The potential usefulness of standardized assessments to measure participant outcomes of adaptive/therapeutic horseback riding: a survey study

Adaptive or therapeutic riding (A/TR) is a recreational activity which provides mounted and ground-based horsemanship opportunities adapted to the abilities of the participants. A/TR provides physical and psychological benefits to participants with diverse disabilities, including physical, developmental, cognitive, and age-related disabilities, promoting higher quality of life. A/TR professionals may be limited in their capacity to implement outcome assessments and report the benefits of their community-based A/TR services to a broad audience. The purpose of this study was to identify whether and how A/TR professionals currently measure participant outcomes; benefits and barriers to implementing standardized assessments in A/TR; and characteristics which would make assessments useful in the community-based A/TR environment. To address this purpose, we conducted a survey among A/TR professionals. We found that while A/TR professionals measure outcomes among their participants, they typically do not use standardized assessments. Survey respondents believed benefits of implementing standardized assessments included bolstering the A/TR profession, acquiring funding, and communicating about A/TR services to a broad audience. Respondents also identified several barriers to implementing standardized assessments including time, systemic, and expertise constraints. Respondents reported that useful standardized assessments would be relevant to all age groups and populations who receive A/TR services. Finally, respondents shared that for standardized assessments to be useful, they would need to be low-cost, require less than 10–20 min, and available in either paper or computer format. This study revealed that standardized assessments may be a strong support to the A/TR profession; however, assessments must meet the unique needs of A/TR professionals.

[1]  K. Hoagwood,et al.  Reducing Anxiety and Stress among Youth in a CBT-Based Equine-Assisted Adaptive Riding Program , 2022, Animals : an open access journal from MDPI.

[2]  Y. Gilboa,et al.  Equine-Assisted Services for Children with Attention-Deficit/Hyperactivity Disorder: A Systematic Review. , 2021, Journal of alternative and complementary medicine.

[3]  W. Wood,et al.  A Comparison of Quality of Life Indicators During Two Complementary Interventions: Adaptive Gardening and Adaptive Riding for People with Dementia. , 2021, Complementary therapies in medicine.

[4]  W. Wood,et al.  Optimal Terminology for Services in the United States That Incorporate Horses to Benefit People: A Consensus Document. , 2020, Journal of alternative and complementary medicine.

[5]  B. R. Rigby,et al.  Changes in Motor Skill Proficiency After Equine-Assisted Activities and Brain-Building Tasks in Youth With Neurodevelopmental Disorders , 2020, Frontiers in Veterinary Science.

[6]  Rebecca A. Johnson,et al.  An equine-assisted therapy intervention to improve pain, range of motion, and quality of life in adults and older adults with arthritis: A randomized controlled trial. , 2019, Applied nursing research : ANR.

[7]  Paul A. Harris,et al.  The REDCap consortium: Building an international community of software platform partners , 2019, J. Biomed. Informatics.

[8]  P. Schreiner,et al.  The State of Assessment in Human-Animal Interaction Research , 2018, Human-animal interaction bulletin.

[9]  Gene W. Gloeckner,et al.  Influence of an Equine-Assisted Activities Program on Dementia-Specific Quality of Life , 2018, American journal of Alzheimer's disease and other dementias.

[10]  Rebecca A. Johnson,et al.  Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans , 2018, Military Medical Research.

[11]  W. Coster,et al.  Validity, reliability, and usability of the Pediatric Evaluation of Disability Inventory‐Computer Adaptive Test for autism spectrum disorders , 2016, Developmental medicine and child neurology.

[12]  D. Altman,et al.  Improving the relevance and consistency of outcomes in comparative effectiveness research. , 2016, Journal of comparative effectiveness research.

[13]  Tracy K. Witte,et al.  The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation. , 2015, Journal of traumatic stress.

[14]  Gary Mesibov,et al.  Randomized Controlled Trial of Therapeutic Horseback Riding in Children and Adolescents With Autism Spectrum Disorder. , 2015, Journal of the American Academy of Child and Adolescent Psychiatry.

[15]  D. Homnick,et al.  The Effect of Therapeutic Horseback Riding on Balance in Community-Dwelling Older Adults , 2015, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[16]  J. Case-Smith,et al.  Therapeutic Effects of Horseback Riding Therapy on Gross Motor Function in Children with Cerebral Palsy: A Systematic Review , 2012, Physical & occupational therapy in pediatrics.

[17]  Bridgett Piernik-Yoder,et al.  The Use of Standardized Assessments in Occupational Therapy in the United States , 2012, Occupational therapy in health care.

[18]  B. A. Tanner,et al.  Validity of Global Physical and Emotional SUDS , 2012, Applied psychophysiology and biofeedback.

[19]  Nina A. Sayer,et al.  Military to civilian questionnaire: a measure of postdeployment community reintegration difficulty among veterans using Department of Veterans Affairs medical care. , 2011, Journal of traumatic stress.

[20]  D. Stevanović Quality of Life Enjoyment and Satisfaction Questionnaire-short form for quality of life assessments in clinical practice: a psychometric study. , 2011, Journal of psychiatric and mental health nursing.

[21]  C. Morin,et al.  The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. , 2011, Sleep.

[22]  M. Llabre,et al.  The Effect of Therapeutic Horseback Riding on Social Functioning in Children with Autism , 2009, Journal of autism and developmental disorders.

[23]  P. Harris,et al.  Research electronic data capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics support , 2009, J. Biomed. Informatics.

[24]  R. Mccall,et al.  Community‐Based Interventions and Services , 2009 .

[25]  D. Jette,et al.  Use of Standardized Outcome Measures in Physical Therapist Practice: Perceptions and Applications , 2009, Physical Therapy.

[26]  J. Hunsley,et al.  Evidence-based assessment. , 2007, Annual review of clinical psychology.

[27]  Hsiu-Fang Hsieh,et al.  Three Approaches to Qualitative Content Analysis , 2005, Qualitative health research.

[28]  B. Ogles,et al.  The use of outcome measures by psychologists in clinical practice , 2004 .

[29]  G. Moulton,et al.  Setting standards in the evaluation of community-based health promotion programmes--a unifying approach. , 2001, Health promotion international.

[30]  R. Goodman,et al.  Psychometric properties of the strengths and difficulties questionnaire. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[31]  R. Spitzer,et al.  The PHQ-9 , 2001, Journal of General Internal Medicine.

[32]  S. Jenkins,et al.  An Evaluation of Therapeutic Horseback Riding Programs for Adults with Physical Impairments. , 2001 .

[33]  S Strickland,et al.  Outward Bound , 2000, Science.

[34]  Barb Shellian,et al.  High Hopes , 1998 .

[35]  Thomas J. Kiresuk,et al.  Goal attainment scaling: A general method for evaluating comprehensive community mental health programs , 1968, Community Mental Health Journal.

[36]  R. McCall Evidence-Based Programming in the Context of Practice and Policy. Social Policy Report. Volume XXIII, Number III. , 2009 .