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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

What this study means for families

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. This is not a substitute for reading the original paper.

Research summary

This qualitative follow-up study examined long-term outcomes one year after a 12-week animal-assisted and nature-based intervention on a farm for young adults with autism and social withdrawal. Ten participants were interviewed about their life situation, activity levels, and support needs. Seven participants showed improvement: two gained organized occupation and five reported partial improvement or increased daily activities. Three participants experienced no change.

The intervention had modest direct costs, and researchers noted that disorganized professional support and welfare sector waiting times created barriers to sustainable change. The findings suggest these interventions may have socioeconomic benefits worth investigating further.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Seven of ten participants showed improvement one year post-intervention, with two achieving organized occupation and five reporting increased daily activities

    Confidence: limitedRelevance: Suggests potential for sustained benefits from animal-assisted and nature-based interventions
  • 2

    The intervention had modest direct costs compared to societal costs of social exclusion

    Confidence: limitedRelevance: Indicates potential cost-effectiveness of these intervention approaches
  • 3

    Disorganized professional support and welfare sector waiting times hindered sustainable change

    Confidence: limitedRelevance: Highlights importance of coordinated follow-up support for maintaining intervention gains

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Animal-assisted and nature-based interventions may provide lasting benefits for young adults with autism, particularly in increasing daily activities and occupational engagement. However, coordinated professional support systems are crucial for maintaining gains. The modest intervention costs suggest potential cost-effectiveness warranting further investigation.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Small sample size of 10 participants limits generalizability. Qualitative design without control group prevents causal conclusions. Self-reported outcomes may introduce bias. Study type and detailed methodology not clearly specified in the abstract.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Interventions in the form of animal-assisted and nature-based activities are promising for young adults with autism, but there is a knowledge gap concerning the long-term values of these. The aim was to describe the activity levels in daily life and socioeconomic aspects for young adults with autism one year after a 12-week intervention with animal-assisted and nature-based activities. A qualitative follow-up study with individual interviews was performed. Ten participants were interviewed with a focus on their life situation, activity levels, and need for further professional support after the intervention.

Summative content analysis was used. The direct costs of the intervention were discussed in relation to the societal costs of social exclusion of young adults. Seven of ten participants improved; two were in organized occupation, five reported partial improvement or increased daily life activities and three participants experienced no change. The direct cost for the intervention was modest.

Disorganized professional support and waiting times in the welfare sector were perceived as stressful and hindering sustainable change. The animal-assisted and nature-based intervention facilitated increased daily activities for the participating young adults. The findings suggest that it is reasonable to investigate the possible socioeconomic implications of this type of intervention.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Scandinavian journal of occupational therapy
Year
2025
PMID
41250660
DOI
10.1080/11038128.2025.2588046

MeSH Terms

HumansMaleFemaleFollow-Up StudiesYoung AdultAutistic DisorderAdultActivities of Daily LivingAnimal Assisted TherapySocial IsolationSocioeconomic FactorsFarmsQualitative ResearchAnimalsOccupational TherapyAdolescent