Effects of Equine Assisted Activities on PTSD Symptoms, Coping Self-efficacy, Emotion Regulation, and Social Engagement in U.S. Military Veterans
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 主要终点
- Change in Coping Self-Efficacy Scale (CSES)
研究概览
简要总结
The project partnered with U.S. military veterans with a premier accredited therapeutic riding center for six weeks. The veterans interacted with horses by grooming and learning about them, as well as riding them for one hour per week during which they gained a variety of skills. We hoped the veterans would experience a reduction in Post Traumatic Stress Disorder (PTSD) symptoms, depression, and loneliness, while improving their social and emotional health and self-efficacy.
详细描述
Large numbers of post-deployed U.S. veterans diagnosed with Post Traumatic Stress Disorder (PTSD) and/or Traumatic Brain Injury make effective interventions urgent, to reduce symptoms and increase veterans' coping. PTSD includes anxiety, flashbacks, and emotional numbing. Symptoms expand health care costs for stress-related illnesses making veterans' civilian life difficult.
The proposed study used a randomized experimental design with repeated measures and waitlist control group testing the efficacy of a 6-week human-horse interaction and systematic therapeutic horseback riding program in: decreasing PTSD symptoms, increasing coping self efficacy, emotion regulation, and social engagement. The Riding Group spent one hour weekly interacting with and riding the same horse at one of two PATH-accredited riding centers in Mid-Missouri supervised by an Occupational Therapist, Profession Association of Therapeutic Horsemanship (PATH) International-certified instructor, leader and side walkers as needed. Riding was directed by a systematic lesson plan. Data collection occured at baseline, 3 weeks, and 6 weeks. The Control Group was assessed at the same intervals and again 3 weeks and 6 weeks after joining the Riding Group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years or older
- •Veterans, left active military service (not serving in reserve units.)
- •Diagnosed with Post Traumatic Stress Disorder/Traumatic Brain Injury or both according to ICD-9 diagnostic codes.
- •Weight less than 220 pounds.
- •Able to walk at least 25 feet without the assistance of a person (but potentially with assistive devices).
- •Willing to interact with and ride a horse.
- •Have not ridden a horse in the past year.
- •Care Provider assent
排除标准
- •Age less than 18 years
- •Veterans in active military service (including reserve units).
- •No diagnosis of PTSD/TBI or both according to ICD-9 diagnostic codes.
- •Weight greater than 221 pounds.
- •Unable to walk at least 25 feet without the assistance of a person (but potentially with assistive devices.)
- •Unwilling to interact with and ride a horse.
- •Have been riding a horse in the past year.
- •Care Provider unwilling to provide assent
结局指标
主要结局
Change in Coping Self-Efficacy Scale (CSES)
时间窗: Day 1, 3 weeks and 6 weeks
26 item, 11 point analog scale
Change in Post-Traumatic Stress Disorder Checklist-Military Version (PCL-M)
时间窗: Day 1, 3 weeks and 6 weeks
17 item, 5 point scale
次要结局
- Change in Difficulties in Emotion Regulation Scale (DERS)(Day 1, 3 weeks and 6 weeks)
- Change in Social and Emotional Loneliness Scale for Adults (SELSA) scale(Day 1, 3 weeks and 6 weeks)
研究者
Rebecca Johnson
Prinicipal Investigator
University of Missouri-Columbia