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The Reliability of a Video Analysis Tool to Evaluate Outcomes for Animal Assisted Therapy Involving Dogs in Children and Young People with Autism.

Physical & occupational therapy in pediatrics2025

Dennehy Alessandra, Mackenzie Lynette, Dickson Claire, Bulkeley Kim, Alvarez-Campos Alberto, Lovarini Meryl

What this study means for families

Researchers tested a video tool that measures how children with autism behave during therapy sessions with dogs. They found the tool gives consistent results when different people use it and when the same person uses it multiple times. The tool can reliably track social behaviors, play, and challenging behaviors during animal therapy. This means researchers can now confidently use this tool to study whether therapy dogs help children with autism.

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

Research summary

This study evaluated the reliability of a video analysis tool (VAT-AAT) for measuring behavioral changes during animal-assisted therapy with dogs in children and young people with autism aged 3-25 years. Twenty-three occupational therapy students rated video-recorded therapy sessions twice to assess inter-rater and test-retest reliability. The tool measured verbal and non-verbal social behaviors, play behaviors, and negative behaviors. Results showed good reliability with intraclass correlation coefficients ranging from 0.84-0.89 across simple and complex sessions.

Rater experience with children or autism did not impact reliability, though less experience with animals slightly reduced agreement. The study establishes the VAT-AAT as a reliable measurement tool for AAT research, though validity testing remains needed.

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

Key findings

  • 1

    VAT-AAT showed good inter-rater reliability (ICC 0.84-0.89) and test-retest reliability (ICC 0.84-0.89)

    Confidence: moderateRelevance: Provides researchers with a reliable tool to measure behavioral outcomes during animal-assisted therapy
  • 2

    Session complexity and rater experience with children/autism did not impact reliability

    Confidence: moderateRelevance: Tool can be used across different therapy contexts and by raters with varying experience levels
  • 3

    Less experience with animals slightly reduced percentage agreement (<10% difference)

    Confidence: limitedRelevance: Suggests some training with animals may optimize tool use

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

Clinical implications

The VAT-AAT provides a standardized method for measuring behavioral changes during animal-assisted therapy research. Clinicians can have confidence in data collected using this tool, supporting evidence-based practice development in AAT interventions for autism.

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

Limitations

Study focused only on reliability testing without establishing validity. Sample limited to occupational therapy students as raters. No information provided about participant characteristics or actual behavioral outcomes from therapy sessions.

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

Original abstract

To determine inter-rater and test-retest reliability of a video analysis tool (VAT-AAT) for evaluating changes in frequency and duration of verbal social behaviors, non-verbal social behaviors, play behaviors, and negative behaviors of children and young people aged 3-25 years with autism during animal-assisted therapy (AAT). Following recruitment and training, 23 occupational therapy students from an Australian metropolitan university rated a simple or complex video-recorded AAT session on two occasions. Expert raters determined acceptable score ranges which were compared with collected data from the raters to determine intraclass correlation coefficients (ICC). ICCs were 0.84 (simple session) and 0.89 (complex session) for inter-rater reliability and 0.84 (simple session) and 0.89 (complex session) for test-retest reliability.

The percentage agreement was similar across level of session complexity and rater experience with children and autism but was lower for participants with less experience with animals (<10% difference in percentage agreement). The VAT-AAT has good inter-rater and test-retest reliability when used in AAT with children and young people with autism. Session complexity or rater experience with children or autism did not impact on the level of agreement with expert raters. Validity of the tool now needs to be established.

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Evidence Grade

Emerging

limited

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

Study Details

Journal
Physical & occupational therapy in pediatrics
Year
2025
PMID
40543022
DOI
10.1080/01942638.2025.2518390

MeSH Terms

ChildHumansAdolescentReproducibility of ResultsChild, PreschoolAnimalsAnimal Assisted TherapyMaleAutistic DisorderFemaleYoung AdultVideo RecordingDogsSocial BehaviorAdultAustraliaObserver VariationOccupational Therapy