Process evaluation of animal assisted therapies with children: The role of the human-animal bond on the therapeutic alliance, depth of elaboration, and smoothness of sessions

Objective: The current study examined the change processes in three Animal Assisted Therapies (AATs) by assessing the relationship between the human-animal bond and the therapeutic alliance, depth of elaboration, and smoothness of treatment sessions. Methods: This was a retrospective study assessing videotaped AATs conducted with three children aged from 7 to 9 years old from the observer perspective. The AATs were based on the Federico II Model of Healthcare Zooanthropology, and each consisted in 8 sessions. A one-way analysis of variance and linear regression models was performed. Results: The human-animal bond, therapeutic alliance, depth of elaboration, and smoothness significantly improved during the sessions. Furthermore, the improvement in therapeutic dimensions proved to be a function of the increase in the human-animal bond. Conclusions: The findings have provided empirical evidence of the change processes occurring during AATs with children, offering some limited but specific insights into the interspecific relationship as a central axis of such treatments.