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Developing a measurement tool for assessing animal-assisted activity effectiveness on children with special
Liuzhi Hong1, Xingyu Shen2, Terence King-Heng Hui3
1Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, China.
SAGE Open Medicine
|August 27, 2025
Summary
This study created a reliable tool to observe social behaviors in children with special education needs during animal-assisted activities. The validated instrument effectively measures social interaction in this population.
Area of Science:
- Special Education
- Animal-Assisted Interventions
- Behavioral Assessment
Background:
- Children with special education needs often exhibit unique social interactive behaviors.
- Animal-assisted activity (AAA) presents a unique context for observing social behaviors.
- Existing tools may not adequately capture social interactions during AAA for this population.
Purpose of the Study:
- To develop an observational tool for assessing social interactive behaviors of children with special education needs (SEN) during AAA.
- To evaluate the reliability and validity of the developed observational tool.
Main Methods:
- The study involved two phases: tool development and evaluation.
- Tool development included literature reviews and expert interviews.
- A pilot study with 138 children with intellectual disability in Hong Kong examined the tool's psychometric properties.
Main Results:
- An initial 26-variable tool was refined to a final 7-variable instrument.
- The final tool demonstrated strong inter-rater reliability (0.81).
- The tool showed satisfactory validity, significantly distinguishing between students with intellectual disabilities (p < 0.05).
Conclusions:
- A validated observational tool for social behaviors in children with SEN during AAA was successfully developed.
- Further extensive studies are recommended to fully evaluate the instrument's utility.

