Owner quality of life, caregiver burden and anticipatory grief: How they differ, why it matters

Owners' experiences of caring for cats with chronic kidney disease in the UK

ObjectivesThe aim of the present study was to describe current practices in the management of feline chronic kidney disease (CKD), and the experiences and emotions of caring for a cat with CKD, reported by UK cat owners.MethodsA survey study was conducted of UK owners of cats with CKD that included multiple-choice, Likert scale and open questions reported using descriptive statistics.ResultsResponses from 100 UK owners of cats with CKD were included in the study. Of the owners, 73% had knowledge of their cat's International Renal Interest Society stage and 76% were feeding their cat a renal diet, with 70% reporting that veterinary recommendation had influenced this decision. Of the owners, 35% were administering phosphate binders, 26% natural supplements and 25% antiproteinuric therapies to their cat. Of concern was the high number of owners reporting feelings of anxiety (99%) as well as other negative emotions associated with caring for their cat with CKD. Extreme worry, anxiety or concern were high at both the time of CKD diagnosis and survey completion, related to disease prognosis (72% and 50%, respectively) and cats' quality of life (63% and 46%, respectively). Many owners agreed that their daily routine had changed a lot since their cat was diagnosed with CKD (66%) and that caring for their cat negatively impacted or restricted their own life (37%).Conclusions and relevanceAlthough owners' knowledge and understanding of their cat's CKD and appropriate management was generally in line with expert guidelines, the finding that many owners reported experiencing feelings of anxiety associated with caring for their cat, suggesting caregiver burden, was concerning. This highlights the impact that veterinary professionals, including veterinary nurses, may have in providing greater education and support to enhance the relationship and communication with owners of cats with CKD, thus helping to alleviate anxiety and ensure ongoing successful CKD management.

All pet owners are not the same: End-of-Life caregiver expectations and profiles

The study aims to explore the specific needs of French pet owners who have experienced the loss of a pet, recognizing the limited focus on end-of-life and palliative care in veterinary practice. By characterizing owner profiles, the research seeks to enhance veterinary approaches and education to better address the unique challenges and emotional aspects associated with pet care and loss. An anonymous online survey was distributed to 302 French owners who already experienced the loss of an animal, including demographic information and feelings about their experience of a pet's end-of-life (EOL). Data were analysed using descriptive and qualitative analysis (including the use of AI chatbot ChatGPT). 56.6 % of participants reported a relatively smooth pet death, yet 67.0 % found the end-of-life period challenging. Three distinct owner groups emerged, each with varying needs. The first group expressed high guilt and a greater need for support, emphasizing the necessity for information and improved training. The second group, more informed and independent, benefits from veterinary support, while a leaflet suits them. The third group, competent in pain evaluation, requires less veterinary support. These differences highlight the importance of personalized owner support. The study proposes essential pillars for veterinarians and nurses' training, forming the EPITO system: Emotional support, Personalization, Information, Training, Tools, and Open discussion.

Introducing the Mellorater-The Five Domains Model in a Welfare Monitoring App for Animal Guardians

When monitoring an animal's welfare, it helps to have comprehensive and day-to-day information about the animal's life. The goal is to ensure that animal guardians (carers, keepers, and owners) use such information to act in the animals' best interests. This article introduces the Mellorater, an animal welfare monitoring app based on the 2020 Five Domains Model. This framework provides a means of capturing comprehensive information about the world in which individual animals exist. The Mellorater asks animal guardians to rate their agreement with 18 statements covering any focal animal's nutrition, environment, health, and behavioural interactions using a five-point Likert scale. No specialist training is required other than following straightforward instructions on using the app, which are provided. The Mellorater is not proposed as a validated welfare auditing tool because it relies on reflective self-reporting and, thus, is vulnerable to the user's subjectivity. If users' subjectivity is stable over time, then the longitudinal data may be considered useful proxies for trends in quality of life. That said, it has the potential to be used by trained auditors if scientifically validated, species-specific indicators are applied. The Mellorater collects anonymous data and has been approved for a study to explore how the use of such scales may differ among guardians of different species and in different contexts. In this paper, we conduct the following: (1) summarise the app's purposes; (2) clarify its capabilities and limitations; and (3) invite animal welfare scholars, veterinarians, health and welfare professionals, and animal guardians to use it.

Life with pets study: lower income veterinary clients' perception of pets' quality of life

Perception of quality of life for cats and dogs of low-income Spanish and English-speaking veterinary clients attending problem focused or routine veterinary visits is an important area of focus for community based veterinary service providers. Using a qualitative approach, 50 New York City based American Society for the Prevention of Cruelty to Animals (ASPCA) veterinary clients completed semi-structured interviews as well as a survey about their perception of life with their pets. Veterinary clients shared both human-animal bond (HAB) related and quality of life (QoL) related factors in their daily experience of life with their pets. Results indicated that this demographic perceives QoL similarly to previous QoL research that either does not report sample demographics or reports sample demographics with more affluence. Moreover, 60% of qualitative excerpts included both HAB and QoL themes and 40% were discretely HAB or QoL. An analog single item 10-point scale measuring veterinary client perception of their pets QoL did not differentiate between sample demographics at a statistically significant level. Finally, pet QoL literature has not traditionally reflected diverse demographic identities of veterinary clients or widely included reliable and valid measures of the human-animal bond (HAB). These results support the importance of measuring the HAB when researching pet QoL and provide evidence that lower-income Spanish and English-speaking veterinary clients are similarly bonded and attentive to their pets as other demographics.

The Associations between Human-Companion Animal Relationship Duration, Companion Animal Life Stage, and Relationship Quality

Although many companion animal (or "pet") owners report that their relationships with their pets are important, we know little about how animal ownership duration and animal life stage are related to relationship quality. In a sample of 1303 dog and cat owners, the present research explored the associations between relationship duration, pet life stage (puppy/kitten, young adult, mature adult, and senior), and four markers of relationship quality: pet-related self-expansion, perceived pet responsiveness, perceived pet insensitivity, and human-animal bond. We found that relationship duration was negatively and linearly associated with self-expansion for both dog and cat owners. Results comparing relationship quality markers across pet life stages revealed that for both dog and cat owners, self-expansion was higher for owners of younger animals compared to owners of older animals. There were no significant effects for perceived pet responsiveness, perceived pet insensitivity, or human-animal bond based on relationship duration or animal life stage. These findings indicate that the duration of the relationship with one's pet and animal life stage have implications for how much people feel a pet helps them grow, whereas other markers of human-pet relationship quality likely vary based on other experiences.

Guardians' perceptions of caring for a dog with canine cognitive dysfunction

BACKGROUND

Canine cognitive dysfunction (CCD) is a neurodegenerative disease that is difficult to diagnose, as its clinical signs are similar to those of other age-related conditions. The experience of caring for a senior dog with or without CCD is not well described.

METHODS

Data were collected via an online survey. Using a mixed methods design, the level of CCD and burden of care were measured using validated tools, and open-ended questions gathered qualitative data. A general linear model showed the factors associated with guardian burden of care.

RESULTS

Sixteen percent of guardians experienced a clinically significant burden of care. Factors associated with burden of care included severity of CCD, sleep location, guardian employment, household size, dog age, guardian age and the dog taking medication. Few dogs with CCD were prescribed CCD medications to ameliorate clinical signs. Euthanasia, strong attachment mitigating burden and the complexities of caregiving were themes presented by guardians.

LIMITATIONS

Measures are based on self-reports and as such the usual limitations apply.

CONCLUSIONS

The burden of caring for an older dog is greater if they have CCD. More attention to the treatment of senior dogs, including medications to reduce clinical signs of CCD, could improve the welfare of older dogs and decrease the clinical burden experienced by guardians.

Assessing the Quality of Life of Dogs with Inflammatory Bowel Disease and Their Owners

The aim of the study was to assess the quality of life (QoL) of dogs with inflammatory bowel disease (IBD) and the impact on the life and relationship of the owner. An online questionnaire based on a Likert scale score (1-10) was designed to assess items related to dog QoL, owner QoL, and the owner-dog relationship. Responses from 110 dog owners (30 with IBD and 80 healthy dogs) were included in the study. IBD dogs had significantly lower overall QoL (p < 0.001), health (p < 0.0001), and level of activity (p = 0.049). Owners of dogs with IBD reported lower overall QoL (p < 0.001). The scores for how their dog's QoL might affect their own QoL (p = 0.028), how much their dog limited their social life, leisure time, or daily activities (p = 0.015), and how often they felt burdened by caring for their dog (p = 0.006) were significantly higher in the IBD group when compared to the healthy group. In addition, IBD dog owners were more likely to see their dogs as children (p = 0.0004). IBD has a negative impact on affected dogs and their owners regardless of the severity of the disease.

Euthanasia and Pain in Canine Patients with Terminal and Chronic-Degenerative Diseases: Ethical and Legal Aspects

Euthanasia is commonly performed in veterinary medicine to humanely induce the death of an animal when its quality of life is affected by pain or chronic degenerative diseases. The choice of euthanasia is a bilateral decision that represents a challenge for both the veterinarian and the owner of the animal due to the close emotional human-animal bond. Currently, there is legislation that can orient veterinarians concerning euthanasia and the causes that would justify this resolution. However, it is still controversial, and deciding it as the last available resort requires considering it from a medical, legal, and moral perspective. Therefore, this review aims to explore the ethical and legal implications of euthanasia in canine patients. It will analyze the reason that can justify euthanasia in animals with pain or terminal and chronic degenerative diseases, highlighting the importance of effective communication, ethical knowledge, and consideration of euthanasia as a multimodal resolution.

Caregiver burden in cat owners: a cross-sectional observational study

OBJECTIVES

Caregiver burden has been found in owners of seriously ill pets; however, research to date has been heavily represented by dog owners. Prior caregiver burden work has neither intentionally focused on cat owners nor been appropriately powered to examine differences in owners of cats relative to owners of dogs. We expected that owners of an ill cat would exhibit greater caregiver burden than owners of a healthy cat but lower burden than owners of an ill dog.

METHODS

A cross-sectional online assessment of caregiver burden was completed by 1085 pet owners through a pet demographic audience platform, including 333 owners reporting on a cat with current illness, 492 owners of a healthy cat and 260 owners of dogs with a current illness.

RESULTS

Owners of an ill cat, examined across all illnesses represented, had greater burden (P <0.001) than the owners of a healthy cat and somewhat lower burden (P = 0.013) than owners of an ill dog.

CONCLUSIONS AND RELEVANCE

Caregiver burden is present in owners of an ill cat and may differ from that of dog owners. Future work is needed to determine the reasons underlying this difference between species. Given that restricted sample sizes precluded examination across specific conditions, it will also be important to determine whether particular diseases yield greater burden in cat owners relative to dog owners.

Dogs and the Good Life: A Cross-Sectional Study of the Association Between the Dog–Owner Relationship and Owner Mental Wellbeing

Dog ownership is believed to benefit owner wellbeing but, contrary to popular belief, there is limited evidence to suggest that simply owning a dog is associated with improved mental health. This mixed-methods study investigates whether dog owners with stronger relationships with their dogs experience better mental health. Participants (n = 1,693, adult United Kingdom dog owners) completed an online survey. Owners’ health was measured using the validated PROMIS questions regarding depression, anxiety, emotional support, and companionship. The dog–owner relationship was measured using the validated MDORS scale, which has three subscales: interaction, emotional closeness, and perceived costs. Univariable and multivariable linear regression analyses were conducted, adjusting for confounding factors. Additionally, positive and negative impacts of dog ownership on mental wellbeing were coded from open questions using thematic analysis. A stronger dog–owner relationship was associated with greater feelings of emotional support and companionship but poorer mental health in terms of anxiety or depression. However, the perceived costs (burden) subscale was consistently associated with better mental health outcomes. Direction of causality cannot be inferred as people with poor mental health may acquire dogs to help relieve symptoms, which qualitative analysis supported. Key themes included positive impacts on owner wellbeing and happiness through providing purpose, companionship and self-acceptance, pleasure and distraction, as well as lessening emotional pain and suffering and reducing risk behaviors. However, negative impacts of a strong relationship include anticipatory grief over loss of the dog, and concerns regarding the burden of responsibility and ability to meet dog’s needs. Perceived ability to adequately meet dog’s needs promoted personal growth and positive relationships with others, whereas perceived inability led to feelings of guilt, or anger/frustration, and reduced autonomy and sense of environmental mastery. Dog ownership contributes to both hedonic and eudaimonic wellbeing in multiple ways, including supporting owners through periods of poor mental health and providing purpose. However, the burden of responsibility and owner and dog characteristics can create challenges, and owners may benefit from support in caring for their dogs and reducing problematic behaviors.