Implementation of canine quality of life assessment in veterinary practice

Abstract

Use of quality of life (QOL) assessment tools for companion animals in veterinary practice has been recommended. Several canine QOL assessment tools exist but there is little evidence of their uptake in veterinary practice. It is likely that various barriers are inhibiting their implementation. Additionally, evidence of positive impacts of their use is limited.
Several studies addressed these gaps in knowledge. A retrospective analysis used data from an existing assessment scheme to assess its impact on measures of QOL. A survey of veterinary professionals then investigated their awareness of and willingness to use QOL assessment tools in practice. The results informed semi-structured interviews which explored barriers and motivators to the use of QOL assessment tools. Finally, QOL assessment schemes in three veterinary practices and a rehoming centre were developed and implemented using a participatory action research approach. Information on participants’ definition of QOL and benefits of assessment were collected throughout.
The retrospective analysis indicted an improvement in QOL between two consultations, alongside other benefits. Although most of the surveyed veterinary professionals were willing to use QOL assessment tools in practice, only 29.1% reported having knowledge of tools. Additionally, specified tools were currently being used by fewer than four percent of respondents. Alongside this evident lack of knowledge, prominent barriers from the interviews and trials included availability of time, financial issues and social factors. Veterinary professionals’ perception of dog owners, including concerns about jeopardising the veterinary professional-client relationship were also important. The implementation trials revealed a need for key individuals to drive and monitor the process and the importance of the assessment tool and its relevancy to the setting.
Recommendations for veterinary practices and the wider community were made to encourage the implementation of QOL assessment in veterinary practices, including enablement, modelling and education. Recommendations for tool development are also presented.

Date of Award	24 Jan 2023
Original language	English
Awarding Institution	University of Bristol
Supervisor	Emily-Jayne Blackwell (Supervisor) & Siobhan Mullan (Supervisor)