Abstract: Human-Animal Interaction (HAI) has been widely adopted as an approach to enhance the well-being of children with ASD, who often experience significant social impairments, emotional dysregulation, and other daily challenges. Given the potential variation of HAI across countries, there is a particular need to explore this phenomenon within different cultural contexts and to illuminate directions for facilitating positive HAI among children with ASD. The purpose of this review is to systematically synthesize the current knowledge of HAI as applied to children with ASD and to discuss possible variations across different cultural contexts. A systematic database search was conducted to synthesize HAI characteristics from existing studies that met the selection criteria. The results highlighted that most of the selected studies (N = 97) were conducted in Europe or the United States. The most common format of HAI identified was animal-assisted intervention, followed by pet ownership. Dogs and horses were the primary animals involved in HAI for children with ASD, while the majority of HAI occurred in home settings and at horse riding or training centres. To conclude, this review provides a more comprehensive lens for understanding the phenomenon of HAI for children with ASD across different countries and discusses cultural variations in terms of the companion animals involved, the formats, and the settings of HAI. It also offers therapeutic insights into the multicultural aspects of HAI, which may shed light on future interventions for children with ASD through HAI in more diverse settings.
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Overview
This research systematically reviews how Human-Animal Interaction (HAI) is used internationally to support children with Autism Spectrum Disorder (ASD), focusing on cultural differences, types of animal involvement, and intervention settings.
Introduction to the Research
Human-Animal Interaction (HAI) is increasingly used as a therapeutic method to improve the well-being of children with ASD.
Children with ASD often face challenges such as social impairments and emotional regulation difficulties.
The study aims to provide a systematic synthesis of existing HAI research specific to children with ASD across different countries.
An emphasis is placed on understanding how cultural contexts influence the use and effectiveness of HAI.
Methodology
A systematic database search was conducted to collect studies on HAI involving children with ASD.
Only studies that met specified selection criteria were included, resulting in 97 studies for analysis.
The review examines:
Geographical distribution of studies
Types of animal-assisted interactions
Species of animals involved
Settings where HAI occurs
Key Findings
Geographical Distribution:
Most studies were conducted in Europe and the United States, indicating regional skew in existing research.
Formats of HAI:
Animal-assisted interventions (e.g., structured therapy sessions involving animals) were the most common format.
Pet ownership was the second most common form, highlighting the informal or ongoing interactions children have with animals at home.
Animals Involved:
Dogs and horses emerged as primary animals used in HAI for children with ASD.
This likely reflects their recognized therapeutic value and accessibility within various cultures.
Settings:
The majority of interactions took place in home environments or specialized horse riding/training centers.
This demonstrates a mix of informal (home) and formal (therapeutic or training centers) settings.
Cultural Variations and Implications
The review stresses the need to consider cultural variations when implementing or researching HAI for children with ASD.
Different countries may have varying preferences for types of companion animals and settings, based on culture, availability, and animal symbolism.
Recognizing these differences is crucial for designing culturally sensitive and effective HAI programs.
Therapeutic Insights and Future Directions
The study highlights the therapeutic potential of culturally tailored HAI interventions for children with ASD.
It encourages expanding research and practice beyond Western-centric models to include more diverse cultural contexts.
This broader understanding can help develop intervention strategies that are more accessible and relevant worldwide.
Future HAI programs may benefit from:
Incorporating various animal species reflecting local cultural significance
Adapting intervention formats to local traditions and settings
Engaging families and communities to support positive HAI experiences
Conclusion
This systematic review provides a comprehensive understanding of HAI for children with ASD across different countries.
It identifies the predominant animals, intervention types, and environments while emphasizing the importance of cultural context.
The findings offer valuable guidance for practitioners and researchers aiming to implement effective, culturally-conscious HAI interventions worldwide.
Cite This Article
APA
Chan HW, Hsu LSJ, Shum KKM.
(2025).
Exploring the Human-Animal Interaction (HAI) for Children with ASD Across Countries: A Systematic Review.
J Autism Dev Disord.
https://doi.org/10.1007/s10803-025-06745-8