The Impact of a Horse Riding Intervention on the Social Functioning of Children with Autism Spectrum Disorder

Androulla Harris, Joanne M Williams, Androulla Harris, Joanne M Williams

Abstract

This paper reports a case-control study of a horse riding intervention for children with autism spectrum disorder (ASD). A sample of 26 children, aged 6 to 9 years, were assigned to either the intervention (n = 12) or control group conditions (n = 14). Pre- and post-tests were carried out using the Childhood Autism Rating Scale, Second Edition (CARS2) and the Aberrant Behaviour Checklist-Community Edition (ABC-C). An observational measure of compliance and behaviour during the horse riding sessions was completed for the intervention group. There was a significant reduction in the severity of ASD symptoms and hyperactivity from pre- to post-test for the intervention group only. These results indicate that the intervention improves some aspects of social functioning for children with ASD.

Keywords: ASD; animal-assisted intervention; autism spectrum disorder; children; human-animal interaction; social functioning; therapeutic horse riding.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Mean Childhood Autism Rating Scale, Second Edition (CARS2) scores at pre- and post-test for the intervention group (n = 10) and control group (n = 14).
Figure 2
Figure 2
Mean Hyperactivity scores on the ABC-C at pre- and post-test for the intervention group (n = 10) and control group (n = 14).
Figure 3
Figure 3
Mean Measurement of Pet Intervention Checklist (MOPI) item scores across the intervention period for the intervention group (n = 10).

References

    1. Davis T.N., Scalzo R., Butler E., Stauffer M., Farah Y.N., Perez S., Coviello L. Animal-assisted interventions for children with autism spectrum disorder: A systematic review. Educ. Train. Autism Dev. Disabil. 2015;50:316–329.
    1. Kendall E., Maujean A., Pepping C.A., Downes M., Lakhani A., Byrne J., Macfarlane K. A systematic review of the efficacy of equine-assisted interventions on psychological outcomes. Eur. J. Psychother. Couns. 2015;2537:1–23. doi: 10.1080/13642537.2014.996169.
    1. May D.K., Seivert N.P., Cano A., Casey R.J., Johnson A. Animal-assisted therapy for youth: A systematic methodological critique. Hum. Anim. Interact. Bull. 2016;4:1–18.
    1. O’Haire M.E. Animal-assisted intervention for autism spectrum disorder: A systematic literature review. J. Autism Dev. Disord. 2013;43:1606–1622. doi: 10.1007/s10803-012-1707-5.
    1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders, Text Revision (DSM IV–TR) Volume IV American Psychiatric Association; Washington, DC, USA: 2000.
    1. Baron-Cohen S., Leslie A.M., Frith U. Does the autistic child have a “theory of mind”? Cognition. 1985;21:37–46. doi: 10.1016/0010-0277(85)90022-8.
    1. Baron-Cohen S. Autism and Asperger Syndrome: The Facts. Oxford University Press; Oxford, UK: 2008.
    1. Gray D. Perceptions of stigma: The parents of autistic children. Sociol. Health Illn. 1993;15:102–120. doi: 10.1111/1467-9566.ep11343802.
    1. Orsmond G.I., Shattuck P.T., Cooper B.P., Sterzing P.R., Anderson K.A. Social participation among young adults with an autism spectrum disorder. J. Autism Dev. Disord. 2013;43:2710–2719. doi: 10.1007/s10803-013-1833-8.
    1. Verdugo M.A., Navas P., Gomez L.E., Schalock R.L. The concept of quality of life and its role in enhancing human rights in the field of intellectual disability. J. Intellect. Disabil. Res. 2012;56:1036–1045. doi: 10.1111/j.1365-2788.2012.01585.x.
    1. Nimer J., Lundahl B. Animal-assisted therapy: A meta-analysis. Anthrozoos. 2007;20:225–238. doi: 10.2752/089279307X224773.
    1. Kruger K.A., Serpell J.A. Animal-assisted interventions in mental health: Definitions and theoretical foundations. In: Fine A.H., editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2010. pp. 33–48.
    1. International Association of Human–Animal Interaction Organizations . The IAHAIO definitions for animal-assisted intervention and guidelines for wellness of animals involved. In: Fine A.H., editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2014. pp. 415–418.
    1. Pretty J., Hine R., Peacock J. Green exercise: The benefits of activities in green places. Biologist. 2006;53:143–148.
    1. Sempik J., Hine R., Wilcox D., editors. Green Care: A Conceptual Framework, a Report of the Working Group on the Health Benefits of Green Care. Centre for Child and Family Research, Loughborough University; Loughborough, UK: 2010.
    1. Bragg R., Wood C., Barton J., Pretty J. Measuring Connection to Nature in Children: A Robust Methodology for the Royal Society for the Protection of Birds. Elesvier; Amsterdam, The Netherlands: 2013. Short Report for RSPB.
    1. Hine R., Peacock J., Pretty J. Care farming in the UK: Contexts, benefits, and links with therapeutic communities. Int. J. Ther. Communities. 2008;29:245–260.
    1. Morrison M.L. Health benefits of animal-assisted interventions. Complement. Health Pract. Rev. 2007;12:51–62. doi: 10.1177/1533210107302397.
    1. Levinson B. Pets: A special technique in child psychotherapy. Ment. Hyg. 1964;48:243–248.
    1. Redefer L.A., Goodman J.F. Brief report: Pet-facilitated therapy with autistic children. J. Autism Dev. Disord. 1989;19:461–467. doi: 10.1007/BF02212943.
    1. Solomon O. What a dog can do: Children with autism and therapy dogs in social interaction. Ethos. 2010;38:143–166. doi: 10.1111/j.1548-1352.2010.01085.x.
    1. Viau R., Arsenault-Lapierre G., Fecteau S., Champagne N., Walker C.D., Lupien S. Effect of service dogs on salivary cortisol secretion in autistic children. Psychoneuroendocrinology. 2010;35:1187–1193. doi: 10.1016/j.psyneuen.2010.02.004.
    1. Keino H., Funahashi A., Keino H., Miwa C., Hosokawa M., Hayashi Y., Kawakita K. Psycho-educational horseback riding to facilitate communication ability of children with pervasive developmental disorders. J. Equine Sci. 2009;20:79–88. doi: 10.1294/jes.20.79.
    1. Kern J.K., Fletcher C.L., Garver C.R., Mehta J.A., Grannemann B.D., Knox K.R. Prospective trial of equine-assisted activities in autism spectrum disorder. Altern. Ther. Health Med. 2011;17:14–20.
    1. Silva K., Correia R., Lima M., Magalhaes A., de Sousa L. Can dogs prime autistic children for therapy? Evidence from a single case study. J. Altern. Complement. Med. 2011;17:1–5. doi: 10.1089/acm.2010.0436.
    1. Martin F., Farnum J. Animal-assisted therapy for children with pervasive developmental disorders. West. J. Nurs. Res. 2002;24:657–670. doi: 10.1177/019394502320555403.
    1. Sams M.J., Fortney E.V., Willenbring S. Occupational therapy incorporating animals for children with autism: A pilot investigation. Am. J. Occup. Ther. 2006;60:268–274. doi: 10.5014/ajot.60.3.268.
    1. O’Haire M.E., McKenzie S.J., Beck A.M., Slaughter V. Social behaviors increase in children with autism in the presence of animals compared to toys. PLoS ONE. 2013;8:e57010. doi: 10.1371/journal.pone.0057010.
    1. Bass M., Duchowny M., Llabre C. The effect of therapeutic horseback riding on social functioning in children with autism. J. Autism Dev. Disord. 2009;39:1261–1267. doi: 10.1007/s10803-009-0734-3.
    1. Gabriels R.L., Agnew J.A., Holt K.D., Shoffner A., Zhaoxing P., Ruzzano S., Mesibov G. Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders. Res. Autism Spectr. Disord. 2012;6:578–588. doi: 10.1016/j.rasd.2011.09.007.
    1. Memishevikj H., Hodzhikj S. The effects of equine-assisted therapy in improving the psychosocial functioning of children with autism. J. Spec. Educ. Rehabil. 2010;11:57–67.
    1. Holm M.B., Baird J.M., Kim Y.J., Rajora K.B., D’Silva D., Podolinsky L., Minshew N. Therapeutic horseback riding outcomes of parent-identified goals for children with autism spectrum disorder: An ABA multiple case design examining dosing and generalization to the home and community. J. Autism Dev. Disord. 2014;4:937–947. doi: 10.1007/s10803-013-1949-x.
    1. Ward S.C., Whalon K., Rusnak K., Wendell K., Paschall N. The association between therapeutic horseback riding and the social communication and sensory reactions of children with autism. J. Autism Dev. Disord. 2013;43:2190–2198. doi: 10.1007/s10803-013-1773-3.
    1. Lanning B.A., Baier M.E., Ivey-Hatz J., Krenek N., Tubbs J.D. Effects of equine assisted activities on autism spectrum disorder. J. Autism Dev. Disord. 2014;44:1897–1907. doi: 10.1007/s10803-014-2062-5.
    1. Borgi M., Loliva D., Cerino S., Chiarotti F., Venerosi A., Bramini M., Nonnis E., Marcelli M., Vinti C., De Santis C., et al. Effectiveness of a standardized equine-assisted therapy program for children with autism spectrum disorder. J. Autism Dev. Disord. 2016;46:1–9. doi: 10.1007/s10803-015-2530-6.
    1. Steiner H., Kertesz Z. Effects of therapeutic horse riding on gait cycle parameters and some aspects of behavior of children with autism. Acta Physiol. Hung. 2015;102:324–335. doi: 10.1556/036.102.2015.3.10.
    1. Grandin T., Fine A.H., O’Haire M., Carlisle G., Bowers M. The roles of animals for individuals with autism spectrum disorder. In: Fine A.H., editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2015. pp. 225–236.
    1. Selby A., Smith-Osborne A. A systematic review of effectiveness of complementary and adjunct therapies and interventions involving equines. Health Psychol. 2013;32:418–432. doi: 10.1037/a0029188.
    1. Corson S.A., Corson E.O., Gwynne P.H., Arnold L.E. Pet dogs as nonverbal communication links in hospital psychiatry. Compr. Psychiatry. 1977;18:61–72. doi: 10.1016/S0010-440X(77)80008-4.
    1. Fine A.H. Animals and therapists: Incorporating animals in outpatient psychotherapy. In: Fine A.H., editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; New York, NY, USA: 2000. pp. 179–211.
    1. Gunter B. Pets and People: The Psychology of Pet Ownership. Whurr; Philadelphia, PA, USA: 1999.
    1. Levinson B.M. Pet-Oriented Child Psychotherapy. Charles C Thomas; Springfield, IL, USA: 1969.
    1. McNicholas J., Collis G.M. Dogs as catalysts for social interactions. Br. J. Psychol. 2000;91:61–70. doi: 10.1348/000712600161673.
    1. Daly B., Suggs S. Teachers’ experiences with humane education and animals in the elementary classroom: Implications for empathy development. J. Moral Educ. 2010;39:101–112. doi: 10.1080/03057240903528733.
    1. Grandgeorge M., Tordjman S., Lazartigues A., Lemonnier E., Deleau M., Hausberger M. Does pet arrival trigger prosocial behaviors in individuals with autism? PLoS ONE. 2012;7 doi: 10.1371/journal.pone.0041739.
    1. Kršková L., Talarovicová A., Olexová L. Guinea pigs—The “small great” therapist for autistic children, or: Do guinea pigs have positive effects on autistic child social behavior? Soc. Anim. 2010;18:139–151. doi: 10.1163/156853010X491999.
    1. Prothmann A., Ettrich C., Prothmann S. Preference for, and responsiveness to, people, dogs and objects in children with autism. Anthrozoos. 2009;22:161–171. doi: 10.2752/175303709X434185.
    1. Winnicott D.W. Transitional objects and transitional phenomena. In: Buckley P., editor. Essential Papers on Object Relations. University Press; New York, NY, USA: 1986. pp. 254–271.
    1. George H. Child therapy and animals. In: Schaefer C.E., editor. Innovative Interventions in Child and Adolescent Therapy. John Wiley; New York, NY, USA: 1988. pp. 400–418.
    1. Katcher A.H. The future of education and research on the human-animal bond and animal-assisted therapy. Part B: Animal-assisted therapy and the study of human-animal relationships: Discipline or bondage? Context or transitional object? In: Fine A.H., editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2000. pp. 461–473.
    1. Van Steensel F.J.A., Bögels S.M., Perrin S. Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clin. Child Fam. Psychol. Rev. 2011;14:302–317. doi: 10.1007/s10567-011-0097-0.
    1. Hansen K., Messinger C., Baun M., Megel M. Companion animals alleviating distress in children. Anthrozoos. 1999;12:142–148. doi: 10.2752/089279399787000264.
    1. Shiloh S., Sorek G., Terkel J. Reduction of state anxiety by petting animals in a controlled laboratory experiment. Anxiety Stress Coping. 2003;16:387–395. doi: 10.1080/1061580031000091582.
    1. Burrows K.E., Adams C.L., Spiers J. Sentinels of safety: Service dogs ensure safety and enhance freedom and well-being for families with autistic children. Qual. Health Res. 2008;18:1642–1649. doi: 10.1177/1049732308327088.
    1. Kazdin A.E. Methodological standards and strategies for establishing the evidence base of animal-assisted therapies. In: Fine A.H., editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2015. pp. 377–390.
    1. Marino L. Construct validity of animal assisted therapy and activities: How important is the animal in AAT? Anthrozoos. 2012;25:139–151. doi: 10.2752/175303712X13353430377219.
    1. Gabriels R.L., Pan Z., Dechant B., Agnew J.A., Brim N., Mesibov G. Randomized controlled trial of therapeutic horseback riding in children and adolescents with autism spectrum disorder. J. Am. Acad. Child Adolesc. Psychiatry. 2015;54:541–549. doi: 10.1016/j.jaac.2015.04.007.
    1. Schopler E., Van Bourgondien M.E., Wellman G.J., Love S.R. Childhood Autism Rating Scale. 2nd ed. Western Psychological Services; Los Angeles, CA, USA: 2010.
    1. Vaughan C.A. Test Review: E. Schopler, M.E. Van Bourgondien, G.J. Wellman, & S.R. Love Childhood Autism Rating Scale (2nd ed.). Los Angeles, CA: Western Psychological Services, 2010. J. Psychoeduc. Assess. 2011;29:489–493. doi: 10.1177/0734282911400873.
    1. Aman M.G., Singh N.N., Stewart A.W., Field C.J. The Aberrant Behavior Checklist: A behavior rating scale for the assessment of treatment effects. Am. J. Ment. Defic. 1985;89:485–491.
    1. Aman M.G., Novotny S., Samango-Sprouse C., Lecavalier L., Leonard E., Gadow K. Outcome measures for clinical drug trials in autism. CNS Spectr. 2004;9:36–47. doi: 10.1017/S1092852900008348.
    1. Kaat A.J., Lecavalier L., Aman M.G. Validity of the Aberrant Behavior Checklist in children with autism spectrum disorder. J. Autism Dev. Disord. 2014;44:1103–1116. doi: 10.1007/s10803-013-1970-0.
    1. Kasari C., Brady N., Lord C., Tager-Flusberg H. Assessing the minimally verbal school-aged child with autism spectrum disorder. Autism Res. 2013;6:479–493. doi: 10.1002/aur.1334.
    1. Brinkley J., Nations L., Abramson R.K., Hall A., Wright H.H., Gabriels R., Cuccaro M.L. Factor analysis of the Aberrant Behavior Checklist in individuals with autism spectrum disorders. J. Autism Dev. Disord. 2007;37:1949–1959. doi: 10.1007/s10803-006-0327-3.
    1. Schiro-Geist C., Heimlich K. Evaluating the Effects of Animal-Assisted Therapy on Severely Disabled Children; Proceedings of the Delta Society Sixteenth Annual Continuing Education and Training Conference; Atlanta, GA, USA. 17–19 October 1997.
    1. Heimlich K. Animal-assisted therapy and the severely disabled child: A quantitative study. J. Rehabil. 2001;67:48–54.
    1. Heimlich K., Schiro-Geist C., Broadbent E. Animal-assisted therapy and the child with severe disabilities: A case study. Rehabil. Prof. 2003;11:41–53.
    1. Brown K., Swanson L., Hall B. Demonstrating the efficacy of animal-assisted therapy. Am. Int. J. Soc. Sci. 2014;3:1–6.
    1. Anderson D. Assessing the Human-Animal Bond: A Compendium of Actual Measures. Purdue University Press; West Lafayette, IN, USA: 2007.
    1. Aman M.G., Farmer C.A., Hollway J., Arnold L.E. Treatment of inattention, overactivity and impulsiveness in autism spectrum disorders. Child Adolesc. Psychiatr. Clin. N. Am. 2008;17:713–738. doi: 10.1016/j.chc.2008.06.009.
    1. Lecavalier L. Behavioral and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. J. Autism Dev. Disord. 2006;36:1101–1114. doi: 10.1007/s10803-006-0147-5.
    1. Department for Education Performance P Scale Attainment Targets for Pupils with Special Educational Needs. [(accessed on 31 May 2017)]; Available online: .
    1. Cohen J., Steinberg R.J. A Power Primer. Psychol. Bull. 1992;112:155–159. doi: 10.1037/0033-2909.112.1.155.
    1. Field A. Discovering Statistics Using SPSS. 3rd ed. Sage Publications; Los Angeles, CA, USA: London, UK: 2009.
    1. Schieve L.A., Blumberg S.J., Rice C., Visser S.N., Boyle C. The relationship between autism and parenting stress. Pediatrics. 2007;119:S114–S121. doi: 10.1542/peds.2006-2089Q.
    1. Stuart E.A., Rubin D.B. Best practices in quasi-experimental design: Matching methods for causal inference. In: Osborne J., editor. Best Practices in Quantitative Methods. Sage; Thousand Oaks, CA, USA: 2008. pp. 155–177.

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