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Wallis LJ, Radford AD, Belshaw Z, Jackson J, Kubinyi E, German AJ, Westgarth C. Cross-sectional United Kingdom surveys demonstrate that owners and veterinary professionals differ in their perceptions of preventive and treatment healthcare needs in ageing dogs. Front Vet Sci 2024; 11:1358480. [PMID: 38638642 PMCID: PMC11024473 DOI: 10.3389/fvets.2024.1358480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 03/12/2024] [Indexed: 04/20/2024] Open
Abstract
Perceptions of dog owners and veterinary professionals (surgeons/nurses) can influence the preventive healthcare and treatment provided to dogs, especially at the senior life-stage, when chronic diseases become more common. This study compared perceptions of healthcare of dogs as they age between dog owners and veterinary professionals. Data from two online surveys (owners: N = 633, veterinary professionals: N = 305) examined perceived need for veterinary visits and vaccinations. In addition, 48 clinical signs were rated on perceived prevalence (whether owners' dogs had experienced them) and how urgently they should seek veterinary advice. Groups were compared using descriptive statistics and chi-square. Owners most often believed a 'healthy' senior dog (>7 years) should go to the vet once a year (47% owners vs. 25% veterinary professionals, p < 0.001), compared with veterinary professionals every 6 months (39 vs. 73%). A minority (14%) of owners would just take the dog 'if they got sick' but only 2% of veterinary professionals advised this, and 16% of owners of dogs of all ages had not had any contact with their veterinary practise in the previous year. Nearly all veterinary professionals (92%) believed that senior/geriatric dogs should receive yearly vaccinations. However, 28% of owners' dogs of all ages were not vaccinated in the previous year and, of these, 33% did not believe that older dogs need vaccinations. Only 10% of dogs considered 'old' by their owners had attended a senior wellness clinic or examination, despite 14% of practises offering them. The three most common clinical signs reported by owners were slowing down on walks (57%), dental tartar (53%) and being stiff on rising (50%). Owners perceived urgency to seek veterinary care was lower if they had experienced the clinical sign before. In the current study, dog owners and veterinary professionals differed in their opinions about the need for veterinary care, suggesting new educational initiatives, and more effective communication is required.
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Affiliation(s)
- Lisa J. Wallis
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom
- Department of Ethology, ELTE Eotvos Lorand University, Budapest, Hungary
| | - Alan D. Radford
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom
| | - Zoe Belshaw
- EviVet Research Consultancy, Nottingham, United Kingdom
| | - Jodie Jackson
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom
| | - Eniko Kubinyi
- Department of Ethology, ELTE Eotvos Lorand University, Budapest, Hungary
- MTA-ELTE Lendület “Momentum” Companion Animal Research Group, ELTE Eotvos Lorand University, Budapest, Hungary
| | - Alexander J. German
- Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom
| | - Carri Westgarth
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom
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Higham LE, Halfacree ZJ, Stonehewer J, Black DH, Ravetz G, Moran D, Boden L, Oxtoby C. Sustainability policies and practices at veterinary centres in the UK and Republic of Ireland. Vet Rec 2023; 193:e2998. [PMID: 37227247 DOI: 10.1002/vetr.2998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 04/01/2023] [Accepted: 04/14/2023] [Indexed: 05/26/2023]
Abstract
BACKGROUND Veterinary professionals operate at the human-animal-environment interface and are concerned about sustainability issues. This study examined the extent to which sustainability is represented in policy and enacted in veterinary practice settings, as reported by practice representatives. METHODS An online survey was completed by 392 veterinary centre representatives in the UK and Republic of Ireland to identify existing policies and practices around the environmental impacts of veterinary services and animal husbandry, responsible medicine use, animal welfare and social wellbeing. RESULTS A minority of respondents were aware of an environmental policy at their practice (17%, 68/392). Many others were undertaking waste reduction initiatives, but wider environmental interventions were infrequently reported. The majority were aware of medicine stewardship and animal welfare policies or guidelines, but a minority reported social wellbeing policies (40%, 117/289) and the provision of advice to clients on the environmental impacts of animal husbandry (31%, 92/300). LIMITATIONS The bias arising from the small convenience sample of practice representatives and potential discrepancies between the claims of survey respondents and their practices' policies and activities are acknowledged. CONCLUSION Results depict a value-action gap between the concern of veterinary professionals towards sustainability and the policies and practices at their workplaces. Building on progress in the sector, wider adoption of comprehensive policies and practices, with guidance, could enhance veterinary contributions to the sustainability agenda, in particular to mitigate the environmental externalities of veterinary services and animal care and ensure safe, fair and inclusive workplaces.
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Affiliation(s)
- Laura E Higham
- Vet Sustain, Carlisle, UK
- Global Academy of Agriculture and Food Systems, Royal (Dick) School of Veterinary Studies, Easter Bush Campus, Midlothian, UK
| | | | | | - David H Black
- Vet Sustain, Carlisle, UK
- The Veterinary Defence Society, Knutsford, UK
| | - Gudrun Ravetz
- Vet Sustain, Carlisle, UK
- The Veterinary Defence Society, Knutsford, UK
| | - Dominic Moran
- Global Academy of Agriculture and Food Systems, Royal (Dick) School of Veterinary Studies, Easter Bush Campus, Midlothian, UK
| | - Lisa Boden
- Global Academy of Agriculture and Food Systems, Royal (Dick) School of Veterinary Studies, Easter Bush Campus, Midlothian, UK
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Wallis LJ, Radford AD, Belshaw Z, Jackson J, Kubinyi E, German AJ, Westgarth C. "Just old age" - a qualitative investigation of owner and veterinary professional experiences of and attitudes to ageing in dogs in the UK. J Small Anim Pract 2023; 64:425-433. [PMID: 36971187 DOI: 10.1111/jsap.13610] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 01/30/2023] [Accepted: 03/05/2023] [Indexed: 02/07/2024]
Abstract
OBJECTIVES Many UK dogs live into old age, but owners may not recognise or report age-associated signs of disease which lead to negative welfare. This study investigated dog owner and veterinary professional experiences and attitudes towards ageing in dogs, how health care is offered, barriers to its delivery, and some best-practice solutions. MATERIALS AND METHODS In-depth semi-structured interviews were conducted with 15 owners of 21 dogs (aged 8 to 17 years mean: 13) and 11 veterinary professional (eight veterinary surgeons, two nurses and one physiotherapist). Open-text responses from 61 dog owners were collected using an online survey. Transcripts and survey responses were inductively coded into themes. RESULTS Four themes were constructed: "just old age", barriers to care, trust in veterinary surgeons, and tools to improve health care. Age-related changes were mostly perceived as "just old age" by dog owners. Many dogs were no longer vaccinated and did not attend check-ups unless owners identified a problem. The greatest barriers to health care were finances (dog owners), owner awareness, willingness to act and consultation time (veterinary professionals). Trust in veterinary professionals was more likely when dog owner experienced continuity, prioritisation of care, clear communication and an accessible, knowledgeable and empathic veterinary professional. Participants suggested that senior health care and communication between dog owners and veterinary professionals could be improved through questionnaires, and evidence-based online information. CLINICAL SIGNIFICANCE Opportunities to educate owners on which clinical signs represent healthy or pathological ageing are being missed. Resources should be developed to guide on best-practice discussions in consultations, encourage more owners to recognise clinical signs and to seek and trust veterinary advice.
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Affiliation(s)
- L J Wallis
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
- Department of Ethology, ELTE Eotvos Lorand University, Budapest, Hungary
| | - A D Radford
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
| | | | - J Jackson
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
| | - E Kubinyi
- Department of Ethology, ELTE Eotvos Lorand University, Budapest, Hungary
- MTA-ELTE Lendület "Momentum" Companion Animal Research Group, Hungary
| | - A J German
- Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK
| | - C Westgarth
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
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Broadening the Veterinary Consultation: Dog Owners Want to Talk about More than Physical Health. Animals (Basel) 2023; 13:ani13030392. [PMID: 36766281 PMCID: PMC9913647 DOI: 10.3390/ani13030392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 01/06/2023] [Accepted: 01/18/2023] [Indexed: 01/26/2023] Open
Abstract
Few veterinary professionals use formal quality of life (QOL) assessment tools despite their recommendation from veterinary governing bodies to enable holistic welfare assessments and target welfare improvement strategies. Perceived barriers include resistance from owners, and this study aimed to elucidate understanding of dog owner engagement with conversations and tools relating to QOL. An online survey that investigated owner experience, comfort, and opinions about vet-client discussions on topics connected to canine health and well-being, including QOL, was completed by 410 owners. Almost all owners (95.8%) were reportedly comfortable discussing QOL, yet only 32% reported their vets had addressed it. A high proportion of owners (70.8%) expressed interest in assessment tools, but only 4.4% had experienced one, none of which were QOL tools per se. Semi-structured interviews of a sub-set of four owners provided a more in-depth examination of their experience of a health and well-being assessment tool. Thematic analysis generated three themes: 'Use of assessment tools supports client-vet relationship and empowers owners', 'Owners want to talk about holistic dog care', and 'Owner feelings on the wider application of assessment tools'. Overall, our findings suggest that owners want to broaden the veterinary consultation conversation to discuss QOL and are interested in using tools, and therefore veterinary perceptions of owner-related barriers to tool application appear unfounded. Indeed, tool uptake appears to improve the vet-client relationship and boost owner confidence.
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Jęczmyk A, Uglis J, Steppa R. Can Animals Be the Key to the Development of Tourism: A Case Study of Livestock in Agritourism. Animals (Basel) 2021; 11:ani11082357. [PMID: 34438814 PMCID: PMC8388776 DOI: 10.3390/ani11082357] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 08/02/2021] [Accepted: 08/04/2021] [Indexed: 11/28/2022] Open
Abstract
Simple Summary Animals are an integral and important part of human life. It is clear that when traveling, tourists often choose places where animals are present. They look for places with wild animals more often. Our article introduces issues concerning the role of farm animals in the creation of agritourism products and the prospects of using animals in agritourism. On the one hand, farm animals are an additional source for people who run agritourism farms and make the stay of tourists in rural areas more attractive. The presence of livestock acts as a magnet, attracting more tourists to these farms and achieving higher returns on agritourism activities. However, among the reasons for the lack of contact with animals in agritourism offerings, farmers indicated: the lack of financial resources and the lack of conditions to provide the animals with adequate maintenance. It is worth introducing farm animals as a tourist attraction in agritourism offerings. Abstract Animals are an integral part of human life. Currently, they constitute a relevant factor contributing to the tourist experiences of individuals travelling for tourist purposes. Domestic (farm) animals constitute a tourist attraction, are a source of income for individuals running agritourism farms, and render the tourists’ stay in rural areas more attractive. It is important to maintain the welfare of livestock based on principles of sustainability. The authors conducted research among agritourism providers in Wielkopolska Voivodeship. The aim of the survey was to determine whether agritourism farms keep livestock, what species they are, and whether they are important in building an agritourism product and what the prospects are for using animals in agritourism. A questionnaire was used for the study. The use of a variety of animal species facilitates the maintenance of biodiversity on the farm. Our research shows that 57.3% of the analysed agritourism providers included animals. Additionally, we discovered that the presence of livestock acts as a magnet that draws more tourists towards the individuals running agritourism farms and thus causes them to obtain higher profit from the agritourism business. According to the surveyed individuals, the most influential reason for the absence of livestock on their farms was the lack of financial resources and conditions to provide the animals with proper maintenance. Such findings may prompt the introduction of livestock as a tourist attraction in agritourism in other regions.
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Springer S, Sandøe P, Grimm H, Corr SA, Kristensen AT, Lund TB. Managing conflicting ethical concerns in modern small animal practice-A comparative study of veterinarian's decision ethics in Austria, Denmark and the UK. PLoS One 2021; 16:e0253420. [PMID: 34143850 PMCID: PMC8213188 DOI: 10.1371/journal.pone.0253420] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 06/07/2021] [Indexed: 12/27/2022] Open
Abstract
Small animal veterinarians frequently have to manage conflicting interests. Beside the key consideration of the patient’s interests, small animal veterinarians are often challenged to consider not only client’s emotional needs, but also their own personal aspirations to provide quality patient care and to make a good living as a professional. Further, veterinarians have an interest in continuous professional development and the use of the newest treatments, which may influence their decision-making process. Based on published work, we hypothesize the existence of four decision ethics orientations that veterinarians can use to manage potentially conflicting concerns. These are: the patient-focused, the client-empathetic, the client-devolved and the development-oriented decision ethics orientations. We surveyed small animal veterinarians in Austria, Denmark, and the UK using a questionnaire (N = 648), and successfully identified the four decision ethics orientations in all three countries. The patient-focused and client-empathetic decision ethics orientations are salient in all countries, whereas Danish and UK veterinarians are slightly more client-empathetic and client-devolved compared to their Austrian colleagues. Across countries our findings show that experienced and older veterinarians tend to be more client-empathetic. Younger and less experienced professionals are more development-oriented compared to their older and more experienced colleagues. In contrast to other studies investigating ethical issues in small animal practice, we found no evidence that gender plays a decisive role in the tendency towards any decision ethics orientation. We also show that veterinarians with a higher client-empathetic orientation and development-orientation more often discuss the possibility of health insurance with clients who do not have it. The present study provides a first empirical insight into how veterinarians manage challenging expectations and ethical concerns as part of decision making in modern small animal practice.
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Affiliation(s)
- Svenja Springer
- Unit of Ethics and Human-Animal Studies, Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University of Vienna, University of Vienna, Vienna, Austria
- Department of Food and Resource Economics, University of Copenhagen, Frederiksberg, Denmark
- * E-mail:
| | - Peter Sandøe
- Department of Food and Resource Economics, University of Copenhagen, Frederiksberg, Denmark
- Department of Veterinary and Animal Science, University of Copenhagen, Frederiksberg, Denmark
| | - Herwig Grimm
- Unit of Ethics and Human-Animal Studies, Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University of Vienna, University of Vienna, Vienna, Austria
| | - Sandra A. Corr
- Division of Small Animal Clinical Sciences, School of Veterinary Medicine, University of Glasgow, Glasgow, Scotland
| | - Annemarie T. Kristensen
- Department of Veterinary Clinical Science, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Thomas Bøker Lund
- Department of Food and Resource Economics, University of Copenhagen, Frederiksberg, Denmark
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Aldewereld CM, Monninkhof EM, Kroese FM, de Ridder DTD, Nielen M, Corbee RJ. Discussing overweight in dogs during a regular consultation in general practice in the Netherlands. J Anim Physiol Anim Nutr (Berl) 2021; 105 Suppl 1:56-64. [PMID: 34143535 PMCID: PMC8519133 DOI: 10.1111/jpn.13558] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
In previous studies, it has been demonstrated that, similar to general practitioners, veterinarians find it difficult to discuss overweight in dogs. This study aimed to provide insight in the barriers and motivators for veterinarians to discuss overweight in dogs and to compare the results with findings from human medicine. Sub‐hypotheses were postulated based on existing literature to investigate if lack of time, fear of offending clients, or lack of skills were potential barriers, and if feeling responsible and feeling compassion were potential motivators for veterinarians to discuss overweight in dogs. To this end, an online survey (n = 59) was conducted. Furthermore, 15 small animal clinicians working in general practice were interviewed by semi‐structured face‐to‐face interviews. Results from the online survey indicated that veterinarians find it sometimes difficult to discuss overweight in dogs. Veterinarians who responded to the online survey did not experience strong barriers but did make use of motivators (e.g. feeling responsible and feeling compassion) when discussing overweight in dogs. Interestingly, results from the semi‐structured face‐to‐face interviews showed that the responding veterinarians did experience strong barriers, as well as motivators, when discussing overweight in dogs with their clients. The most prominent barrier was customer dissatisfaction, whereas lack of time and lack of skills were also experienced. The most prominent motivator was feeling responsible for animal health and preventive veterinary medicine. These findings were strikingly similar to previous research on discussing childhood overweight by general practitioners. To improve treatment and prevention of overweight in dogs, veterinarians need more communication skills and should be more aware of the motivators that drive their self‐motivation. Improving awareness on overweight and its comorbidities should be a One Health issue.
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Affiliation(s)
- Celine M Aldewereld
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands
| | - Evelyn M Monninkhof
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Floor M Kroese
- Social, Health and Organizational Psychology, Utrecht University, Utrecht, The Netherlands
| | - Denise T D de Ridder
- Social, Health and Organizational Psychology, Utrecht University, Utrecht, The Netherlands
| | - Mirjam Nielen
- Department of Population Health Sciences, Faculty of veterinary medicine, Utrecht University, Utrecht, The Netherlands
| | - Ronald J Corbee
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands
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Evason M, McGrath M, Stull J. Companion animal preventive care at a veterinary teaching hospital - Knowledge, attitudes, and practices of clients. THE CANADIAN VETERINARY JOURNAL = LA REVUE VETERINAIRE CANADIENNE 2021; 62:484-490. [PMID: 33967287 PMCID: PMC8048202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Preventive care is the cornerstone of health. However, veterinary staff to client (pet owner) communication of disease prevention may be limited resulting in increased pet risk. Our objectives were to evaluate knowledge, attitudes, and practices of clients regarding vaccination and parasite control and describe information sources influencing client preventive care. Over a 6-week period, clients visiting a veterinary teaching hospital in Prince Edward Island, Canada, were invited to complete a written questionnaire. Of those invited, 81% (105/129) completed the questionnaire. Respondents reported low (19 to 33%) to moderate (66 to 79%) coverage for canine "lifestyle" and core vaccines, respectively. Half of the participants reported that they had concern for their pet's health from endo/ectoparasites compared to concern for their/household member's health (27%), despite 45% reporting a person at increased zoonotic risk in their household. Veterinarians (89 to 92%) and online information (39 to 51%) were the highest client-reported resources for vaccine and parasite education. Our work provides a baseline for preventive care practices and highlights a need for improvement.
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Affiliation(s)
- Michelle Evason
- Department of Companion Animals (Evason, McGrath) and Department of Health Management (Stull), Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island. Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, Ontario (Evason)
| | - Melissa McGrath
- Department of Companion Animals (Evason, McGrath) and Department of Health Management (Stull), Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island. Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, Ontario (Evason)
| | - Jason Stull
- Department of Companion Animals (Evason, McGrath) and Department of Health Management (Stull), Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island. Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, Ontario (Evason)
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Wensley S, Betton V, Gosschalk K, Hooker R, Main DCJ, Martin N, Tipton E. Driving evidence-based improvements for the UK's 'Stressed. Lonely. Overweight. Bored. Aggressive. Misunderstood…but loved' companion animals. Vet Rec 2021; 189:e7. [PMID: 33818804 DOI: 10.1002/vetr.7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 09/03/2020] [Accepted: 11/09/2020] [Indexed: 02/02/2023]
Abstract
BACKGROUND The Five Welfare Needs in UK animal welfare legislation underpin a legal duty of care and are an animal welfare assessment framework. Health and welfare problems arise when these needs are unmet. The veterinary professions work with others to address these problems, but there is no publicly funded U.K. companion animal welfare surveillance to identify priorities, or promote and monitor change. METHODS The veterinary charity, the People's Dispensary for Sick Animals (PDSA), together with the market research organisation, YouGov, has undertaken a longitudinal nationwide survey, assessing whether the U.K's pet dogs, cats and rabbits are having their Five Welfare Needs met. Data from nationally representative samples of pet-owning adults, drawn from YouGov's online survey panel, have been used to produce the PDSA Animal Wellbeing (PAW) Report annually since 2011. RESULTS Examples are given of how the PAW Report has been used to monitor trends in animal welfare problems, drive collaborative behaviour change campaigns, create evidence-based funding applications and inspire innovation in veterinary practice. CONCLUSION The PAW Report has contributed to closing a gap in national companion animal welfare surveillance. When governments rely on non-governmental organisations to assist with animal welfare surveillance, reliable sources such as the PAW Report can inform research, policy and legislation.
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Affiliation(s)
| | | | | | | | - David C J Main
- School of Agriculture, Food and Environment, Royal Agricultural University, Cirencester, UK
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Janke N, Coe JB, Bernardo TM, Dewey CE, Stone EA. Pet owners' and veterinarians' perceptions of information exchange and clinical decision-making in companion animal practice. PLoS One 2021; 16:e0245632. [PMID: 33524061 PMCID: PMC7850489 DOI: 10.1371/journal.pone.0245632] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 01/04/2021] [Indexed: 11/18/2022] Open
Abstract
One of the most complex aspects of the veterinarian-client-patient interaction is the clinical decision-making process. Research suggests that the approach to communication used by veterinarians can impact veterinary clients’ involvement in the decision-making process and their ultimate satisfaction. Using different approaches to the decision-making process may affect how information is exchanged and consequently how decisions are made. The objective of this study was to determine pet owners’ expectations with respect to information exchange and decision-making during veterinarian-client-patient interactions and to compare veterinarians’ perceptions of those expectations and the challenges they face in meeting them. Five pet owner focus groups (27 owners) and three veterinarian focus groups (24 veterinarians) were conducted with standardized open-ended questions and follow-up probes. Thematic analysis of the transcribed data was conducted to identify trends and patterns that emerged during the focus groups. Three pet owner-based themes were identified: 1) understanding the client; 2) providing information suitable for the client; and 3) decision-making. In addition, three barriers for veterinarians affecting information exchange and decision-making were identified: 1) time constraints; 2) involvement of multiple clients; and 3) language barriers. Results suggest that pet owners expect to be supported by their veterinarian to make informed decisions by understanding the client’s current knowledge, tailoring information and educating clients about their options. Breakdowns in the information exchange process can impact pet owners’ perceptions of veterinarians’ motivations. Pet owners’ emphasis on partnership suggests that a collaborative approach between veterinarians and clients may improve client satisfaction.
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Affiliation(s)
- Natasha Janke
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
- * E-mail:
| | - Jason B. Coe
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
| | - Theresa M. Bernardo
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
| | - Cate E. Dewey
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
| | - Elizabeth A. Stone
- Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
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Could it be osteoarthritis? How dog owners and veterinary surgeons describe identifying canine osteoarthritis in a general practice setting. Prev Vet Med 2020; 185:105198. [PMID: 33227581 PMCID: PMC7755036 DOI: 10.1016/j.prevetmed.2020.105198] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 10/28/2020] [Accepted: 10/30/2020] [Indexed: 02/07/2023]
Abstract
Owners describe a range of early behavioural indicators of canine osteoarthritis. Their beliefs and prior knowledge may impact when and how they seek advice. Vets in general practice describe a common “typical osteoarthritis” presentation. History, examination and trial treatment are used to diagnose osteoarthritis. Vets and owners may find osteoarthritis consultations frustrating and unrewarding.
Canine osteoarthritis is a common, painful condition that is typically managed in a general practice setting. Osteoarthritis may have significant negative impacts on the welfare of both dogs and their owners. Anticipated early clinical signs of canine osteoarthritis and the preferred route to its diagnosis are well described by veterinary subject experts in published literature. However, little is known about changes owners first recognise in a dog ultimately diagnosed with osteoarthritis, how they make decisions about when to present that dog to a general practitioner, or whether the described diagnostic pathways are followed by general practitioners. The aim of this research was to investigate how dog owners and veterinary surgeons describe identifying and diagnosing canine osteoarthritis. Owners of osteoarthritic dogs were recruited for semi-structured interview, and veterinary surgeons working in general practice were invited to take part in practice-based focus groups. Transcripts from both datasets were thematically analysed using a contextualist epistemology with an ontology based on critical realism to construct convergent themes from latent and semantic codes. Thirty-two interviews were completed with 40 owners from 32 households who discussed 35 dogs with osteoarthritis, and 26 veterinary surgeons engaged in four practice-based focus groups. Owners described identifying a wide range of acute and chronic, typically subtle and intermittent, behavioural and demeanour changes prior to their dogs’ osteoarthritis diagnosis. Few attributed these changes to canine osteoarthritis, and some waited many months before presenting their dog to a veterinary practice. Veterinary surgeons described a consistent ‘typical osteoarthritis’ presentation that they recognised through history taking and clinical examination. Their diagnostic work-up rarely followed that advocated by subject experts for reasons including lack of time and perceptions that it would not change the outcome. Many veterinary surgeons described frustration that some owners did not accept their recommendations to provide analgesia for affected dogs. Short consultation lengths, poor awareness of owner knowledge levels, and lack of recognition of the importance of owners’ prior knowledge, beliefs and assumptions may contribute to these consultations being perceived as challenging by some veterinary surgeons and owners. This research demonstrates that veterinary surgeons and owners want dogs with clinical signs of osteoarthritis to be happy and comfortable, but that ineffective communication and lack of trust in the consulting room may be a barrier. Our data identifies many new avenues for future research and improved communication strategies that could facilitate earlier identification and treatment of canine osteoarthritis in general practice.
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Eschle S, Hartmann K, Rieger A, Fischer S, Klima A, Bergmann M. Canine vaccination in Germany: A survey of owner attitudes and compliance. PLoS One 2020; 15:e0238371. [PMID: 32853287 PMCID: PMC7451643 DOI: 10.1371/journal.pone.0238371] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 08/15/2020] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND Vaccination is the most important preventive measure for protection against infectious diseases in humans and companion animals. Nevertheless, scepticism about the safety and importance of vaccines is increasing in human and in veterinary medicine. Although owner attitudes towards vaccination have been investigated in cats, there are no similar studies in dogs. The goals of this study were therefore to investigate the vaccination status of dogs in Germany, to determine owner compliance with vaccination and to identify factors that play a role in owners' decisions to have their dogs vaccinated. METHODS Data were collected from August 2018 to February 2019 using an online survey targeting dog owners in Germany. A total of 3,881 questionnaires were evaluated, and factors associated with the vaccination status of dogs were determined by a linear logistic regression model using Akaike information criterion. Cohen's kappa statistic was used to evaluate agreement between questionnaire and 340 vaccination passports submitted voluntarily by owners. RESULTS A total of 46.8% (n = 1,818/3,881) of dogs were vaccinated with core vaccines according to current guidelines with the lowest vaccination rate for leptospirosis (50.1%; n = 1,941/3,874). Dog's age (16 weeks to 15 months) (odds ratio (OR): 3.08; 95% CI: 2.05-4.68), type (working dog) (OR: 2.06; 95% CI: 1.22-3.53) and travelling abroad within previous 36 months (OR: 1.82; 95% CI: 1.12-2.96) had the strongest 'positive' association with the vaccination status. Recommendation from a veterinarian not to vaccinate against leptospirosis had the strongest 'negative' association (OR: 0.08; 95% CI: 0.04-0.18). CONCLUSION The study revealed a need for improvement in vaccination compliance because of inadequate vaccination coverage, especially for leptospirosis, in dogs. Factors influencing owner compliance were numerous. Vaccination recommendations made by the veterinarian had a strong association with the vaccination status and should be used to increase canine vaccination rates.
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Affiliation(s)
- Simone Eschle
- Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-University Munich, Munich, Bavaria, Germany
- * E-mail:
| | - Katrin Hartmann
- Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-University Munich, Munich, Bavaria, Germany
| | - Anna Rieger
- Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-University Munich, Munich, Bavaria, Germany
| | - Sebastian Fischer
- Department of Statistics, Ludwig-Maximilians-University Munich, Munich, Bavaria, Germany
| | - André Klima
- Department of Statistics, Ludwig-Maximilians-University Munich, Munich, Bavaria, Germany
| | - Michèle Bergmann
- Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-University Munich, Munich, Bavaria, Germany
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13
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Belshaw Z, Dean R, Asher L. "You can be blind because of loving them so much": the impact on owners in the United Kingdom of living with a dog with osteoarthritis. BMC Vet Res 2020; 16:190. [PMID: 32527313 PMCID: PMC7291569 DOI: 10.1186/s12917-020-02404-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Accepted: 06/02/2020] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND There is growing awareness that caring for a chronically ill pet may have a detrimental impact on their owner's quality of life. Companion animal orthopaedic disease has received little research interest in this context. Canine osteoarthritis is known to negatively affect the welfare of many dogs in the United Kingdom, but its consequences for their owners has not previously been described. The aim of this study was to use a qualitative methodology to explore the impacts on a dog owner that occur following their dog's diagnosis with osteoarthritis. Owners of osteoarthritic dogs based in the United Kingdom (UK) were recruited through veterinary practices to participate in semi-structured interview about life with their dog. Interviews were transcribed verbatim and thematic analysis was used to construct key themes. This publication describes the theme that focused on the impact(s) that the dog's condition had had on the life of their owner. RESULTS Forty owners of 35 dogs of a range of breeds and ages were interviewed. A wide range of negative impacts on the physical, mental and financial health of owners were described. Few had any prior experience of canine osteoarthritis, and owners of young dogs appeared to be particularly affected by the diagnosis. Owners detailed increasing worry over time about their pet's condition, frequently combined with a growing need to physically assist their dog. Sometimes this led them to seek information about, and purchase, adjunctive therapies and products. The dog's reduced mobility and need for medications progressively limited their own lifestyles and ability to have time away from their pet. Owners typically described a strong bond with their dog as a motivator to provide ongoing care. CONCLUSIONS The negative impacts on owners of caring for an osteoarthritic dog appear multi-faceted and may be sustained over many years, particularly if the dog is young at diagnosis. Owners may be highly motivated to improve their dog's mobility and to reduce the impact the condition has on their own lives, yet they may be unsure how to achieve this. Veterinary professionals should inform and support these owners as much as possible.
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Affiliation(s)
- Zoe Belshaw
- PDSA Pet Hospital Nottingham, Dunkirk Road, Nottingham, NG7 2PH, UK.
| | - Rachel Dean
- VetPartners, Leeman House, Station Business Park, Holgate Park Drive, York, YO26 4GB, UK
| | - Lucy Asher
- School of Natural and Environmental Sciences, Newcastle University, Room 608, Agriculture Building, Kings Gate, Newcastle, NE1 7RU, UK
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14
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Fox PR, Keene BW, Lamb K, Schober KE, Chetboul V, Luis Fuentes V, Payne JR, Wess G, Hogan DF, Abbott JA, Häggström J, Culshaw G, Fine-Ferreira D, Cote E, Trehiou-Sechi E, Motsinger-Reif AA, Nakamura RK, Singh M, Ware WA, Riesen SC, Borgarelli M, Rush JE, Vollmar A, Lesser MB, Van Israel N, Lee PMS, Bulmer B, Santilli R, Bossbaly MJ, Quick N, Bussadori C, Bright J, Estrada AH, Ohad DG, Del Palacio MJF, Brayley JL, Schwartz DS, Gordon SG, Jung S, Bove CM, Brambilla PG, Moïse NS, Stauthammer C, Quintavalla C, Manczur F, Stepien RL, Mooney C, Hung YW, Lobetti R, Tamborini A, Oyama MA, Komolov A, Fujii Y, Pariaut R, Uechi M, Yukie Tachika Ohara V. Long-term incidence and risk of noncardiovascular and all-cause mortality in apparently healthy cats and cats with preclinical hypertrophic cardiomyopathy. J Vet Intern Med 2019; 33:2572-2586. [PMID: 31605422 PMCID: PMC6872868 DOI: 10.1111/jvim.15609] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Accepted: 08/20/2019] [Indexed: 01/08/2023] Open
Abstract
Background Epidemiologic knowledge regarding noncardiovascular and all‐cause mortality in apparently healthy cats (AH) and cats with preclinical hypertrophic cardiomyopathy (pHCM) is limited, hindering development of evidence‐based healthcare guidelines. Objectives To characterize/compare incidence rates, risk, and survival associated with noncardiovascular and all‐cause mortality in AH and pHCM cats. Animals A total of 1730 client‐owned cats (722 AH, 1008 pHCM) from 21 countries. Methods Retrospective, multicenter, longitudinal, cohort study. Long‐term health data were extracted by medical record review and owner/referring veterinarian interviews. Results Noncardiovascular death occurred in 534 (30.9%) of 1730 cats observed up to 15.2 years. Proportion of noncardiovascular death did not differ significantly between cats that at study enrollment were AH or had pHCM (P = .48). Cancer, chronic kidney disease, and conditions characterized by chronic weight‐loss‐vomiting‐diarrhea‐anorexia were the most frequently recorded noncardiovascular causes of death. Incidence rates/risk of noncardiac death increased with age in AH and pHCM. All‐cause death proportions were greater in pHCM than AH (65% versus 40%, respectively; P < .001) because of higher cardiovascular mortality in pHCM cats. Comparing AH with pHCM, median survival (study entry to noncardiovascular death) did not differ (AH, 9.8 years; pHCM, 8.6 years; P = .10), but all‐cause survival was significantly shorter in pHCM (P = .0001). Conclusions and Clinical Importance All‐cause mortality was significantly greater in pHCM cats due to disease burden contributed by increased cardiovascular death superimposed upon noncardiovascular death.
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Affiliation(s)
- Philip R Fox
- Animal Medical Center, New York, New York, U.S.A
| | - Bruce W Keene
- College of Veterinary Medicine, North Carolina State University, Department of Clinical Sciences, Raleigh, North Carolina, U.S.A
| | | | - Karsten E Schober
- Department of Veterinary Clinical Sciences, The Ohio State University, Columbus, Ohio, U.S.A
| | - Valérie Chetboul
- Alfort Cardiology Unit, École Nationale Vétérinaire d'Alfort, Maisons-Alfort Cedex, France
| | - Virginia Luis Fuentes
- Department of Veterinary Clinical Sciences and Services, Royal Veterinary College, Hatfield, United Kingdom
| | | | - Gerhard Wess
- Clinic of Small Animal Medicine, Ludwig-Maximillians University, Munich, Germany
| | - Daniel F Hogan
- Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana, U.S.A
| | - Jonathan A Abbott
- Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia, U.S.A
| | - Jens Häggström
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden
| | - Geoffrey Culshaw
- Division of Veterinary Clinical Sciences, R(D)SVS Hospital for Small Animals Easter Bush Veterinary Centre, The University of Edinburgh, Midlothian, United Kingdom
| | | | - Etienne Cote
- Atlantic Veterinary College, Univertisy of PEI-Department of Companion Animals, Charlottetown, Prince Edward Island, Canada
| | - Emilie Trehiou-Sechi
- École Nationale Vétérinaire d'Alfort, Cardiology Unit of Alfort-Université Paris-Est, Maisons-Alfort, France
| | | | - Reid K Nakamura
- Advanced Veterinary Care Center-Cardiology, Lawndale, California, U.S.A
| | - Manreet Singh
- Veterinary Cardiac Referrals-Cardiology, Sydney, New South Wales, Australia
| | - Wendy A Ware
- Department of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa, U.S.A
| | | | - Michele Borgarelli
- Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia, U.S.A
| | - John E Rush
- Department of Clinical Sciences, Tufts University Cummings School of Veterinary Medicine, North Grafton, Massachusetts, U.S.A
| | | | | | | | - Pamela Ming-Show Lee
- Department of Veterinary Clinical Sciences, Washington State University, Pullman, Washington, U.S.A
| | - Barret Bulmer
- Tufts Veterinary Emergency Treatment & Specialties, Walpole, Massachusetts, U.S.A
| | - Roberto Santilli
- Department of Cardiology, Clinica Veterinaria Malpensa, Varese, Italy
| | | | - Nadine Quick
- Ludwig-Maximilians-University Munich, Clinic of Small Animal Medicine, Munich, Germany
| | - Claudio Bussadori
- Department of Cardiology, Clinica Veterinaria Gran Sasso, Milano, Italy
| | - Janice Bright
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado, U.S.A
| | - Amara H Estrada
- Department of Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, Florida, U.S.A
| | - Dan G Ohad
- The Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel
| | | | | | - Denise S Schwartz
- School of Veterinary Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | - Sonya G Gordon
- Department of Small Animal Clinical Sciences, Texas A&M University, College Station, Texas, U.S.A
| | - SeungWoo Jung
- Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, Alabama, U.S.A
| | - Christina M Bove
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado, U.S.A
| | - Paola G Brambilla
- Department of Veterinary Medicine, University of Milan, Milan, Italy
| | - N Sydney Moïse
- Department of Clinical Sciences, Cornell University, Ithaca, New York, U.S.A
| | - Christopher Stauthammer
- Department of Veterinary Clinical Sciences, University of Minnesota, St. Paul, Minnesota, U.S.A
| | | | - Ferenc Manczur
- Department of Internal Medicine, University of Veterinary Medicine, Budapest, Hungary
| | - Rebecca L Stepien
- Department of Medical Sciences, University of Wisconsin Madison School of Veterinary Medicine, Madison, Wisconsin, U.S.A
| | - Carmel Mooney
- University College Dublin Veterinary Hospital, University College Dublin, Dublin, Ireland
| | | | - Remo Lobetti
- Bryanston Veterinary Hospital, Bryanston, South Africa
| | - Alice Tamborini
- Department of Small Animal Medicine, University College Veterinary Hospital, University College Dublin, Dublin, Ireland
| | - Mark A Oyama
- Department of Clinical Studies, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A
| | | | - Yoko Fujii
- Laboratory of Surgery 1, Azabu University, Sagamihara, Japan
| | - Romain Pariaut
- Department of Veterinary Clinical Sciences, Cornell University, Ithaca, New York, U.S.A
| | - Masami Uechi
- Jasmine Animal Cardiovascular Center, Yokohama, Japan
| | - Victoria Yukie Tachika Ohara
- Department of Medicine, Surgery and Zootechnics for Small Species, Universidad Nacional Autónoma de México, Mexico City, Mexico
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Improving the Welfare of Companion Dogs-Is Owner Education the Solution? Animals (Basel) 2019; 9:ani9090662. [PMID: 31500203 PMCID: PMC6770859 DOI: 10.3390/ani9090662] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 08/29/2019] [Accepted: 09/03/2019] [Indexed: 11/22/2022] Open
Abstract
Simple Summary The welfare of most dogs living in homes is largely unknown. However, national surveys carried out by animal welfare charities and findings by animal welfare researchers have shown significant deterioration in some key aspects of dog welfare. For example, more dogs presenting to vets with behavioural problems, obesity, and ill-health due to poor breeding practices. This means that some dogs are suffering due to their owners’ behaviours or ownership practices. Educating dog owners as to how best to look after their dogs is, and has been seen by many, as key to improving the welfare of dogs living in homes. However, the concept of education, the context in which it occurs, and the lack of systematic evaluation of the effectiveness of education interventions means that nobody really knows if this approach works. This paper explores these concepts and draws together a wide range of sources of information to highlight some of the complexities of improving dog welfare by educating owners. Abstract Vets, animal welfare charities, and researchers have frequently cited educating owners as a necessity for improving the welfare of companion dogs. The assumption that improving an owner’s knowledge through an education intervention subsequently results in improvements in the welfare of the dog appears reasonable. However, the complexity of dog welfare and dog ownership and the context in which these relationships occur is rapidly changing. Psychology has demonstrated that humans are complex, with values, attitudes, and beliefs influencing our behaviours as much as knowledge and understanding. Equally, the context in which we individuals and our dogs live is rapidly changing and responding to evolving societal and cultural norms. Therefore, we seek to understand education’s effectiveness as an approach to improving welfare through exploring and understanding these complexities, in conjunction with the relevant research from the disciplines of science education and communication. We argue that well designed and rigorously evaluated education interventions can play a part in the challenge of improving welfare, but that these may have limited scope, and welfare scientists could further consider extending cross-disciplinary, cross-boundary working, and research in order to improve the welfare of companion dogs.
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16
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Belshaw Z, Robinson NJ, Brennan ML, Dean RS. Developing practical recommendations for preventative healthcare consultations involving dogs and cats using a Delphi technique. Vet Rec 2019; 184:348. [PMID: 30765500 PMCID: PMC6589460 DOI: 10.1136/vr.104970] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 10/19/2018] [Accepted: 01/14/2019] [Indexed: 01/14/2023]
Abstract
Preventive healthcare is the focus of a large proportion of UK small animal veterinary consultations. The evidence base for how to optimise these consultations is limited. Therefore, evidence-based practical recommendations are needed for veterinary surgeons conducting these consultations. The aim of this study was to use an evidence-based methodology to develop the first consensus recommendations to improve dog and cat preventative healthcare consultations (PHCs). Evidence from multiple sources was systematically examined to generate a list of 18 recommendations. Veterinary surgeons and pet owners with extensive experience of PHCs were recruited to an anonymous panel to obtain consensus on whether these recommendations would improve PHCs. A Delphi technique was followed during three rounds of online questionnaire, with consensus set at 80 per cent agreement or disagreement with each recommendation. Thirteen of the original 18 recommendations reached consensus (>80per cent agreement), while the five remaining recommendations did not reach consensus. Globally, these are the first evidence-based recommendations developed specifically in relation to small animal general practice PHCs, generated via a Delphi panel including both veterinary surgeons and pet owners. Future work is needed to understand how these recommendations can be implemented in a range of veterinary practice settings.
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Affiliation(s)
- Zoe Belshaw
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK
| | - Natalie Jane Robinson
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK
| | - Marnie Louise Brennan
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK
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17
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Robinson NJ, Belshaw Z, Brennan ML, Dean RS. Measuring the success of canine and feline preventative healthcare consultations: A systematic review. Prev Vet Med 2018; 158:18-24. [PMID: 30220392 DOI: 10.1016/j.prevetmed.2018.07.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Revised: 06/20/2018] [Accepted: 07/04/2018] [Indexed: 11/28/2022]
Abstract
Preventative healthcare consultations account for a large proportion of the veterinary caseload. This novel study is the first to methodically review all literature on canine and feline preventative healthcare consultations. Previous research has found these consultations to be different from health problem consultations in terms of communication style and content. Identifying relevant evidence and previously validated methods of measuring the success of these consultations will be useful when implementing strategies for optimisation. The aim of this study was to identify and assess the quality of existing literature which describes and/or measures the success of preventative healthcare consultations. Database searches of CAB Abstracts and Medline were conducted to identify published literature. Google searches were then conducted to identify any additional published or grey literature. Results were systematically screened to determine whether the returned sources were about cats and/or dogs, whether they related to preventative healthcare, and whether they described and/or measured the success of preventative healthcare consultations. For primary research citations which only described preventative healthcare consultations, data were extracted on the aspects of the consultations described. For citations which additionally measured the success of the consultations, the measures used, sampling technique, key results and key weaknesses were also extracted. Of 17,538 citations identified in total during the database searches, a total of seven relevant primary research citations were identified. All of these citations described aspects of the preventative healthcare consultation, such as consultation length, health problems discussed, actions taken and communication style. Only one primary research citation measured success of the consultation, using veterinarian satisfaction to determine success. In addition, 30 narrative citations, including expert opinion pieces, textbooks, guidelines without transparent methodology and conference presentations were identified. Google searches identified 224 relevant narrative citations, and five of the seven primary research citations identified by the database searches, but did not identify any additional relevant primary research citations. The results suggest that, despite accounting for around a third of all consultations, there is relatively little evidence describing preventative healthcare consultations and only one measure of success has been described for these consultations. This presents potential challenges when implementing strategies to optimise these consultations, as measures which are useful and relevant to veterinary practice should first be identified. Identifying useful measures of success will allow future strategies designed to maximise the benefits of these consultations to be meaningfully assessed for efficacy.
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Affiliation(s)
- N J Robinson
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, The University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK.
| | - Z Belshaw
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, The University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - M L Brennan
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, The University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - R S Dean
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, The University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
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18
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Belshaw Z, Robinson NJ, Dean RS, Brennan ML. Owner and veterinary surgeon perspectives on the roles of veterinary nurses and receptionists in relation to small animal preventive healthcare consultations in the United Kingdom. Vet Rec 2018; 183:296. [PMID: 29973384 DOI: 10.1136/vr.104773] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Revised: 03/14/2018] [Accepted: 06/04/2018] [Indexed: 11/04/2022]
Abstract
Veterinary receptionists and veterinary nurses rarely feature in published practice-based research, yet are integral to small animal veterinary practice in the UK. The aim of this study was to investigate the perspectives of UK-based owners and veterinary surgeons about veterinary nurses and receptionists in relation to their role in preventive healthcare. Semistructured telephone interviews were conducted with 15 dog and cat owners and 14 veterinary surgeons. Interview transcripts were thematically analysed. Reception staff were identified as having a range of important roles, from rapport building to providing healthcare information and advice. The perceived importance of those roles appeared to differ between owners and veterinary surgeons. Veterinary nurses were described as performing a diversity of roles in relation to preventive healthcare, both in the reception area and in the consulting room. Many owners, and some veterinary surgeons, expressed uncertainty about the remit and status of veterinary nurses in relation to providing veterinary advice. This study identifies for the first time the degree of responsibility for preventive healthcare given to veterinary receptionists and veterinary nurses in UK small animal practices. Further work is needed involving reception and nursing staff to fully appreciate and define their roles in small animal practice.
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Affiliation(s)
- Zoe Belshaw
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK
| | - Natalie Jane Robinson
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK
| | - Rachel Sarah Dean
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK
| | - Marnie Louise Brennan
- Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK
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19
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Belshaw Z. Overcoming potential barriers to investigating and treating myxomatous mitral valve disease. IN PRACTICE 2018. [DOI: 10.1136/inp.k916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Zoe Belshaw
- Centre for Evidence‐Based Veterinary MedicineSchool of Veterinary Medicine and Science, University of NottinghamNottinghamshireLE12 5RDUK
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20
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Belshaw Z, Robinson NJ, Dean RS, Brennan ML. "I Always Feel Like I Have to Rush…" Pet Owner and Small Animal Veterinary Surgeons' Reflections on Time during Preventative Healthcare Consultations in the United Kingdom. Vet Sci 2018; 5:E20. [PMID: 29419766 PMCID: PMC5876559 DOI: 10.3390/vetsci5010020] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Revised: 01/30/2018] [Accepted: 02/05/2018] [Indexed: 12/05/2022] Open
Abstract
Canine and feline preventative healthcare consultations can be more complex than other consultation types, but they are typically not allocated additional time in the United Kingdom (UK). Impacts of the perceived length of UK preventative healthcare consultations have not previously been described. The aim of this novel study was to provide the first qualitative description of owner and veterinary surgeon reflections on time during preventative healthcare consultations. Semi-structured telephone interviews were conducted with 14 veterinary surgeons and 15 owners about all aspects of canine and feline preventative healthcare consultations. These qualitative data were thematically analysed, and four key themes identified. This paper describes the theme relating to time and consultation length. Patient, owner, veterinary surgeon and practice variables were recalled to impact the actual, versus allocated, length of a preventative healthcare consultation. Preventative healthcare consultations involving young, old and multi-morbid animals and new veterinary surgeon-owner partnerships appear particularly susceptible to time pressures. Owners and veterinary surgeons recalled rushing and minimizing discussions to keep consultations within their allocated time. The impact of the pace, content and duration of a preventative healthcare consultation may be influential factors in consultation satisfaction. These interviews provide an important insight into the complex nature of preventative healthcare consultations and the behaviour of participants under different perceived time pressures. These data may be of interest and relevance to all stakeholders in dog and cat preventative healthcare.
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Affiliation(s)
- Zoe Belshaw
- Centre for Evidence-based Veterinary Medicine, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, UK.
| | - Natalie J Robinson
- Centre for Evidence-based Veterinary Medicine, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, UK.
| | - Rachel S Dean
- Centre for Evidence-based Veterinary Medicine, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, UK.
| | - Marnie L Brennan
- Centre for Evidence-based Veterinary Medicine, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, UK.
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