Effects of Therapeutic Horseback Riding on Children and Adolescents with Autism S

骑马治疗对自闭症儿童和青少年的影响

• 批准号: 8290415
• 负责人: ROBIN L GABRIELS
• 金额: $ 29.86万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-15 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8290415
• 关键词: Adaptive Behaviors; Address; Adolescent; Age; Animals; Area; Asperger Syndrome; Attention; Autistic Disorder; Behavior; Behavioral; Blinded; Caregivers; Child; Clinical; Collaborations; Communication; Communities; Control Groups; Diagnosis; Educational Curriculum; Environment; Equus caballus; Ethics; Evaluation; Family; Goals; Home environment; Hour; Human; Hyperactive behavior; Individual; Industry; Informal Social Control; Intervention; Interview; Language; Lead; Life; Measures; Motivation; Motor; Motor Skills; Occupational Therapist; Outcome; Parents; Participant; Pharmaceutical Preparations; Pilot Projects; Population; Process; Publishing; Quality of life; Randomized; Reporting; Research Project Grants; Safety; Sampling; Schools; Site; Socialization; Speech Therapist; Symptoms; Testing; Therapeutic; Therapeutic Effect; Time; Transcript; Vocabulary Test; alternative treatment; autism spectrum disorder; base; design; evidence base; high standard; post intervention; public health relevance; research study; sensory integration; social; teacher

DESCRIPTION (provided by applicant): Therapeutic horseback riding (THR) is frequently sought out as an alternative treatment to address the behavioral disturbances that often impair the quality of daily life for individuals with an autism spectrum disorder (ASD); however, there are only a few published evidence-based THR studies to guide clinicians and consumers. This study aims to expand on our pilot study findings of significant improvements in self-regulation, communication, and motor skills for ASD participants involved in 10-weeks of therapeutic horseback riding compared to a 10-week waitlist control group. This proposed study will attempt to replicate these pilot findings as well as the social motivation findings from a recent THR study by examining a larger sample and using a randomized control design. Furthermore, it will test whether the human-animal interaction is necessary for the significant changes observed in the pilot study. This question will be examined by comparing ASD participants' involvement in 10 hours of weekly therapeutic horseback riding (n = 40) to a barn activity control group (n = 40) that targets the same therapeutic goals and controls for time and attention effects, but has no human-animal interaction. Pre-and post intervention evaluations will assess participants' self-regulation, communication, socialization, and motor functioning. A secondary aim of the study is to determine if improvements made as a result of involvement in 10-weeks of therapeutic horseback riding persist approximately six months beyond the THR intervention. The strengths of this research project include the use of a randomized controlled design, an activity-based control group, a specific THR intervention curriculum developed from our pilot project, outcome evaluators blinded to participants' intervention condition, parent and teacher outcome ratings, and previously-developed collaboration with a long-standing (29 years) intervention site. This riding center site is certified as a "Premiere" center by the NARHA, a national accrediting agency that adheres to the highest standards in the industry for human and animal safety and ethical standards for all living beings involved in the treatment process. PUBLIC HEALTH RELEVANCE: There are a large number of families of children with an ASD that seek this intervention, even though there is little evidence base. Determining if and how the human-animal interaction via THR is helpful to individuals with an ASD has far-reaching implications for the quality of life in this ASD population and their caregivers. THR is less invasive than the use of medications to treat symptoms such as irritability and hyperactivity, critical areas that impact the child's ability to function successfully in home and school environments.

描述（由申请人提供）：经常寻求治疗性骑马（THR）作为一种替代治疗方法来解决行为障碍，这些行为障碍经常会损害自闭症谱系障碍（ASD）患者日常生活质量（ASD）；但是，只有少数发表的基于证据的THR研究可以指导临床医生和消费者。这项研究旨在扩展我们的试点研究结果，即与一个为期10周的候补名单对照组相比，参与10周治疗骑马的ASD参与者的自我调节，沟通和运动技能的显着改善。这项拟议的研究将尝试通过检查更大的样本并使用随机对照设计来复制这些试点结果以及最近一项THR研究的社会动机发现。此外，它将测试在试点研究中观察到的重大变化所需的人动物相互作用。将通过将ASD参与者在每周的治疗性骑马（n = 40）中的10小时与谷仓活性控制组（n = 40）进行比较，该问题将通过比较ASD参与者的参与，该组针对时间和注意力效应，但没有人类自动互动。干预后评估将评估参与者的自我调节，沟通，社交和运动功能。该研究的次要目的是确定由于参与10周的治疗骑马而进行的改进是否持续了大约六个月的时间。该研究项目的优势包括使用随机控制设计，一个基于活动的对照组，从我们的试点项目开发的特定THR干预课程，对参与者的干预条件，父母和教师成果评级而蒙蔽的结果评估者以及先前与长期（29年）的干预站点进行了合作。 NARHA是国家认证机构NARHA认证该骑行中心地点的“首映”中心，该机构遵守该行业的最高标准，以涉及人类和动物的安全以及所有参与治疗过程中的生物。 公共卫生相关性：即使证据基础几乎没有证据基础，也有大量患有ASD的儿童家庭寻求这种干预。确定通过THR的人类互动是否以及如何对ASD患有ASD的人有帮助，对这个ASD人群及其护理人员的生活质量具有深远的影响。与使用药物治疗诸如烦躁和多动症之类的症状，影响孩子在家庭和学校环境中成功发挥功能的关键领域，THR的侵入性较小。