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Complementary & Alternative

Animal-Assisted Therapy

Limited Evidence29 linked studiesCompare with another

What is Animal-Assisted Therapy?

Structured therapeutic interaction with animals to support social and emotional goals.

Evidence Summary

Animal-assisted therapy for autism has been studied in 29 research projects, though most evidence remains preliminary. Seven studies show moderate-quality findings, eight represent emerging research, and fourteen have limited evidence. Current research hasn't yet established clear, consistent benefits across different populations. While some families report positive experiences, larger and more rigorous studies would be needed to understand when and how this approach might help particular children with autism.

Evidence last reviewed: 9 June 2026

Linked Studies (29)

EmergingSystematic Review

Dog-ownership and paediatric neurodevelopmental disorders; 'pawsitive' impact: a systematic review.

Pediatric research2026

Conaill Tiarnán Ó, Whitty Ailbhe, Hollingsworth Simon K et al.

Plain-English summary

This research looked at whether owning a dog helps children with autism and other developmental conditions. The study found that children with autism who had dogs showed better emotional control and social skills. Many children also improved in thinking skills and communication. Parents reported less anxiety and better family relationships when they had a dog. The researchers suggest that having a pet dog could be a helpful addition to other treatments for children with developmental conditions.

Summary by AutismInsights from published abstract.

EmergingRandomised Controlled Trial

Dog Therapy for Dental Care Among Autistic Children: A Randomized Trial.

Pediatrics2026

Hamdan Sandrella, Nguyen Jade, Abdoul Hendy et al.

Plain-English summary

This study looked at whether therapy dogs could help autistic children feel less anxious during dental visits. 49 children were split into two groups - one received usual calming strategies, while the other also had a therapy dog present for their first two dental appointments. During the third visit (without the dog), children who had received dog therapy showed significantly less anxiety than those who hadn't. The therapy dog helped by providing comfort, serving as a role model, and making the experience more positive.

Summary by AutismInsights from published abstract.

Emerging

Changes in Sleep of Families After the Arrival of an Autism Service Dog.

Journal of autism and developmental disorders2026

Simard Valérie, Aubry-Guzzi Marie-Aude, Chapleau Isabelle et al.

Plain-English summary

Researchers studied 18 families before and after getting an autism service dog to see if it helped with sleep. Parents reported that their autistic child's sleep improved, and mothers also slept better. Fathers slept longer too. However, when researchers used a special watch to measure the child's actual sleep, it didn't show real improvement. The dog may help children feel safer at night, which could help the whole family sleep better.

Summary by AutismInsights from published abstract.

EmergingRandomised Controlled Trial

Dog-assisted therapy on Hong Kong children with autism spectrum disorder: an exploratory randomized controlled trial.

European journal of pediatrics2026

Wong Wilfred H S, Chen Chen, Tso Amy et al.

Plain-English summary

Researchers tested whether therapy dogs could help children with autism in Hong Kong. 64 children aged 6-15 were split into two groups - one received 8 sessions with therapy dogs, the other continued regular school activities. Both groups improved, but the therapy dog group wasn't significantly better than the regular group. The therapy dog sessions helped with quality of life and reduced behavioral difficulties, suggesting dog therapy could be a useful addition to regular support.

Summary by AutismInsights from published abstract.

Emerging

The Reliability of a Video Analysis Tool to Evaluate Outcomes for Animal Assisted Therapy Involving Dogs in Children and Young People with Autism.

Physical & occupational therapy in pediatrics2025

Dennehy Alessandra, Mackenzie Lynette, Dickson Claire et al.

Plain-English summary

Researchers tested a video tool that measures how children with autism behave during therapy sessions with dogs. They found the tool gives consistent results when different people use it and when the same person uses it multiple times. The tool can reliably track social behaviors, play, and challenging behaviors during animal therapy. This means researchers can now confidently use this tool to study whether therapy dogs help children with autism.

Summary by AutismInsights from published abstract.

Emerging

Animal-assisted and nature-based intervention on a farm for young adults with autism and social withdrawal - A one-year follow-up with a socioeconomic approach.

Scandinavian journal of occupational therapy2025

Holmberg Sara, Gunnarsson A Birgitta

Plain-English summary

Researchers followed up with 10 young adults with autism one year after they completed a 12-week program involving animals and nature activities on a farm. Seven participants improved - two found jobs or structured activities, and five became more active in daily life. Three saw no change. The program was relatively inexpensive to run. Poor coordination of support services and long waiting times made it harder for participants to maintain progress.

Summary by AutismInsights from published abstract.

EmergingRandomised Controlled Trial

A randomized controlled trial of the effects of dog-assisted versus robot dog-assisted therapy for children with autism or Down syndrome.

PloS one2025

Van Der Steen Steffie, Kamphorst Erica, Griffioen Richard E

Plain-English summary

This study looked at whether therapy with real dogs works better than therapy with robot dogs for children with autism or Down syndrome. 65 children had five therapy sessions with either a real dog, robot dog, or no therapy. Parents filled out questionnaires about their child's social and emotional skills. Children who had therapy with real dogs got better at understanding emotions and managing their feelings compared to the other groups. However, the benefits seemed to fade over time after therapy ended.

Summary by AutismInsights from published abstract.

EmergingSystematic Review

Physical Activity for Anxiety for Autistic People: A Systematic Review.

Journal of autism and developmental disorders2025

Riis Kathryn, Samulski Brittany, Neely Kristina A et al.

Plain-English summary

This study looked at whether physical activities can help reduce anxiety in autistic people. Researchers reviewed 8 studies that tested different activities like yoga, football programs, walking with apps, group exercise, and horse riding. The results showed these activities helped reduce anxiety in both autistic children and adults. More research is needed to find out which types of exercise work best and how often they should be done.

Summary by AutismInsights from published abstract.

Emerging

The effect of Animal-assisted therapy on prosocial behavior and emotional regulation in autistic children with varying verbal abilities: A pilot study.

PloS one2025

Kilmer Michele, Hong Minju, Akakpo Victor et al.

Plain-English summary

This small study looked at how autistic children interact with therapy dogs. Researchers watched children during therapy sessions and found that both talking and non-talking children responded well to the dogs. Children who could talk mostly gave commands to the dogs, while children who didn't talk showed more affection like petting. The results suggest therapy dogs could help all autistic children, no matter their speaking ability.

Summary by AutismInsights from published abstract.

Emerging

Disrupted Human-Dog Interbrain Neural Coupling in Autism-Associated Shank3 Mutant Dogs.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)2024

Ren Wei, Yu Shan, Guo Kun et al.

Plain-English summary

Scientists studied brain activity in humans and dogs interacting together. They found that when humans and dogs look at each other or during petting, their brain waves sync up. Dogs with genetic changes similar to autism showed less brain connection and attention problems with humans. Surprisingly, a psychedelic drug (LSD) helped fix these problems in the dogs.

Summary by AutismInsights from published abstract.

Emerging

Being in a meaningful context. Nature and animal-assisted activities as perceived by adults with autism.

Australian occupational therapy journal2024

Gunnarsson A Birgitta, Aurin Ingrid Edvardsson, Holmberg Sara

Plain-English summary

This study looked at whether farm activities with horses could help young adults with autism who struggle socially. Eleven people took part in 12 weeks of small group activities on a farm. Most people attended regularly (75% of the time) and reported positive experiences. They felt the activities were meaningful, created a safe space, and helped structure their daily lives. Working with horses helped them feel comfortable and practice social skills without pressure. However, participants felt 12 weeks wasn't long enough to create lasting changes.

Summary by AutismInsights from published abstract.

EmergingReview

A Scoping Review of Equine-Assisted Therapies on the Mental Health and Well-Being of Autistic Children and Adolescents: Exploring the Possibilities.

Issues in mental health nursing2024

Cleary Michelle, West Sancia, Thapa Deependra Kaji et al.

Plain-English summary

This review looked at what parents and horse therapy providers think about the benefits of horse riding for autistic children and teens. Researchers examined 16 studies to understand how families and therapists see the mental health benefits. They found that parents and providers report positive effects on children's wellbeing, but noted there's still limited research specifically about mental health benefits from horse therapy for autistic young people.

Summary by AutismInsights from published abstract.

Emerging

Exploring Play Interactions of Children With Autism Spectrum Disorders and Their Pets.

OTJR : occupation, participation and health2024

Lisk Caitlin, Mische Lawson Lisa, Sugiura Bri et al.

Plain-English summary

This small study looked at how 10 children with autism play with their pets at home. Researchers watched videos and talked to parents, finding that playing with pets might help children develop responsibility and social skills, especially when interacting with animals. The study suggests pets could be beneficial, but more research is needed to understand the full picture.

Summary by AutismInsights from published abstract.

Emerging

'The Horse Weaves Magic': Parents and Service Providers on the Benefits of Horse-Based Therapies for Autistic Children-an Australian Qualitative Study.

Issues in mental health nursing2024

Cleary Michelle, West Sancia, Kornhaber Rachel et al.

Plain-English summary

This study interviewed parents and horse therapy providers about their experiences with horse-based therapy for autistic children. Both groups saw benefits in three main areas: better physical health and social skills, protection of mental health, and suggestions for making these therapies more accessible. Providers especially noticed that children seemed happier, calmer, more resilient, and had better mental health after horse therapy sessions.

Summary by AutismInsights from published abstract.

EmergingReview

Autistic sociality: challenging representations of autism and human-animal interactions.

Disability and rehabilitation2024

Vollmers Pia, Gibson Barbara E, Hamdani Yani

Plain-English summary

This review looked at 47 studies about autism and animal therapy. Most research treats animals as tools to 'fix' autistic children's social behaviors. The authors suggest this approach is problematic because it views autism as something that needs to be normalized rather than accepting autism as a natural form of human diversity. They recommend recognizing that animals can serve multiple purposes in a child's life beyond just therapy goals.

Summary by AutismInsights from published abstract.

EmergingReview

Evidence-based analysis of multi-pronged approaches for education and behavior management of autistic patients in a dental setting.

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry2023

Goyal Tavisha, Kalra Namita, Tyagi Rishi et al.

Plain-English summary

Researchers looked at different ways to help autistic children feel more comfortable at the dentist. They studied five approaches including teaching methods, sensory-friendly environments, picture communication, and therapy animals. The review found these methods helped children be less anxious, communicate better, and cooperate more during dental visits. This could mean fewer autistic children would need to be sedated for dental care.

Summary by AutismInsights from published abstract.

Emerging

How Autism Assistance Canines Enhance the Lives of Autistic Children.

Inquiry : a journal of medical care organization, provision and financing2023

Morgan Sinéad, O'Byrne Dr Anne

Plain-English summary

This Irish study looked at how specially trained dogs help autistic children. Researchers talked to 9 parents, dog handlers, and teachers about their experiences. They found that autism assistance dogs helped children in many ways - improving behavior, keeping them safe, helping with social skills, building independence, providing companionship, supporting language development, and making school and family life better.

Summary by AutismInsights from published abstract.

Emerging

Circumscribed interests in autism: Can animals potentially re-engage social attention?

Research in developmental disabilities2023

Valiyamattam Georgitta J, Katti Harish, Chaganti Vinay K et al.

Plain-English summary

Researchers used eye-tracking technology to study whether animals might help autistic children pay more attention to social things instead of their special interests. They found that when autistic children looked at pictures, they usually focused more on their special interests than on people's faces. However, animal faces seemed to hold their attention better than human faces, even when competing with special interests. This suggests animals might be a helpful way to encourage social engagement in autistic children.

Summary by AutismInsights from published abstract.

EmergingReview

Putting Cats on the Spectrum: A Scoping Review of the Role of Cats in Therapy and Companionship for Autistic Adults and Children.

Issues in mental health nursing2023

Cleary Michelle, West Sancia, Thapa Deependra K et al.

Plain-English summary

This review looked at how cats can help autistic children and adults. Researchers found that cats make good companions and therapy animals for autistic people. Cats have special qualities that work well with autism - they form strong bonds with autistic individuals and can help improve social skills and daily life. While there are some challenges to consider with cat ownership, the research suggests cats can be beneficial for autistic people in various ways.

Summary by AutismInsights from published abstract.

Emerging

'They ask no questions and pass no criticism': A mixed-methods study exploring pet ownership in autism.

Journal of autism and developmental disorders2023

Atherton Gray, Edisbury Emma, Piovesan Andrea et al.

Plain-English summary

This study looked at how autistic adults relate to pets compared to non-autistic people. Researchers found that autistic adults love their pets just as much as anyone else, but they're less likely to own pets. When autistic adults do have pets, their mental health is better. Pets can help replace some social needs for autistic people. The study interviewed pet owners and found both good things and challenges about having pets. The researchers suggest finding ways to help more autistic adults have animal companions.

Summary by AutismInsights from published abstract.

EmergingMeta-Analysis

Animal-assisted therapies for autism.

Current problems in pediatric and adolescent health care2023

Beavers Anna, Fleming Antoinette, Shahidullah Jeffrey D

Plain-English summary

This paper looks at using animals (like therapy dogs or horses) to help children with autism. The authors reviewed existing research on how these therapies might help with social skills, behavior, and quality of life. However, this wasn't a detailed research study - it was more like a summary for doctors to help them advise families who are interested in trying animal therapy for their child with autism.

Summary by AutismInsights from published abstract.

Emerging

Brief Report: Above and Beyond Safety: Psychosocial and Biobehavioral Impact of Autism-Assistance Dogs on Autistic Children and their Families.

Journal of autism and developmental disorders2023

Tseng Angela

Plain-English summary

This study looked at how autism assistance dogs affect autistic children and their families. These specially trained dogs help keep children safe and calm during difficult moments. Researchers studied 11 families before and after they got their assistance dog, measuring stress levels in both children and parents. The study found significant positive benefits from the dogs, supporting what families have been saying about these animals helping in ways beyond just safety.

Summary by AutismInsights from published abstract.

Emerging

Autism, pets, and the importance of seeing human.

Autism research : official journal of the International Society for Autism Research2023

Atherton Gray, Piovesan Andrea, Cross Liam

Plain-English summary

This study looked at how autistic and non-autistic pet owners relate to their pets. Both groups were equally likely to see human-like qualities in their pets. However, autistic pet owners felt lonelier and were more likely to see pets as substitutes for human friendships. The findings suggest pets may play an important emotional support role for autistic adults and could be valuable in therapy programs.

Summary by AutismInsights from published abstract.

EmergingMeta-Analysis

Equine assisted services impact on social skills in autism spectrum disorder: A meta-analysis.

Progress in neuro-psychopharmacology & biological psychiatry2023

Madigand Jérémy, Rio Marine, Vandevelde Anaïs

Plain-English summary

This study looked at whether horse therapy helps children with autism improve their social skills. Researchers combined results from five studies involving 240 people. They found that horse therapy significantly helped with overall social skills, communication, and understanding social situations. There were also positive trends for social awareness and motivation to interact with others, but no improvement in repetitive behaviors.

Summary by AutismInsights from published abstract.

EmergingCase Report

{"sup":"®","#text":"COMSI-A Form of Treatment That Offers an Opportunity to Play, Communicate and Become Socially Engaged through the Lens of Nature-A Single Case Study about an 8-Year-Old Boy with Autism and Intellectual Disability."}

International journal of environmental research and public health2022

Byström Kristina, Wrangsjö Björn, Grahn Patrik

Plain-English summary

This study followed an 8-year-old boy with autism and mild intellectual disability during 18 months of nature-based group therapy called COMSI. The therapy used outdoor settings with animals to help develop communication and social skills. Results showed improvements in the child's play abilities, social communication, and understanding of others' thoughts and feelings. The combination of nature, animals, and skilled therapists helped create positive learning experiences tailored to the child's interests.

Summary by AutismInsights from published abstract.

EmergingMeta-Analysis

Effects of Therapeutic Horseback-Riding Program on Social and Communication Skills in Children with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis.

International journal of environmental research and public health2022

Chen Shihui, Zhang Yanjie, Zhao Mengxian et al.

Plain-English summary

This research review looked at whether horse-riding therapy helps autistic children with social skills and communication. The study found that therapeutic horse-riding programs can significantly improve how children interact socially and communicate with others. Children showed better social awareness and motivation after participating in these programs. However, the therapy didn't help with difficult behaviors like repetitive actions or inappropriate speech.

Summary by AutismInsights from published abstract.

EmergingSystematic Review

{"i":"Calm with horses?","#text":"A systematic review of animal-assisted interventions for improving social functioning in children with autism."}

Autism : the international journal of research and practice2022

Sissons Jon H, Blakemore Elise, Shafi Hannah et al.

Plain-English summary

This review looked at whether activities with live animals can help autistic children with social skills. They found 9 studies, mostly about horse riding therapy. The results showed some improvements in how children interacted with others after horse-based activities, and these benefits seemed to last for a while. However, the studies had some problems with how they were designed, so we can't be completely sure about the results yet. More research is needed, especially with other animals like dogs and cats.

Summary by AutismInsights from published abstract.

EmergingCase Report

The influence of equine-assisted services on the balance of a participant with visual impairment and autism characteristics.

Journal of bodywork and movement therapies2022

Ramos Marieli Matias, Nabeiro Marli

Plain-English summary

This study looked at how horse therapy helped one person who was both visually impaired and had autism. The researchers tested the person's balance before and after horse therapy sessions using two different balance tests. The person's balance improved after the horse therapy program, suggesting this type of therapy might help with balance problems in people with similar conditions.

Summary by AutismInsights from published abstract.

Emerging

Understanding the impact of dog ownership on autistic adults: implications for mental health and suicide prevention.

Scientific reports2021

Barcelos Ana Maria, Kargas Niko, Packham Chris et al.

Plain-English summary

Researchers interviewed 36 autistic adults who own dogs to understand how pets affect their mental health. One in six said their dog prevented them from suicide, mainly because of the dog's love and their responsibility to care for it. Activities like cuddling and walking helped improve mood and daily life most. Some challenges included dog behavior problems and health issues. Overall, having a dog appeared to help many autistic adults' wellbeing and could be important for preventing suicide.

Summary by AutismInsights from published abstract.

Related Interventions

AutismInsights presents published research for informational purposes only. This is not medical advice. Always consult your child's paediatrician, psychologist, or allied health team before making decisions about therapies or interventions.