“…During the past decade, several attempts have been made to summarise the effectiveness of AAT in children and adults, including children with autism spectrum disorder (Fung & Leung, 2014), adults with autism spectrum disorder (Wijker et al, 2021), children with pervasive developmental disorder (Martin and Farnum, 2002), children with Down syndrome (Griffioen et al, 2019), children who were sexually abused (Dietz et al, 2012) and children with attention-deficit hyperactivity disorder (Juríčková, et al, 2020). Beetz et al (2021) categorised the outcomes of DAT as (1) improvements in social skills such as empathy and communication (Hill et al, 2019a(Hill et al, , 2019bStevenson et al, 2015;Wells et al, 2019), (2) psychological effects such as improvements in concentration and motivation (Busch et al, 2016;Hill et al, 2019aHill et al, , 2019bSchuck et al, 2013Schuck et al, , 2018 and (3) neurobiological effects such as decreases in heart rate and blood pressure (Nagasawa et al, 2015). While most studies on AAT focussed on the effectiveness of dogassisted therapy (DAT), studies systematically investigating the therapy approaches, settings and research methodology are scarce (Fine et al, 2019).…”