The purpose of this study is to: Aim 1: Evaluate the feasibility \[consent and refusal rates, attrition rates, length, and number of completed therapy sessions\], and acceptability \[interviews with children and guardians, overall patient and guardian satisfaction\] during inpatient physical therapy (PT) and occupational therapy (OT) sessions. Hypothesis: Animal-assisted interaction (AAI) with Paro, a robotic baby harp seal, during pediatric inpatient PT/OT sessions will be feasible and acceptable. Aim 2: Assess preliminary efficacy of AAI during PT/OT sessions with Paro on behavior (anxiety and affect) and motivation to participate in rehabilitation in hospitalized children. Hypothesis: Children who use Paro will demonstrate less anxiety, more positive affect, and greater motivation to participate in therapy than those who do not use Paro. Aim 3: Test the stress, anxiety, and depression levels of parents/guardians of children who use Paro inpatient physical and occupational therapy sessions. Hypothesis: In addition, parents and guardians of children that use Paro will report less stress, anxiety, and depression compared to parents/guardians of children that do not use Paro.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Pain: Wrong-Baker FACES pain rating scale
Timeframe: Change from before therapy session to immediately after therapy session is completed
Anxiety: Children's Anxiety Meter-State (CAM-S)
Timeframe: Change from before therapy session to immediately after therapy session is completed.
Intervention Acceptability
Timeframe: Within 1 week of study completion
Hospital Acquired Infections-Central Line Associated Blood Stream Infections (CLABSI)
Timeframe: Chart review will be conducted from the first day the patient is enrolled until 1 week after study completion.
Hospital Acquired Infections-Catheter-Associated Urinary Tract Infections (CAUTI)
Timeframe: Chart review will be conducted from the first day the patient is enrolled until 1 week after study completion.
Hospital Acquired Infections-Enteroviruses
Timeframe: Chart review will be conducted from the first day the patient is enrolled until 1 week after study completion.
Hospital Acquired Infections-Influenza
Timeframe: Chart review will be conducted from the first day the patient is enrolled until 1 week after study completion.
Hospital Acquired Infections-Multi-Drug Resistant Organisms
Timeframe: Chart review will be conducted from the first day the patient is enrolled until 1 week after study completion.
Hospital Acquired Infections-Surgical-Site Infections (SSI)
Timeframe: Chart review will be conducted from the first day the patient is enrolled until 1 week after study completion.
Hospital Acquired InfectionsVentilator-Associated Pneumonia (VAP)
Timeframe: Chart review will be conducted from the first day the patient is enrolled until 1 week after study completion.
Sedation Exposure
Timeframe: 4 hours after each individual session
Microbial Contamination Screening
Timeframe: Completed immediately after each individual session
Activity performance form
Timeframe: Immediately after each intervention therapy sesison
Physiologic variables-Blood Pressure
Timeframe: Change from before therapy session to immediately after therapy session is completed
Physiologic variables-Respiratory Rate
Timeframe: Change from before therapy session to immediately after therapy session is completed
Physiologic variables
Timeframe: Change from before therapy session to immediately after therapy session is completed
Opinion on Pets
Timeframe: Prior to the start of the first therapy session.
Parent/Guardian Stress
Timeframe: Change from the start of the first therapy session to the end of the final therapy session.
Parent/Guardian Anxiety and Depression
Timeframe: Change from the start of the first therapy session to the end of the final therapy session.
Mood/Affect
Timeframe: Change from the start of the first therapy session to the end of the final therapy session.
Motivation to Participate in Therapy
Timeframe: Immediately after each therapy session.