{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T06:03:13Z","timestamp":1777528993798,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Integrative and Complementary Medicine"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The purpose of this review was to identify and describe the evidence about children and youth engagement during equine-assisted services (EAS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Five databases (Scopus, Web of Science, PsycINFO, CINAHL, and MEDLINE) were systematically searched. Included studies reported research about EAS conducted in children and youth and presented findings about in-session engagement or associated concepts such as motivation, involvement, and participation. Extracted data (study type, equine intervention, population, and the studies\u2019 key focus) were summarized descriptively, followed by inductive content analysis of the main mechanisms proposed to influence engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total, 30 studies were identified; however, only three centered on rider engagement as the primary focus of research. Other publications addressed in-session engagement within service descriptions or results and discussion sections. Three mechanisms that influence engagement within EAS were derived: (1) the unique EAS landscape, (2) the horse\u2013child relationship and (3) the provider\u2013child relationship. The literature primarily referred to horses as the most important factor influencing child and youth engagement in EAS sessions. Little attention was given to the influence of service providers\u2019, parents\u2019, or child preferences on engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The child\/youth\u2013parent\u2013provider relational triad and specific strategies to improve rider engagement within EAS sessions warrants further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jicm.2024.0151","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T12:36:48Z","timestamp":1720442208000},"page":"1147-1161","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring In-Session Engagement in Equine-Assisted Services for Children and Youth Experiencing Disability: A Scoping Review"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6929-5372","authenticated-orcid":false,"given":"Lena M.","family":"Aewerdieck","sequence":"first","affiliation":[{"name":"Department of Medicine, Rehabilitation Teaching and Research Unit, University of Otago Wellington, Wellington South, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachelle A.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rehabilitation Teaching and Research Unit, University of Otago Wellington, Wellington South, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona P.","family":"Graham","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rehabilitation Teaching and Research Unit, University of Otago Wellington, Wellington South, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"Hay-Smith","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rehabilitation Teaching and Research Unit, University of Otago Wellington, Wellington South, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,6]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0308022619865496"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2020.0415"},{"key":"e_1_3_5_4_2","unstructured":"American Hippotherapy Association. 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A powerful approach or the power of horses: Is equine-assisted psychotherapy an effective technique or the natural effect of horses? PhD [dissertation]. Alfred University: United States; 2017. 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