Don’t forget about human behaviour change
There is no magic bullet for successfully managing horses on box rest. Instead, treatment should be individually tailored to that horse-owner combination. Try to encompass a suit of interventions that the owner will find easy to implement by employing the COM-B model (Michie et al., 2011), for a review of how this can be implanted in equestrianism see (Wolframm et al., 2023).
Engaging owners in the management plan whilst understanding their Capability, Opportunity and Motivation to change their Behaviour (COM-B) regarding their horse’s care will increase compliance.