Therapeutic Horsemanship in Veterans
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|ClinicalTrials.gov Identifier: NCT02891421|
Recruitment Status : Completed
First Posted : September 7, 2016
Last Update Posted : September 7, 2016
|Condition or disease||Intervention/treatment||Phase|
|Post Traumatic Stress Disorder Traumatic Brain Injury||Behavioral: Therapeutic Horseback Riding Other: Standard Care||Not Applicable|
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.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||38 participants|
|Intervention Model:||Crossover Assignment|
|Masking:||None (Open Label)|
|Official Title:||Effects of Equine Assisted Activities on PTSD Symptoms, Coping Self-efficacy, Emotion Regulation, and Social Engagement in U.S. Military Veterans|
|Study Start Date :||May 2013|
|Actual Primary Completion Date :||February 2015|
|Actual Study Completion Date :||February 2015|
Therapeutic Horseback Riding
Therapeutic Horseback Riding: Veterans were matched to a horse by the instructor and occupational therapist for best fit and the same horse was ridden each week
Behavioral: Therapeutic Horseback Riding
Veterans were matched to a horse for best fit and the same horse was ridden each week. The warm-up exercises involved various repeated physical movements while the horse was walking or standing steady, such as head rotations, lifting arms, rotating ankles, flexing toes. The exercises began with riding at a walk during the early weeks, learning reining skills and riding positions, and progressed to light trotting. Veteran participants were able to build on skill sets related to grooming, tacking, mounting, and riding that were introduced in prior weeks. Skill progression was based on individual abilities and safety as determined by certified riding instructor and occupational therapist.
Participants received standard care.
Other: Standard Care
Standard Care: Participants received standard care
- Change in Coping Self-Efficacy Scale (CSES) [ Time Frame: Day 1, 3 weeks and 6 weeks ]26 item, 11 point analog scale
- Change in Post-Traumatic Stress Disorder Checklist-Military Version (PCL-M) [ Time Frame: Day 1, 3 weeks and 6 weeks ]17 item, 5 point scale
- Change in Social and Emotional Loneliness Scale for Adults (SELSA) scale [ Time Frame: Day 1, 3 weeks and 6 weeks ]15 item, 7 point Likert-type scale.
- Change in Difficulties in Emotion Regulation Scale (DERS) [ Time Frame: Day 1, 3 weeks and 6 weeks ]36 item, 5 point Likert-type scale
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02891421
|Principal Investigator:||Rebecca A Johnson, PhD||University of Missouri-Columbia|