“…The intended primary social outcome of AAT is provision of a pleasant and humanizing experience with an animal to enhance happiness and connection between humans by breaking the monotonous in-hospital routine, brightening the day, and establishing human-animal bonds and interactions (Beetz, 2017;Fine & Beck, 2010;McCune et al, 2020). It is recognized that AAT can not only improve adolescents' moods and feelings during hospitalization (Baek, Lee, & Sohng, 2020;Brown et al, 2019), but also influence their medical outcomes including pain, anxiety, depression, stress, blood pressure (BP), and heart rate (HR) (Beetz, 2017). These medical effects are added bonuses to the intended outcomes of AAT (Borgi et al, 2020;Charry-Sánchez et al, 2018).…”