The significance of equine-assisted services for patients receiving rehabilitation in Finland according to multidisciplinary professionals: a phenomenographic study

Background/Aims Equine-assisted services is a term used for a wide variety of rehabilitation needs and is performed by professionals from different fields. The aim of this study was to describe multidisciplinary professionals' qualitatively varying opinions regarding the significance of equine-assisted services for patients receiving rehabilitation in Finland. Methods Open one-on-one interviews were conducted with eight equine-assisted services professionals with degrees in physiotherapy, occupational therapy, psychotherapy, psychology, social work or family work. The transcribed interviews were analysed using a qualitative phenomenographic approach. Results Four hierarchical description categories were formed: 1: enabling rehabilitation; 2: promoting physical functioning; 3: supporting emotional skills; and 4: enabling participation. These categories included three themes: 1: the role of the horse; 2: the importance of the stable environment; and 3: the role of the stable community. Participants stated that equine-assisted services helped patients' motivation to participate in rehabilitation, which may improve their outcomes. Conclusions Equine-assisted services was seen as an inclusive and enabling form of rehabilitation that promotes patients' participation and supports the objectives of comprehensive rehabilitation. Implications for practice The results of this study increase understanding of factors that are relevant and meaningful to patients during the equine-assisted rehabilitation process, enabling more meaningful and effective forms of rehabilitation needs to be designed.