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Stress ReactionNCT03949569

The Effects of Therapy Dogs on Child Biology and Behavior

A study testing Therapy Dog, Stuffed Toy Dog and 5 Minute Puppy Video in people with Stress Reaction and Behavior, Social, run by University of Chicago at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of this study is to apply a rigorous experimental design to test whether children's interactions with therapy dogs increase immediate prosocial behavior and reduce immediate biological response to stress. Read more about this study

Who is it for?
Ages 8 to 12 yearsHealthy volunteers can take part
Conditions the study is for
Stress Reaction, Behavior, Social
What is being tested?
Therapy Dog, Stuffed Toy Dog and 5 Minute Puppy Video
Could I receive a placebo?
No, everyone receives an active treatment
How many people
188 participants
Where
1 siteUnited States
Study dates
15 Jun 2019to 31 Jan 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 to 12 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Children between the ages of 8-12 years old

Who cannot join

  • Limited comprehension of English
  • Severe neurological, medical, or psychiatric illnesses (e.g., schizophrenia, psychosis)
  • Severe asthma or animal allergies
  • Animal phobias
  • Use of medications that affect cortisol

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Chicago Medical Center

    Chicago, Illinois, 60637

Other trials in United States

About this study

Official title: A Pilot Study of the Effects of Interactions With Therapy Dogs on Child Stress Responsivity

The objective of this study is to apply a rigorous experimental design to test whether children's interactions with therapy dogs increase immediate prosocial behavior and reduce immediate biological response to stress.

Read the detailed description

The central goal of the study is to determine whether brief interactions with a therapy dog have an immediate impact on children's biological response to stress, prosocial behaviors, and self-reported mood in comparison to interactions with a stuffed toy dog. The study uses a randomized crossover design with two study arms; all children will receive the both interventions during the same session, with the timing of the intervention randomized across subject. All outcomes will be assessed during a single study visit. No follow-up data will be collected.

The study uses both between-group and within-subject comparisons. Between groups, the investigators predict that children who interact with a therapy dog prior to a psychosocial stress task (Arm 1) will show attenuated cortisol response to the stress task (primary outcome) and reduced physiological stress (secondary outcomes) compared to children who interact with a stuffed toy dog prior to the psychosocial stress task (Arm 2). As an additional control, children will also watch a 5 minute puppy video prior to the prosocial stress task and will then interact with a stuffed toy dog prior to the psychosocial stress task (Arm 3).

Conversely, children who interact with the therapy dog immediately prior to the in-lab behavior tasks (Arm 2) will show higher levels of behavioral carefulness and prosocial behavior (primary outcomes) compared to children who interact with the stuffed toy dog prior to the behavior tasks (Arm 1).

Within subjects across both study arms, increases in positive mood and decreases in negative mood (secondary outcomes) will be greatest following interaction with the therapy dog compared to the stuffed toy dog, after controlling for main effects of study arm. Within subjects, physiological markers of stress (secondary outcomes) will be lower during the interaction with the therapy dog than during interaction with the stuffed toy dog.

Investigators will seek additional funds to collect and analyze salivary oxytocin data. The hypothesis is that children will show greater increase in oxytocin following interaction with the therapy dog in comparison to interaction with the stuffed toy dog.

This study will also investigate the mechanisms through which child-dog interactions influence youth stress responsivity, using coded videotaped data from the subset of children in Arm 1 who interact with the therapy dog prior to the psychosocial stress task. It is hypothesized that child behaviors observed during the interaction, such as duration and frequency of eye gaze, petting and stroking behaviors, and use of positive affect, will be inversely correlated with change in cortisol response to stress. Dog behaviors, such as duration and frequency of eye gaze and approach behaviors, will be inversely correlated with children's change in cortisol response to stress.

The study will also investigate whether child characteristics moderate the effects of the child-dog interaction. Investigators hypothesize that the effects of the therapy dog intervention will be stronger among children who currently live with dogs versus non-dog owning children and among children with more positive attitudes towards pets. It is also expected that the effects of the therapy dog interaction will be weaker among children with internalizing problems and for children experiencing higher levels of general stress. Investigators will also test whether the effects of the therapy dog intervention vary across child gender, race/ethnicity, or socioeconomic status, or child personality.

Being tested
Therapy Dog, Stuffed Toy Dog, 5 Minute Puppy Video
Keywords
Children, Human-Animal Interaction, Stress, Cortisol
Medical subject headings
Fractures, Stress, Social Behavior, Human-Animal Interaction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Therapy DogBehavioural

    Children will undergo a 5 minute unstructured session with either a certified therapy dog or with a dog who is trained and certified for animal-assisted interventions and/or animal-assisted activities. Children will be allowed to talk to, pet, and play with the therapy dog during the interaction.

  • Stuffed Toy DogBehavioural

    Children will undergo a 5 minute unstructured session with a stuffed toy dog. Children will be allowed to talk to, pet, and play with the stuffed toy dog during the interaction.

  • 5 Minute Puppy VideoBehavioural

    Children will watch a 5 minute puppy video.

Study groups in NCT03949569
Study groupRoleWhat they receive
Arm 1ExperimentalIn this condition, children will interact with the therapy dog prior to the psychosocial stress task and with the stuffed toy dog prior to the prosocial behavior tests.
Receives: Behavioral: Therapy Dog; Behavioral: Stuffed Toy Dog
Arm 2ExperimentalIn this condition, children will interact with the stuffed toy prior to the psychosocial stress task collection and with the therapy dog prior to the prosocial behavior tests.
Receives: Behavioral: Therapy Dog; Behavioral: Stuffed Toy Dog
Arm 3ExperimentalIn this condition, children will watch a 5 minute puppy video prior to the psychosocial stress task collection and with the therapy dog prior to the prosocial behavior tests.
Receives: Behavioral: Stuffed Toy Dog; Behavioral: 5 Minute Puppy Video

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean level and Change in Salivary cortisol

    Salivary cortisol will be collected 7 times during the study visit.

    Measured: Measured at baseline and over a 45 minute period before and after the psychosocial stress test

  2. Mean level Prosocial behavior assessed with the Zurich prosocial game

    During the study visit prosocial behavior is assessed through total number of helping behaviors recorded during the Zurich prosocial game.

    Measured: Assessed after the 2nd intervention.

  3. Mean level Behavioral carefulness assessed with the children's game, Operation

    During the study visit, participants will play the game Operation. Behavioral carefulness metrics include number of errors and total time to complete the task.

    Measured: Assessed after the 2nd intervention.

Secondary outcomes (3)
  1. Mean level and Change in Psychological Well Being assessed by the Positive and Negative Affect Scale for Children (PANAS-C)

    The PANAS-C will be administered repeatedly during the study visit.

    Measured: Measured at the beginning of the study visit and before and after each intervention.

  2. Mean level and Change in galvanic skin response measured with the E4 wristband

    Participants will wear an E4 wristband during the study visit that records continuous physiological markers of stress.

    Measured: Assessed during both interventions and during the psychosocial stress test.

  3. Mean level and Change in heart rate measured with the E4 wristband

    Participants will wear an E4 wristband during the study visit that records continuous physiological markers of stress.

    Measured: Assessed during both interventions and during the psychosocial stress test.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 May 2019
  2. Study start15 Jun 2019
  3. Primary completion31 Jan 2022
  4. Study completion31 Jan 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
The investigators will use a randomized crossover design. All children will receive two interventions during a single study visit. Children will be assigned to one of three research design arms using a stratified random sampling approach with child sex balanced across arm (N=110 in each group). All children will participate in the same tasks, in the same order. The only difference between research design arms is the timing of the interventions. In one arm the child will interact with the therapy dog prior to the psychosocial stress test and will interact with the stuffed toy dog prior to the behavioral tasks; the reverse is true for children in the second arm. In the third arm, the child will watch a 5 minute puppy video prior to the psychosocial stress test and will interact with the stuffed toy dog prior to the behavioral tasks
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
188 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03949569
Sponsor's protocol ID
IRB18-0472
Other IDs
R21HD094956
Status last verified
May 2024
First submitted
5 Apr 2019
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All IPD underlying research publications

Publications

  • Merikangas KR, He JP, Brody D, Fisher PW, Bourdon K, Koretz DS. Prevalence and treatment of mental disorders among US children in the 2001-2004 NHANES. Pediatrics. 2010 Jan;125(1):75-81. doi: 10.1542/peds.2008-2598. Epub 2009 Dec 14.

    PubMed 20008426
  • Costello EJ, Egger H, Angold A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry. 2005 Oct;44(10):972-86. doi: 10.1097/01.chi.0000172552.41596.6f.

    PubMed 16175102
  • Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010 Oct;49(10):980-9. doi: 10.1016/j.jaac.2010.05.017. Epub 2010 Jul 31.

    PubMed 20855043
  • Lewinsohn PM, Zinbarg R, Seeley JR, Lewinsohn M, Sack WH. Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. J Anxiety Disord. 1997 Jul-Aug;11(4):377-94. doi: 10.1016/s0887-6185(97)00017-0.

    PubMed 9276783
  • Kessler RC, Petukhova M, Sampson NA, Zaslavsky AM, Wittchen H -U. Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. Int J Methods Psychiatr Res. 2012 Sep;21(3):169-84. doi: 10.1002/mpr.1359. Epub 2012 Aug 1.

    PubMed 22865617
  • Kiecolt-Glaser JK, McGuire L, Robles TF, Glaser R. Emotions, morbidity, and mortality: new perspectives from psychoneuroimmunology. Annu Rev Psychol. 2002;53:83-107. doi: 10.1146/annurev.psych.53.100901.135217.

    PubMed 11752480
  • Miller GE, Chen E, Parker KJ. Psychological stress in childhood and susceptibility to the chronic diseases of aging: moving toward a model of behavioral and biological mechanisms. Psychol Bull. 2011 Nov;137(6):959-97. doi: 10.1037/a0024768.

    PubMed 21787044
  • Adam EK, Kumari M. Assessing salivary cortisol in large-scale, epidemiological research. Psychoneuroendocrinology. 2009 Nov;34(10):1423-36. doi: 10.1016/j.psyneuen.2009.06.011. Epub 2009 Jul 31.

    PubMed 19647372
  • Sapolsky RM, Romero LM, Munck AU. How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocr Rev. 2000 Feb;21(1):55-89. doi: 10.1210/edrv.21.1.0389.

    PubMed 10696570
  • McEwen BS. Stress, adaptation, and disease. Allostasis and allostatic load. Ann N Y Acad Sci. 1998 May 1;840:33-44. doi: 10.1111/j.1749-6632.1998.tb09546.x.

    PubMed 9629234
  • Gunnar MR, Quevedo KM. Early care experiences and HPA axis regulation in children: a mechanism for later trauma vulnerability. Prog Brain Res. 2008;167:137-49. doi: 10.1016/S0079-6123(07)67010-1.

    PubMed 18037012
  • Miller GE, Chen E, Zhou ES. If it goes up, must it come down? Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans. Psychol Bull. 2007 Jan;133(1):25-45. doi: 10.1037/0033-2909.133.1.25.

    PubMed 17201569
  • Klein ZA, Romeo RD. Changes in hypothalamic-pituitary-adrenal stress responsiveness before and after puberty in rats. Horm Behav. 2013 Jul;64(2):357-63. doi: 10.1016/j.yhbeh.2013.01.012. Epub 2013 Mar 7.

    PubMed 23465865
  • Lightman SL. The neuroendocrinology of stress: a never ending story. J Neuroendocrinol. 2008 Jun;20(6):880-4. doi: 10.1111/j.1365-2826.2008.01711.x.

    PubMed 18601712
  • Costello EJ, He JP, Sampson NA, Kessler RC, Merikangas KR. Services for adolescents with psychiatric disorders: 12-month data from the National Comorbidity Survey-Adolescent. Psychiatr Serv. 2014 Mar 1;65(3):359-66. doi: 10.1176/appi.ps.201100518.

    PubMed 24233052

Questions about this trial

What is this clinical trial studying?

A study testing Therapy Dog, Stuffed Toy Dog and 5 Minute Puppy Video in people with Stress Reaction and Behavior, Social, run by University of Chicago at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean level and Change in Salivary cortisol (time frame: Measured at baseline and over a 45 minute period before and after the psychosocial stress test). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03949569, which also lists 50 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024.

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