Autism & Developmental

Animal-Assisted Interventions for School-Aged Children with Autism Spectrum Disorder: A Meta-Analysis.

Dimolareva et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Animal-assisted activities give only tiny social gains for kids with ASD—use them as enrichment, not therapy.

✓ Read this if BCBAs running social-skills groups in schools or clinics who get parent requests for therapy animals.
✗ Skip if Practitioners focused on severe problem behavior or verbal behavior programs where animals are not available.

01Research in Context

01

What this study did

Dimolareva et al. (2021) pooled 16 smaller studies on animal-assisted interventions for school-aged kids with autism. They looked at dogs, horses, and other therapy animals. The team checked if these sessions helped social talk, play, and overall autism signs.

02

What they found

The meta-analysis found tiny but real gains in social and communication skills. The boost was about the same size as kids get from art or music clubs. No harm was seen, but the wow factor was small.

03

How this fits with other research

Day et al. (2021) ran a similar 2021 meta focused only on horses. They also saw small wins for daily living skills, backing up the weak-positive pattern.

Mittal et al. (2024) tested immersive VR social training. Their meta showed large social gains, way bigger than the animal studies. The gap looks like a contradiction, but VR gives repeatable, therapist-controlled scenes that animals cannot.

Gillberg et al. (2010) used a manualized social skills class with points and response cost. Their RCT found medium-to-large social improvements, again topping the small AAI effects. The lesson: structure and clear contingencies beat warm fuzzies alone.

04

Why it matters

BCBAs can add animal visits for fun variety, but do not expect big skill jumps. If social growth is the goal, pair the guinea pig or horse time with explicit teaching, scripts, and reinforcement. Track data so parents see that the lion's share of progress still comes from good behavioral instruction, not the fur.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

If you already have a therapy dog visit, embed one clear social target (e.g., peer question asking) and take trial-by-trial data before and after the session.

02At a glance

Intervention
other
Design
meta analysis
Sample size
489
Population
autism spectrum disorder
Finding
weakly positive
Magnitude
small

03Original abstract

Research has indicated beneficial effects of Animal-Assisted Interventions (AAIs) for children with Autism. However, there is a dearth of meta-analyses and findings are often contradictory. The current meta-analysis assesses the effectiveness of AAIs on social interaction, communication and global Autism symptoms. A total of 1447 studies were returned, of which 16 (n = 489) met the inclusion criteria. The meta-analyses indicated small effect sizes related to improvements in social interaction and communication and reduction in Autism Spectrum Disorder symptoms. Additionally, there was little evidence for a relationship between dosage and effect size. In conclusion, AAIs appear to offer small improvements in social interaction and communication for children with Autism, which may be comparable to activities used in active control conditions.

Journal of autism and developmental disorders, 2021 · doi:10.1007/s10803-013-1773-3