Preliminary Efficacy of Occupational Therapy in an Equine Environment for Youth with Autism Spectrum Disorder.
Abstract: The purpose of this study was to identify appropriate outcome measures and assess preliminary efficacy of occupational therapy in an equine environment (OT HORSPLAY) for youth with autism spectrum disorder (ASD). Twenty-four youth with ASD aged 6-13 were randomized to 10 weeks of OT HORSPLAY or to a waitlist control condition, occupational therapy in a garden. Youth demonstrated significantly improved goal attainment and social motivation, and decreased irritability after OT HORSPLAY. When compared to the subset of participants who completed the waitlist control condition, the OT HORSPLAY group still demonstrated significant improvements in goal attainment. This study provides preliminary evidence that horses can be integrated into occupational therapy for youth with ASD to improve social and behavioral goals.
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Publication Date: 2021-09-23 PubMed ID: 34557985PubMed Central: 3423616DOI: 10.1007/s10803-021-05278-0Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Randomized Controlled Trial
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 examines the potential value of a specific form of occupational therapy, involving interaction with horses, for young people diagnosed with Autism Spectrum Disorder (ASD). The findings of the study show that this equine-based occupational therapy method led to significant improvement in goal attainment, social behavior, and decreased irritability.
Research Study Details
- The focus of the research was to assess the merits and suitability of specific outcomes resulting from Occupational Therapy in an Equine Environment (OT HORSPLAY). The study sought to understand whether this therapy could yield favorable results for children and young adolescents diagnosed with ASD.
- Participants in the study included a group of 24 children with ASD aged between 6 and 13. These youth were randomly assigned to partake in a 10-week OT HORSPLAY course.
- Alongside this group, a control group was established. These participants were given occupational therapy in a different environment – a garden – and formed what was known as the ‘waitlist control condition’.
Key Findings from the Study
- Results from the research showed promising signs in individuals who underwent the OT HORSPLAY therapy. Participants showed an evident increase in their ability to attain their goals and displayed greater social motivation after the duration of the therapy.
- Alongside these positive aspects, these young individuals also showed a decrease in irritability, underlining another potential advantage of the therapy.
- Interestingly, even after comparing the improvements made by the participants of the equine therapy with those who were part of the waitlist control condition (the garden environment), the former group demonstrated significant improvements, especially in terms of goal attainment.
Research Conclusions
- Based on the results of this study, the researchers concluded that integrating horses into occupational therapy for young people with Autism Spectrum Disorder holds potential to improve their social behavior and help them reach their personal goals. The decreased irritability noted amongst participants also contributes positively to their behavioral development.
- This conclusion supports the initial hypothesis that equine-based therapy (OT HORSPLAY) could add value to the treatment and counseling processes of young people with ASD.
- However, it’s important to emphasize that these results are preliminary. Further research and evidence are necessary to validate this form of therapy and its benefits fully.
Cite This Article
APA
Peters BC, Wood W, Hepburn S, Moody EJ.
(2021).
Preliminary Efficacy of Occupational Therapy in an Equine Environment for Youth with Autism Spectrum Disorder.
J Autism Dev Disord, 52(9), 4114-4128.
https://doi.org/10.1007/s10803-021-05278-0 Publication
Researcher Affiliations
- Department of Animal Sciences, Colorado State University, 735 S Overland Trail, Fort Collins, CO, 80523, USA. caiti.peters@colostate.edu.
- Departments of Occupational Therapy and Animal Sciences, Colorado State University, 735 S Overland Trail, Fort Collins, CO, 80523, USA.
- Department of Human Development and Family Studies, Colorado State University, 1501 Campus Delivery, Fort Collins, CO, 80523, USA.
- Wyoming Institute for Disabilities, University of Wyoming, 1000 E. University Ave, Laramie, WY, 82071, USA.
MeSH Terms
- Adolescent
- Animals
- Autism Spectrum Disorder / therapy
- Horses
- Humans
- Occupational Therapy
References
This article includes 53 references
- Aman M, Singh N. Aberrant Behavior Checklist, Second Edition: Community residential manual. .
- American Occupational Therapy Association. Occupational therapy practice framework: Domain and process—Fourth Edition. American Journal of Occupational Therapy 2020;74(Supplement 2):7412410010.
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). .
- Arnold LE, Vitiello B, McDougle C, Scahill L, Shah B, Gonzalez NM, Chuang S, Davies M, Hollway J, Aman MG, Cronin P, Koenig K, Kohn AE, Mcmahon DJ, Tierney E. Parent-defined target symptoms respond to risperidone in RUPP autism study: Customer approach to clinical trials. Journal of the American Academy of Child & Adolescent Psychiatry 2003;42(12):1443–1450.
- Baker MJ, Koegel RL, Koegel LK. Increasing the social behavior of young children with autism using their obsessive behaviors. Journal of the Association for Persons with Severe Handicaps 1998;23(4):300–308.
- Bass MM, Duchowny CA, Llabre MM. The effect of therapeutic horseback riding on social functioning in children with autism.. J Autism Dev Disord 2009 Sep;39(9):1261-7.
- Bruni T. Test review: Social Responsiveness Scale, Second Edition (SRS-2). Journal of Psychoeducational Assessment 2014;32(4):365–369.
- Chandler S, Charman T, Baird G, Simonoff E, Loucas T, Meldrum D, Scott M, Pickles A. Validation of the Social Communication Questionnaire in a population cohort of children with autism spectrum disorders. Journal of the American Academy of Child & Adolescent Psychiatry 2007;46(10):1324–1332.
- Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). .
- Constantino J. The Social Responsiveness Scale, Second Edition. .
- Corbett BA, Swain DM, Coke C, Simon D, Newsom C, Houchins-Juarez N, Jenson A, Wang L, Song Y. Improvement in social deficits in autism spectrum disorders using a theatre-based, peer-mediated intervention. Autism Research 2014;7(1):4–16.
- Gabriels RL, Agnew JA, Holt KD, Shoffner A, Pan ZX, Ruzzano S, Clayton GH, Mesibov G. Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders 2012;6(2):578–588.
- 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. Journal of the American Academy of Child & Adolescent Psychiatry 2015;54(7):541–549.
- Gotham K, Risi S, Dawson G, Tager-Flusberg H, Joseph R, Carter A, Hepburn S, McMAHON W, Rodier P, Hyman SL. A replication of the Autism Diagnostic Observation Schedule (ADOS) revised algorithms. Journal of the American Academy of Child & Adolescent Psychiatry 2008;47(6):642–651.
- Greff MJ, Levine JM, Abuzgaia AM, Elzagallaai AA, Rieder MJ, van Uum SH. Hair cortisol analysis: An update on methodological considerations and clinical applications. Clinical Biochemistry 2019;63:1–9.
- Harrison PL, Oakland T. Adaptive Behavior Assessment System (3rd ed.). .
- Hillier A, Greher G, Poto N, Dougherty M. Positive outcomes following participation in a music intervention for adolescents and young adults on the autism spectrum. Psychology of Music 2012;40(2):201–215.
- Howlin P. Outcomes in adults with autism spectrum disorders. .
- Jahromi LB, Bryce CI, Swanson J. The importance of self-regulation for the school and peer engagement of children with high-functioning autism. Research in Autism Spectrum Disorders 2013;7(2):235–246.
- Jones W, Klin A. Heterogeneity and homogeneity across the autism spectrum: The role of development. Journal of the American Academy of Child & Adolescent Psychiatry 2009;48(5):471–473.
- Kaat AJ, Lecavalier L, Aman MG. Validity of the aberrant behavior checklist in children with autism spectrum disorder. Journal of Autism and Developmental Disorders 2014;44(5):1103–1116.
- Katz-Nave G, Adini Y, Hetzroni OE, Bonneh YS. Sequence learning in minimally verbal children with ASD and the beneficial effect of vestibular stimulation. Autism Research 2019;13(2):320–337.
- Ke F, Whalon K, Yun J. Social skill interventions for youth and adults with autism spectrum disorder: A systematic review. Review of Educational Research 2018;88(1):3–42.
- Kramer JM, Liljenquist K, Coster WJ. Validity, reliability, and usability of the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test for autism spectrum disorders. Developmental Medicine & Child Neurology 2016;58(3):255–261.
- Krasny-Pacini A, Evans J, Sohlberg MM, Chevignard M. Proposed criteria for appraising goal attainment scales used as outcome measures in rehabilitation research. Archives of Physical Medicine and Rehabilitation 2016;97(1):157–170.
- Larson E. Caregiving and autism: How does children’s propensity for routinization influence participation in family activities?. OTJR: Occupation. Participation and Health 2006;26(2):69–79.
- Lindly OJ, Thorburn S, Heisler K, Reyes NM, Zuckerman KE. Parents’ use of complementary health approaches for young children with autism spectrum disorder. Journal of Autism and Developmental Disorders 2018;48(5):1803–1818.
- Llambias C, Magill-Evans J, Smith V, Warren S. Equine-assisted occupational therapy: Increasing engagement for children with autism spectrum disorder. American Journal of Occupational Therapy .
- Lord C, Rutter M, DiLavore P, Risi S, Gotham K, Bishop S. Autism diagnostic observation schedule (2nd ed.). .
- Mailloux Z, May-Benson TA, Summers CA, Miller LJ, Brett-Green B, Burke JP, Cohn ES, Koomar JA, Parham LD, Roley SS. Goal attainment scaling as a measure of meaningful outcomes for children with sensory integration disorders. American Journal of Occupational Therapy 2007;61(2):254–259.
- McDougall J, King G. Goal attainment scaling: Description, utility, and applications in pediatric therapy services. .
- McDaniel Peters BC, Wood W. Autism and Equine-Assisted Interventions: A Systematic Mapping Review.. J Autism Dev Disord 2017 Oct;47(10):3220-3242.
- Meyer JS, Novak MA. Minireview: Hair cortisol: a novel biomarker of hypothalamic-pituitary-adrenocortical activity.. Endocrinology 2012 Sep;153(9):4120-7.
- Mikita N, Hollocks MJ, Papadopoulos AS, Aslani A, Harrison S, Leibenluft E, Simonoff E, Stringaris A. Irritability in boys with autism spectrum disorders: An investigation of physiological reactivity. Journal of Child Psychology and Psychiatry 2015;56(10):1118–1126.
- Novak I, Honan I. Effectiveness of pediatric occupational therapy for children with disabilities: A systematic review. Australian Occupational Therapy Journal 2019;66(3):258–273.
- O'Haire ME, McKenzie SJ, Beck AM, Slaughter V. Social behaviors increase in children with autism in the presence of animals compared to toys.. PLoS One 2013;8(2):e57010.
- 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. Frontiers in Veterinary Science 2019;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.
- Peters BC, Wood W, Hepburn S, Merritt T. The feasibility and acceptability of occupational therapy in an equine environment for youth with autism spectrum disorder. Research in Autism Spectrum Disorders 2021;80:101695.
- Roid G, Miller L, Pomplun M, Koch C. Leiter International Performance Scale, Third Edition. .
- Ruble L, McGrew JH, Toland M, Dalrymple N, Adams M, Snell-Rood C. Randomized control trial of COMPASS for improving transition outcomes of students with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders 2018;48(10):3586–3595.
- Ruble L, McGrew JH, Toland MD. Goal attainment scaling as an outcome measure in randomized controlled trials of psychosocial interventions in autism. Journal of Autism and Developmental Disorders 2012;42(9):1974–1983.
- Russell E, Kirschbaum C, Laudenslager ML, Stalder T, De Rijke Y, van Rossum EF, Van Uum S, Koren G. Toward standardization of hair cortisol measurement: Results of the first international interlaboratory round robin. Therapeutic Drug Monitoring 2015;37(1):71–75.
- Rutter M, Bailey A. Social COMMUNICATION QUESTIONNAIRE. .
- Schaaf RC, Benevides T, Mailloux Z, Faller P, Hunt J, van Hooydonk E, Freeman R, Leiby B, Sendecki J, Kelly D. An intervention for sensory difficulties in children with autism: a randomized trial.. J Autism Dev Disord 2014 Jul;44(7):1493-506.
- Shapiro M, Parush S, Green M, Roth D. The efficacy of the “Snoezelen” in the management of children with mental retardation who exhibit maladaptive behaviours. The British Journal of Development Disabilities 1997;43(85):140–155.
- Shattuck PT, Roux AM, Hudson L, Taylor JL, Maenner MJ, Rani J. Services for adults with an autism spectrum disorder. The Canadian Journal of Psychiatry 2012;57(5):275–283.
- Smith T, Scahill L, Dawson G, Guthrie D, Lord C, Odom S, Rogers S, Wagner A. Designing research studies on psychosocial interventions in autism.. J Autism Dev Disord 2007 Feb;37(2):354-66.
- Srinivasan SM, Cavagnino DT, Bhat AN. Effects of equine therapy on individuals with autism spectrum disorder: A systematic review. Review Journal of Autism and Developmental Disorders 2018;5(2):156–175.
- Tabares C, Vicente F, Sanchez S, Aparicio A, Alejo S, Cubero J. Quantification of hormonal changes by effects of hippotherapy in the autistic population. Neurochemical Journal 2012;6(4):311–316.
- Tanner K, Hand BN, O’Toole G, Lane AE. Effectiveness of interventions to improve social participation, play, leisure, and restricted and repetitive behaviors in people with autism spectrum disorder: A systematic review. American Journal of Occupational Therapy .
- Tomchek S, Koenig K. Occupational therapy practice guidelines for children and adolescents with autism spectrum disorders. .
- Woo CC, Donnelly JH, Steinberg-Epstein R, Leon M. Environmental enrichment as a therapy for autism: A clinical trial replication and extension. Behavioral Neuroscience 2015;129(4):412.
Citations
This article has been cited 4 times.- 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).
- Peters BC, Pan Z, Christensen H, Gabriels RL. Self-Regulation Mediates Therapeutic Horseback Riding Social Functioning Outcomes in Youth With Autism Spectrum Disorder.. Front Pediatr 2022;10:884054.
- 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.
- Roscetto E, Varriale C, Galdiero U, Esposito C, Catania MR. Extended-Spectrum Beta-Lactamase-Producing and Carbapenem-Resistant Enterobacterales in Companion and Animal-Assisted Interventions Dogs.. Int J Environ Res Public Health 2021 Dec 8;18(24).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists