Between reason and emotion: a new perspective on treatment adherence for diabetic dogs

Abstract

Part of the success in the treatment of diabetic animals can be due to the emotional and financial commitment of their owners. However, the identification of the values that determine this compromise, mobilize, and motivate pet owners in decision-making has not yet been explored. Such aspects were analyzed during the clinical care of 15 diabetic canine patients under treatment using a qualitative assessment. The information obtained from each owner during the clinical anamnesis was converted into five codes, which were used to grade the owners’ levels of perception and involvement from the moment of diabetes mellitus diagnosis, stance, and expectations regarding the proposed therapy. The frequency of these codes allowed the construction of a square matrix of implication and a hierarchical map of values, and a clarification of the factors that influenced the perception and decision-making by the evaluated owners. The most evident personal values were insecurity and pity related to the daily management of insulin therapy, followed by restricted diet and physical exercise. The feelings of dedication, responsibility, safety, and comfort associated with the partnership between the veterinarian and the client were present. Discouraged owners of diabetic dogs should be frequently followed up on and encouraged without strict demands. Insecure owners require constant training and close treatment follow-up. Dissatisfied owners must be listened to and not have their anxieties and frustrations ignored. Calm, dedicated, and committed owners deserve to be congratulated and recognized for their commitment to the treatment of their animals. Approaching the owner through their strengths and allowing them to feel safe and their weaknesses understood can be helpful in the therapeutic success of diabetes mellitus in dogs.