A pilot observational study of horsemanship skills training for veterans with posttraumatic stress disorder.
Abstract: Pilot assessment of an equine-assisted services intervention for Veterans with posttraumatic stress disorder. Methods: Prospective cohort. Methods: A large Veterans Administration healthcare system. Methods: Two sessions of instruction in horsemanship skills and two sessions of trail rides. Methods: Safety and feasibility of recruitment, retention, providing the intervention, and measuring outcomes, as well as acceptability of the intervention to the population studied were the main outcome measures. Results: There were no injuries among the 18 participants, 6 staff, or 11 equines over the 3 months of the study. Eleven of 12 (92 %) planned intervention sessions were provided, with one being canceled due to weather. Out of approximately 1800 potential subjects, 21 were enrolled within three months and three dropped out before the first session. The mean number of sessions attended was 3 % and 52 % of participants completed all sessions. The mean PACES score for all sessions together was 109 (SD = 12), with a range of 50-126. Pre- to one-month post-intervention exploratory results indicated increased psychological flexibility (p = 0.008) and positive affect (p = 0.008) as measured by the Acceptance and Action Questionnaire II and the Positive and Negative Affect Scale, respectively as well as decreased PTSD (p = 0.001) and depressive symptoms (p = 0.017) as measured by the PTSD Checklist for DSM 5 and the Beck Depression Inventory, respectively. Conclusions: Results suggest the intervention can be conducted with minimal risk. Further, it was feasible to recruit participants as well as provide the intervention and measure exploratory outcomes. Session attendance and PACES scores indicate acceptability to the Veteran population. The exploratory results will provide sample size estimates for future randomized controlled studies of this intervention Future studies should plan for missed sessions due to weather and consider compensating subjects to enhance retention. Finally, this work provides preliminary evidence that this intervention, without a mental health treatment component, might benefit the mental health of Veterans with PTSD.
Published by Elsevier Ltd.
Publication Date: 2022-12-16 PubMed ID: 36535458DOI: 10.1016/j.ctim.2022.102910Google Scholar: Lookup
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- Observational Study
- Journal Article
Summary
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The research article is about a pilot study that investigates how training in horsemanship skills benefits veterans with post-traumatic stress disorder (PTSD).
Study Overview
In this article, the researchers conducted a pilot observational study exploring the positive impacts of equine-assisted services on veterans with PTSD. This involved two sessions of horsemanship skills instruction and two sessions of trail rides within the framework of a large Veterans Administration healthcare system.
Methods
- The primary measures taken into account were the safety and feasibility of the recruitment, retention, providing the intervention, and measuring outcomes. The acceptability of the program for the population studied was also investigated.
- During the 3-month long study, the researchers ensured no injuries in the participating 18 veterans, 6 staff members, or the 11 horses.
- The study originally roped in about 21 volunteers from a pool of roughly 1800 potential subjects. However, three dropped even before the start of the first session.
Results
- The overall attendance at these intervention sessions was 3%, and over half of the participants completed all sessions.
- The mean PACES (Physical Activity Enjoyment Scale) score, which measures enjoyment during physical activity, was 109 (with a standard deviation of 12), ranging from 50-126.
- Preliminary results showed an increase in psychological flexibility and positive effect, which were measured by the Acceptance and Action Questionnaire II and the Positive and Negative Affect Scale, respectively.
- There was a notable decrease in PTSD and depressive symptoms as the PTSD Checklist for DSM-5 and the Beck Depression Inventory respectively measured.
Conclusions
- The study proposes that veterans can participate in such intervention with minimal risk.
- Risks aside, the intervention is feasible in terms of recruitment, management, implementation, and outcome measurement.
- The researchers acknowledged the challenges posed by weather and the potential need for provision of incentives for enhanced retention.
- Finally, the study provides preliminary evidence suggesting that non-therapeutic interventions, such as horsemanship, could be beneficial for the mental well-being of veterans grappling with PTSD.
Cite This Article
APA
Marchand WR, Smith J, Hoopes KH, Osborne M, Andersen SJ, Bell K, Nazarenko E, Macneill R, Joubert K.
(2022).
A pilot observational study of horsemanship skills training for veterans with posttraumatic stress disorder.
Complement Ther Med, 72, 102910.
https://doi.org/10.1016/j.ctim.2022.102910 Publication
Researcher Affiliations
- VISN 19 Whole Health Flagship Site, VA Salt Lake City Health Care System, 500 Foothill Drive, Salt Lake City, UT 84148, USA; Department of Psychiatry, University of Utah, 501 Chipeta Way, Salt Lake City, UT 84108, USA; Department of Animal, Dairy and Veterinary Sciences, Utah State University, 4815 Old Main Hill, Logan, UT 84322, USA. Electronic address: william.marchand@va.gov.
- Department of Animal, Dairy and Veterinary Sciences, Utah State University, 4815 Old Main Hill, Logan, UT 84322, USA.
- Department of Animal, Dairy and Veterinary Sciences, Utah State University, 4815 Old Main Hill, Logan, UT 84322, USA.
- Department of Animal, Dairy and Veterinary Sciences, Utah State University, 4815 Old Main Hill, Logan, UT 84322, USA.
- Department of Animal, Dairy and Veterinary Sciences, Utah State University, 4815 Old Main Hill, Logan, UT 84322, USA.
- Department of Animal, Dairy and Veterinary Sciences, Utah State University, 4815 Old Main Hill, Logan, UT 84322, USA.
- VISN 19 Whole Health Flagship Site, VA Salt Lake City Health Care System, 500 Foothill Drive, Salt Lake City, UT 84148, USA.
- Mental Health Service, VA Salt Lake City Health Care System, 500 Foothill Drive, Salt Lake City, UT 84148, USA.
- Mental Health Service, VA Salt Lake City Health Care System, 500 Foothill Drive, Salt Lake City, UT 84148, USA.
MeSH Terms
- Humans
- Animals
- Horses
- Stress Disorders, Post-Traumatic / therapy
- Veterans / psychology
- Prospective Studies
- Psychotherapy
- Outcome Assessment, Health Care
- Pilot Projects
Conflict of Interest Statement
Declarations of interest None.
Citations
This article has been cited 6 times.- Marchand WR. Potential Mechanisms of Action and Outcomes of Equine-Assisted Services for Veterans with a History of Trauma: A Narrative Review of the Literature. Int J Environ Res Public Health 2023 Jul 16;20(14).
- Held A, Hubbard K, Nazarenko E, Marchand W. A Pilot Observational Study in Ohio, USA of the Healing of Our Veterans Equine Services Intensive Intervention for Veterans with Trauma Histories. Healthcare (Basel) 2025 Nov 28;13(23).
- Kowalski H, Van Buiten H, Hopkins P, Baldwin C, Nazarenko E, Marchand WR. A Multi-Site Observational Evaluation of the Equine Assisted Growth and Learning Association Model of Equine-Assisted Psychotherapy for Veteran Trauma Survivors. Int J Environ Res Public Health 2025 Oct 13;22(10).
- Provan M, Ahmed Z, Stevens AR, Sardeli AV. Are equine-assisted services beneficial for military veterans with post-traumatic stress disorder? A systematic review and meta-analysis. BMC Psychiatry 2024 Aug 1;24(1):544.
- Rankins EM, Quinn A, McKeever KH, Malinowski K. Ground-based adaptive horsemanship lessons for veterans with post-traumatic stress disorder: a randomized controlled pilot study. Front Psychiatry 2024;15:1390212.
- Li J, Sánchez-García R. Equine-assisted interventions for veterans with posttraumatic stress disorder: a systematic review. Front Psychiatry 2023;14:1277338.
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