Acceptability of an adjunct equine-assisted activities and therapies program for veterans with posttraumatic stress disorder and/or traumatic brain injury.


Journal

Journal of integrative medicine
ISSN: 2095-4964
Titre abrégé: J Integr Med
Pays: Netherlands
ID NLM: 101603118

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 12 02 2019
accepted: 29 08 2019
pubmed: 31 1 2020
medline: 1 6 2021
entrez: 31 1 2020
Statut: ppublish

Résumé

Equine-assisted activities and therapies (EAATs) have been a growing adjunctive integrative health modality, as they allow participants to practice mindfulness, emotional regulation, and self-mastery or self-esteem building skills. Preliminary evidence suggests that these programs may be helpful in reducing posttraumatic stress disorder (PTSD), anxiety, and depressive symptoms. The current study examines the acceptability of integrating an EAAT program as part of a two-week, intensive clinical program for veterans with PTSD and/or traumatic brain injury (TBI). A family member or support person could accompany veterans and participate in the program. One hundred and six participants (veteran n = 62, family n = 44) left the urban environment in an intensive outpatient program (IOP) to attend a two-day, weekend EAAT in rural New Hampshire. Satisfaction surveys were conducted on the last day of the program and examined using thematic analysis. The following themes were reported in the surveys: ability of horses to catalyze emotional rehabilitation, effectiveness of immersion in equine-assisted activities, program's ability to foster interpersonal relationships and necessity of education about PTSD for staff. Participants also reported enjoying the program as highlighted by qualitative feedback, a mean score of 9.76 (standard deviation [SD] = 0.61) as reported by veterans and a mean score of 9.91 (SD = 0.29) as reported by family members on a 10-point visual analog scale with higher scores indicating a greater overall experience. These data offer preliminary evidence that an adjunct EAAT program is acceptable for veterans with PTSD and/or TBI participating in an IOP.

Identifiants

pubmed: 31996299
pii: S2095-4964(20)30006-6
doi: 10.1016/j.joim.2020.01.005
pii:
doi:

Types de publication

Evaluation Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

169-173

Informations de copyright

Copyright © 2020 Shanghai Changhai Hospital. Published by Elsevier B.V. All rights reserved.

Auteurs

Louisa Sylvia (L)

Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, Charlestown, MA 02129, USA; Harvard Medical School, Boston, MA 02115, USA; Dauten Family Center for Bipolar Treatment Innovation, Massachusetts General Hospital, Boston, MA 02114, USA. Electronic address: lsylvia2@mgh.harvard.edu.

Emerson West (E)

Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, Charlestown, MA 02129, USA.

Allyson M Blackburn (AM)

Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, Charlestown, MA 02129, USA.

Carina Gupta (C)

Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, Charlestown, MA 02129, USA.

Eric Bui (E)

Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, Charlestown, MA 02129, USA; Harvard Medical School, Boston, MA 02115, USA.

Tara Mahoney (T)

Equine Immersion Programs™, USA.

Geraldine Duncan (G)

Equine Immersion Programs™, USA.

Edward C Wright (EC)

Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, Charlestown, MA 02129, USA; Harvard Medical School, Boston, MA 02115, USA.

Simon Lejeune (S)

Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, Charlestown, MA 02129, USA; Harvard Medical School, Boston, MA 02115, USA.

Thomas J Spencer (TJ)

Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, Charlestown, MA 02129, USA; Harvard Medical School, Boston, MA 02115, USA; Pediatric Psychopharmacology and Adult ADHD Program, Massachusetts General Hospital, Boston, MA 02114, USA.

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