Impacts of COVID-19 on Owner's Veterinary Healthcare Seeking Behavior for Dogs With Chronic Conditions: An Exploratory Mixed-Methods Study With a Convenience Sample.

This mixed-method study explored the impacts of the COVID-19 pandemic on owners' veterinary healthcare seeking, with particular focus on dogs with chronic conditions. A convenience sample of 719 UK dog owners completed an online survey (December 2020-January 2021). Differences in treatment provision and respondents' decisions to seek care across acute, preventative, chronic conditions and for end-of-life care were explored. Multivariable logistic regression models were used to identify factors associated with seeking care for any health issue compared to deciding against it, and urgency to seek care given symptom that could indicate chronic conditions. Open-ended questions were analyzed by thematic analysis. Significant (p-value < 0.05) differences in care seeking decisions were identified regarding access to veterinary care and the way treatment was provided across all health issues. The top reasons for not seeking care across all health issues were a lack of access to a veterinarian (30%, n = 56/187) and a reluctance for a dog to go to the clinic unaccompanied (20%, n = 38/187). Variables related to stronger dog-owner relationship, higher confidence in seeking care, perception of: benefits of veterinary care, dog's high susceptibility to illness and high severity of dog's condition, increased the odds of seeking, and urgency to seek, care. A dog's chronic illness diagnosis reduced the odds of seeking care during the pandemic, reportedly due to difficulties in accessing care for non-urgent issues. Qualitative analysis showed that limited access to routine consultations, delays in test results and restricted access to complementary treatments, led some owners of dogs with chronic conditions to believe that their dog's welfare had deteriorated during the pandemic. Pandemic control measures necessitated changes to how consultations were run. These changes were often viewed favorably, but dog-client separation during consultations were considered problematic, sometimes delaying veterinary advice-seeking, including for euthanasia. Separating owners from their dogs during veterinary consultations should be avoided wherever possible due to impacts on dogs, owners and healthcare seeking. Interventions to improve veterinary healthcare seeking could target attitudes toward benefits of seeking care, improve owners' self-efficacy and capitalize on the dog-owner bond. Such interventions should be implemented alongside interventions aimed at removing structural barriers to accessing healthcare.

Accessing veterinary healthcare during the COVID-19 pandemic: A mixed-methods analysis of UK and Republic of Ireland dog owners' concerns and experiences.

BACKGROUND: This study explored dog owners' concerns and experiences related to accessing veterinary healthcare during the COVID-19 pandemic. METHODS: Data were obtained through two cross-sectional owner-completed surveys conducted in May (first nationwide lockdown) and October 2020 and owner-completed diaries (April-November 2020). Diaries and relevant open-ended survey questions were analysed qualitatively to identify themes. Survey responses concerning veterinary healthcare access were summarised and compared using chi-square tests. RESULTS: During the initial months of the pandemic, veterinary healthcare availability worried 32.4% (n = 1431/4922) of respondents. However, between 23 March and 4 November 2020, 99.5% (n = 1794/1843) of those needing to contact a veterinarian managed to do so. Delays/cancellations of procedures affected 28.0% (n = 82/293) of dogs that owners planned to neuter and 34.2% (n = 460/1346) of dogs that owners intended to vaccinate. Qualitative themes included COVID-19 safety precautions, availability of veterinary healthcare and the veterinarian-client relationship. CONCLUSION: Veterinary healthcare availability concerned many owners during the COVID-19 pandemic. Access to veterinary healthcare for emergencies remained largely available, but prophylactic treatments were delayed for some dogs.

Dog Walking before and during the COVID-19 Pandemic Lockdown: Experiences of UK Dog Owners.

BACKGROUND: This study investigated the impacts of the first COVID-19 UK lockdown on dog walking and ownership. METHODS: An online survey was circulated via social media (May-June 2020). Completed responses (n = 584) were analysed using within- and between-group comparisons, and multivariable linear and logistic regression models were created. Open-ended data were coded into key themes. RESULTS: During lockdown, dogs were walked less frequently, yet for a similar duration per week and closer to home. Dogs whose owners lived alone, or whose owners or household members had heightened vulnerability to COVID-19 were walked less than before, as were high-energy dogs. A minority of owners continued dog walking despite exhibiting symptoms or needing to self-isolate, justifying lack of help, dog behavioural problems, living in less populated areas, and the importance of outdoor exercise for their mental health. Dog ownership had multiple benefits (companionship, purpose and motivation; break from bad; positive to focus on) as well as challenges (changes in dog behaviour, balancing dog needs with public health guidance, accessing pet food/supplies and services, and sharing crowded outdoor spaces with others). Most did not have an emergency care plan for their pet before the pandemic and only a handful developed one. CONCLUSIONS: Findings can be used to inform public health and dog welfare strategies for future lockdown situations or other disasters and emergencies likely to impact on daily routines.

"More Attention than Usual": A Thematic Analysis of Dog Ownership Experiences in the UK during the First COVID-19 Lockdown.

On 23 March 2020, the UK Government imposed a nationwide lockdown as part of efforts to mitigate the impact of COVID-19. This study aimed to explore how the experience of dog ownership in the UK was impacted during this lockdown. Data for this research came from open-ended survey questions and an electronic diary completed by members of the general public and participants involved in "Generation Pup", an ongoing longitudinal cohort study of dogs. A total of 10,510 free-text entries were analysed. Three major themes emerged: spending time at home with dog(s), walking practices, and behaviour and training. Owners valued having more time than usual with their dog(s) but also recognised that spending extra time with their dog(s) may negatively impact on the dog's future ability to cope when left alone. However, very few owners provided alone time for their dog(s) during the lockdown. The opportunity to walk their dog(s) as part of their permitted daily exercise was regarded positively, but walks under the lockdown guidelines were not always felt to be adequate with respect to providing sufficient exercise and opportunities for interaction with other dogs. Owners reported observing new undesirable behaviours in their dog(s) during the lockdown, including barking and dogs being "clingy" or vocalising when briefly left alone. Based on these findings, we suggest intervention strategies to best support dog welfare that include helping dog owners to teach dogs to cope with being alone, even if owners do not need to leave their dogs alone.

Impact of the First COVID-19 Lockdown on Management of Pet Dogs in the UK.

Initial COVID-19 lockdown restrictions in the United Kingdom (23rd March-12th May 2020) prompted lifestyle changes for many people. We explored the impact of this lockdown phase on pet dogs using an online survey completed by 6004 dog owners, who provided information including dog management data for the 7 days prior to survey completion (4th-12th May 2020), and for February 2020 (pre-lockdown). We explored associations between potential predictors and four outcomes relating to changes pre-/during lockdown (reduction in number and duration of walks; increased frequency of play/training, and provision of toys). Most owners (79.5%) reported their dog's routine had changed compared to pre-lockdown. There was a four-fold increase in the proportion not left alone for >5 min on any day during a weekly period (14.6% pre-lockdown, 58.0% during lockdown), with the proportion being left for ≥3 h at a time decreasing from 48.5% to 5.4%. Dogs were walked less often and for less time daily during lockdown, with factors related to the dog, owner, household, and home location associated with changes to walking practices. Many dogs had more play/training sessions and were given toys more frequently during lockdown. Decreased walk duration was associated with increased odds of play/training opportunities and toy provision. These changes to dog management have the potential for immediate and longer-term welfare problems.

Impact of the First COVID-19 Lockdown on Management of Pet Dogs in the UK

Initial COVID-19 lockdown restrictions in the United Kingdom (23 March–12 May 2020) prompted lifestyle changes for many people. We explored the impact of this lockdown phase on pet dogs using an online survey completed by 6004 dog owners, who provided information including dog management data for the 7 days prior to survey completion (4–12 May 2020), and for February 2020 (pre-lockdown). We explored associations between potential predictors and four outcomes relating to changes pre-/during lockdown (reduction in number and duration of walks;increased frequency of play/training, and provision of toys). Most owners (79.5%) reported their dog’s routine had changed compared to pre-lockdown. There was a four-fold increase in the proportion not left alone for >5 min on any day during a weekly period (14.6% pre-lockdown, 58.0% during lockdown), with the proportion being left for ≥3 h at a time decreasing from 48.5% to 5.4%. Dogs were walked less often and for less time daily during lockdown, with factors related to the dog, owner, household, and home location associated with changes to walking practices. Many dogs had more play/training sessions and were given toys more frequently during lockdown. Decreased walk duration was associated with increased odds of play/training opportunities and toy provision. These changes to dog management have the potential for immediate and longer-term welfare problems.