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The Effectiveness of Equine-Assisted Mental Health Interventions for Youth: A Meta-Analysis of Controlled Studies

The Effectiveness of Equine-Assisted Mental Health Interventions for Youth: A Meta-Analysis of... Youth have experienced an increase in mental health concerns and can be challenging to work with using traditional talk-based prevention and treatment options. This meta-analysis aimed to synthesize existing studies on the effectiveness of equine-assisted interventions with youth for psychosocial outcomes, such as internalizing and externalizing problems, adaptive efficacy, self-esteem, and depressive symptoms. Search and selection procedures involved screening 3525 records to yield 16 controlled studies published between 2009 and 2021 with 1009 participants. The results showed a statistically significant, homogenous, and medium effect for the overall effectiveness of equine interventions for improving overall psychosocial outcomes for youth (n = 16, d = .535, 95% CI [.345, .726], p < .001, I2 = 0.39). The results also showed similar statistically significant effects for externalizing problems, internalizing problems, and adaptive efficacy. However, the effectiveness of equine-assisted interventions for the self-esteem and depressive symptoms (when measured separately from internalizing problems) of youth was statistically non-significant. For self-esteem, the effects were heterogeneous, suggesting the studies may not be measuring the same effect. Future research on equine-assisted interventions for the mental health of youth should utilize designs with larger sample sizes, randomization and/or clear equivalence of comparison groups, a credible comparison treatment, complete and analyzable follow-up measurements, and adequate statistical analyses and reporting. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Adolescent Research Review Springer Journals

The Effectiveness of Equine-Assisted Mental Health Interventions for Youth: A Meta-Analysis of Controlled Studies

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Springer Journals
Copyright
Copyright © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
ISSN
2363-8346
eISSN
2363-8354
DOI
10.1007/s40894-023-00209-9
Publisher site
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Abstract

Youth have experienced an increase in mental health concerns and can be challenging to work with using traditional talk-based prevention and treatment options. This meta-analysis aimed to synthesize existing studies on the effectiveness of equine-assisted interventions with youth for psychosocial outcomes, such as internalizing and externalizing problems, adaptive efficacy, self-esteem, and depressive symptoms. Search and selection procedures involved screening 3525 records to yield 16 controlled studies published between 2009 and 2021 with 1009 participants. The results showed a statistically significant, homogenous, and medium effect for the overall effectiveness of equine interventions for improving overall psychosocial outcomes for youth (n = 16, d = .535, 95% CI [.345, .726], p < .001, I2 = 0.39). The results also showed similar statistically significant effects for externalizing problems, internalizing problems, and adaptive efficacy. However, the effectiveness of equine-assisted interventions for the self-esteem and depressive symptoms (when measured separately from internalizing problems) of youth was statistically non-significant. For self-esteem, the effects were heterogeneous, suggesting the studies may not be measuring the same effect. Future research on equine-assisted interventions for the mental health of youth should utilize designs with larger sample sizes, randomization and/or clear equivalence of comparison groups, a credible comparison treatment, complete and analyzable follow-up measurements, and adequate statistical analyses and reporting.

Journal

Adolescent Research Review – Springer Journals

Published: Mar 7, 2023

Keywords: Equine-assisted therapy; Mental health; Youth; Meta-analysis

References

  • Equine-related treatments for mental disorders lack empirical support: A systematic review of empirical investigations
    Anestis, MD; Anestis, JC; Zawilinski, LL; Hopkins, TA; Lilienfeld, SO
  • The contribution of therapeutic horse riding to the improvement of executive functions and self-esteem among children with ADHD
    Aviv, TM; Katz, YJ; Berant, E
  • Equine-facilitated psychotherapy for at-risk adolescents: The influence on self-image, self-control, and trust
    Bachi, K; Terkel, J; Teichman, M
  • The nature of youth in the eyes of mental-health care workers: Therapists’ conceptualization of adolescents coming to therapy at others’ initiative
    Barca, TB; Moltu, C; Veseth, M; Fjellheim, G; Stige, SH
  • An introduction to meta-analysis for psychotherapy outcome research
    Berkeljon, A; Baldwin, S
  • The evaluation of an equine-assisted therapy programme with a group of boys in a youth care facility
    Boshoff, C; Grobler, H; Nienaber, A
  • The gender gap in adolescent mental health: A cross-national investigation of 566,829 adolescents across 73 countries
    Campbell, OLK; Bann, D; Patalay, P
  • Research on humanistic-existential psychotherapies: Updated review
    Elliott, R; Watson, J; Timulak, L; Sharbanee, J; Barkham, M; Lutz, W; Castonguay, L
  • Not just horsing around: The impact of equine-assisted learning on levels of hope and depression in at-risk adolescents
    Frederick, KE; Hatz, JI; Lanning, B
  • Benefits of an experimental program of equestrian therapy for children with ADHD
    Garcia-Gómez, A; Rodríguez-Jiménez, M; Guerrero-Barona, E; Rubio-Jiménez, JC; García-Peña, I; Moreno-Manso, JM
  • ‘Now, he will be the leader of the house’: An equine intervention with at-risk Guatemalan youth
    Gibbons, JL; Cunningham, CA; Paiz, L; Poelker, KE; Chajón, A
  • Equine-assisted activities and the impact on perceived social support, self-esteem and self-efficacy among adolescents—an intervention study
    Hauge, H; Kvalem, I; Berget, B; Enders-Slegers, M; Braastad, BO
  • Equine-assisted services for children with attention-deficit/hyperactivity disorder: A systematic review
    Helmer, A; Wechsler, T; Gilboa, Y
  • Equine-assisted therapeutic interventions among individuals diagnosed with schizophrenia. A systematic review
    Jormfeldt, H; Carlsson, IM
  • Horse play: A brief psychological intervention for disengaged youths
    Kendall, E; Maujean, A
  • Substance use disorder treatment retention and completion: A prospective study of horse-assisted therapy (HAT) for young adults
    Kern-Godal, A; Arnevik, EA; Walderhaug, E; Ravndal, E
  • Equine-assisted interventions for veterans with service-related health conditions: a systematic mapping review
    Kinney, AR; Eakman, AM; Lassell, R; Wood, W
  • Psychodynamic based equine—assisted psychotherapy in adults with intertwined personality problems and traumatization: A systematic review
    Kovács, G; van Dijke, A; Enders-Slegers, MJ
  • A qualitative and quantitative review of equine facilitated psychotherapy (EFP) with children and adolescents
    Lentini, JA; Knox, M
  • The impact of including different study designs in meta-analyses of diagnostic accuracy studies
    Parker, LA; Saez, NG; Porta, M; Hernández-Aguado, I; Lumbreras, B
  • Using multiple types of studies in systematic reviews of health care interventions- A systematic review
    Peinemann, F; Tushabe, DA; Kleijnen, J
  • Improving adolescent social competence and behavior: A radomized trial of an 11-week equine facilitated learning prevention program
    Pendry, P; Carr, A; Smith, AN; Roeter, SM
  • Equine-assisted activities and therapies in children with attention-deficit/hyperactivity disorder: A systematic review
    Pérez-Gómez, J; Amigo-Gamero, H; Collado-Mateo, D; Barrios-Fernandez, S; Muñoz-Bermejo, L; Garcia-Gordillo, MÁ; Carlos-Vivas, J; Adsuar, JC
  • Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: A meta-analysis
    Racine, N; MacArthur, B; Cooke, A; Eirich, JE; Zhu, R; Madigan, S
  • A systematic review of effectiveness of complementary and adjunct therapies and interventions involving equines
    Selby, A; Smith-Osborne, A
  • Equine-facilitated therapy and trauma: Current knowledge, future needs
    Staudt, M; Cherry, D
  • A comparative study of the efficacy of group equine-assisted counseling with at-risk children and adolescents
    Trotter, KS; Chandler, CK; Goodwin-Bond, D; Casey, J
  • Chapter 3: Systematic reviews of effectiveness
    Tufanaru, C; Munn, Z; Aromataris, E; Campbell, J; Hopp, L; Aromataris, E; Munn, Z
  • Complementary and alternative medicine use among children with mental health issues: Results from the National Health Interview Survey
    Wang, C; Preisser, J; Chung, Y; Li, K
  • The effect of equine-assisted therapies on behavioural, psychological, and physical symptoms for children with attention deficit/hyperactivity disorder: A systematic review
    White, E; Zippel, J; Kumar, S
  • Evaluating the efficacy of equine therapy among at-risk youth: A meta-analysis
    Wilkie, KD; Germain, S; Theule, J