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Occupational therapy in health care2020; 34(3); 230-252; doi: 10.1080/07380577.2020.1751903

Parental Perspectives of Occupational Therapy in an Equine Environment for Children with Autism Spectrum Disorder.

Abstract: This paper reports on the qualitative phase of a mixed methods study of occupational therapy in an equine environment for children with autism spectrum disorder (ASD). The study's quantitative phase found that this intervention improved the occupational performance, social motivation, social communication, and self-regulation of some children with ASD. The study's qualitative phase, reported herein, subsequently aimed to describe parental perspectives on children's experiences of the intervention and its influences on everyday life. Using a qualitative descriptive research approach, five parents participated in two rounds of semi-structured interviews. Interview data were analyzed using theoretical thematic analysis. Although parents expressed some concerns about the intervention, overall they found the intervention to be appropriate and acceptable. Next research steps include creation of a manual for the intervention and assessment of feasibility across a broader range of practice sites, occupational therapists, children with ASD, and their parents.
Publication Date: 2020-04-17 PubMed ID: 32302239DOI: 10.1080/07380577.2020.1751903Google Scholar: Lookup
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  • Journal Article

Summary

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The research article explores the impact of occupational therapy in an equine environment for children with Autism Spectrum Disorder (ASD) and the perspectives of parents about the effectiveness of the treatment and its impacts on their child’s everyday life.

Research Methodology

The research can be broken down into two stages: quantitative and qualitative. For the quantitative part, the researchers looked at measurable data, such as improvements in the social communication, self-regulation, occupational performance, and social motivation of the children diagnosed with ASD participating in therapy in an equine environment.

  • In the qualitative phase, the researchers then aimed to utilize parental perspectives to describe the children’s experiences of the intervention and its influences on everyday life.
  • In this phase, five parents were selected to participate in two rounds of semi-structured interviews.
  • The data from these interviews were then analyzed using a method called theoretical thematic analysis.

Findings

  • Despite some concerns, most parents found the intervention to be appropriate and acceptable. The concerns were not detailed in the abstract, but it is suggested they were generally outweighed by the overall benefits of the therapy.
  • The impacts of the therapy were observed in different areas of the children’s lives, such as their social communication, self-regulation, occupational performance and social motivation, suggesting a successful application of the therapy.

Future Work

As next steps, researchers suggest creating a manual for the intervention and assessing its feasibility across a broader range of practice sites.

  • The intent behind creating a manual is to simplify the replication of the intervention across different settings, facilitating more widespread use of the approach.
  • The feasibility assessment would determine how the therapy can be implemented across different occupational therapists, a wider range of children with ASD, and their parents. Such an assessment would help identify potential bottlenecks or barriers in the implementation of the therapy, and therefore, help mitigate them.

Cite This Article

APA
Kalmbach D, Wood W, Peters BC. (2020). Parental Perspectives of Occupational Therapy in an Equine Environment for Children with Autism Spectrum Disorder. Occup Ther Health Care, 34(3), 230-252. https://doi.org/10.1080/07380577.2020.1751903

Publication

ISSN: 1541-3098
NlmUniqueID: 8309883
Country: England
Language: English
Volume: 34
Issue: 3
Pages: 230-252

Researcher Affiliations

Kalmbach, Dorothy
  • Department of Occupational Therapy, Colorado State University, Fort Collins, CO, USA.
Wood, Wendy
  • Departments of Animal Sciences and Occupational Therapy, Temple Grandin Equine Center, Colorado State University, Fort Collins, CO, USA.
Peters, B Caitlin
  • Department of Animal Sciences, Colorado State University, Fort Collins, CO, USA.

MeSH Terms

  • Adolescent
  • Animals
  • Autism Spectrum Disorder / therapy
  • Child
  • Equine-Assisted Therapy / methods
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Occupational Therapy / methods
  • Parents / psychology
  • Qualitative Research

Citations

This article has been cited 6 times.
  1. Nieforth LO, Schwichtenberg AJ, O'Haire ME. Animal-Assisted Interventions for Autism Spectrum Disorder: A Systematic Review of the Literature from 2016 to 2020. Rev J Autism Dev Disord 2023 Jun;10(2):255-280.
    doi: 10.1007/s40489-021-00291-6pubmed: 37313251google scholar: lookup
  2. Xiao N, Shinwari K, Kiselev S, Huang X, Li B, Qi J. Effects of Equine-Assisted Activities and Therapies for Individuals with Autism Spectrum Disorder: Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2023 Feb 1;20(3).
    doi: 10.3390/ijerph20032630pubmed: 36767996google scholar: lookup
  3. González-Sala F, Llopiz-Guerra K, Ferri A, Martí-Vilar M. Parents' Perspectives on the Benefits of Animal-Assisted Intervention: A Systematic Review. Behav Sci (Basel) 2025 Dec 2;15(12).
    doi: 10.3390/bs15121663pubmed: 41464006google scholar: lookup
  4. Browne JM, Reega SJ, Rankins EM, Schmid AA, Peters BC. The Acceptability of Occupational Therapy Using Zones of Regulation™ Concepts in an Equine Environment to Autistic Children. Behav Sci (Basel) 2025 Apr 8;15(4).
    doi: 10.3390/bs15040495pubmed: 40282116google scholar: lookup
  5. Chan HW, Hsu LSJ, Shum KKM. Exploring the Human-Animal Interaction (HAI) for Children with ASD Across Countries: A Systematic Review. J Autism Dev Disord 2025 Mar 3;.
    doi: 10.1007/s10803-025-06745-8pubmed: 40029503google scholar: lookup
  6. Aewerdieck LM, Martin RA, Graham FP, Hay-Smith J. Exploring In-Session Engagement in Equine-Assisted Services for Children and Youth Experiencing Disability: A Scoping Review. J Integr Complement Med 2024 Dec;30(12):1147-1161.
    doi: 10.1089/jicm.2024.0151pubmed: 38976484google scholar: lookup