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Home / Equine Research Bank / Int J Environ Res Public Health / Measuring Equine-Assisted Therapy: Validation and Confirmato...
International journal of environmental research and public health2022; 19(5); 2738; doi: 10.3390/ijerph19052738

Measuring Equine-Assisted Therapy: Validation and Confirmatory Factor Analysis of an ICF-Based Standardized Assessment-Tool.

Abstract: The International Classification of Functioning, Disability, and Health (ICF) of the World Health Organization (WHO) was established as an international framework for monitoring rehabilitation outcomes and the impacts of health interventions since, as the term "functioning" implies, it emphasizes a person's "lived health" in addition to their biological health status. Equine-assisted therapy (EAT) represents a holistic intervention approach that aims to improve both biomedical functioning and the patient's lived health in relation to performing activities and participating in social situations. In this study, the psychometric properties of an ICF-based digital assessment tool for the measurement of the rehabilitation impacts of EAT were analyzed via simultaneous confirmatory factor analyses (CFA) and reliability and sensitivity tests. In total, 265 patients from equine-assisted therapy centers in Germany were included for CFA. Change sensitivity was assessed via multi-level analyses based on 876 repeated assessments by 30 therapists. Results show satisfactory model-fit statistics; McDonald's omega (ML) showed excellent scores for the total scale (ω = 0.96) and three subscales (ω = 0.95; ω = 0.95, ω = 0.93). The tool proved itself to be change sensitive and reliable (change sensitivity 0.001), retest r = 0.745 **, ≤ 0.001). Overall, the developed assessment tool satisfactorily fulfills psychometric requirements and can be applied in therapeutic practice.
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Publication Date: 2022-02-26 PubMed ID: 35270430PubMed Central: PMC8910427DOI: 10.3390/ijerph19052738Google Scholar: Lookup
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  • Non-U.S. Gov't

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 study focused on validating and testing a digital assessment tool based on the World Health Organization’s International Classification of Functioning, Disability, and Health (ICF). This tool was developed to measure the impacts of equine-assisted therapy (EAT) on the rehabilitation of patients.

About the Study

  • The research aimed to explore the psychometric properties of a digital assessment tool grounded in the principles of the ICF. This tool’s purpose was to measure the rehabilitation impacts of EAT on patients, focusing on both their biomedical functioning and their ability to participate in social situations.
  • The study embraced a holistic intervention approach, which is a marked characteristic of EAT.

Methodology

  • The study analyzed the tool’s psychometric properties using confirmatory factor analysis (CFA), reliability, and sensitivity tests.
  • In total, 265 patients from various EAT centers in Germany offered data for the CFA.
  • Change sensitivity, another important aspect of the study, was assessed using multi-level analyses from a series of 876 repeated assessments performed by 30 therapists.

Results

  • The results demonstrated satisfactory model-fit statistics, indicating that the assessment tool delivered accurate results.
  • The McDonald’s omega (ML) showed excellent scores for the total scale (ω = 0.96) and three subscales (ω = 0.95; ω = 0.95, ω = 0.93). This suggested that the tool’s consistency and reliability were above average.
  • Importantly, the tool proved to be change sensitive and reliable, with a change sensitivity score of less than 0.001 and a retest result of r = 0.745.

Conclusion

  • The digital assessment tool developed in this study meets the necessary psychometric requirements, and as such, it can be successfully integrated into therapeutic practice. It is specifically designed for use in the context of EAT, but its ICF-based structure renders it flexible and potentially applicable in other therapies as well.

Cite This Article

APA
Stolz I, Anneken V, Froböse I. (2022). Measuring Equine-Assisted Therapy: Validation and Confirmatory Factor Analysis of an ICF-Based Standardized Assessment-Tool. Int J Environ Res Public Health, 19(5), 2738. https://doi.org/10.3390/ijerph19052738

Publication

International journal of environmental research and public health
ISSN: 1660-4601
NlmUniqueID: 101238455
Country: Switzerland
Language: English
Volume: 19
Issue: 5
PII: 2738

Researcher Affiliations

Stolz, Isabel
  • Research Institute for Inclusion through Physical Activity and Sport, German Sport University Cologne, 50226 Frechen, Germany.
  • Research Institute of Movement and Neurosciences, German Sport University Cologne, 50933 Cologne, Germany.
Anneken, Volker
  • Research Institute for Inclusion through Physical Activity and Sport, German Sport University Cologne, 50226 Frechen, Germany.
Froböse, Ingo
  • Institute of Health Promotion and Clinical Movement Science, German Sport University, 50933 Cologne, Germany.

MeSH Terms

  • Animals
  • Disability Evaluation
  • Disabled Persons / rehabilitation
  • Equine-Assisted Therapy
  • Factor Analysis, Statistical
  • Horses
  • Humans
  • International Classification of Functioning, Disability and Health
  • Reproducibility of Results

Conflict of Interest Statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

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