Assessment & Research

Animal-assisted intervention for autism spectrum disorder: a systematic literature review.

O'Haire (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Animal visits look helpful for autism, but the evidence is still soft, so keep collecting your own data.

✓ Read this if BCBAs thinking about adding therapy dogs or farm trips to their autism sessions.
✗ Skip if Clinicians who only run clinic-based DTT with no plans for animal contact.

01Research in Context

01

What this study did

Emerson (2013) looked at every paper that used animals to help kids with autism. They found 14 studies and asked: Do these programs really help?

The team read each paper and wrote down what got better—talking, playing, or problem behavior.

02

What they found

All 14 studies said the animal visits helped. Kids talked more, played more, or had fewer meltdowns.

But most studies were tiny and skipped things like random assignment, so the proof is still shaky.

03

How this fits with other research

McDaniel Peters et al. (2017) updated the story. They kept only horse programs but covered 33 studies—more than double. Their map says the same thing: kids improve, yet every farm does the lessons differently.

Meera et al. (2024) zoomed in on body skills. Their 12 studies show riding boosts balance and strength. This adds a new domain the 2013 review barely touched.

Ghai et al. (2022) asked real ABA clinicians. One in five already bring dogs into sessions. They like the idea but warn about bites, allergies, and animal stress—risks the 2013 paper did not cover.

04

Why it matters

Animals can be a fun way to spark client interest, but do not trade away your proven ABA procedures yet. Use them as brief reinforcers while you collect simple data: correct responses per minute with and without the dog present. Share the sheet with your supervisor so the team decides, not the tail wag.

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→ Action — try this Monday

Count one target skill for 10 minutes with the dog present, then 10 minutes without, and compare.

02At a glance

Intervention
not applicable
Design
systematic review
Population
autism spectrum disorder
Finding
positive

03Original abstract

The inclusion of animals in therapeutic activities, known as animal-assisted intervention (AAI), has been suggested as a treatment practice for autism spectrum disorder (ASD). This paper presents a systematic review of the empirical research on AAI for ASD. Fourteen studies published in peer-reviewed journals qualified for inclusion. The presentation of AAI was highly variable across the studies. Reported outcomes included improvements for multiple areas of functioning known to be impaired in ASD, namely increased social interaction and communication as well as decreased problem behaviors, autistic severity, and stress. Yet despite unanimously positive outcomes, most studies were limited by many methodological weaknesses. This review demonstrates that there is preliminary "proof of concept" of AAI for ASD and highlights the need for further, more rigorous research.

Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1707-5