Owners' everyday interactions with their horse: Pain-related issues and those of veterinary concern

The decisions made by horse owners on behalf of their animal, including decisions to involve a veterinarian, play an important role in the management of pain. This study explored horse owners' experiences to understand how they conceptualised chronic pain within the context of their horse-human relationship, what led them to seek veterinary involvement, and how veterinary interactions shaped their perceptions of pain and its management. An ethnographic approach using constructivist grounded theory methods was adopted. This paper draws upon field notes generated through 200 h of observation undertaken within four veterinary practices in the UK, as well as interviews with horse owners and carers. Analysis identified that owners' understandings of pain-related issues of their horse were based upon knowledge of what was normal for their animal, and deviation from this norm. Horse behaviours were ascribed meaning by owners in light of contextual factors, in turn affecting owners' perceptions of pain. While pain could factor into decisions to initiate a veterinary consultation, it was generally not the specific reason owners presented their animal. Veterinarians' approaches to identifying and treating painful problems played a role in the formulation of owners' understanding of their horse's behaviour. Interactions had implications not only for treatment opportunities, but for perceptions of veterinary expertise. This study highlights the context-specific nature through which pain recognition and decisions regarding a horse's treatment arise. It highlights the drivers of human decision-making and offers potential avenues to support human behaviour change and improve horse welfare.