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Linda Lombardi

There was a time when formal shelter behavior evaluations for dogs seemed like an important breakthrough. But while an objective way to assess behavior seems like a great idea, it’s increasingly clear that these batteries of tests aren’t doing the job it was hoped they’d do.

In 2016, Gary Patronek, DVM, and Janis Bradley published a paper analyzing the literature on canine behavior evaluations, concluding that they were “no better than flipping a coin.”

This did not prompt immediate abandonment of these tests and there were some understandable questions about their conclusion. How was it possible for their review of the literature to conclude that these tests were not valid and predictive, when individual papers said that they were?

In a new paper they address those questions, delving into statistical issues, the difference between colloquial and technical uses of words like “valid,” “predictive,” and “reliable,” and the kind of evidence needed to justify using a test for real life–and sometimes life and death–decisions.

Testing the Tests

Standards exist for judging whether a test has real-world applicability. “This is not something we need to reinvent,” Bradley says. “There is robust human diagnostic test literature that tells us how to do this and what acceptable standards are, and behavior evaluations in dogs–at least the ones that we looked at, that were intended to have application to dogs in shelters–simply don’t meet any reasonable standard.”

One problem with research on predictive ability of behavior evaluations is that most of it has been done on owned dogs, not dogs in shelters.

“Epidemiologists will tell you there’s no such thing as saying a test is valid,” Bradley says. “All you can ever say is that we’ve demonstrated validity with this population, in this context, with this exact instrument. If you change any of those things–and likely all of those things are going to change in any application in a shelter–any claims you make for validity go completely out the window.”

Many shelters modify protocols, and it’s impossible to perform a test as consistently in the shelter environment as in a lab. Tiny details can change results. One study showed that factors like the evaluator’s height and how much they leaned over changed the outcome. “Try to imagine the world where you’d have the kind of consistency that would eliminate confounds like that in a shelter environment,” Bradley says. “It could never happen.”

The context is also different, and in an important way. The ability to identify aggression is of greatest concern in these evaluations, and results can vary by environment.

“The most common underlying motivations for aggression are fear and anxiety because aggression is distance-increasing behavior,” says veterinary behaviorist Wailani Sung, DVM, of the San Francisco SPCA. “Dogs in the shelter are already lower in tolerance because their overall stress level is so high. So they could test more negatively in a shelter environment versus in a home where they have more stable relationships and a more consistent environment.”

Another problem is that serious aggression is rare in dogs, and those dogs probably don’t get evaluated at shelters. “Most shelters eliminate the tail end of the bell curve without ever subjecting them to a behavior evaluation,” says Bradley. “If everyone’s afraid to go into the kennel with the dog, they’re not going to take it out and do a behavior evaluation.” For statistical reasons, it’s more difficult to design a reliable test for a rare behavior if there’s a concern about false positives. In this instance, false positives–a result that claims to show a dog is aggressive when he isn’t really–can result in unnecessary euthanasia.

“This entire enterprise to a certain extent appears to be based on an idea that there’s some elevated risk with regard to shelter dogs,” Bradley says. “There’s no evidence that this is the case.” Shelter dogs are no more or less likely to someday show aggression.

What’s the Alternative?

Although there’s a considerable body of research questioning the validity of behavior assessments, it takes time for that to trickle down to the real world. “There’s a huge discrepancy between the academic world that has been studying these things versus the practical world that’s out there on a day-to-day basis that still has the pressure of putting safe animals out into the world,” says Jeannine Berger, DVM, vice president of rescue and welfare at the San Francisco SPCA.

Change is hard, and this is a hard kind of change. “Sometimes you don’t want to be shown that what you’re doing is not helpful and may be harmful. That’s a bitter pill to swallow,” says Dr. Sung.

Dr. Berger says discussion about behavior assessments has increased since the ASPCA came out with a position statement last year referring to this literature. “People actually in the field are now starting to question if this is the right approach to making those decisions,” she says.

Amy Marder, VMD, who spent much of her career working on these types of assessments, now believes the best approach is for staff to observe dogs in day-to-day interactions and keep good records. This doesn’t have to involve more work or resources, since it happens during physical exams and walks, which need to be done anyway. “You can get a lot of information from doing routine procedures rather than a formal evaluation,” she says.

This is what San Francisco SPCA does. “We use the five freedoms model to assess welfare, and everyone is trained on that,” Berger says. “We are looking at, are they eating, are they drinking, are they comfortable in their environment, are they fear free and distress free, are they performing normal behaviors, are they free of illness and disease,” she says. “We use that to assess each animal every day, and anything out of the norm is reported and is addressed.”

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Linda Lombardi writes about the animals who share our planet and our homes for magazines including The Bark, websites including National Geographic and Mongabay.com, and for the Associated Press. Her most recent book, co-authored with Deirdre Franklin, is The Pit Bull Life: A Dog Lover’s Companion.

Puppy Socialization: Running a Puppy Socialization Program in Your Practice

Normal or abnormal, all puppies can benefit from a puppy socialization program. Offering a puppy socialization program in your practice is a great way to have your clients bond with the practice, monitor puppy development, and ensure that clients get support during this critical period. In this final webinar in the puppy socialization series, Rachel Lees, RVT, KPA CTP, VTS (Behavior), reviews how to set up a program, tailor it to your practice, and support puppies who are “lemons” during their participation.

Puppy Socialization: Is This Puppy Normal or a “Lemon”?

Once you know what you are looking at and can identify puppies who are “lemons,” what do you do about them? In this webinar, Dr. Elizabeth Feltes, ACVB Resident in Private Practice, and Amanda Eick, RVT, KPA CTP, VTS (Behavior), cover options from pheromones to supplements to medications used to get these little lemons back on track and keep them in their homes. Find out how they approach these puppies during puppy consultations and what you can do in your hospital to improve the lives of everyone involved.

Sponsored by Ceva.

Crash, Boom, Bang! Addressing Noise Aversion in Dogs

It is estimated that a third of dogs suffer from some form of noise aversion. If you saw 12 dogs yesterday, four of them are likely to develop noise sensitivities in their lifetime. Not only can a fear of sounds be physiologically and emotionally damaging for dogs, but it can also strain the human-animal relationship. This session will provide you with strategies for how to approach, prevent, and treat sound sensitivities, including teaching desired coping skills. Sponsored by Zoetis.

Puppy Socialization: Is This Puppy Normal or a “Lemon”?

Ever wonder if the behaviors a client is describing are normal? What behaviors should your watch for that can tell you if a puppy is going to need more help? In this webinar, Dr. Elizabeth Feltes, ACVB Resident in Private Practice, and Amanda Eick, RVT, KPA CTP, VTS (Behavior), review normal puppy socialization and development and how to identify “lemons” who may show up in your practice. This presentation includes a review of body language in puppies using video and photos. Sponsored by Ceva.

By David Hustead, DVM, M.P.H.Balancing the importance of necessary care with the emotional care of pets in the Fear Free clinic can be challenging. There are countless situations, from the dog hit by a car to an outbreak or emerging disease, where the timeliness of medical care seems to outweigh the need to take things slowly and minimize fear, anxiety, and stress (FAS) in the pet.

Consider Lyme disease. While we as well as our clients may be reluctant to add another injection to a dog’s prevention program, new information about Lyme disease’s risks, transmission, and prevalence provides a compelling reason to reconsider that reluctance. What information do we need to balance those risks with the benefit of prevention?

The risk of Lyme disease is increasing, changing, and spreading.

It’s important to understand that what we know about the risk of Lyme disease may be outdated. There is increasing evidence the risks of Lyme disease continue to expand for both people and dogs in the U.S. The CDC reports that vector-borne disease has more than doubled from 2004 to 2016. Of this, human Lyme disease accounts for 82 percent.  Additionally, during this period, nine new vector-borne diseases were first observed in the U.S.1

The risk to dogs is also increasing in areas not normally considered at-risk for Lyme disease. According to the Companion Animal Parasite Council (CAPC), while the Northeastern states, upper Midwest, and Pacific Northwest still have the majority of canine Lyme cases, dogs exposed to Borrelia burgdorferi continue to be discovered outside of those areas. Their biggest areas of concern for increases in canine Lyme disease in 2019 include eastern Pennsylvania, eastern Ohio and Kentucky, West Virginia, western Virginia and North Carolina. Northwestern Minnesota and some areas in Indiana are also expected to see higher than average seroprevalence in 2019.

Other longstanding beliefs about transmission may now be outdated. For instance, many of us think the risk of disease transmission from exposure to the Lyme disease tick vector I. scapularis is greatest in the spring, but the CDC says the risk of exposure to these ticks is really greatest throughout spring, summer, and fall. In addition, adult ticks can be active at any time of the year when the temperature is above freezing.3

Consider the critical role of the veterinarian.

It’s easy to see that Lyme disease prevention is a critical issue to raise with clients, and one that requires the expertise of a veterinarian. There is no replacing the combination of client education about the disease and exposure risk reduction and proper vector control, including systemic or topical insecticides and vaccination. But some Fear Free veterinarians are hesitant to add a Lyme vaccine to their protocols, thinking it means yet another needle stick and more vaccine volume administered. The good news for Fear Free Certified practitioners is that, for the majority of your patients, you can add a Lyme vaccine without adding needle sticks or more volume.

For example, dogs needing only a Lyme vaccine can receive Elanco’s TruCan™ Ultra Lyme. TruCan™ Ultra Lyme has only half the volume of most vaccines. While half the volume may not seem like a big deal to you, clients interested in Fear Free techniques will appreciate a reduced-volume vaccine. Let them know you have a Lyme vaccine that offers the same protection but with half the dose volume.

Elanco has options for dogs who need distemper and parvo protection as well as those at risk of Leptospiroris, another disease with changing risk. TruCan™ Lyme L-4 + TruCan™ DAPPi+Lyme L-4, and TruCan™ DAPPi+Lyme CL-4  all provide protection with one needle stick and the same vaccine volume as a 4-way Lepto-only vaccine.

TruCan, Elanco, and the diagonal bar logo are trademarks of Elanco or its affiliates.

©2023 Elanco or its affiliates. PM-US-23-0569

References

    1. 1 Rosenberg, R. Et al. Vital Signs: Trends in Reported Vector Borne Disease Cases US and Territories 2004-2016. MMR Weekly 67 (17) May 4 2018.
      2 Yabsley, M. Despite the Availability of Preventative Measures—the Risk of Vector-Borne Disease Remains High in 2019. CAPC website accessed on 16 May 2019 at  https://capcvet.org/articles/despite-the-availability-of-preventative-measures-the-risk-of-vector-borne-disease-remains-high./
    2. 3 CDC accessed Geographic distribution of ticks that bite humans. Accessed at:https://www.cdc.gov/ticks/geographic_distribution.html

This article is brought to you in collaboration with our friends at Elanco.

Certified Practice Member Exclusive: Behavior Triage 101

Hear from one of the profession’s leading experts when it comes to delivering Fear Free care to even your most challenging patients! The higher the level of FAS a patient experiences, the more challenging it is to effectively and safely deliver veterinary care. With her years of experience practicing and teaching, Dr. Susan Barrett shares her unique perspectives on successfully managing these patients.

Taking the Stress Out of Veterinary Care for Clients & Patients Through Technology

Fear, anxiety, and stress should not be barriers for any pet or pet parent when they need care from their veterinary team or other care providers like groomers, walkers, trainers, or pet sitters. Technology is bringing the world as we know it closer and making our day to day lives easier and more convenient. BabelBark has new technology tools that make caring for our beloved pets easier and better. Tanya Cooper, the Director of Veterinary Sales at BabelBark and a Fear Free Certified Professional, explains how the veterinary care team can be unified with the care providers in a pet’s life for better sharing of information between visits and how BabelBark’s tools of remote patient monitoring and enhanced communications can allow you to provide high-quality care that considers the wellbeing of the pet’s body and mind.

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Linda Lombardi

Even the best animal shelter can be a stressful place for dogs. Erica Feuerbacher studies how to improve their welfare and was intrigued by a program she learned about at Best Friends Animal Society in Utah. Volunteers could take dogs with them for an overnight sleepover, even volunteers on working vacations, who could bring them to their hotel. Feuerbacher and colleague Lisa Gunter thought they could answer some questions that were in the air about the program.

“Some people thought this was really useful,” she says. “The dogs got a break from the shelter, and they learned more about the dog when it was out and about.” Others were concerned that the program was stressful for dogs. Here’s what they found.

Test Tactics

They collected urine for analysis from a sample of dogs before, during, and after a sleepover. “We found that their urinary cortisol levels, a measure of stress, significantly dropped while they were on the sleepover,” Feuerbacher says. “They came back up when they returned to the shelter, but not above baseline levels, so they weren’t more stressed when they came back.”

This suggested that the sleepovers were good for the dogs, but would they have the same effect elsewhere? Best Friends is not a typical shelter; most of the dogs are long-term residents and many had been on sleepovers before. They repeated the study at four other shelters, from small limited-intake facilities to large municipal shelters. Urinary cortisol measurements for dogs getting two-night sleepovers revealed the same stress reduction effects.

Good Stress

Repeated sleepovers appear to have a positive effect. At BFAS, the number of sleepovers a dog had previously experienced was correlated with lower cortisol, suggesting that the experience at first involves a small amount of stress.

“Likely the results we saw were the decrease from stress in the shelter overlaid with some new stress from the new situation, but the decrease overrode the small increase,” she says. “With repeated exposure to this new experience—‘I go home with new people and hang out for a night’—the dogs show an even greater reduction.”

Dogs at the four shelters in the second study also wore activity monitors as a way to follow up on something the volunteers at Best Friends reported: that the dogs would check out the new place for 20 or 30 minutes and then sleep the rest of the time. The monitors showed that the dogs not only spent much of the time resting in the foster home, they seemed to be able to get more rest when they came back to the shelter.

“The longest bout of uninterrupted rest occurred at the foster home, which made sense, but we did see some carryover effects,” she says. Dogs got significantly more rest in the shelter after the sleepover. “We had lots of reports from staff saying ‘When the dogs came back from sleepover, they’re a different dog, they’re calm in the kennel, they’re showing better’ and our data supported those anecdotal observations.”

So while the cortisol measurements did come back up when the dogs returned to the shelter, the break appeared to improve their ability to be calm in the shelter environment. “I always compare it to a weekend,” says Feuerbacher. “I’m stressed on Friday at work, I relax on Saturday and Sunday, and yes on Monday I’m stressed again, but I’ve had rest and I’m probably better able to cope with it.”

Canine R&R

The fact that dogs spent most of their time away from the shelter resting might be a bit of a surprise, but a pleasant one, as it potentially makes a program easier to implement.

“Oftentimes we think about shelter dogs that they need to go out and do things, go on hikes, and get all this environmental enrichment, but it’s possible that the shelter environment is so stimulating already that what they really need is just some quiet time,” she says. “This opens up new opportunities for fosters who might say, ‘I don’t feel comfortable taking a new dog to Starbucks, but I can take this dog home and let him sleep at my house for a few hours.”

Success Story

One shelter that participated that was so pleased with the results of the sleepover that they continued the program after the experiment was over was the Humane Society of Western Montana in Missoula. Director of Programs Mariah Scheskie says staff sees a difference in the dogs that come back from a sleepover. “When they come back, not only are they calmer, the potential adopters looking through the kennels are more drawn to them because mostly they don’t pick the dog that’s jumping up and lunging at the glass.”

Now that the program is established, it’s easy to run. Volunteers know the procedures, what to take home with which dog and what the schedule is, so it doesn’t add work for shelter staff.

The finding that dogs mostly want to rest makes participation less intimidating. “Before having this information, people did think, ‘I have to take this dog and run them for 10 miles and do all these things, and that’s a lot of pressure,” she says. “But we’re saying no, just rent a movie and open a bottle of wine and stay home.”

One unexpected finding was large differences in baseline stress at different shelters that didn’t correlate with any obvious factors. This is something Feuerbacher thinks needs further study. “Yes, sleepovers help, but we really need to understand these differences between the shelters and how housing, handling, and husbandry practices are impacting those dogs,” she says.

In the meantime, short sleepover programs can offer benefits to dogs and a new way to volunteers to get involved. Scheskie has found that it makes shelter staff feel good as well. “The volunteer is going out, everyone’s yelling goodbye, the door closes, and everyone has this huge sigh of relief together,” she says. “I looked at my coworker the other day and said, ‘It’s amazing how good that feels. You just know they’re snuggling in the bed, they’re with a human, they’re having a great time.”

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Consider the Senses of the Fear Free Exam

Dr. Julie Reck explores the details involved in creating a Fear Free experience. She also discusses pre-appointment opportunities, easy-to-implement facility alterations, and exam room cleaning tips to make sure your patients have the best experience possible. Sponsored by Virox.