Erratum: Gravrok, J., et al. Beyond the Benefits of Assistance Dogs: Exploring Challenges Experienced by First-Time Handlers. Animals 2019, 9, 203.

The authors wish to make the following corrections [1]:In Table 1, under case study 4, the code was originally labeled as H8, P8 and ADI 8; these labels should be H4, P4 and ADI 4, respectively [...].

The influence of contextual factors on an individual's ability to work with an assistance dog.

PURPOSE: First-time assistance dog handlers experience a profound life change when they bring an assistance dog into their home. Therefore, this article investigates the broad context of handlers' lived experiences prior to and throughout the first year after acquiring an assistance dog. MATERIALS AND METHODS: To understand holistic experiences better, semi-structured interviews were conducted with first-time assistance dog handlers (n = 7), parents (n = 7), assistance dog instructors (n = 6), carers/other individuals (n = 3) at four time points: before an individual received an assistance dog, and then at three further times for up to one year after they received the assistance dog. RESULTS: Inductive content analysis revealed that four main contextual factors (societal, social support, environmental and personal) influenced the lived experience of working with an assistance dog. Many of these factors were outside of the handler and the assistance dog organization's control, and they were shown to cause many challenges for handlers. CONCLUSION: These factors must, therefore, be taken into consideration when organizations make decisions about placing an assistance dog.IMPLICATIONS FOR REHABILITATIONSocietal influences can both hinder and facilitate the benefits first-time handlers receive with their assistance dog in public.Support from others is important to successfully integrate an assistance dog into a first-time handler's life.A handler's level of environmental control can influence their experiences with their assistance dog.Personal factors such as a handler's experience of disability and motivation or resilience can impact experiences with their assistance dog.

The experience of acquiring an assistance dog: examination of the transition process for first-time handlers.

PURPOSE: As the popularity of using dogs to assist individuals with disability grows, there is a need for increased understanding of assistance dog handlers' experiences of living and working with their dog. This is particularly pertinent to first-time handlers and during the initial placement period, where the handler and assistance dog, and the relationship forming between them, may be extremely vulnerable. The aim of this study was to better understand first-time assistance dog handlers' experience of the placement period, especially any challenges that they experience. MATERIALS AND METHODS: Semi-structured interviews were conducted with two youth and five adult handlers, and one parent of a young handler, recruited from three Australian assistance dog organizations. Interviews were conducted 1 month following the initial acquisition of an assistance dog. Meleis' transitions theory was used to develop a better understanding of the transition process for first-time handlers. RESULTS: Inductive content analysis identified various challenges that first-time handlers experience throughout the transition period. These included: the initial response to living with the assistance dog; renegotiating relationships and social interactions; and, adjusting expectations regarding the assistance dog's behavior and capabilities. CONCLUSION: First-time handler experiences indicate a need for assistance dog organizations to develop initiatives to further assist their handlers through a smooth transition into assistance dog ownership. Implications for rehabilitation Integrating an assistance dog into a first-time handler's life is a long process full of challenges. Provider organizations and other support members markedly impact the ease of transitioning an assistance dog into a handler's life. Organizations should be aware of the role they have and employ strategies to create as smooth a transition as possible. Support from other support members is crucial to ease the challenges experienced.

Thriving through relationships: assistance dogs' and companion dogs' perceived ability to contribute to thriving in individuals with and without a disability.

Purpose: Companion dogs can provide psychosocial benefits for their owners. Assistance dogs reportedly provide similar benefits, while also performing specific tasks. These psychosocial benefits may increase their handler's quality of life and ability to thrive - defined as having the ability to grow and flourish, especially in the face of adversity. Currently, no studies compare assistance dogs' effectiveness to companion dogs' in assisting their handler/owner to thrive, an important comparison given that companion dogs are typically less expensive to acquire, and more readily available.Methods: The Thriving Through Relationships (TTR) theory was used to inform the development of a human-dog relationship survey, which was distributed through assistance dog organizations and to the general public.Results: Participants were divided into three groups: persons with a disability who had an assistance dog (n = 165), persons with a disability who had a companion dog (n = 249) and persons with no disability who had a companion dog (n = 198). Perceived overall support was statistically different between the three groups, F (2, 394) = 14.45, p < .001. Assistance dog handlers reported receiving significantly higher levels of support than companion dog owners with disabilities (p < .01) or without disabilities (p < .001). In fact, assistance dogs were reported to provide more support (p < .017) than companion dogs on nine out of ten separate indicators of thriving.Conclusion: Overall, dogs are perceived to provide support that improves their handler/owner's ability to thrive. Most importantly, however, assistance dogs may provide greater support than companion dogs for persons with a disability and, therefore, may be worth the additional time and financial cost.Implications for RehabilitationAssistance dogs could assist rehabilitation by improving coping skills, especially during times of adversity, as demonstrated through the ten indicators of thriving.Assistance dogs and companion dogs are not inter-changeable when it comes to providing support for individuals with a disability.

Beyond the Benefits of Assistance Dogs: Exploring Challenges Experienced by First-Time Handlers.

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

Shadow Puppets and Neglected Diseases (2): A Qualitative Evaluation of a Health Promotion Performance in Rural Indonesia.

Performing arts used as a method of spreading health information dates back to the origins of storytelling. However, interventions in developing, non-Western countries typically utilize Western entertainment forms. This qualitative investigation assesses responses to an intervention designed around traditional Javanese shadow puppetry (wayang kulit). Semi-structured interviews provided in-depth responses from a sample (N = 12) of villagers. Responses analyzed both cross-case and within-case, focused on perceptions of the music and storyline, responses to the intervention, and the perceived appropriateness of wayang kulit for disseminating a health message. Wayang kulit was considered to be interesting and easy to remember, but concerns remained regarding the reliability of information provided through the drama. The fusion of traditional and modern music and story elements were perceived positively. Some participants were inspired to improve their hygiene practices, although the lack of motivation, or belief that they were unable to change was noted. The performance was generally received positively in terms of the nature of the intervention, the fusion of traditional and Western music and story elements, as well as the use of wayang kulit to spread health information. The study provides guidance for modifications to the production, prior to scaling up.

Shadow Puppets and Neglected Diseases: Evaluating a Health Promotion Performance in Rural Indonesia.

'Rama and the Worm' is a shadow puppet production targeting neglected diseases in Central Java. It is an entertainment-based intervention study to promote health by reducing the impact of parasitic diseases such as soil-transmitted helminths (STH). The study uses traditional Javanese shadow puppetry (wayang kulit) as a vehicle in village communities to disseminate health messages and promote behaviour change to prevent diseases caused, primarily, by inadequate sanitation and poor hygiene. The health education messages contained in the play, although using traditional characters and themes, required the creation of a completely new narrative script, using characters and plot lines familiar to the wayang kulit repertoire, but placing them in new situations that relate specifically to health promotion objectives. The intervention was piloted in a village in Central Java, Indonesia using a pre/post design with both qualitative and quantitative analysis. A total of 96 male and female villagers, aged between 7 and 87 years, provided both baseline and follow up data. Participant knowledge and behaviours related to gastrointestinal and helminth-related disease were assessed before and after the intervention through a questionnaire administered by interview. Results revealed statistically significant improvements in both knowledge (48.6% pre-intervention score vs. 62.8% post-intervention score, p < 0.001) and behaviour (77.4% vs. 80.6%, p = 0.004) related to gastrointestinal and helminth disease. Findings of the study indicate the wayang kulit performance is an effective health education tool. The results provide proof of concept with scaling up the next step forward. The wayang kulit production provides a significant additional component for an integrated, comprehensive approach to reduction and elimination of STH infection.