation, discrimination, prediction and the mental representation of knowledge and its translation into action. Above all the guide dog needs to be a confident decision maker and problem solver, capable of operating with purposeful intent within a set of rules.

If the dog is to guide its vision impaired owner safely in town or city, stopping at kerbs, avoiding pedestrians and street furniture, manoeuvring around ladders and helping its owner cross roads safely, it will need to be much more than a well conditioned and unthinking robot!

This e-pub will be of value to dog owners and professional trainers, education and training staff of guide dog schools, students of animal and human cognition, veterinary staff, and anyone who has a curiosity about how the guide dog does its job.

The author discusses three important factors that need to be considered by Orientation & Mobility (O&M) instructors when working with clients that are guide dog users. These include: that the work of a guide dog can be infl uenced by the presence of the O&M instructor during training; the signifi cance of straight line travel; and the importance of using such O&M techniques as guiding, directional cues and landmarks.

Evidence supporting seizure-related behaviors in dogs is emerging. The methods of seizure response dog (SRD) training programs are unstudied. A standardized survey was retrospectively applied to graduates of a large SRD program. Subjective changes in quality of life (QOL) parameters were explored. Data were captured on animal characteristics, training methods, response and alerting behaviors, effects on seizure frequency, and accuracy of epilepsy diagnosis. Twenty-two patients (88%) participated (median age = 34, range = 12–66, 73% female). Most had childhood-onset epilepsy (87%) that was refractory with averages of 36 seizures/month and 4.8 medications failed. All had neurologist-confirmed epilepsy, most being symptomatic partial (64%). SRD behaviors were reliable, including emergency response system activation in 27%. All reported SRD-related QOL improvements (major 82%, moderate 18%) across multiple parameters. Spontaneous alerting behavior developed in 59%. That SRD programs may select genuine epilepsy patients, instill valuable assistance skills, and generate meaningful QOL improvements supports further seizure dog research.

Es entstehen immer mehr Beweise dafür, dass Hunde auf Anfälle von Menschen reagieren. Die Methoden der Ausbildung von Anfalls-Hilfshunden sind unerforscht. Eine standardisierte Umfrage wurde retrospektiv auf Absolventen eines großen Ausbildungsprogramm von Anfalls-Hilfshunden eingesetzt. Subjektive Veränderungen der Parameter, die die Lebensqualität betreffen, wurden untersucht. Es wurden Daten zu Eigenschaften der Tiere, Ausbildungsmethoden, Reaktions- und Warnverhalten, Auswirkungen auf die Häufigkeit der Anfälle und Genauigkeit der Epilepsie-Diagnose gesammelt. 22 Patienten zwischen 12 und 66 Jahren nahmen teil (Durchschnittsalter 34, 73% weiblich). Die meisten hatten seit dem Kindesalter Epilepsie (87%), die mit durchschnittlich 36 Anfällen pro Monat und 4,8 gescheiterten medikamentösen Behandlungen refraktär war. Alle Epilepsie-Erkrankungen waren vom Neurologen bestätigt, die meisten waren symptomatisch partiell (64%). Das Verhalten von Anfalls-Hilfshunden war zuverlässig, zudem wurde in 27% der Fälle das Notfalleinsatzsystem aktiviert. Alle berichteten über Verbesserungen vieler Parameter bezüglich der Lebensqualität durch den Anfalls-Hilfshund (starke Verbesserung 82%, moderate Verbesserung 18%). Spontanes Warnverhalten entwickelte sich in 59% der Fälle. Dass Ausbildungsprogramme für Anfalls-Hilfshunde epilepsiekranken Menschen wertvolle Unterstützung und eine bedeutungsvolle Verbesserung der Lebensqualität bieten können, unterstützt die weitere Forschung über Anfallshunde.

Excessive stress impairs learning. The Tellington TTouch method (TTouch) is used to reduce stress and relax animals so they can learn more effectively. It aims at increasing an animal's body awareness and balance by using a combination of techniques that include specific touches, body wraps, and leading (movement) exercises. This article introduces the TTouch method, its role in sensory enhanced learning, and provides a review of TTouch in the scientific literature and the way this applies to stress in guide dogs. The article concludes with a discussion of the benefits of integrating TTouch in guide dog training.

Matching a person who is blind or visually impaired with a guide dog is a process of finding the most suitable guide dog available for that individual. Not all guide dog partnerships are successful, and the consequences of an unsuccessful partnership may result in reduced mobility and quality of life for the handler (owner), and are costly in time and resources for guide dog training establishments. This study examined 50 peoples’ partnerships with one or more dogs (118 pairings) to ascertain the outcome of the relationship. Forty-three of the 118 dogs were returned to the guide dog training establishment before reaching retirement age, with the majority (n = 40) being categorized as having dog-related issues. Most (n = 26) of these dogs’ issues were classified as being behavioral in character, including work-related and non-work-related behavior, and 14 were due to physical causes (mainly poor health). Three dogs were returned due to matters relating to the handlers’ behavior. More second dogs were returned than the handlers’ first or third dogs, and dogs that had been previously used as a guide could be rematched successfully. Defining matching success is not clear-cut. Not all dogs that were returned were considered by their handlers to have been mismatched, and not all dogs retained until retirement were thought to have been good matches, suggesting that some handlers were retaining what they considered to be a poorly matched dog. Almost all the handlers who regarded a dog as being mismatched conceded that some aspects of the match were good. For example, a dog deemed mismatched for poor working behavior may have shown good home and/or other social behaviors. The same principle was true for successful matches, where few handlers claimed to have had a perfect dog. It is hoped that these results may help the guide dog industry identify important aspects of the matching process, and/or be used to identify areas where a matching problem exists.

Guide Dogs for the Blind, Inc. (GDB) provides enhanced mobility to qualified individuals through partnership with dogs whose unique skills are developed and nurtured by dedicated volunteers and a professional staff. In 2005, GDB expanded its vision to be a more inclusive and diverse employer. A trial commenced to determine the feasibility of the current instructor position being filled by a blind person. To complete this trial a qualified individual was hired to undergo task analysis of all job functions in conjunction with senior members of the Training Department. Additionally, a consumer advisory committee was consulted to ensure a fair and impartial evaluation. Results of the trial are presented in this article.

Purpose: This Australian study piloted a new measure of Orientation and Mobility to better understand the functional mobility of guide dog handlers with low vision or blindness. It is expected that this measure can be used to better match guide dogs to their handlers.

Materials and methods: The new Orientation and Mobility Outcomes tool scores a client in Stable/Familiar and Dynamic/Unfamiliar conditions, also considering Travel-Related Wellbeing. Semi-structured interviews were conducted with 51 guide dog handlers, during which travel skills were co-rated with an interviewer.

Results: A cluster analysis of the Orientation and Mobility Outcomes data identified four mobility styles: intrepid explorers, social navigators, independent roamers and homebodies. The differences between these clusters had more to do with mental mapping skills than level of vision, and different guide dog characteristics were needed to support the travel styles identified for each cluster.

Conclusions: The results confirm the importance of the Orientation and Mobility Outcomes tool as a sensitive, person-centred measure of the impact of Orientation and Mobility and guide dog training. In particular, the four mobility clusters provide a new perspective on matching guide dogs with clients, also suggesting the need for a more personalised look at the guide dog training process.

Implications for Rehabilitation
Orientation and Mobility Outcomes data seem precise enough to support and inform the process of matching guide dogs to handlers.
Uniform results cannot be expected from guide dog mobility in handlers – age, stage of life, health and spatial cognition impact the competence and travel style of guide dog handlers, whereas vision is less important.
Sharing the work of visual interpretation and decision making with a guide dog makes independent travel more possible.
Valuable dog characteristics that are specific to handler requirements might be bred or trained from puppy raising onwards, creating a more diverse pool of dogs to draw upon.

The graduate-level mobility instructor has begun to play a more active role in the dog guide field in recent years. This article outlines the duties and responsibilities of a peripatologist who was a member of the training staff at Guiding Eyes for the Blind, Inc., in Yorktown Heights, New York. Differences between traveling with a cane and with a dog guide, involvement of mobility instructors in the dog guide field and instruction of students with secondary disabilities such as diabetes, hearing loss and mental retardation are discussed.

This article scrutinises issues around disability and dependent (interdependent) agency, extending these to non-human animals and service dogs, with a sustained reference to the training of guide dogs. It does this through a detailed engagement with the training methodology and philosophy of The Seeing Eye guide dog school in the 1930s, exploring the physical, bodily and instrumental means through which the guide dog partnership, and the identity of the instructor, the guide dog and the guide dog owner, jointly came into being. The novelty of the article lies in how it reconsiders what interdependence meant and means from the perspectives drawing from historical and sociological literature on dog training. In doing so it opens up new ways of thinking about service animals that recognise their historical contingency and the complex processes at work in the creation and development of interdependent agency.

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made.

Aims. Domestic dogs are trained to a wide variety of roles including an increasing number of medical assistance tasks. Glycaemia alert dogs are reported to greatly improve the quality of life of owners living with Type 1 diabetes. Research into their value is currently sparse, on small numbers of dogs and provides conflicting results. In this study we assess the reliability of a large number of trained glycaemic alert dogs at responding to hypo- and hyper-glycaemic (referred to as out-of-range, OOR) episodes, and explore factors associated with variations in their performance.

Methods. Routine owner records were used to assess the sensitivity and specificity of each of 27 dogs, trained by a single UK charity during almost 4000 out-of-range episodes. Sensitivity and positive predictive values are compared to demographic factors and instructors’ ratings of the dog, owner and partnership.

Results. Dogs varied in their performance, with median sensitivity to out-of-range episodes at 70% (25th percentile = 50, 75th percentile = 95). To hypoglycaemic episodes the median sensitivity was 83% (66–94%) while to hyperglyaemic episodes it was 67% (17–91%). The median positive predictive value (PPV) was 81% (68–94%), i.e. on average 81% of alerts occurred when glucose levels were out of target range. For four dogs, PPV was 100%. Individual characteristics of the dog, the partnership and the household were significantly associated with performance (e.g., whether the dog was previously a pet, when it was trained, whether its partner was an adult or child).

Conclusions. The large sample shows that the individual performance of dogs is variable, but overall their sensitivity and specificity to OOR episodes are better than previous studies suggest. Results show that optimal performance of glycaemic alert dogs depends not only on good initial and ongoing training, but also careful selection of dogs for the conditions in which they will be working.

The present study aimed at evaluating possible behavioural differences between guide dogs living in a kennel and interacting with a trainer and those living in a house and interacting with a blind person and their family, when they are faced with an unsolvable task. Fifty-two Labrador retrievers were tested: 13 Trained Guide dogs at the end of their training programme and 11 Working Guide dogs that had been living with their blind owner for at least 1 year. Two control groups of Labrador retrievers were also tested: 14 Young Untrained dogs of the same age as the Trained Guide and 14 Old Untrained dogs of the same age as the Working Guide dogs. Results showed that the Trained Guide dogs gazed towards the owner or the stranger for less time and with a higher latency and spent more time interacting with the experimental apparatus than the other three groups, which all behaved similarly. None of the groups tested showed preferences in gazing towards the stranger or the owner. Together, the results suggest that at the end of their training programme, guide dogs are less prone to engage in human-directed gazing behaviour and more likely to act independently when facing an unsolvable task. Conversely, guide dogs that have been living with a blind person (and their family) for 1 year behave like pet dogs. These findings indicate that guide dogs’ gazing towards humans is favoured by living in close proximity with people and by interacting with them.

This dissertation looked at the impact of receiving and training a service dog on combat veterans with PTSD using Robert Stake’s collective case study model. Interviews were conducted with fifteen combat veterans diagnosed with PTSD participating in a 14 week program for receiving and training their own service dog. The goal of the study was to explore the veterans’ experience of the training program, as well as determine any effect on their PTSD symptoms. The data obtained through this research study may enhance the field of psychology by providing an alternative treatment modality for PTSD which may be more acceptable to veterans than other, more traditional treatments. This study concluded the training and receipt of a service dog demonstrated effective results for diminishing PTSD symptoms, and may be an alternative solution for those who may not be comfortable seeking help in a more traditional manner. This form of treatment may also serve as a gateway to enable veterans to participate more successfully in other evidence-based treatment modalities as their symptoms of PTSD lessen.

Studies identifying the underlying determinants of adult dog behavior and highlighting successful methods of early intervention are essential to reduce and ultimately prevent problem behaviors developing. The aim of this research was to create and assess the impact of a new nest socialization program. The new program was designed to: 1) provide a highly effective socialization experience, 2) be quick and easy to complete and 3) utilize low cost materials. The program was created by combining existing nest stimulation theories with young puppy developmental stages. As such the introduction and intensity of each socialization stimulus was tailored to mirror puppy physiological and behavioral development from birth to six weeks of age.

The new socialization program was evaluated using six litters raised under standardized conditions. The impact of the program was measured using a practical puppy behavioral assessment at six weeks of age and an eight-month dog handler behavioral questionnaire.Results showed a significant positive effect of the new socialization program on puppy behavioral development, which persisted throughout the first year of life. Puppies that received the program had more favorable scores in a six-week practical assessment (P ≪ 0.01) and an eight-month dog handler questionnaire for separation-related behavior (P ≪ 0.01), distraction (P ≪ 0.01), general anxiety (P = 0.02) and body sensitivity (P = 0.03). This is the first socialization program tailored to the developmental stage of puppies from birth to six weeks of age to demonstrate measurable, long-term effects on individual dog behavioral traits. Results will be of interest to working and assistance dog organizations, animal shelters and pet dog breeders.

In the article I present an ethnographic reflection on the process of guide dogs generation, an animal assistive technology developed to facilitate the mobility of the visually impaired person. Focusing especially on the training phase, I try to understand the trajectory of transformations, the unfolding of events and the changes of movement that make certain dogs able to "graduate" as guides. Following a Maussian perspective, the guiding technique is understood here as the result of a certain relationship between movements and things, encompassing tools, human and canine bodies and their displacements in different environments.

Assistance dogs' roles have diversified to support people with various disabilities, especially in the U.S. Data presented here are from the U.S. and Canada non-profit facilities (including both accredited and candidate members that fulfilled partial requirements: all here termed “accredited”) of Assistance Dogs International (ADI) and the International Guide Dog Federation (IGDF), and from non-accredited U.S. assistance dog training facilities, on the numbers and types of dogs they placed in 2013 and 2014 with persons who have disabilities. ADI categories of assistance dogs are for guide, hearing, and service (including for assistance with mobility, autism, psychiatric, diabetes, seizure disabilities). Accredited facilities in 28 states and 3 provinces responded; accredited non-responding facilities were in 22 states and 1 province (some in states/provinces with responding accredited facilities). Non-accredited facilities in 16 states responded. U.S./Canada responding accredited facilities (55 of 96: 57%) placed 2,374 dogs; non-accredited U.S. facilities (22 of 133: 16.5%) placed 797 dogs. Accredited facilities placed similar numbers of dogs for guiding (n = 918) or mobility (n = 943), but many more facilities placed mobility service dogs than guide dogs. Autism service dogs were third most for accredited (n = 205 placements) and U.S. non-accredited (n = 72) facilities. Psychiatric service dogs were fourth most common in accredited placements (n = 119) and accounted for most placements (n = 526) in non-accredited facilities. Other accredited placements were for: hearing (n = 109); diabetic alert (n = 69), and seizure response (n = 11). Responding non-accredited facilities placed 17 hearing dogs, 30 diabetic alert dogs, and 18 seizure response dogs. Non-accredited facilities placed many dogs for psychiatric assistance, often for veterans, but ADI accreditation is required for veterans to have financial reimbursement. Twenty states and several provinces had no responding facilities; 17 of these states had no accredited facilities. In regions lacking facilities, some people with disabilities may find it inconvenient living far from any supportive facility, even if travel costs are provided. Despite accelerated U.S./Canada placements, access to well-trained assistance dogs continues to be limited and inconvenient for many people with disabilities, and the numerous sources of expensive, poorly trained dogs add confusion for potential handlers.

In western countries, such as the United States and the United Kingdom, many people with disabilities benefit from the help their assistance dogs provide. In contrast, assistance dogs have not become widespread in Japan. This study explores the perspectives of Japanese people with disabilities, including the obstacles they have experienced when considering acquiring an assistance dog. A paper-based questionnaire was used to investigate the experiences of people with orthopedic, hearing, or visual disabilities. The results showed that a minority of participants with orthopedic (13.9%), hearing (31.6%), or visual (16.0%) disabilities hoped to live with an assistance dog. Younger people (18-59 years of age) hoped to have one more often than older people (over 60 years of age), which was related to their frequency of going out of the house. Younger people were more active in going outside regularly; older women were the least active. People with orthopedic disabilities were less active than those with other disabilities. Younger people were also more experienced in keeping dogs, and liked playing with them more. Younger women showed the greatest interest in living with an assistance dog, and older women the least interest; targeting information and encouragement to younger women may be most productive for placing dogs. Among people who did not hope to acquire an assistance dog, 6.1-11.6% of them felt sorry for dogs that are required to go through training, and 8.3-16.1% of them answered that they hated dogs. Our results indicated that Japanese are influenced by cultural, historical, and environmental contexts, and are not yet fully familiar with and accepting of the concepts of working dogs that are typical in the western countries. Most of the participants who hoped to live with an assistance dog had not actually applied for one. They gave the following reasons: there were inevitable negative aspects of living with dogs and sources of information, training systems, and policies by the governments and/or assistance dog organizations were cumbersome and inconvenient. The overall strategies to provide assistance dogs to people with disabilities need to be more accessible and accommodate the specific needs of the people who have disabilities.

It has been widely reported that service dogs offer benefits to their human partners, however, it is unclear whether the expanding methods of training and roles of service dogs for their partners with various disabilities also provide similar benefits. This study aimed to investigate the self-reported experience of service dog partners to understand whether three different factors influence the benefits and drawbacks associated with partnering with a service dog: (1) different methods of training service dogs; (2) different severities of human partners' disabilities; (3) different roles of service dogs. Partners of service dogs were recruited to the web survey through service dog facilities and networking groups. Answers from 19 men and 147 women participants (91.8% living in the U.S.) were analyzed in this study. Participants experienced the expected benefits of service dogs, including increased independence, social relationships, self-esteem, and life satisfaction, and decreased anxiety, stress, and loneliness. However, the perceived benefits, concerns, and burdens differed depending on the partners' disabilities and the training history of the dogs. When first living with their service dogs, people who had self-trained their service dogs experienced more burdens than those living with professionally trained service dogs. No major reduction in expenses for assistance after acquiring a dog was reported. Personalized team training based on each person's disabilities and situation is required to optimize the benefits and minimize the burdens and concerns of living with service dogs.

7 Owner-Training vs. External Training

Aims: Patients with diabetes increasingly have questions about diabetes alert dogs. This study evaluated perceptions about dogs trained professionally or otherwise to detect glucose levels. Methods: A link to a survey about glucose detecting dogs was announced on diabetes websites. Results: 135 persons responded, with 63 answering about their child with diabetes. Most respondents obtained their dog from a professional trainer (n=54) or trained it themselves(n=51). Owners of self and professionally-trained dogs were very positive about dogs’ abilities to alert them to low and high glucose levels, while owners of dogs that learned entirely on their own (n=15) reported lower frequencies of alerts and more missed hypo-glycemic episodes, p<.01. Regardless of how dogs learned, perceptions about managing diabetes were improved during periods of dog ownership relative to times without, p<.001. Self-reported rates of diabetes-related hospitalizations, assistance from others for treating hypoglycemia, and accidents or near accidents while driving reduced during periods of dog ownership compared to periods without dogs, ps<.01. Conclusions: These data suggest potential effectiveness of and high satisfaction with glucose-detecting dogs. Clinicians can use these results to address pros and cons of dog ownership with patients who inquire about them.

Patienten mit Diabetes haben immer häufiger Fragen zu Diabetes-Warnhunden. Diese Studie bewertet die Erkenntnisse über Hunde, die professionell oder anderweitig ausgebildet wurden, um Glukose-Werte zu bestimmen. Auf Diabetes-Internetseiten wurde ein Link zu einer Umfrage über Glukose erkennende Hunde geteilt. 135 Personen nahmen teil, 63 davon hatten ein Kind mit Diabetes. Die meisten Teilnehmer erhielten ihren Hund von einem professionellen Ausbilder (54) oder bildeten ihn selber aus (51). Besitzer von selbst oder professionell ausgebildeten Hunden waren sehr positiv gegenüber der Fähigkeit der Hunde, sie vor hohen oder niedrigen Glukose-Werten zu warnen, während Besitzer von Hunden, die dies ganz allein gelernt haben (15), über eine geringere Häufigkeit von Warnungen und mehr verpasste hypoglykämische Episoden berichteten. Unabhängig von der Art der Ausbildung der Hunde verbesserte sich die Wahrnehmung über die Bewältigung von Diabetes, während Patienten einen Hund besaßen. Im Vergleich zu Perioden ohne Hund reduzierten sich die selbstberichtete Anzahl der durch Diabetes hervorgerufenen Krankenhausaufenthalte, die Unterstützung anderer zur Behandlung von Hypoglykämie und Unfälle oder Beinaheunfälle während des Autofahrens, wenn die Teilnehmer einen Hund hatten. Diese Daten deuten auf eine mögliche Effektivität von und eine hohe Zufriedenheit mit Hunden, die Glukose-Werte erkennen können, hin. Mediziner können diese Ergebnisse nutzen, um Vor- und Nachteile von Diabetes-Warnhunden mit Patienten zu besprechen, die sich danach erkundigen.

Bibliography - Assistance Dogs

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1 Assistance Dogs in general

2 Assistance Dog-Handler Interactions

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Background

Methods

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Trial Registration

3 Assistance Dogs in the Public

4 Assistance Dogs in Office/School

5 Selection of Assistance Dogs

6 Assistance Dog Training

7 Owner-Training vs. External Training