Trial of Therapeutic Horseback Riding in Children and Adolescents With Autism Spectrum Disorder
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ClinicalTrials.gov Identifier: NCT02301195 |
Recruitment Status :
Completed
First Posted : November 25, 2014
Last Update Posted : March 15, 2021
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Condition or disease | Intervention/treatment | Phase |
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Autism Spectrum Disorder Child Development Disorders, Pervasive | Other: Therapeutic horseback riding Other: Barn Activity Intervention | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 209 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Outcomes Assessor) |
Primary Purpose: | Other |
Official Title: | Measuring the Effects of Therapeutic Horseback Riding on School-Age Children and Adolescents With Autism Spectrum Disorders |
Actual Study Start Date : | October 2010 |
Actual Primary Completion Date : | June 19, 2014 |
Actual Study Completion Date : | June 19, 2014 |

Arm | Intervention/treatment |
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Experimental: Therapeutic Horseback Riding
Ten-weekly one-hour manualized small group Therapeutic Horseback Riding intervention led by certified THR instructor.THR intervention taught riding and horsemanship skills.
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Other: Therapeutic horseback riding
Inclusion of horses as part of the therapeutic experience
Other Names:
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Active Comparator: Barn Activity Intervention
Ten-weekly one-hour manualized small group Barn Activity Intervention led by THR instructor, teaching horsemanship skills without horses present.
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Other: Barn Activity Intervention
Equine-focused educational activities in small group setting without horses |
- Change in Aberrant Behavior Checklist-Community (Irritability subscale) [ Time Frame: One month pre-intervention, weekly for 10 weeks during intervention, and one month post intervention, and 6 months post intervention ]The investigators hypothesize that social communication behaviors will increase and subjects will show a decrease in aberrant behaviors from pre to post THR lesson and over the course of the 10-week intervention, as observed in the brief periods captured (e.g., estimated 4 minutes before and 4 minutes after each THR lesson).
- Change in Aberrant Behavior Checklist-Community (Hyperactivity, Lethargy, Stereotypy subscale) [ Time Frame: One month pre-intervention, weekly for 10 weeks during intervention, and one month post intervention, and 6 months post intervention ]The investigators hypothesize that social communication behaviors will increase and subjects will show a decrease in aberrant behaviors from pre to post THR lesson and over the course of the 10-week intervention, as observed in the brief periods captured (e.g., estimated 4 minutes before and 4 minutes after each THR lesson).
- Change in Social Responsiveness [ Time Frame: One month pre-intervention, weekly for 10 weeks during intervention, and one month post intervention, and 6 months post intervention ]Subjects in the THR group will have greater improvements in socialization, as measured by a parent/guardian report form, the Social Responsiveness Scale, than the control group.
- Change in Systematic Analysis of Language Transcript [ Time Frame: One month pre-intervention, weekly for 10 weeks during intervention, and one month post intervention, and 6 months post intervention ]Subjects in the THR group will have greater improvement on communication, as measured by blinded speech therapist assessment using the Peabody Picture Vocabulary Test and the Systematic Analysis of Language Transcripts
- Change in Peabody Picture Vocabulary Test-4 [ Time Frame: One month pre-intervention, weekly for 10 weeks during intervention, and one month post intervention, and 6 months post intervention ]Subjects in the THR group will have greater improvement on communication, as measured by blinded speech therapist assessment using the Peabody Picture Vocabulary Test and the Systematic Analysis of Language Transcripts, as well as by parent interview utilizing the Vineland Adaptive Behavior Scales-II communication subscale, than the control group.
- Change in Bruininks-Oseretsky Test of Motor Proficiency-2nd Ed. (Short form) [ Time Frame: One month pre-intervention, weekly for 10 weeks during intervention, and one month post intervention, and 6 months post intervention ]Subjects in the THR group will have greater improvement on motor functioning (i.e., physical coordination, stability, and motor planning/praxis), as measured by blinded Occupational Therapists assessment utilizing the Bruininks-Oseretsky Test of Motor Proficiency and the Sensory Integration and Praxis Test, than the control group.
- Change In Sensory Integration and Praxis Test (Praxis on verbal command & Postural Praxis subtests) [ Time Frame: One month pre-intervention, weekly for 10 weeks during intervention, and one month post intervention, and 6 months post intervention ]Subjects in the THR group will have greater improvement on motor functioning (i.e., physical coordination, stability, and motor planning/praxis), as measured by blinded Occupational Therapists assessment utilizing the Bruininks-Oseretsky Test of Motor Proficiency and the Sensory Integration and Praxis Test, than the control group.
- Change in Vineland Adaptive Behavior Scales Interview 2nd Ed. [ Time Frame: One month pre-intervention, weekly for 10 weeks during intervention, and one month post intervention, and 6 months post intervention ]subjects in the THR group will have statistically non-significant changes in their post-intervention scores on communication, as measured by blinded speech therapist assessment using the Peabody Picture Vocabulary Test and the Systematic Analysis of Language Transcripts, as well as by parent interview utilizing the Vineland Adaptive Behavior Scales-II communication subscale.

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Ages Eligible for Study: | 6 Years to 16 Years (Child) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Score ≥ 11 on the irritability and stereotypy subscales of Aberrant Behavior Checklist-Community
- Nonverbal IQ ≥ 40
- Diagnosis of autistic or Asperger's disorder prior to study admission from a psychologist or psychiatrist in the community
- Meets diagnostic cut-off scores for autism spectrum on the Social Communication Questionnaire (SCQ) (> 15) and on the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2)
- Meets DSM-IV-TR criteria for autistic or Asperger's disorder based on diagnostic information gathered for this study from the SCQ, ADOS-2, and Repetitive Behavior Scales-Revised (RBS-R)
- Absence of significant vision, hearing, or motor impairments
- Absence of genetic disorders known to be causative of or potentially resulting in a phenotype similar to autism: Fragile X Syndrome, Landau Kleffner, Rett Syndrome, Childhood Disintegrative Disorder, or tuberous sclerosis, based on screening by clinical staff
- In the event that a family has more than one child diagnosed with autism or Asperger's, only one child per family will be included in the study that meets other study inclusion criteria to maintain independent observation of the participant
- Must have a consistent school-based teacher (vs. a parent who is providing home schooling) willing to complete the ABC-C form twice during the study for each participant, as well as a parent/guardian who is willing to complete the designated outcome parent/guardian report forms during the study
Exclusion Criteria:
- Child has a medical or psychiatric disorder or behavioral issue that would prevent participation
- Child has had no more than 2 hours exposure to EAATs (equine assisted activities and therapies) in the past 6 months and is judged, during the evaluation at Hearts & Horses by the research site coordinator, to not have significant riding experience (an individual with significant riding experience is defined here as one for whom the beginner curriculum would not be appropriately challenging), as the curriculum is designed for beginner riders
- The child has a history of animal abuse or phobia to horses
- Wards of the State

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02301195
Principal Investigator: | Robin Gabriels, PsyD | University of Colorado Denver/Children's Hosptial Colorado |
Publications of Results:
Other Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | University of Colorado, Denver |
ClinicalTrials.gov Identifier: | NCT02301195 |
Other Study ID Numbers: |
07-1148 1R01NR012736 ( U.S. NIH Grant/Contract ) |
First Posted: | November 25, 2014 Key Record Dates |
Last Update Posted: | March 15, 2021 |
Last Verified: | March 2021 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Therapeutic Horseback Riding |
Disease Autistic Disorder Autism Spectrum Disorder Child Development Disorders, Pervasive |
Developmental Disabilities Pathologic Processes Neurodevelopmental Disorders Mental Disorders |