Assistance Dogs – Autism
Background
Autism is a developmental disorder characterised by changes in social, communication, and behavioural performance. Assistance dogs can support children with autism to engage in everyday occupations. Despite more children being partnered with assistance dogs, there is limited research regarding the impact of assistance dogs on the occupational engagement of children with autism and their families, and further research is needed to fully understand the impact of this type of support within the Australian context.
Objectives
To explore caregiver‐reported experiences of an assistance dog on the occupational engagement of children with autism and their families.
Method
Using a qualitative approach, semi‐structured interviews were undertaken with six caregivers of seven children with autism, who each had an assistance dog. Interviews ranged from 45 to 60 minutes in duration. Data were transcribed verbatim and thematically analysed. Trustworthiness was maximised through independent recruitment, research team discussions, member checking, and a researcher reflective journal.
Findings
Three themes were identified: participation in everyday occupations prior to and after partnering with an assistance dog, increased engagement in everyday occupations, and impact of the assistance dog on the family unit. Assistance dogs were reported to progress children from community ‘isolation’ to ‘freedom’. Participants reported the dog increased children’s capacities through positively influencing completion of routines, increasing independence, and improving therapy engagement. Assistance dogs were viewed as supporting the whole family’s occupational engagement. Some challenges were identified with the introduction of the assistance dog to the family unit, and with animal maintenance costs and time demands, public access rights, and limited government funding.
Conclusion
This research identifies benefits and challenges for children who partner with autism assistance dogs. It provides insights to inform assistance animal referral, assessment, and support of assistance dogs in Australia for children with autism and occupational therapists working with them.
OBJECTIVES: Anecdotal reports suggest that elopement behavior in children with autism spectrum disorders (ASDs) increases risk of injury or death and places a major burden on families. This study assessed parent-reported elopement occurrence and associated factors among children with ASDs.
METHODS: Information on elopement frequency, associated characteristics, and consequences was collected via an online questionnaire. The study sample included 1218 children with ASD and 1076 of their siblings without ASD. The association among family sociodemographic and child clinical characteristics and time to first elopement was estimated by using a Cox proportional hazards model.
RESULTS: Forty-nine percent (n = 598) of survey respondents reported their child with an ASD had attempted to elope at least once after age 4 years; 26% (n = 316) were missing long enough to cause concern. Of those who went missing, 24% were in danger of drowning and 65% were in danger of traffic injury. Elopement risk was associated with autism severity, increasing, on average, 9% for every 10-point increase in Social Responsiveness Scale T score (relative risk 1.09, 95% confidence interval: 1.02, 1.16). Unaffected siblings had significantly lower rates of elopement across all ages compared with children with ASD.
CONCLUSIONS: Nearly half of children with ASD were reported to engage in elopement behavior, with a substantial number at risk for bodily harm. These results highlight the urgent need to develop interventions to reduce the risk of elopement, to support families coping with this issue, and to train child care professionals, educators, and first responders who are often involved when elopements occur.
Autism assistance dogs (AADs) increase safety for children with autism and their families. Autism assistance dogs can also decrease familial stress and the isolation which families may experience due to fear for their child’s safety and judgement from others within the community. Currently there is a paucity of literature on parents’ experiences of AADs. Therefore, this study aimed to develop a rich understanding of parents’ experiences of owning an AAD. A mixed methods design was utilised, with a qualitative descriptive design and the use of occupational mapping. Eight families were recruited through an Australian AAD programme and participated in semi-structured in-depth interviews throughout 2017. The interviews were analysed thematically. Mobility in the community before and after introduction of the dog was measured using occupational mapping. Families plotted on Google Map printouts the places they frequented before and after placement of their dog. Five major themes emerged from the analysis of the interviews: freedom through restraint; expanding our world; a calming/sensory tool (AAD); “at the end of the day they’re dogs”; and, friendship and personal growth. The occupational maps demonstrated a median increase of 8.5 more places and 20.50 km further travelled from home after having the dog for over a year. Families with an AAD experienced an expanded world for the child and their family. Families experienced freedom in the places they could go, decreased isolation due to the safety which the dog provides. Occupational mapping supported the qualitative data, showing increased mobility and decreased isolation of the family. The paradox of freedom through restraint is a new and key finding which requires further exploration. The results provide support for funding and increased awareness of AAD programmes. Future longitudinal comparative studies are needed to explore the long-term impact of AADs on the child and family.
Objective While there is an emerging literature on the usefulness of assistance dogs for children with autism spectrum disorder (ASD), there is a dearth of quantitative data on the value of assistance dog interventions for the family unit and family functioning. Using previously validated scales and scales developed specifically for this study, we measured parents’/guardians’ perceptions of how having an assistance dog affects: (1) child safety from environmental dangers, (2) public reception of ASD and (3) levels of caregiver strain and sense of competence. We also obtained open-ended response data from parents/guardians on benefits and constraints of having an assistance dog.
Setting This study was based in the primary care setting, within the context of a specific accredited assistance dog centre in Ireland.
Participants A total of 134 parents/guardians with an assistance dog, and 87 parents of children on the waiting list were surveyed.
Primary and secondary outcome measures The primary outcome measures were scores on environmental hazards and public reception scales. The secondary outcome measures were scores on caregiver strain and competence scales.
Results Parents/guardians of children who have ASD and an assistance dog rate their child as significantly safer from environmental dangers (p<0.001), perceive that the public act more respectfully and responsibly towards their child (p<0.001) and feel more competent about managing their child (p=0.023) compared with parents on the waiting list. There was a concentration of positive feeling towards assistance dog interventions with particular focus on safety and comfort for children, and a sense of freedom from family restrictions associated with ASD. The amount of dedication and commitment required to care for a dog were viewed as the primary constraints.
Conclusions Our findings indicate that parents perceive that assistance dog interventions can be a valuable intervention for families with children who have ASD.
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The integration of a service dog can have numerous benefits for children with Autism Spectrum Disorder (ASD). However, although integration takes place within a family, little is known about the dynamics of these benefits on the family microsystem. Thus, the aim of our study was to propose a more systemic perspective, not only by investigating the benefits of SD integration, but also by exploring the relationships between improvements in children with ASD, parents’ well-being, parenting strategies and the quality of the child-dog relationship. Twenty parent-child with ASD dyads were followed before, as well as 3 and 6 months after service dog integration. At each stage, parents completed an online survey which included: the Autism Behavior Inventory (ABI-S), the State-Trait Anxiety Inventory (STAI-Y), the Parenting Stress Index Short Version (PSI-SF), the Monash Dog Owner Relationship Scale (MDORS) and the Parenting Styles and Dimensions Questionnaire (PSDQ). First, repeated measure one-way ANOVAs revealed that both children’s ASD symptoms and parents’ anxiety decreased significantly after service dog integration. Additionally, Spearman correlations revealed that the more ASD symptoms decreased, the more parent’s anxiety and parenting stress also decreased. Second, the quality of the child-dog relationship appeared to contribute to those benefits on both children’s ASD symptoms and parents’ well-being. Interestingly, parenting strategies seemed to adapt according to these benefits and to the quality of the child-dog relationship. Through a more systemic perspective, this study highlighted that the integration of a service dog involved reciprocal and dynamic effects for children with ASD and their parents, and shed new light on the processes that may underlie the effects of a service dog for children with ASD.
Purpose: Despite the already extensive scientific literature on dog-assisted interventions, there is still a need to compile further reviews. In this regard, it should be noted that some of the existing reviews no longer reflect the current state of knowledge. The review presented here takes into account the current state of the literature on this topic.
Methods: The present systematic literature search, which was supplemented by an open literature search, identified 13 articles from specialist databases dealing with the effects, possibilities, and challenges of dog-assisted interventions and the use of assistance dogs in children and adolescents with autism spectrum disorders.
Results: Dog-assisted interventions and the use of assistance dogs can have a positive impact on children and adolescents with autism spectrum disorders, their family system, caregivers, and the environment in various areas. Conclusions: Although the results appear encouraging, it should
be noted that there are potential challenges.
Animal-assisted interventions, such as the use of service dogs, represent an increasingly popular therapeutic avenue for youths with autism spectrum disorder (ASD). Before engaging anyone in this type of intervention, it could be justified to assess their level of attraction to animals. However, this aspect is rarely documented, and no existing instrument suits the specific challenges of ASD clients and the reality of the clinical setting. This paper describes the use and preliminary validation of an observation-based assessment tool developed by the Mira Foundation to evaluate the level of attraction toward dogs. The 9-item scale has been used by the team throughout the evaluation process of 1,010 potential candidates for a service dog. It is designed to describe and quantify observed behaviors during a standardized encounter with a non-familiar dog. The participants were aged between 2 and 26 years old (mean age = 8.13, SD = 4.3 years) and 87% had an ASD diagnosis. A total of 323 participants were assessed by a second rater, which allowed for interrater reliability analyses on each item of the scale. The factorial structure of the scale was determined by applying an exploratory factor analysis (EFA) on one-half of the sample, followed by a cross-validation study consisting of a confirmatory factor analysis (CFA) on the other half. Cronbach’s alpha was used to assess internal consistency. Based on weighted kappa statistics, interrater reliability showed strong agreement for individual items (Kw between 0.66 and 0.85). A two-factor solution was produced with EFA and confirmed through CFA. A Cronbach’s alpha of 0.89 when items from the first factor (attitude) were combined and 0.92 for the second factor (interaction) indicated good internal consistency for the identified subscales. These findings support the reliability of this assessment tool and its potential use in clinical and research domains.
This exploratory case study using a mixed analytic approach aimed to assess the assistance dog’s effects on social behaviors (SB) of a child with ASD. The first objective was to examine the frequency of 26 SB. The second objective aimed to assess symptoms of ASD. The third objective was to describe the mother’s experience. One family participated in 17 sessions of direct observations. The mother completed the Social Communication Questionnaire (SCQ), the Gilliam Autism Rating Scale-Second Edition (GARS-2), and a semi-structured interview. The findings showed a discrepancy between the effects measured by direct observations and the parent’s perceived benefits.
Purpose
Assistance and companion dogs have numerous positive effects for family of autistic children, such as supporting their rehabilitation and improving their quality of life. To date, very few studies have compared the effects of both types of dogs. This comparison, considering the limited access to assistance dogs, could be helpful for families wanting to adopt a dog.
Methods
An explanatory sequential design with a mixed-method approach was used. First, 85 parents (nassistance dogs = 57; ncompanion dogs = 28) of children aged between 3 and 17 years old (M = 10.73, SD = 3.67) completed an online questionnaire including sociodemographic questions and the Treatment Acceptability Rating Form-Revised (TARF-R). Then, 17 of these participants (nassistance dogs = 14; ncompanion dogs = 3) completed a semi-structured interview.
Results
The quantitative data analyses showed that parents with assistance dogs were significantly more satisfied: t (83) = −2.12, p = .037, d = 0.49. Significant associations between some sociodemographic variables (e.g., number of children, comorbid condition, reasons for acquiring a dog) and acceptability/satisfaction (TARF-R total scores) were found. The qualitative analysis revealed that families with both dog types observed positive effects.
Conclusions
In brief, having an assistance dog constitutes a significant added value; nevertheless, both types of dogs are appreciated.
Scientific literature exploring the value of assistance dogs to children with autism spectrum disorder (ASD) is rapidly emerging. However, there is comparably less literature reporting the effects of pet (as opposed to assistance) dogs to these children. In particular, there are no known validated scales which assess how children may alter their behaviours in the presence of the dog, to evaluate the efficacy of pet dogs to these families. Additionally, given the highly individualised nature of ASD it is likely that some children and families gain more benefits from dog ownership than others, yet no research has reported the effect of individual differences. This pilot study reports the development of a 28-item scale based on the perceived impact of a pet dog on a child with autism by parents (Lincoln Autism Pet Dog Impact Scale — LAPDIS). The scale is comprised of three mathematically derived factors: Adaptability, Social Skills and Conflict Management. We assessed how individual differences (aspects) may be associated with scores on these three factors. Family Aspects and Dog Aspects were not significantly associated with ratings on the three factors, but Child Aspects (including: contact with horses, child age, disability level and language abilities) were related to impact of the dog on all factors. Training Aspects were related to scores on Social Skills (formal training with children with ASD and dogs and attendance at PAWS workshops run by Dogs for Good). These results suggest that individual differences associated with the child and the training approach may be important considerations for a positive impact from dog ownership on families with children with ASD. Differences in family features and the dog may not be so important, but may be worthy of further investigations given the early stage of development in this field.
Die Menge der wissenschaftlichen Literatur zur Erforschung des Nutzens von Assistenzhunden für Kinder mit Autismus-Spektrum-Störungen steigt rapide. Dennoch gibt es vergleichsweise wenig Literatur über die Auswirkungen von Haushunden (als Gegensatz zu Assistenzhunden) auf diese Kinder. Insbesondere gibt es keine überprüften Skalen, die beurteilen, wie sich das Verhalten von Kindern in der Anwesenheit eines Hundes verändert, um die Wirksamkeit von Haushunden in diesen Familien zu untersuchen. Zudem ist es aufgrund des stark individuellen Charakters von Autismus-Spektrum-Störungen wahrscheinlich, dass manche Kinder und Familien mehr Vorteile vom Hundebesitz erfahren als andere, bisher wurde aber in keiner Studie über individuelle Unterschiede berichtet. Diese Pilotstudie berichtet über die Entwicklung einer Skala mit 28 Punkten, die auf dem von den Eltern wahrgenommenen Einfluss eines Haustiers auf ein Kind mit Autismus basiert (Lincoln Autism Pet Dog Impact Scale — LAPDIS). Die Skala setzt sich aus drei mathematisch hergeleiteten Faktoren zusammen: Anpassungsfähigkeit, soziale Fähigkeiten und Konfliktmanagement. Es wurde beurteilt, wie die individuellen Unterschiede (Aspekte) mit den Werten dieser drei Faktoren zusammenhängen könnten. Familien-Aspekte und Hunde-Aspekte waren nicht signifikant mit den Bewertungen der drei Faktoren verbunden, aber Kinder-Aspekte (einschließlich: Kontakt mit Pferden, Alter, Grad der Behinderung und Sprachfähigkeiten) waren mit dem Einfluss des Hundes auf alle Faktoren verbunden. Ausbildungsaspekte waren mit Werten der sozialen Fähigkeiten verbunden (formales Training mit Kindern mit Autismus-Spektrum-Störungen und Hunden und Teilnahme an einem Workshop). Die Ergebnisse deuten darauf hin, dass individuelle Unterschiede, die mit dem Kind und dem Ausbildungsansatz in Verbindung stehen, wichtige Berücksichtigungen für einen positiven Einfluss des Hunde-Besitzes auf Familien mit Kindern, die unter Autismus-Spektrum-Störungen leiden, sein könnten. Unterschiede bei Familien-Merkmalen oder Hunden könnten nicht so wichtig sein. Da sich die Entwicklung dieses Feldes allerdings noch in der Frühphase befindet, sind weitere Untersuchungen angemessen.
Assistance dogs are a potential intervention for families of children on the autism spectrum to support participation. However, the lived experience of families with new assistance dogs has not previously been explored. This study described the expectations, benefits, and challenges of assistance dog ownership for families of children on the autism spectrum. Data were collected from four mothers through semi-structured interviews and photovoice prior to assistance dog placement and following 6 months of ownership. Findings indicated assistance dog ownership enhanced the child’s self-regulation and socialization, and increased participation in daily routines. Having an assistance dog also enhanced participation in family outings and activities. Challenges included the adjustment period and the lack of public awareness of autism assistance dogs.
Introduction
Service dog placements for autistic children are growing in popularity, yet findings to date are mixed. Moreover, no study to date has examined these placements through the lens of a recognized theoretical model. The purpose of this study is twofold: to explore experiences reported by caretakers of autistic children involved in a service dog program, and to contextualize findings within an established theoretical framework.
Methods
A total of n = 50 caretakers of autistic children (n = 38 with and n = 12 without a service dog) were recruited through the national non-profit service dog provider Canine Companions. Participants completed an online survey through Qualtrics which asked open-ended questions about their experiences, both negative and positive.
Results
Constant comparative analysis identified two high level themes, nested within a family systems approach framework: (1) Enhancing social functioning of the family system unit and (2) Fostering stability and strength within family system subunits. These themes interacted holistically to foster and reinforce family system resilience. Placements led to greater social inclusion for children and their families, acted as a highly individualized intervention, and decreased experiences of judgement and stigma. Perceived as members of the family, service dogs may coregulate with the autistic child and family members and can be a source of joyful connection within the family.
Discussion
Results highlighted the service dog’s influence on the entire family (beyond the autistic child). Implications for service dog organizations suggest it may be helpful to account for family-wide impacts throughout the placement process. High standards on the part of provider organizations may minimize negatives, optimizing outcomes for both humans and canines. Ultimately, findings enrich our understanding of service dog interventions for autistic children.
Introduction: Evidence indicates that assistance dogs placed in the home are effective in supporting individuals with Autism Spectrum Disorder (ASD) by increasing social and community participation and promoting quality of life. This study aimed to examine the outcomes of assistance dog placement on quality of life, independence, and participation of families including individuals with ASD placed with an assistance dog compared to families on the waiting list for an autism assistance dog and to evaluate the feasibility of the design for future studies.
Methods: A cross-sectional comparative study was conducted. The Adaptive Behaviour Analysis System, Social Responsiveness Scale, Autism Treatment Evaluation Checklist, Canadian Occupational Performance Measure, and Autism Family Experience Questionnaire were used to evaluate adaptive skills, behaviour, social difficulties, daily functioning, and family quality of life.
Results: Six families who had an autism assistance dog placed with them, and 12 families who were on the waiting list were recruited using purposeful sampling. The pilot data found no significant differences between the two groups. However, trends were observed which suggested that assistance dogs can increase desired social behaviours, decrease ASD severity, and improve family wellbeing. For families with an assistance dog, more positive outcomes were observed for families who were partnered with an assistance dog for longer. Parents (and sometimes individuals with ASD) were able to complete and return the outcome measures via mail to collect the outcome data for the study.
Conclusion: These study findings add to the developing evidence about the use of assistance dogs with this population. A larger sample size may have allowed for significant associations to be detected. The methods used were feasible to be applied in a larger study. These results may assist health professionals advocate for funding for assistance dog placement to individuals with ASD and their families.
Conclusion: There is a lack of compelling evidence to suggest that assistance dogs confer unique benefits for individuals with autism. The evidence base is limited and of poor quality thus the potential benefits identified need to be interpreted with caution. Interpreting the quantitative and qualitative studies together, the findings indicate many potential benefits of assistance dogs for people with autism could be achieved by a companion dog.
Objectives: To critically examine and synthesise the available evidence regarding the impact of assistance dogs on individuals with autism.
Study design: Mixed methods systematic review with meta-analysis of quantitative data and meta-aggregation of qualitative data. Studies were eligible for inclusion if they included participants with autism and data describing the impact, effectiveness, or participant experience with an assistance dog or a companion dog.
Data sources: CENTRAL, Embase, MEDLINE, and PsycINFO.
Data synthesis: Fourteen studies (one randomised controlled trial, three cohort, seven cross-sectional, and three single-arm studies) were included in the meta-analysis and 13 studies (eight cross-sectional, three longitudinal, and two case studies) were included in the meta-aggregation. There was some quantitative evidence that assistance dogs may be associated with benefit, but the pooled effect sizes are similar to those associated with companion dogs. The qualitative data suggested that parents perceived a broad range of benefits of assistance dogs but may be unprepared for the challenges associated with owning an assistance dog.
Objective
Parents of children with Autism Spectrum Disorder (ASD) have parenting styles that differ from parents of typically developing children. Integration of a service dog (SD) at home has been demonstrated as having multiple effects within families of children with ASD. Our aims were to investigate if (a) specific parenting styles can be identified during parents’ interactions with their child with ASD using ethological methods, and (b) integration of a SD have an effect on these styles.
Methods
Behavioural coding was performed on videos recorded at home by 20 parents of 6-12-years old children with ASD before SD integration. Parents were asked to record themselves and their child while making a puzzle. 14 parents performed a second similar recording 3-6 months after SD integration. Data were analysed using Principal Component Analysis, Hierarchical Cluster Analysis and non-parametric tests.
Results
Three parenting styles emerged: Parents Involved in the Task (PIT), Parents Relaxed in the Interaction (PRI), and Parents Disengaged from the Interaction (PDI). PIT were characterised as more controlling and verbally focused on the activity. PRI were less controlling and talk about things other than the activity. The same applied to PDI, except that they were less warm in their interactions. Analysis performed after SD integration revealed that these groups also diverged in the evolution of certain behaviours.
Conclusions
This study is the first to demonstrate that behavioural observations can highlight different parenting styles in caregivers of children with ASD, and that the integration of a SD has effects on these styles, with variation according to parents’ style prior to SD integration. Indeed, a decrease in activity control behaviours was observed in parents with an initial profile characterize by higher expression of such behaviours (i.e., PIT), while an increase of those behaviours was observed in parents initially with an initial profile characterize by a weaker expression of such behaviours (i.e., PRI). Interestingly, the last profile characterized by less engagement in the interaction and activity (i.e., PDI) did not seem to show significant changes.
Introduction
Service dogs are an increasingly popular complementary intervention for children with autism spectrum disorder. However, despite increasing demand, there remains a lack of empirical research on their potential benefits. The purpose of this study was to evaluate the effects of service dogs on children with autism and their caregivers.
Methods
A total of N = 75 families of children with autism were recruited from a non-profit service dog provider in the US, including n = 39 families previously placed with a service dog and n = 36 families engaging in usual care while on the waitlist. Caregivers completed an online survey containing both self- and proxy-report standardized measures of child, caregiver, and family functioning. Linear regressions modeled the relationship between service dog presence and survey outcomes, controlling for relevant child and caregiver covariates.
Results
Results indicated that having a service dog was associated with significantly better child sleep behaviors, including better sleep initiation and duration and less sleep anxiety/co-sleeping with medium effect sizes. However, service dog presence was not significantly related to child withdrawal, negative emotionality, emotional self-control, hyperactivity, irritability, and lethargy with small effect sizes. For caregivers, having a service dog was not significantly related to standardized measures of caregiver strain, sleep disturbance, depression, or the impact of the child’s condition on family functioning with small effect sizes. Supplemental matched case-control analyses confirmed these findings.
Discussion
In conclusion, service dogs were found to positively impact sleep behaviors among children with autism, but may not uniformly relate to other areas of child and caregiver wellbeing. Prospective longitudinal designs, larger sample sizes able to detect small effects, and studies that measure sleep using objective methods are needed to build on these findings.
Abstract
Assistance dogs are highly trained animals to support individuals with disabilities and medical conditions. Evidence suggests the support provided by an assistance dog can extend beyond physical assistance to therapeutic and communicative domains. However, there is limited research exploring the lived experience of assistance dog placements in the United Kingdom (UK) over an extended period of time. This longitudinal service evaluation was designed to evaluate the placement of assistance dogs, trained by the charity Dogs for Good, with adults and children with autism or a physical disability in the UK. Goals and expectations of being matched with an assistance dog prior to placement, and perceptions of how these dogs have impacted the quality of life of adults and children with autism and/or a physical disability and their families were assessed. Service users who had applied for an assistance dog via the Dogs for Good charity (n= 307) were contacted and invited to complete questionnaires at five different time points (pre-dog placement, and 6-, 12-, 24-, and 36-months post dog-placement). Repeated-measures ANOVAs were conducted to determine if there were significant changes to quality of life over time. Mean quality of life scores improved significantly for all service users. Responses to free-text questions were thematically analysed, and three main themes were identified from the free-text responses: goals and expectations for assistance dog pre-placement (eg, enhancing independence, physical functioning and wellbeing), the positive impact of the assistance dog post-placement (eg, promoting independence, development of the human-animal bond, improving wider family dynamics, and reducing stigma), and satisfaction with the service. The findings complement and extend previous insights into the impact of assistance dogs on people with autism or a physical disability. They also highlight some challenges associated with the placement of assistance dogs and indicate the need to consider the development of further targeted support strategies.
Abstract
Introduction: In the United States, one out of every 36 children will be diagnosed with autism spectrum disorder (ASD) by age eight (CDC, 2020). For parents with a child with ASD, their child’s safety and wellbeing can be a daily concern. An autism assistance dog (AAD), like those trained by Can Do Canines, can greatly improve the quality of life of the entire family. However, this type of assistance dog is limited due to many factors, leading Can Do Canines, and many other assistance dog training organizations, to have substantial waitlists for families wishing to receive an AAD.
Purpose: The purpose of this doctoral capstone project was to develop an educational module on a family-based training program that would allow families to access an online training portal with videos to help them train their own family dogs to become AADs for their children. An educational module was needed to clarify the differences between a trained autism assistance dog provided by Can Do Canines and a family trained assist dog, and to improve accessibility to the benefits that assistance dogs provide to children with ASD.
Approach: A backward design approach was utilized for this project because the educational module about the program could not be created if there was no program outline to base the module off of. Interviews were conducted with a United Kingdom-based assistance dog program, Dogs for Good, who launched a similar family-based training program, in order to determine the most successful layout and pre-education needed to make Can Do Canine’s family-based training program successful.
Outcomes: This program was evaluated with a focus group to provide qualitative feedback on the first drafts of all deliverables, and from a final survey delivered to all focus group members once final edits to deliverables had been made to provide qualitative and quantitative feedback. Focus group feedback largely centered around the need for more clarity on the differences between a trained assistance dog and a family-trained dog, that the order of use of the deliverables made sense, and the graphics were clear and understandable. Final survey feedback reflected similar results for clarity of graphics, helpfulness of supplemental deliverables for the program, and helpfulness of having two versions of the education module to address various learning styles. Once the Can Do Canines staff is able to develop the online portal, the pilot program can be launched.
Evidence suggests that assistance and therapy dogs can positively impact the mental and physical health of children with autism spectrum condition (ASC) and their families. However, these services are often costly and inaccessible. As an alternative, companion dogs (e.g., non-specialist-trained pet dogs) may offer similar benefits. To support families in selecting and training a dog to benefit the whole family, a charity named Dogs for Good has designed the Family Dog Service. This qualitative study aimed to explore the perceived impact of human-dog interactions and relationships for children with ASC and their families, and their perceptions of the Family Dog Service. Interviews were conducted with 16 parents of children with ASC who had engaged with the service within the last five years. Thematic analysis identified four main themes. These related to the positive impact of the companion dog on the child with ASC (e.g., enhanced focus and attention, reduction in loneliness, and reduced anxiety-based behaviours) and the parents (e.g., increased respite and wellbeing). However, parents also reported challenges of dog ownership (e.g., adjustment to routines and barriers associated with the development of the human-dog relationship). These challenges appeared to be mitigated by tailored guidance and support from the Family Dog Service. The findings indicate that companion dog ownership provided benefits to children with ASC and their families, similar to those reported for autism assistance dogs. While the findings do not suggest that companion dogs can replace the important role played by specialist trained assistance dogs, it is possible that reported benefits may occur due to the development of the human-dog relationship, facilitated by the support offered by the Family Dog Service. The service may provide a practical, valuable alternative in light of restrictions and challenges often associated with securing assistance dog placements.
Children with Autism Syndrome Disorders (ASDs) exhibit social, communicative, and behavioral deficits. We know that human interaction with dogs, which is thought to serve as a social catalyst, results in a decrease of cortisol levels in healthy adults. Introducing service dogs to children with ASD is an attractive idea that has received growing attention in recent decades. However, no study has measured the physiological impact of service dogs on these children. Therefore, the goal of our study was to assess the effects of service dogs on the basal salivary cortisol secretion of children with ASD. We measured the salivary cortisol levels of 42 children with ASD in three experimental conditions; prior to and during the introduction of a service dog to their family, and after a short period during which the dog was removed from their family. We compared average cortisol levels and Cortisol Awakening Response (CAR) before and during the introduction of the dog to the family and after its withdrawal. We found that the introduction of service dogs translated into a statistically significant diminished CAR. Before the introduction of service dogs, we measured a 58% increase in morning cortisol after awakening, which diminished to 10% when service dogs were present. The increase in morning cortisol jumped back to 48% once the dogs were removed from the families (p < 0.05). However, service dogs did not have an effect on the children’s average diurnal cortisol levels. These results show that the CAR of children with ASD is sensitive to the presence of service dogs, which lends support to the potential behavioral benefits of service dogs for children with autism.
Purpose
The objective of this synthesis research was to explore representations of autism and human-animal interactions (HAI) in the health sciences literature and the implications for autistic children and their families.
Methods
Guided by critical interpretive synthesis methods proposed by Dixon-Woods et al. (2006), we synthesized and examined how autism and HAI were described in the health sciences literature and explored assumptions and goals underlying HAI as an intervention.
Results
Across 47 reviewed articles, animals were represented as therapeutic objects whose purpose from a biomedical perspective was to address “problematic” behaviours and “deficits” in social functioning and development. HAI was employed as a therapy to address improvements in these problematic behaviours in the majority of studies. Relational and social aspects of HAI were present but not explicitly discussed. An alternative perspective proposed by Olga Solomon positioned autistic sociality as one form of diverse human socialities that can be embraced, rather than held problematic and in need of being normalized.
Conclusions
Implications for HAI in rehabilitation include recognizing the multiple purposes of animals in a child’s life, not only the therapeutic goal of normalizing functioning.
Caregivers of children with autism spectrum disorder are vulnerable to overstated benefits of interventions, and such overstatements are common with interventions involving animals. This response to Wright, Hall, Hames, Hardmin, Mills, the Paws Team, and Mills’ (2015) article, “Acquiring a Pet Dog Significantly Reduces Stress of Primary Careers for Children with Autism Spectrum Disorder: A Prospective Case Control Study,” details why that study’s conclusions are premature. Specific limitations of the study are detailed, including overstatements of the supportive literature, problems with the design, and mismatch between the findings and conclusions. The purpose is not to challenge the benefits of pet ownership, but to point out that those benefits have not yet been established.
