Evaluation of a brief video intervention aimed at UK-based veterinary surgeons to encourage neutering cats at four months old: A randomised controlled trial.

In the UK, it is currently recommended that owned cats be neutered from four months of age. However, its uptake is inconsistent across the veterinary profession. Here we assess the effect of a brief video intervention that aimed to encourage four month neutering, whilst preserving clinical autonomy. We compare this theory-driven approach with traditional information giving and a control group. Veterinary surgeons who regularly undertook feline neutering work in the UK but did not routinely neuter cats at four months and/or recommend four month neutering for client owned cats were randomised into three groups (n = 234). Participants received either no information, a written summary of evidence or the video. The primary behaviour outcomes were the recommending and carrying out of neutering cats at four months. Evaluative, belief and stages of change measures were also collected. Self-reported outcomes were assessed pre-intervention, immediately post-intervention, two months post-intervention and six months post-intervention. At two months, participants that had received the video intervention were significantly more likely to have started recommending neutering cats at four months. At six months, participants that had received the video intervention were significantly more likely to have started carrying out neutering cats at four months. There were no significant behaviour changes for the other groups. At two months, the video intervention was associated with a significant increase in thinking about, and speaking to colleagues about, four-month neutering, relative to the control group. The written summary of evidence had no similar effect on stages of change, despite it being perceived as a significantly more helpful resource relative to the video. To conclude, a brief one-off video intervention resulted in an increase in positive behaviours towards neutering cats at 4 months, likely mediated by the social influences of the intervention prompting the opportunity to reflect and discuss four-month neutering with colleagues.

Public opinions on seven different stray cat population management scenarios in Flanders, Belgium.

Stray cat population management is an important worldwide issue. Understanding citizen attitudes towards stray cat control options is vital to the success of controlling stray cat numbers, as public perception affects the acceptance of, support for and collaboration in stray cat management policies. Audience segmentation, as to enable each group to be engaged in the stray cat management policy, is important for the success of the interventions. Therefore a web-based survey was conducted among Flemish citizens in order to examine differences in acceptance towards seven management scenarios: household cat neutering with financial support for the owner, household cat neutering without financial support for the owner, encouraging responsible household cat ownership, trapping stray cats and taking them to a shelter, trapping and neutering stray cats for release into a managed "cat colony" (composed by so called "community cats"), trapping and killing of stray cats, and undertaking no action. A total of 4059 valid responses were collected and the proportions of agreement were compared across the different management scenarios using the two-sample z-test. Interactions among factors that influenced each management scenario were investigated using the CHAID (Chi-squared Automatic Interaction Detection) analysis and visualized on a tree. Our results showed that fostering responsible household cat ownership (89.9%) and conversion of stray cats to "community cats" (76.3%) were most supported by respondents in our sample (which consisted mainly of females, cat-lovers, and families without children). Least supported were the killing of stray cats (7.7%) and undertaking no action (3.3%). The demographic analyses revealed that for the acceptance of management scenarios there were three important factors (attitude towards cats, area of residence, and gender), two weaker factors (education and having children) and two which had almost no impact (age and cat ownership). We propose that future studies should focus on the effect of 'area of residence', 'having children' and 'education'. In conclusion, our research confirms that management of and communication on stray cat strategies should not be developed with a one-size-fits-all approach. Efforts should be tailored to each audience segment, thus adapted to the area of residence and human characteristics.

Contrasting practices and opinions of UK-based veterinary surgeons around neutering cats at four months old.

BACKGROUND: Many cats in the UK are not neutered before reaching potential breeding age. The purpose of this investigation was to understand the prevalence of veterinarians' behaviours around neutering cats at four months of age and to identify any needs of the veterinary profession on this. METHODS: A sample of 483 veterinarians that completed a cross-sectional online questionnaire were included in quantitative and qualitative analyses. RESULTS: Almost 70 per cent of veterinarians indicated they were comfortable carrying out neutering on cats of four months of age, and approximately half of veterinarians indicated they would recommend neutering client-owned cats at four months of age if practice policy permitted. There was no association found between these practices and geographic risk factors. Instead, neutering at four months was associated with the gender of the veterinarian, their practice policy and whether they routinely neuter unowned cats. Veterinarians have contrasting beliefs on similar themes, depending on whether they neuter kittens at four months or not, including differing opinions on general anaesthetic, surgery risks, owner compliance and their perceptions of neutering practices within the wider profession. CONCLUSION: Familiarity and experience with the procedure, alongside perceived norms, are central to beliefs. We also highlight informational and learning barriers.

Engaging with Socio-Economically Disadvantaged Communities and Their Cats: Human Behaviour Change for Animal and Human Benefit.

The overpopulation of free-roaming domestic cats (Felis catus) is fuelled by uncontrolled breeding of both owned and unowned populations and has been identified as a particular problem in socio-economically deprived areas. Consequently, for sustainable change, it is recommended that Trap-Neuter-Return activities are linked with community engagement to encourage positive behaviours towards cats. This paper assesses the acceptability and impact of a community-partnership program called "Bulwell Cat Watch" (BCW), set-up to control cat numbers in Bulwell, UK. The data are based on a (1) cross-sectional survey (n = 478); (2) pre-post analysis (n = 21); and (3) targeted survey of people known to engage with BCW (n = 34). We found significant associations between awareness of BCW and an increased likelihood of reporting unowned cats now compared to previous years. Respondents reported increased self-efficacy and confidence to help cats. Our pre-post study corroborated these findings with residents significantly more likely to report unowned cats compared to when surveyed pre-BCW. An indirect benefit to residents engaged with the program was the positive impact on confidence and self-esteem. Taken in combination these results show community partnerships can effectively engage often hard-to-reach populations and foster sustainable management by overcoming barriers to helping cats, alongside the potential for wider community benefits.

Integrating Trap-Neuter-Return Campaigns Into a Social Framework: Developing Long-Term Positive Behavior Change Toward Unowned Cats in Urban Areas.

Cat management is often discussed in terms of population reduction, with trap-neuter-return (TNR) campaigns commonly organized to manage unowned urban cat populations. However, long-term effectiveness is only possible if positive neutering practices are continued by local residents. Here we discuss how implementing TNR within a wider framework of social engagement has the potential to tackle cat overpopulation and instill long-term positive behavior change toward them. We demonstrate how community engagement pre-TNR can help establish a baseline of the attitudes, knowledge and behavior concerning cats. Using a case study, we explore whether this information can be linked with positive intended behavior based on intentions to arrange for neutering of unowned cats. Structural equation modeling indicated that negative attitudes toward cats and reduced knowledge around neutering reduced the likelihood of positive intended behavior. This result was underpinned by the indirect effects of perceptions of unowned cats and reduced understanding of their needs. Utilizing these results alongside an understanding of the values and motivation of the community allows for tailored and targeted education and intervention. In turn, this addresses the underlying knowledge gaps and perceptions regarding cat welfare. This framework can help address the challenge of cat management because it: (1) takes an integrative approach to identifying the motivations of communities to take responsibility for unowned cats; (2) changes the structure of the social environment, encouraging positive neutering practices for unowned cats. In turn this improves the impact and longevity of TNR campaigns whilst promoting positive welfare change for unowned and owned cats; and (3) appreciates that opinions are likely to vary hugely between areas, therefore providing an adaptable community level approach.

Assessing the impact of a regional UK feline neutering campaign.

Neutering is key to feline population control. Neutering campaigns provide education and/or financial assistance to encourage neutering. This study assessed the impact of the Cats Protection East Midlands Neutering Campaign (CPEMNC) on the proportion and ages of cats neutered. The CPEMNC, comprising of an outreach programme and voucher-based subsidised neutering scheme, began in June 2014. A convenience sample of owners who had attended 12 regional veterinary practices to complete a cat vaccination course in June/July 2014, or to have their cat neutered in October 2014 (CAMPAIGN) were compared with an equivalent control period in 2013 (CONTROL). Data collected by postal questionnaire revealed that the proportion of cats neutered by six months of age was significantly higher and the age at neutering significantly lower in the CAMPAIGN (n=134) versus the CONTROL groups (n=100). Results of multivariable logistic regression indicated cats were significantly more likely to be neutered by six months of age if they were in the CAMPAIGN group (OR 2.44) and male (OR 2.17), compared with in the CONTROL group and female. Further work is needed to evaluate factors important for campaign success and to explore the effectiveness of campaigns within the wider community and across the UK.

Risk factors for redemption of feline neutering vouchers issued by welfare organisations.

Animal welfare organisations in the UK invest substantial resources to fund subsidised neutering vouchers to increase feline neutering rates. Little evidence exists to quantify factors influencing voucher redemption. This cross-sectional study assessed risk factors (including voucher value and expiry period) for redemption of neutering vouchers issued by staff of the feline welfare charity Cats Protection. Data were collected using telephone interview-administered questionnaires of cat owners who were issued a neutering voucher(s) and from Cats Protection voucher payment records. During the four-month study 2655 owners were issued 3935 vouchers. Multivariable logistic regression analysis revealed that owners of cats that had produced ≥1 litter before voucher request, owners eligible for a voucher due to receiving benefits and owners who rented their homes or lived with family were less likely to redeem vouchers than owners whose cats had not had a litter, were eligible for a voucher for other reasons and/or owners who owned their home, respectively.

Zero tolerance approach to aggression and its impact upon mental health staff attitudes.

OBJECTIVE: A natural study design provided an opportunity to investigate the effect of zero tolerance to aggression policy on health staff attitudes. METHOD: This study compared a training programme used to train health service staff in aggression minimization (group 1) with a highly similar training programme that differed in that it emphasized a zero tolerance approach to aggression minimization in the health workplace (group 2). Prior to training and at follow up 117 health staff (57 from group 1, and 60 from group 2) completed a series of evaluations examining rigid attitudes toward managing aggression, tolerance for aggression and confidence and skills in dealing with aggression. RESULTS: The groups were equivalent with respect to age, sex and occupation. Prior to training the two groups did not differ with regard to rigidity, tolerance, confidence and skills. Both training interventions were effective in increasing confidence and skills. However, group 1 significantly decreased rigid attitudes toward the management of aggression, whereas group 2 significantly evidenced increased rigid attitudes and decreased tolerance toward aggression. CONCLUSION: Zero tolerance for aggression had a negative impact on health staff attitudes in relation to managing aggression in the health workplace.

Safer at work: development and evaluation of an aggression and violence minimization program.

OBJECTIVE: Aggression and violence are recognized as significant occupational risks for health care staff. A new aggression minimization program for all public health service staff at risk in New South Wales, Australia was developed and evaluated. Twenty-two hours of training was divided into specific modules addressing: general aggression and violence minimization competencies (modules 1 and 4, 10 h); the specific needs of staff working in high-risk environments (module 2, 8 h); and a module for workplace managers and supervisors (module 3, 4 h). METHOD: Two pilot samples were evaluated: (i) 15 experienced aggression trainers from across New South Wales completed and evaluated a two-day 'train the trainer' program; (ii) 48 experienced health staff completed the four training modules and assessed satisfaction, knowledge and skills acquired, attitudes toward managing aggression and confidence in dealing with aggressive incidents. RESULTS: Program materials were judged to be highly suitable. Staff were satisfied and increased their knowledge and skills, and evidenced improved attitudes toward working with aggressive patients. A significant increase in staff confidence for dealing with aggressive incidents was also found, with the more modules staff completed the greater their confidence in dealing with aggressive incidents. CONCLUSIONS: The program may contribute to helping health service industry staff attain a safer workplace.