Animal-Assisted Interventions for Autism Spectrum Disorder: A Systematic Review of the Literature from 2016 to 2020.
Abstract: In the last five years, the literature on animal-assisted intervention (AAI) for Autism Spectrum Disorder (ASD) has doubled in size from 42 studies prior to 2015 to 85 studies (cumulative total assessed in 2020). Horses remain the most commonly researched animal for AAI, followed by dogs. The most commonly researched outcome was social interaction, across 21 studies. Though the quantity of studies has increased, issues with methodological rigor remain. Results highlight the need for a continued focus on methodological rigor as well as refining the structure of animal-assisted interventions, addressing the welfare needs of the animals involved, and continuing to establish an evidence base of both significant and nonsignificant findings for AAI for individuals with ASD.
Publication Date: 2021-09-30 PubMed ID: 37313251PubMed Central: PMC10259834DOI: 10.1007/s40489-021-00291-6Google Scholar: Lookup
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Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research article provides an updated review of literature from 2016 to 2020 on the use of animals, particularly horses and dogs, in interventions for individuals with Autism Spectrum Disorder. Despite an increase in studies, the need for methodological improvements and considerations for animal welfare remain crucial.
Study Sample and Analyzed Data
- The study conducted a systematic review of the literature on Animal-Assisted Interventions (AAI) for Autism Spectrum Disorder (ASD) from the past five years. A total of 85 studies on the subject, which is a substantial increase from the previous literature that existed prior to 2015, were analyzed.
- Horses and dogs were the most commonly utilized animals in these interventions, and the most common objective of these studies was examining their effects on social interaction – this area of focus was apparent in 21 of the studies.
Findings of the Study
- The results of the review revealed that while the number of studies on this subject has grown significantly, the quality of the research method is still lacking in many cases. The researchers argue that there is a persistent need for a greater emphasis on sound methodology, even as more studies continue to explore the effectiveness of AAI for ASD.
- Aside from methodological rigor, the research also highlighted the necessity of considering the welfare of the animals used in AAIs. It implies that any refinement or development of AAIs should incorporate appropriate care for the animals involved.
- Building an evidence base for AAI was also identified as a key area for future research. This includes collating both significant and nonsignificant findings of AAI for individuals with ASD to provide a more holistic understanding of the utility of these interventions.
Conclusion and Recommendations
- The study concludes that while there has been progress in research on AAIs for ASD, there are still many areas that could be improved. In particular, the methodological rigor of these studies needs to be addressed, and considerations for animal welfare must also be factored into the development of AAIs.
- Moreover, it recommends an enhanced focus on building an evidence base of AAI’s potential and limitations to further assess its effectiveness for individuals with ASD.
Cite This Article
APA
Nieforth LO, Schwichtenberg AJ, O'Haire ME.
(2021).
Animal-Assisted Interventions for Autism Spectrum Disorder: A Systematic Review of the Literature from 2016 to 2020.
Rev J Autism Dev Disord, 10(2), 255-280.
https://doi.org/10.1007/s40489-021-00291-6 Publication
Researcher Affiliations
- Center for the Human Animal Bond, Purdue University, West Lafayette, IN, USA.
- Human Development and Family Studies, Purdue University, West Lafayette, IN, USA.
- Center for the Human Animal Bond, Purdue University, West Lafayette, IN, USA.
Grant Funding
- TL1 TR002531 / NCATS NIH HHS
Conflict of Interest Statement
The authors have no conflicts of interests to declare that are relevant to the content of this article. On behalf of all authors, the corresponding author states that there is no conflict of interest.
References
This article includes 74 references
- Anderson S, Meints K. Brief Report: The Effects of Equine-Assisted Activities on the Social Functioning in Children and Adolescents with Autism Spectrum Disorder.. J Autism Dev Disord 2016 Oct;46(10):3344-52.
- Ashtari M, Sheikh M. The effect of swimming with dolphins on the selected balance and strength gross motor skills of eight-year old children with autism spectrum disorder.. Sport Science 11(1), 131–137.
- Ávila-Álvarez A, Alonso-Bidegain M, De-Rosende-Celeiro I, Vizcaíno-Cela M, Larrañeta-Alcalde L, Torres-Tobío G. Improving social participation of children with autism spectrum disorder: Pilot testing of an early animal-assisted intervention in Spain.. Health Soc Care Community 2020 Jul;28(4):1220-1229.
- Becker JL, Rogers EC, Burrows B. Animal-assisted social skills training for children with autism spectrum disorders.. Anthrozoös 30(2), 307–326.
- Beetz AM. Theories and possible processes of action in animal assisted interventions.. Applied Developmental Science 21(2), 139–149.
- Burrows KE, Adams CL, Spiers J. Sentinels of safety: service dogs ensure safety and enhance freedom and well-being for families with autistic children.. Qual Health Res 2008 Dec;18(12):1642-9.
- Byström K, Grahn P, Hägerhäll C. Vitality from Experiences in Nature and Contact with Animals-A Way to Develop Joint Attention and Social Engagement in Children with Autism?. Int J Environ Res Public Health 2019 Nov 23;16(23).
- Carlisle GK, Johnson RA, Mazurek M, Bibbo JL, Tocco F, Cameron GT. Companion animals in families of children with autism spectrum disorder: Lessons learned from caregivers.. Journal of Family Social Work 21(4–5), 294–312.
- Carlisle GK, Johnson RA, Wang Z, Brosi TC, Rife EM, Hutchison A. Exploring Human-Companion Animal Interaction in Families of Children with Autism.. J Autism Dev Disord 2020 Aug;50(8):2793-2805.
- Cerino S, Borgi M, Fiorentini I, Correale C, Lori A, Cirulli F. Equine-Assisted Intervention in a child diagnosed with autism spectrum disorder: a case report.. Riv Psichiatr 2016 Nov-Dec;51(6):270-274.
- Coman DC, Bass MP, Alessandri M, Ghilain CS, Llabre MM. Effect of equine-assisted activities on social and sensory functioning of children with Autism.. Society & Animals: Journal of Human-Animal Studies 26(6), 551–575.
- Covidence—Better systematic review management (2020). https://www.covidence.org/
- De Milander M, Bradley S, Fourie R. Equine-assisted therapy as intervention for motor proficiency in children with Autism Spectrum Disorder: Case studies.. South African Journal for Research in Sport, Physical Education and Recreation 38(3), 37–49.
- Fecteau SM, Boivin L, Trudel M, Corbett BA, Harrell FE Jr, Viau R, Champagne N, Picard F. Parenting stress and salivary cortisol in parents of children with autism spectrum disorder: Longitudinal variations in the context of a service dog's presence in the family.. Biol Psychol 2017 Feb;123:187-195.
- Fine AH, Beck AM, Ng Z. The State of Animal-Assisted Interventions: Addressing the Contemporary Issues that will Shape the Future.. Int J Environ Res Public Health 2019 Oct 18;16(20).
- Fine AH, Tedeschi P, Elvolve E. Forward thinking: The evolving field of human-animal interactions.. In Fine AH (Ed.), Handbook on Animal-Assisted Therapy: Foundations and Guidelines for Animal-Assisted Interventions (4th ed., pp. 21–36).
- Gabriels RL, Pan Z, Guérin NA, Dechant B, Mesibov G. Long-Term Effect of Therapeutic Horseback Riding in Youth With Autism Spectrum Disorder: A Randomized Trial.. Front Vet Sci 2018;5:156.
- Gabriels RL, Pan Z, Dechant B, Agnew JA, Brim N, Mesibov G. Randomized Controlled Trial of Therapeutic Horseback Riding in Children and Adolescents With Autism Spectrum Disorder.. J Am Acad Child Adolesc Psychiatry 2015 Jul;54(7):541-9.
- Germone MM, Gabriels RL, Guérin NA, Pan Z, Banks T, O'Haire ME. Animal-assisted activity improves social behaviors in psychiatrically hospitalized youth with autism.. Autism 2019 Oct;23(7):1740-1751.
- Grandgeorge M, Dubois E, Alavi Z, Bourreau Y, Hausberger M. Do Animals Perceive Human Developmental Disabilities? Guinea Pigs' Behaviour with Children with Autism Spectrum Disorders and Children with Typical Development. A Pilot Study.. Animals (Basel) 2019 Aug 2;9(8).
- Grandgeorge M, Gautier Y, Bourreau Y, Mossu H, Hausberger M. Visual Attention Patterns Differ in Dog vs. Cat Interactions With Children With Typical Development or Autism Spectrum Disorders.. Front Psychol 2020;11:2047.
- Grandgeorge M, Gautier Y, Brugaillères P, Tiercelin I, Jacq C, Lebret MC, Hausberger M. Social rivalry triggers visual attention in children with autism spectrum disorders.. Sci Rep 2017 Aug 30;7(1):10029.
- Grandin T, Fine AH, O’Haire ME, Carlisle GK, Bowers CM. The role of animals for individuals with Autism Spectrum Disorder.. In Fine AH (Ed.), Handbook on animal-assisted therapy: Foundations and guidelines for animal-assisted interventions (4th ed., pp. 225–236).
- Griffioen R, van der Steen S, Cox RFA, Verheggen T, Enders-Slegers MJ. Verbal Interactional Synchronization between Therapist and Children with Autism Spectrum Disorder during Dolphin Assisted Therapy: Five Case Studies.. Animals (Basel) 2019 Sep 24;9(10).
- Hall SS, Wright HF, Hames A, Mills DS. The long-term benefits of dog ownership in families with children with Autism.. Journal of Veterinary Behavior: Clinical Applications and Research 13(1), 46–54.
- Harris A, Williams JM. The Impact of a Horse Riding Intervention on the Social Functioning of Children with Autism Spectrum Disorder.. Int J Environ Res Public Health 2017 Jul 14;14(7).
- Hart LA, Thigpen AP, Willits NH, Lyons LA, Hertz-Picciotto I, Hart BL. Affectionate Interactions of Cats with Children Having Autism Spectrum Disorder.. Front Vet Sci 2018;5:39.
- Harwood C, Kaczmarek E, Drake D. Parental Perceptions of the Nature of the Relationship Children with Autism Spectrum Disorders Share with Their Canine Companion.. J Autism Dev Disord 2019 Jan;49(1):248-259.
- Hill JR, Ziviani J, Driscoll C. "The connection just happens": Therapists' perspectives of canine-assisted occupational therapy for children on the autism spectrum.. Aust Occup Ther J 2020 Dec;67(6):550-562.
- Hill JR, Ziviani J, Driscoll C. Canine-assisted occupational therapy for children on the autism spectrum: Parents' perspectives.. Aust Occup Ther J 2020 Oct;67(5):427-436.
- Hill J, Ziviani J, Driscoll C, Teoh AL, Chua JM, Cawdell-Smith J. Canine Assisted Occupational Therapy for Children on the Autism Spectrum: A Pilot Randomised Control Trial.. J Autism Dev Disord 2020 Nov;50(11):4106-4120.
- Höfer J, Hoffmann F, Bachmann C. Use of complementary and alternative medicine in children and adolescents with autism spectrum disorder: A systematic review.. Autism 2017 May;21(4):387-402.
- Johnson SC. Detecting agents.. Philos Trans R Soc Lond B Biol Sci 2003 Mar 29;358(1431):549-59.
- Jorgenson CD, Clay CJ, Kahng S. Evaluating preference for and reinforcing efficacy of a therapy dog to increase verbal statements.. J Appl Behav Anal 2020 Jul;53(3):1419-1431.
- Julius H, Beetz A, Kotrschal K, Turner D, Uvnäs-Moberg K. Attachment to Pets: An Integrative View of Human-Animal Relationships with Implications for Therapeutic Practice. Hogrefe Publishing.
- Kalmbach D, Wood W, Peters BC. Parental Perspectives of Occupational Therapy in an Equine Environment for Children with Autism Spectrum Disorder.. Occup Ther Health Care 2020 Jul;34(3):230-252.
- Klinger LG, Cook ML, Dudley KM. Predictors and Moderators of Treatment Efficacy in Children and Adolescents with Autism Spectrum Disorder.. J Clin Child Adolesc Psychol 2021 Jul-Aug;50(4):517-524.
- Kregiel A, Zaworski K, Kolodziej E. Effects of animal-assisted therapy on parent-reported behaviour and motor activity of children with Autism Spectrum Disorder.. Health Problems of Civilization 13(4), 273–278.
- Kwon S, Sung IY, Ko EJ, Kim HS. Effects of Therapeutic Horseback Riding on Cognition and Language in Children With Autism Spectrum Disorder or Intellectual Disability: A Preliminary Study.. Ann Rehabil Med 2019 Jun;43(3):279-288.
- LaB NioHNH. Study Quality Assessment Tools [cited 2021. nMay]. https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools.
- Levinson B (1983). In Katcher B, & Beck A (Eds.), New perspectives on our lives with companion animals (p. 283). Philadelphia University of Pennsylvania Press.
- Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration.. BMJ 2009 Jul 21;339:b2700.
- Llambias C, Magill-Evans J, Smith V, Warren S. Equine-Assisted Occupational Therapy: Increasing Engagement for Children With Autism Spectrum Disorder.. Am J Occup Ther 2016 Nov Dec;70(6):7006220040p1-7006220040p9.
- London MD, Mackenzie L, Lovarini M, Dickson C, Alvarez-Campos A. Animal Assisted Therapy for Children and Adolescents with Autism Spectrum Disorder: Parent perspectives.. J Autism Dev Disord 2020 Dec;50(12):4492-4503.
- Maenner MJ, Shaw KA, Baio J, Washington A, Patrick M, DiRienzo M, Christensen DL, Wiggins LD, Pettygrove S, Andrews JG, Lopez M, Hudson A, Baroud T, Schwenk Y, White T, Rosenberg CR, Lee LC, Harrington RA, Huston M, Hewitt A, Esler A, Hall-Lande J, Poynter JN, Hallas-Muchow L, Constantino JN, Fitzgerald RT, Zahorodny W, Shenouda J, Daniels JL, Warren Z, Vehorn A, Salinas A, Durkin MS, Dietz PM. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016.. MMWR Surveill Summ 2020 Mar 27;69(4):1-12.
- Malcolm R, Ecks S, Pickersgill M. 'It just opens up their world': autism, empathy, and the therapeutic effects of equine interactions.. Anthropol Med 2018 Aug;25(2):220-234.
- McNicholas J, Collis GM. Dogs as catalysts for social interactions: robustness of the effect.. Br J Psychol 2000 Feb;91 ( Pt 1):61-70.
- Michelotto ALL, Anater A, Guebert MCC, Borges TD, Michelotto PV Jr, Pimpão CT. Animal-Assisted Activity for Children with Autism Spectrum Disorder: Parents' and Therapists' Perception.. J Altern Complement Med 2019 Sep;25(9):928-929.
- Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.. PLoS Med 2009 Jul 21;6(7):e1000097.
- O'Haire ME. Animal-assisted intervention for autism spectrum disorder: a systematic literature review.. J Autism Dev Disord 2013 Jul;43(7):1606-22.
- O'Haire M. Research on animal-assisted intervention and autism spectrum disorder, 2012-2015.. Appl Dev Sci 2017;21(3):200-216.
- O’Haire ME, Germone MM, Daigle CL, Gabriels RL. Development and initial validation of the OHAIRE-M1. International Society for Anthrozoology (ISAZ) Conference.
- O’Haire ME, Rand JS, McKenzie SJ, Slaughter V. Guinea pigs as classroom pets: Helping children with autism and their peers.. Society for Companion Animal Studies Journal XXII(4), 11–13.
- Ozyurt G, Ozcan K, Elikucuk CD, Odek U, Akpinar S. Equine assisted activities have positive effects on children with Autism Spectrum Disorder and family functioning.. Montenegrin Journal of Sports Science and Medicine 9(2), 51–58.
- Palley LS, O'Rourke PP, Niemi SM. Mainstreaming animal-assisted therapy.. ILAR J 2010;51(3):199-207.
- Pan Z, Granger DA, Guérin NA, Shoffner A, Gabriels RL. Replication Pilot Trial of Therapeutic Horseback Riding and Cortisol Collection With Children on the Autism Spectrum.. Front Vet Sci 2018;5:312.
- Peters BC, Wood W, Hepburn S, Bundy A. Pilot Study: Occupational Therapy in an Equine Environment for Youth With Autism.. OTJR (Thorofare N J) 2020 Jul;40(3):190-202.
- Petty JD, Pan Z, Dechant B, Gabriels RL. Therapeutic Horseback Riding Crossover Effects of Attachment Behaviors with Family Pets in a Sample of Children with Autism Spectrum Disorder.. Int J Environ Res Public Health 2017 Mar 3;14(3).
- Politte LC, Howe Y, Nowinski L, Palumbo M, McDougle CJ. Evidence-based treatments for Autism Spectrum Disorder.. Current Treatment Options in Psychiatry 2(1), 38–56.
- Protopopova A, Matter AL, Harris BN, Wiskow KM, Donaldson JM. Comparison of contingent and noncontingent access to therapy dogs during academic tasks in children with autism spectrum disorder.. J Appl Behav Anal 2020 Apr;53(2):811-834.
- Rodriguez KE, Greer J, Yatcilla JK, Beck AM, O'Haire ME. The effects of assistance dogs on psychosocial health and wellbeing: A systematic literature review.. PLoS One 2020;15(12):e0243302.
- Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials.. BMC Med 2010 Mar 24;8:18.
- Silva K, Lima M, Santos-Magalhães A, Fafiães C, de Sousa L. Can Dogs Assist Children with Severe Autism Spectrum Disorder in Complying with Challenging Demands? An Exploratory Experiment with a Live and a Robotic Dog.. J Altern Complement Med 2018 Mar;24(3):238-242.
- Silva K, Lima M, Santos-Magalhães A, Fafiães C, de Sousa L. Living and robotic dogs as elicitors of social communication behavior and regulated emotional responding in individuals with Autism and severe language delay: A preliminary comparative study.. Anthrozoös 32(1), 23–33.
- Smith BA. Project inreach: A program to explore the ability of Atlantic bottlenose dolphins to elicit communication responses from Autistic children.. In Katcher AH & Beck AM (Eds.), New perspectives on our lives with companion animals (pp. 460–466).
- Souza-Santos C, dos Santos JF, Azevedo-Santos I, Teixeira-Machado L. Dance and equine-assisted therapy in Autism Spectrum Disorder: Crossover randomized clinical trial.. Clinical Neuropsychiatry: Journal of Treatment Evaluation 15(5), 284–290.
- Specialist Unit for Review EvidencenCritical appraisal checklists [cited 2021. nMay]. https://www.cardiff.ac.uk/specialist-unit-for-review-evidence/resources/critical-appraisal-checklists.
- Tan VX, Simmonds JG. Parent Perceptions of Psychosocial Outcomes of Equine-Assisted Interventions for Children with Autism Spectrum Disorder.. J Autism Dev Disord 2018 Mar;48(3):759-769.
- van der Steen S, Heineman MMP, Ernst MJA. Evaluating Animal-Assisted Interventions: An Empirical Illustration of Differences between Outcome Measures.. Animals (Basel) 2019 Sep 3;9(9).
- Vitztum C, Urbanik J. Assessing the dog: A theoretical analysis of the companion animal’s actions in human-animal interactions.. Society & Animals 24(2), 172–185.
- Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies.. International Journal of Surgery 12(12):1495–9.
- Wijker C, Leontjevas R, Spek A, Enders-Slegers MJ. Effects of Dog Assisted Therapy for Adults with Autism Spectrum Disorder: An Exploratory Randomized Controlled Trial.. J Autism Dev Disord 2020 Jun;50(6):2153-2163.
- Wijker C, Steen SV, Spek A, Leontjevas R, Enders-Slegers MJ. Social Development of Adults with Autism Spectrum Disorder During Dog-Assisted Therapy: A Detailed Observational Analysis.. Int J Environ Res Public Health 2020 Aug 14;17(16).
- Wilson EO. Biophilia. Harvard University Press.
Citations
This article has been cited 1 times.- Tepper D, Shnookal J, Howell T, Bennett P. Can Interacting with Animals Improve Executive Functions? A Systematic Review.. Animals (Basel) 2023 Jun 23;13(13).
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