{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T03:28:34Z","timestamp":1785641314171,"version":"3.56.0"},"reference-count":51,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004543","name":"China Scholarship Council","doi-asserted-by":"publisher","award":["202106370229"],"award-info":[{"award-number":["202106370229"]}],"id":[{"id":"10.13039\/501100004543","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the factors that influence the implementation of animal\u2010assisted intervention (AAI) for people with dementia in community care settings in Ireland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Descriptive qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were carried out with 13 people with dementia, 11 care partners and 18 health and social care practitioners from November 2024 to June 2025. Interviewees were recruited from 10 community care settings and local dementia networks across 11 counties in Ireland. A photo elicitation approach was applied. Framework method was used for data analysis, integrating the Consolidated Framework for Implementation Research (CFIR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A variety of AAI types were used across community care settings. The complexity and variation in AAI delivery and factors that influence its implementation were described. We developed four themes and 11 subthemes to illustrate the inter\u2010relationship among factors combining five domains of CFIR: attitudes toward AAI; available and accessible resources; design and development of AAI; and scaffolding to facilitate AAI implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AAI has promising benefits for people with dementia. Our findings provide rich insights into the multi\u2010level factors that influence AAI practice. Future research should focus on developing and enhancing implementation strategies, applying user\u2010centred design, to address barriers, leverage facilitators and tailor to local context, ultimately increasing the adoption and impact of AAI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The findings contribute to the evidence base for best practices of AAI, inform the development of strategies, guidelines and policies of dementia care, and foster the creation of a dementia\u2010friendly community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Public Involvement<\/jats:title>\n                    <jats:p>Two patients and members of the public (both co\u2010authors) and four advisory group members who share a love of animals were involved in this study, contributing to the research design, recruitment, data analysis and final paper.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70319","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T04:00:00Z","timestamp":1775534400000},"page":"3211-3225","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors That Influence the Implementation of Animal\u2010Assisted Intervention for People With Dementia in Community Care Settings: A Qualitative Study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6604-6894","authenticated-orcid":false,"given":"Dou","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery University of Galway  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7742-8118","authenticated-orcid":false,"given":"Marita","family":"Hennessy","sequence":"additional","affiliation":[{"name":"College of Medicine and Health University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuala","family":"Paley","sequence":"additional","affiliation":[{"name":"The Dementia Research Advisory Team The Alzheimer Society of Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerry","family":"Paley","sequence":"additional","affiliation":[{"name":"The Dementia Research Advisory Team The Alzheimer Society of Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3740-1564","authenticated-orcid":false,"given":"Catherine","family":"Houghton","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery University of Galway  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.36348\/gajhss.2020.v02i03.001"},{"key":"e_1_2_14_3_1","unstructured":"Animal Assisted Service International.2022.\u201cAASI Standards of Practice Competencies and Accreditation.\u201dhttps:\/\/aai\u2010int.org\/wp\u2010content\/uploads\/2022\/07\/AAII\u2010Standards\u2010and\u2010Comp\u2010June\u201024\u20102022\u2010.pdf."},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12587"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1079\/hai.2024.0003"},{"key":"e_1_2_14_6_1","volume-title":"Person\u2010Centred Dementia Care: Making Services Better With the VIPS Framework","author":"Brooker D.","year":"2015"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18073422"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019442\u2010200111000\u201000005"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104161021800039X"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/dcc.0000000000000253"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010022\u201001245\u20100"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10071\u2010017\u20101139\u2010x"},{"key":"e_1_2_14_13_1","unstructured":"Department of Health.2014.\u201cThe Irish National Dementia Strategy.\u201dhttp:\/\/hdl.handle.net\/10147\/558608."},{"key":"e_1_2_14_14_1","unstructured":"European Commission.2025.\u201cIreland's CAP Strategic Plan 2023\u20102027.\u201dhttps:\/\/agriculture.ec.europa.eu\/document\/download\/728d351c\u2010c79d\u20104951\u201097ba\u201050152d2a373e_en?filename=csp\u2010at\u2010a\u2010glance\u2010ireland_en.pdf."},{"key":"e_1_2_14_15_1","unstructured":"FEDIAF.2023.\u201cFACTS & FIGURES: The Voice of the European Pet Food Industry.\u201dhttps:\/\/europeanpetfood.org\/wp\u2010content\/uploads\/2025\/06\/FEDIAF\u2010Facts\u2010Figures\u20102025.pdf."},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/gbb.12544"},{"key":"e_1_2_14_17_1","unstructured":"Fondation M\u00e9d\u00e9ric Alzheimer.2024.\u201cPsychosocial Interventions and Dementia Understanding Knowing Implementing.\u201dhttps:\/\/www.fondation\u2010mederic\u2010alzheimer.org\/wp\u2010content\/uploads\/2024\/06\/guide\u2010inm\u20102024\u2010psychosocial\u2010interventions\u2010and\u2010dementia_english.pdf."},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2020.102591"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u201013\u201011"},{"key":"e_1_2_14_20_1","unstructured":"Health Service Executive (HSE).2016.\u201cDementia Design Brief for Residential Care.\u201dhttp:\/\/hdl.handle.net\/10147\/621465."},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1108\/IJOT\u201002\u20102017\u20100005"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.7748\/nr2013.03.20.4.12.e326"},{"key":"e_1_2_14_23_1","unstructured":"International Association Human\u2010Animal Interaction Organisation.2018.\u201cIAHAIO White Paper: The IAHAIO Definitions for Animal Assisted Intervention and Guidelines for Wellness of Animals Involved in AAI.\u201dhttps:\/\/iahaio.org\/wp\/wp\u2010content\/uploads\/2021\/01\/iahaio\u2010white\u2010paper\u20102018\u2010english.pdf."},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/10888691.2016.1191952"},{"issue":"1","key":"e_1_2_14_25_1","article-title":"Animal\u2010Assisted Interventions: Relationship Between Standards and Qualifications","volume":"3","author":"Kerulo G.","year":"2020","journal-title":"People and Animals: The International Journal of Research and Practice"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231165714"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013243"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2017.04.287"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/psyg.12529"},{"key":"e_1_2_14_31_1","unstructured":"McGowan B.2019.\u201cNon\u2010Cognitive Symptoms of Dementia (NCSD): Guidance on Non\u2010Pharmacological Interventions for Healthcare and Social Care Practitioners.\u201dhttps:\/\/hdl.handle.net\/10147\/627268."},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/00469580231195029"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315588501"},{"key":"e_1_2_14_34_1","unstructured":"National Institute on Aging.2024.\u201cLong\u2010Term Care Facilities: Assisted Living Nursing Homes and Other Residential Care.\u201dhttps:\/\/www.nia.nih.gov\/health\/assisted\u2010living\u2010and\u2010nursing\u2010homes\/long\u2010term\u2010care\u2010facilities\u2010assisted\u2010living\u2010nursing\u2010homes."},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2021.101395"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010023\u201003834\u20100"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/cl2.70006"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301219864505"},{"key":"e_1_2_14_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010240X(200008)23"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.03.01"},{"key":"e_1_2_14_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301223115598"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n2061"},{"key":"e_1_2_14_44_1","unstructured":"Society for Healthcare Epidemiology of America.2015.\u201cSHEA Expert Guidance: Animals in Healthcare Facilities: Recommendations to Minimize Potential Risks.\u201dhttps:\/\/www.cambridge.org\/core\/journals\/infection\u2010control\u2010and\u2010hospital\u2010epidemiology\/article\/animals\u2010inhealthcare\u2010facilities\u2010recommendations\u2010to\u2010minimize\u2010potential\u2010risks\/7086725BAB2AAA4C1949DA5B90F06F3B."},{"key":"e_1_2_14_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaf120"},{"key":"e_1_2_14_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2017.1347013"},{"key":"e_1_2_14_47_1","doi-asserted-by":"publisher","DOI":"10.1079\/hai.2021.0017"},{"key":"e_1_2_14_48_1","volume-title":"StatPearls","author":"Tenny S.","year":"2017"},{"key":"e_1_2_14_49_1","doi-asserted-by":"publisher","DOI":"10.3390\/ani14020249"},{"key":"e_1_2_14_50_1","unstructured":"World Health Organization.2025.\u201cDementia.\u201dhttps:\/\/www.who.int\/news\u2010room\/facts\u2010in\u2010pictures\/detail\/dementia."},{"key":"e_1_2_14_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231157701"},{"key":"e_1_2_14_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17429"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70319","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.70319","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T08:29:23Z","timestamp":1780388963000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.70319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":51,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/jocn.70319"],"URL":"https:\/\/doi.org\/10.1111\/jocn.70319","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]},"assertion":[{"value":"2025-09-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}