Equine assisted activities and therapies in children with autism spectrum disorder: A systematic review and a meta-analysis.
- Journal Article
- Meta-Analysis
- Systematic Review
Summary
This study reviews and analyzes previous research on the effects of Equine-Assisted Activities and Therapies (EAAT) on children with Autism Spectrum Disorder (ASD). The researchers conclude that EAAT may help improve socialization, engagement, maladaptive behaviors, and problem-solving skills in children with ASD, despite requiring more standardized research.
Research Objective
The research aimed to gauge the efficacy of Equine-Assisted Activities and Therapies (EAAT) in patients diagnosed with Autism Spectrum Disorder (ASD). Because ASD is multifactorial, there’s an ongoing search for alternative methods of treatment to supplement the conventional approach.
Methodology
- The researchers conducted a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- The team utilized multiple databases for their study, including PUBMED, Cochrane Library, Web of Science, ClinicalTrials.gov, and PEDro, with a cut-off search date on July 20, 2017.
- They only considered English-language articles from peer-reviewed journals published after 1999, featuring a control group or comparative pre- and post-therapy ASD patient results, and having clear inclusion or exclusion criteria.
- The Quality Assessment Tool for Quantitative Studies (QATQS) was used to measure the methodological quality of the included studies. A meta-analysis was carried out on three select studies.
Results
- A total of 15 studies involving 390 participants, aged between 3 and 16, were included in the review.
- Most of the studies studied the interaction between psychosocial functioning and EAAT.
- Improvement in socialization, engagement, maladaptive behaviors, and reaction time in problem-solving situations was reported post therapy.
- The meta-analysis, however, exhibited no statistically significant differences regarding the examined effects.
Conclusions
The results of the studies featured in the review suggest EAAT could be a beneficial form of therapy for children with ASD. Despite the promising findings, the authors stress the need for more standardized research to substantiate these initial findings.
Cite This Article
Publication
Researcher Affiliations
- Department of Geriatric Medicine and Gerontology, Poznan University of Medical Sciences, Poland. Electronic address: ttrzmiel@ump.edu.pl.
- Department of Geriatric Medicine and Gerontology, Poznan University of Medical Sciences, Poland.
- Department of Computer Science and Statistics, Poznan University of Medical Sciences, Poland.
- Department of Geriatric Medicine and Gerontology, Poznan University of Medical Sciences, Poland.
- Department of Geriatric Medicine and Gerontology, Poznan University of Medical Sciences, Poland.
MeSH Terms
- Animals
- Autism Spectrum Disorder / psychology
- Autism Spectrum Disorder / therapy
- Behavior Therapy / methods
- Child
- Clinical Trials as Topic
- Horses
- Humans
Citations
This article has been cited 13 times.- Marchand WR. Potential Mechanisms of Action and Outcomes of Equine-Assisted Services for Veterans with a History of Trauma: A Narrative Review of the Literature.. Int J Environ Res Public Health 2023 Jul 16;20(14).
- Corallo F, Bonanno L, Cardile D, Luvarà F, Giliberto S, Di Cara M, Leonardi S, Quartarone A, Rao G, Pidalà A. Improvement of Self-Esteem in Children with Specific Learning Disorders after Donkey-Assisted Therapy.. Children (Basel) 2023 Feb 22;10(3).
- Sissons JH, Blakemore E, Shafi H, Skotny N, Lloyd DM. Calm with horses? A systematic review of animal-assisted interventions for improving social functioning in children with autism.. Autism 2022 Aug;26(6):1320-1340.
- Amado-Fuentes M, Gozalo M, Garcia-Gomez A, Barrios-Fernandez S. Impact of Equine-Assisted Interventions on Heart Rate Variability in Two Participants with 22q11.2 Deletion Syndrome: A Pilot Study.. Children (Basel) 2021 Nov 22;8(11).
- Hediger K, Wagner J, Künzi P, Haefeli A, Theis F, Grob C, Pauli E, Gerger H. Effectiveness of animal-assisted interventions for children and adults with post-traumatic stress disorder symptoms: a systematic review and meta-analysis.. Eur J Psychotraumatol 2021;12(1):1879713.
- Kemeny B, Burk S, Hutchins D, Gramlich C. Therapeutic Riding or Mindfulness: Comparative Effectiveness of Two Recreational Therapy Interventions for Adolescents with Autism.. J Autism Dev Disord 2022 Jun;52(6):2438-2462.
- Contalbrigo L, Borgi M, De Santis M, Collacchi B, Tuozzi A, Toson M, Redaelli V, Odore R, Vercelli C, Stefani A, Luzi F, Valle E, Cirulli F. Equine-Assisted Interventions (EAIs) for Children with Autism Spectrum Disorders (ASD): Behavioural and Physiological Indices of Stress in Domestic Horses (Equus caballus) during Riding Sessions.. Animals (Basel) 2021 May 27;11(6).
- Zoccante L, Marconi M, Ciceri ML, Gagliardoni S, Gozzi LA, Sabaini S, Di Gennaro G, Colizzi M. Effectiveness of Equine-Assisted Activities and Therapies for Improving Adaptive Behavior and Motor Function in Autism Spectrum Disorder.. J Clin Med 2021 Apr 16;10(8).
- Marchand WR, Andersen SJ, Smith JE, Hoopes KH, Carlson JK. Equine-Assisted Activities and Therapies for Veterans With Posttraumatic Stress Disorder: Current State, Challenges and Future Directions.. Chronic Stress (Thousand Oaks) 2021 Jan-Dec;5:2470547021991556.
- Schmidt J, Wartenberg-Demand A, Forstmeier S. Equine-assisted biographical work (EABW) with individuals in the second half of life: study protocol of a multicentre randomised controlled trial.. Trials 2020 Oct 15;21(1):857.
- White-Lewis S. Equine-assisted therapies using horses as healers: A concept analysis.. Nurs Open 2020 Jan;7(1):58-67.
- Sahlin E, Johansson B, Karlsson PO, Loberg J, Niklasson M, Grahn P. Improved Wellbeing for Both Caretakers and Users from A Zoo-Related Nature Based Intervention-A Study at Nordens Ark Zoo, Sweden.. Int J Environ Res Public Health 2019 Dec 5;16(24).
- Scopa C, Contalbrigo L, Greco A, Lanatà A, Scilingo EP, Baragli P. Emotional Transfer in Human-Horse Interaction: New Perspectives on Equine Assisted Interventions.. Animals (Basel) 2019 Nov 26;9(12).