{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T20:13:34Z","timestamp":1793218414280,"version":"4.5.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Phase 2 of the Mental Health Initiatives Funding Scheme of Hong Kong","award":["MHI2_0032"],"award-info":[{"award-number":["MHI2_0032"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Dog-assisted therapy (DAT) has become a promising complementary approach, providing social and emotional support for children with autism spectrum disorder (ASD). Research on the effects of DAT on multiple functions in children with ASD is limited, and the results are inconsistent. Our study aimed to evaluate the effect of DAT with an RCT study on both psychosocial problems and overall well-being in children with ASD in Hong Kong.\u00a0An exploratory randomized controlled trial was conducted from February 2023 to November 2024, involving 64 children with ASD aged 6 to 15\u00a0years. Participants were randomly assigned (1:1 ratio) to DAT group and control group. The DAT group participated in a structured 8-session DAT training program while the control group received a conventional education curriculum. Before and after the intervention, the Paediatric Quality of Life Inventory scale and Strengths and Difficulties Questionnaire were used to evaluate children\u2019s quality of life and psychosocial problems, respectively. The paired\n                    <jats:italic>t<\/jats:italic>\n                    -test and independent\n                    <jats:italic>t<\/jats:italic>\n                    -test\/Mann\u2013Whitney\n                    <jats:italic>U<\/jats:italic>\n                    test were employed to analyze pre-post differences and group differences.\u00a0In the DAT group, the mean total score of quality of life was significantly improved (pre vs. post: 58.32 vs. 63.71,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.007) and the mean score of total difficulties was significantly reduced (pre vs. post: 15.63 vs. 13.16,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.003). The decreased scores of several subscales of SDQ, such as externalizing behavior, conduct problems, and hyperactivity were also observed (all\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.05). The control group with conventional curriculum training also presented with a lowered mean total difficulties score (pre vs. post: 16.47 vs. 15.03,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.035). There were no statistically significant change differences between the two groups (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&gt;\u20090.05).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusion<\/jats:italic>\n                    : The preliminary finding shows DAT has a comparable effect to the school\u2019s educational curriculum in improving the psychosocial health and quality of life of children with ASD. DAT could potentially serve as a beneficial supplemental therapy for children with ASD who receive conventional curriculum training.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Trial registration<\/jats:italic>\n                    :\u00a0The trial was registered on\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.clinicaltrials.gov\" ext-link-type=\"uri\">https:\/\/www.clinicaltrials.gov<\/jats:ext-link>\n                    (NCT06609122) on 25 Sep 2024.\n                    <jats:table-wrap>\n                      <jats:table>\n                        <jats:tbody>\n                          <jats:tr>\n                            <jats:td align=\"left\">\n                              <jats:bold>What is Known:<\/jats:bold>\n                            <\/jats:td>\n                          <\/jats:tr>\n                          <jats:tr>\n                            <jats:td align=\"left\">\n                              \u2022\n                              <jats:italic>Animal-assisted intervention (AAI) has emerged as a promising adjunct, offering social and emotional support for children with ASD<\/jats:italic>\n                              .\u2022\n                              <jats:italic>Evidence on the impact of dog-assisted therapy (DAT) on important outcomes (e.g., emotional and behavioral problems, quality of life) were not fully explored<\/jats:italic>\n                              .\n                            <\/jats:td>\n                          <\/jats:tr>\n                          <jats:tr>\n                            <jats:td align=\"left\">\n                              <jats:bold>What is New:<\/jats:bold>\n                            <\/jats:td>\n                          <\/jats:tr>\n                          <jats:tr>\n                            <jats:td align=\"left\">\n                              \u2022\n                              <jats:italic>DAT demonstrates a similar impact to the school's educational curriculum in enhancing the psychosocial well-being and quality of life of children with ASD<\/jats:italic>\n                              .\u2022\n                              <jats:italic>DAT may serve as a valuable complementary therapy for children with ASD alongside conventional curriculum-based training<\/jats:italic>\n                              .\n                            <\/jats:td>\n                          <\/jats:tr>\n                        <\/jats:tbody>\n                      <\/jats:table>\n                    <\/jats:table-wrap>\n                  <\/jats:p>","DOI":"10.1007\/s00431-025-06720-6","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T10:29:44Z","timestamp":1767954584000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Dog-assisted therapy on Hong Kong children with autism spectrum disorder: an exploratory randomized controlled trial"],"prefix":"10.1007","volume":"185","author":[{"given":"Wilfred H. S.","family":"Wong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Tso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hung Kwan","family":"So","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin P. Y.","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Tinsley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charis H. Y.","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronda K. W.","family":"Luk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Ip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"6720_CR1","doi-asserted-by":"publisher","first-page":"e20193447","DOI":"10.1542\/peds.2019-3447","volume":"145","author":"SL Hyman","year":"2020","unstructured":"Hyman SL, Levy SE, Myers SM (2020) Identification, evaluation, and management of children with autism spectrum disorder. Pediatrics 145:e20193447","journal-title":"Pediatrics"},{"key":"6720_CR2","doi-asserted-by":"publisher","first-page":"S55","DOI":"10.21037\/tp.2019.09.09","volume":"9","author":"H Hodges","year":"2020","unstructured":"Hodges H, Fealko C, Soares N (2020) Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. Transl Pediatr 9:S55\u2013S65","journal-title":"Transl Pediatr"},{"key":"6720_CR3","doi-asserted-by":"publisher","first-page":"4492","DOI":"10.1007\/s10803-020-04512-5","volume":"50","author":"MD London","year":"2020","unstructured":"London MD, Mackenzie L, Lovarini M, Dickson C, Alvarez-Campos A (2020) Animal assisted therapy for children and adolescents with autism spectrum disorder: parent perspectives. J Autism Dev Disord 50:4492\u20134503","journal-title":"J Autism Dev Disord"},{"key":"6720_CR4","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1111\/acps.12918","volume":"138","author":"SH Ameis","year":"2018","unstructured":"Ameis SH, Kassee C, Corbett-Dick P, Cole L, Dadhwal S, Lai MC, Veenstra-VanderWeele J, Correll CU (2018) Systematic review and guide to management of core and psychiatric symptoms in youth with autism. Acta Psychiatr Scand 138:379\u2013400","journal-title":"Acta Psychiatr Scand"},{"key":"6720_CR5","doi-asserted-by":"crossref","unstructured":"Lord C, Wagner A, Rogers S, Szatmari P, Aman M, Charman T, Dawson G, Durand VM, Grossman L, Guthrie D, Harris S, Kasari C, Marcus L, Murphy S, Odom S, Pickles A, Scahill L, Shaw E, Siegel B, Sigman M, Stone W, Smith T, Yoder P (2005) Challenges in evaluating psychosocial interventions for Autistic Spectrum Disorders. J Autism Dev Disord 35:695\u2013708. https:\/\/doi.org\/discussion 709\u2013611","DOI":"10.1007\/s10803-005-0017-6"},{"key":"6720_CR6","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1007\/s10643-009-0349-5","volume":"37","author":"L Friesen","year":"2010","unstructured":"Friesen L (2010) Exploring animal-assisted programs with children in school and therapeutic contexts. Early Child Educ J 37:261\u2013267","journal-title":"Early Child Educ J"},{"key":"6720_CR7","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1007\/s40489-021-00291-6","volume":"10","author":"LO Nieforth","year":"2023","unstructured":"Nieforth LO, Schwichtenberg AJ, O\u2019Haire ME (2023) Animal-assisted interventions for autism spectrum disorder: a systematic review of the literature from 2016 to 2020. Rev J Autism Dev Disord 10:255\u2013280","journal-title":"Rev J Autism Dev Disord"},{"key":"6720_CR8","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1089\/acm.2019.0196","volume":"25","author":"ALL Michelotto","year":"2019","unstructured":"Michelotto ALL, Anater A, Guebert MCC, Borges TD, Michelotto PV Jr., Pimpao CT (2019) Animal-assisted activity for children with autism spectrum disorder: parents\u2019 and therapists\u2019 perception. J Altern Complement Med 25:928\u2013929","journal-title":"J Altern Complement Med"},{"key":"6720_CR9","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1111\/1440-1630.12659","volume":"67","author":"JR Hill","year":"2020","unstructured":"Hill JR, Ziviani J, Driscoll C (2020) Canine-assisted occupational therapy for children on the autism spectrum: parents\u2019 perspectives. Aust Occup Ther J 67:427\u2013436","journal-title":"Aust Occup Ther J"},{"key":"6720_CR10","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1111\/hsc.12955","volume":"28","author":"A \u00c1vila-\u00c1lvarez","year":"2020","unstructured":"\u00c1vila-\u00c1lvarez A, Alonso-Bidegain M, De-Rosende-Celeiro I, Vizca\u00edno-Cela M, Larra\u00f1eta-Alcalde L, Torres-Tob\u00edo G (2020) Improving social participation of children with autism spectrum disorder: pilot testing of an early animal-assisted intervention in Spain. Health Soc Care Community 28:1220\u20131229","journal-title":"Health Soc Care Community"},{"key":"6720_CR11","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1080\/10522158.2017.1394413","volume":"21","author":"GK Carlisle","year":"2017","unstructured":"Carlisle GK, Johnson RA, Mazurek M, Bibbo JL, Tocco F, Cameron GT (2017) Companion animals in families of children with autism spectrum disorder: lessons learned from caregivers. J Fam Soc Work 21:294\u2013312","journal-title":"J Fam Soc Work"},{"key":"6720_CR12","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1080\/08927936.2019.1550278","volume":"32","author":"K Silva","year":"2019","unstructured":"Silva K, Lima M, Santos-Magalh\u00e3es A, Fafi\u00e3es C, de Sousa L (2019) Living and robotic dogs as elicitors of social communication behavior and regulated emotional responding in individuals with autism and severe language delay: a preliminary comparative study. Anthrozo\u00f6s 32:23\u201333","journal-title":"Anthrozo\u00f6s"},{"key":"6720_CR13","doi-asserted-by":"publisher","first-page":"1682","DOI":"10.1177\/13623613211000501","volume":"25","author":"E Ben-Itzchak","year":"2021","unstructured":"Ben-Itzchak E, Zachor DA (2021) Dog training intervention improves adaptive social communication skills in young children with autism spectrum disorder: a controlled crossover study. Autism 25:1682\u20131693","journal-title":"Autism"},{"key":"6720_CR14","doi-asserted-by":"publisher","first-page":"4106","DOI":"10.1007\/s10803-020-04483-7","volume":"50","author":"J Hill","year":"2020","unstructured":"Hill J, Ziviani J, Driscoll C, Teoh AL, Chua JM, Cawdell-Smith J (2020) Canine assisted occupational therapy for children on the autism spectrum: a pilot randomised control trial. J Autism Dev Disord 50:4106\u20134120","journal-title":"J Autism Dev Disord"},{"key":"6720_CR15","doi-asserted-by":"publisher","first-page":"1419","DOI":"10.1002\/jaba.668","volume":"53","author":"CD Jorgenson","year":"2020","unstructured":"Jorgenson CD, Clay CJ, Kahng S (2020) Evaluating preference for and reinforcing efficacy of a therapy dog to increase verbal statements. J Appl Behav Anal 53:1419\u20131431","journal-title":"J Appl Behav Anal"},{"key":"6720_CR16","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1089\/acm.2013.0165","volume":"20","author":"ME O\u2019Haire","year":"2014","unstructured":"O\u2019Haire ME, McKenzie SJ, McCune S, Slaughter V (2014) Effects of classroom animal-assisted activities on social functioning in children with autism spectrum disorder. J Altern Complement Med 20:162\u2013168","journal-title":"J Altern Complement Med"},{"key":"6720_CR17","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1080\/08927936.2017.1311055","volume":"30","author":"JL Becker","year":"2017","unstructured":"Becker JL, Rogers EC, Burrows B (2017) Animal-assisted social skills training for children with autism spectrum disorders. Anthrozo\u00f6s 30:307\u2013326","journal-title":"Anthrozo\u00f6s"},{"key":"6720_CR18","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1002\/jaba.619","volume":"53","author":"A Protopopova","year":"2020","unstructured":"Protopopova A, Matter AL, Harris BN, Wiskow KM, Donaldson JM (2020) Comparison of contingent and noncontingent access to therapy dogs during academic tasks in children with autism spectrum disorder. J Appl Behav Anal 53:811\u2013834","journal-title":"J Appl Behav Anal"},{"key":"6720_CR19","doi-asserted-by":"publisher","first-page":"1740","DOI":"10.1177\/1362361319827411","volume":"23","author":"MM Germone","year":"2019","unstructured":"Germone MM, Gabriels RL, Gu\u00e9rin NA, Pan Z, Banks T, O\u2019Haire ME (2019) Animal-assisted activity improves social behaviors in psychiatrically hospitalized youth with autism. Autism 23:1740\u20131751","journal-title":"Autism"},{"key":"6720_CR20","doi-asserted-by":"crossref","unstructured":"Chan LF, Chow SM, Lo SK (2005) Preliminary validation of the Chinese version of the Pediatric Quality of Life Inventory. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation 28:219\u2013227","DOI":"10.1097\/00004356-200509000-00004"},{"key":"6720_CR21","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1367\/1539-4409(2003)003<0329:TPAAPP>2.0.CO;2","volume":"3","author":"JW Varni","year":"2003","unstructured":"Varni JW, Burwinkle TM, Seid M, Skarr D (2003) The PedsQL 4.0 as a pediatric population health measure: feasibility, reliability, and validity. Ambul Pediatr 3:329\u2013341","journal-title":"Ambul Pediatr"},{"key":"6720_CR22","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1586\/14737167.5.6.705","volume":"5","author":"JW Varni","year":"2005","unstructured":"Varni JW, Burwinkle TM, Seid M (2005) The PedsQL as a pediatric patient-reported outcome: reliability and validity of the PedsQL measurement model in 25,000 children. Expert Rev Pharmacoecon Outcomes Res 5:705\u2013719","journal-title":"Expert Rev Pharmacoecon Outcomes Res"},{"key":"6720_CR23","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1007\/s10803-009-0921-2","volume":"40","author":"K Kuhlthau","year":"2010","unstructured":"Kuhlthau K, Orlich F, Hall TA, Sikora D, Kovacs EA, Delahaye J, Clemons TE (2010) Health-related quality of life in children with autism spectrum disorders: results from the autism treatment network. J Autism Dev Disord 40:721\u2013729","journal-title":"J Autism Dev Disord"},{"key":"6720_CR24","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1111\/j.1469-7610.1997.tb01545.x","volume":"38","author":"R Goodman","year":"1997","unstructured":"Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry Allied Discip 38:581\u2013586","journal-title":"J Child Psychol Psychiatry Allied Discip"},{"key":"6720_CR25","doi-asserted-by":"crossref","unstructured":"Becker A, Woerner W, Hasselhorn M, Banaschewski T, Rothenberger A (2004) Validation of the parent and teacher SDQ in a clinical sample. Eur Child Adolesc Psychiatry 13(Suppl 2):II11\u201316","DOI":"10.1007\/s00787-004-2003-5"},{"key":"6720_CR26","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19137731","author":"M Grasso","year":"2022","unstructured":"Grasso M, Lazzaro G, Demaria F, Menghini D, Vicari S (2022) The strengths and difficulties questionnaire as a valuable screening tool for identifying core symptoms and behavioural and emotional problems in children with neuropsychiatric disorders. Int J Environ Res Public Health. https:\/\/doi.org\/10.3390\/ijerph19137731","journal-title":"Int J Environ Res Public Health"},{"key":"6720_CR27","doi-asserted-by":"publisher","first-page":"e36805","DOI":"10.1371\/journal.pone.0036805","volume":"7","author":"C Mieloo","year":"2012","unstructured":"Mieloo C, Raat H, van Oort F, Bevaart F, Vogel I, Donker M, Jansen W (2012) Validity and reliability of the strengths and difficulties questionnaire in 5-6 year olds: differences by gender or by parental education? PLoS ONE 7:e36805","journal-title":"PLoS ONE"},{"key":"6720_CR28","doi-asserted-by":"publisher","first-page":"2841","DOI":"10.3390\/ani12202841","volume":"12","author":"E Guillen Guzman","year":"2022","unstructured":"Guillen Guzman E, Sastre Rodriguez L, Santamarina-Perez P, Hermida Barros L, Garcia Giralt M, Domenec Elizalde E, Ristol Ubach F, Romero Gonzalez M, Pastor Yuste Y, Diaz Tellez C, Romero Cela S, Real Gisbert L, Salmeron Medina M, Ballesteros-Urpi A, Morer Linan A (2022) The benefits of dog-assisted therapy as complementary treatment in a children\u2019s mental health day hospital. Animals 12:2841","journal-title":"Animals"},{"key":"6720_CR29","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1007\/s00431-023-05284-7","volume":"183","author":"E Lopez-Fernandez","year":"2024","unstructured":"Lopez-Fernandez E, Palacios-Cuesta A, Rodriguez-Martinez A, Olmedilla-Jodar M, Fernandez-Andrade R, Mediavilla-Fernandez R, Sanchez-Diaz JI, Maximo-Bocanegra N (2024) Implementation feasibility of animal-assisted therapy in a pediatric intensive care unit: effectiveness on reduction of pain, fear, and anxiety. Eur J Pediatr 183:843\u2013851","journal-title":"Eur J Pediatr"},{"key":"6720_CR30","doi-asserted-by":"publisher","first-page":"e0269333","DOI":"10.1371\/journal.pone.0269333","volume":"17","author":"K Meints","year":"2022","unstructured":"Meints K, Brelsford VL, Dimolareva M, Marechal L, Pennington K, Rowan E, Gee NR (2022) Can dogs reduce stress levels in school children? Effects of dog-assisted interventions on salivary cortisol in children with and without special educational needs using randomized controlled trials. PLoS ONE 17:e0269333","journal-title":"PLoS ONE"},{"key":"6720_CR31","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1186\/s12906-024-04538-7","volume":"24","author":"V Mittly","year":"2024","unstructured":"Mittly V, Fay V, Dankovics N, Pal V, Purebl G (2024) The role of dog therapy in clinical recovery and improving quality of life: a randomized, controlled trial. BMC Complement Med Ther 24:229","journal-title":"BMC Complement Med Ther"},{"key":"6720_CR32","doi-asserted-by":"publisher","first-page":"2153","DOI":"10.1007\/s10803-019-03971-9","volume":"50","author":"C Wijker","year":"2020","unstructured":"Wijker C, Leontjevas R, Spek A, Enders-Slegers MJ (2020) Effects of dog assisted therapy for adults with autism spectrum disorder: an exploratory randomized controlled trial. J Autism Dev Disord 50:2153\u20132163","journal-title":"J Autism Dev Disord"},{"key":"6720_CR33","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1080\/15374416.2018.1520119","volume":"49","author":"MK Crossman","year":"2020","unstructured":"Crossman MK, Kazdin AE, Matijczak A, Kitt ER, Santos LR (2020) The influence of interactions with dogs on affect, anxiety, and arousal in children. J Clin Child Adolesc Psychol 49:535\u2013548","journal-title":"J Clin Child Adolesc Psychol"},{"key":"6720_CR34","doi-asserted-by":"publisher","unstructured":"Galvany-Lopez P, Marti-Vilar M, Hidalgo-Fuentes S, Cabedo-Peris J (2024) The impact of dog-assisted therapy among children and adolescents with autism spectrum disorder: a systematic review. Children (Basel). https:\/\/doi.org\/10.3390\/children11121499","DOI":"10.3390\/children11121499"},{"key":"6720_CR35","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1111\/jar.12682","volume":"33","author":"RE Griffioen","year":"2020","unstructured":"Griffioen RE, van der Steen S, Verheggen T, Enders-Slegers MJ, Cox R (2020) Changes in behavioural synchrony during dog-assisted therapy for children with autism spectrum disorder and children with Down syndrome. J Appl Res Intellect Disabil 33:398\u2013408","journal-title":"J Appl Res Intellect Disabil"},{"key":"6720_CR36","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1007\/s00787-018-1114-3","volume":"27","author":"AM Oerlemans","year":"2018","unstructured":"Oerlemans AM, Rommelse NNJ, Buitelaar JK, Hartman CA (2018) Examining the intertwined development of prosocial skills and ASD symptoms in adolescence. Eur Child Adolesc Psychiatry 27:1033\u20131046","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"6720_CR37","doi-asserted-by":"publisher","first-page":"645","DOI":"10.3390\/ani9090645","volume":"9","author":"S van der Steen","year":"2019","unstructured":"van der Steen S, Heineman MMP, Ernst MJA (2019) Evaluating animal-assisted interventions: an empirical illustration of differences between outcome measures. Animals (Basel) 9:645","journal-title":"Animals (Basel)"},{"key":"6720_CR38","doi-asserted-by":"publisher","first-page":"1642","DOI":"10.1016\/j.socscimed.2012.06.019","volume":"75","author":"G Russell","year":"2012","unstructured":"Russell G, Kelly SE, Ford T, Steer C (2012) Diagnosis as a social determinant: the development of prosocial behaviour before and after an autism spectrum diagnosis. Soc Sci Med 75:1642\u20131649","journal-title":"Soc Sci Med"},{"key":"6720_CR39","doi-asserted-by":"publisher","first-page":"2967","DOI":"10.3390\/ijerph17082967","volume":"17","author":"IZ Pelyva","year":"2020","unstructured":"Pelyva IZ, Kresak R, Szovak E, Toth AL (2020) How equine-assisted activities affect the prosocial behavior of adolescents. Int J Environ Res Public Health 17:2967","journal-title":"Int J Environ Res Public Health"}],"updated-by":[{"DOI":"10.1007\/s00431-026-06762-4","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000}}],"container-title":["European Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00431-025-06720-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00431-025-06720-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00431-025-06720-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T02:30:52Z","timestamp":1770258652000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00431-025-06720-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":39,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["6720"],"URL":"https:\/\/doi.org\/10.1007\/s00431-025-06720-6","relation":{},"ISSN":["1432-1076"],"issn-type":[{"value":"1432-1076","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]},"assertion":[{"value":"7 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 December 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 December 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 January 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 January 2026","order":6,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":7,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The original online version of this article was revised due to an error appears in the \u201cWhat is New\u201d section of the abstract.","order":8,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2026","order":9,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":10,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":11,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00431-026-06762-4","URL":"https:\/\/doi.org\/10.1007\/s00431-026-06762-4","order":12,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the Institutional Review Board of the University of Hong Kong\/Hospital Authority Hong Kong West (approval number: UW 19\u2013131). This study was conducted in accordance with the principles of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Before study implementation, informed written consent was obtained from the parents of the participants.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"No personal data published in the manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"64"}}