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Military Medical Research2019; 6(1); 28; doi: 10.1186/s40779-019-0217-6

Equine-assisted interventions for veterans with service-related health conditions: a systematic mapping review.

Abstract: Evidence-based treatments for service-related health conditions such as posttraumatic stress disorder (PTSD), depression, and traumatic brain injury (TBI) are not effective for all veterans. Equine-assisted interventions are emerging as an additional treatment modality, but little is known regarding the safe and effective delivery of these interventions. This study aimed to describe the following features of the body of literature concerning equine-assisted interventions among veterans: 1) veterans who have participated in equine-assisted interventions; 2) specific characteristics of equine-assisted interventions in veterans; and 3) the specific characteristics of research on equine-assisted interventions in veterans. We conducted a systematic mapping review of peer-reviewed literature reporting on equine-assisted interventions among veterans between 1980 and 2017. Searches of nine databases yielded 3336 unique records, six of which met the inclusion criteria and were reviewed. Data relevant to the study aims were extracted and analyzed. Equine-assisted interventions among veterans disproportionately targeted psychosocial outcomes and yielded promising results. The detailed methods of EAI varied in the reported studies, ranging from communicating with the horse to mounted exercises. There was also great diversity in outcome measurement. The state of theoretical development regarding the mechanisms by which equine-assisted interventions benefit the veteran population is currently underdeveloped. Studies provided insufficient detail with respect to the description of the intervention, reasons for attrition, and the dose-response relationship. Scientific development of equine-assisted interventions targeting psychosocial outcomes among veterans is warranted to establish their efficacy. Targeted outcomes should be expanded, including outcomes more closely aligned with the nature of polytraumatic injuries. Future research must also emphasize the theoretical development of equine-assisted interventions for veterans and thoroughly describe the participants, components of the intervention, factors contributing to attrition, and optimal dose-response relationships.
Publication Date: 2019-08-29 PubMed ID: 31462305PubMed Central: PMC6714435DOI: 10.1186/s40779-019-0217-6Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't
  • Systematic Review

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research paper is a systematic review of studies on equine-assisted interventions for veterans with service-related health conditions, identifying both the characteristics of these interventions and the current state of research in this field.

Overview of Study Aims and Methodology

  • The study aimed to map existing literature regarding the use of equine-assisted interventions for veterans. It sought to identify characteristics of the veterans who participated, the nature of equine-assisted interventions, and the nature of research in this area.
  • A systematic review of literature from 1980 to 2017 was conducted, with a total of 3336 unique records found. Out of this pool, only six studies met the eligibility criteria to be included in the review. Criteria covered in the studies include the target population, the type of intervention used, and the measurement of outcomes.

Key Findings

  • The practice of using horses in therapeutic interventions for veterans primarily targeted psychosocial outcomes and showed potential for positive results.
  • The methods of equine-assisted interventions in the included studies varied, including communicating with horses and doing mounted exercises.
  • The included studies used different ways to measure the outcomes, leading to a varied understanding of the effects of such interventions.
  • While the studies showed potential benefits, there is currently limited theoretical development explaining how exactly these interventions help veterans.

Limitations and Recommendations for Future Research

  • Lack of detailed description of the intervention, insufficient information on reasons for participant drop-off, and the relationship between intervention intensity and benefit were identified as gaps in the current scientific knowledge.
  • Further scientific investigation and documentation of equine-assisted interventions are needed to establish their effectiveness.
  • Future research must address a wider range of targeted outcomes, including those more directly related to polytraumatic injuries.
  • The theoretical foundation of equine-assisted interventions needs to be further developed to better understand and utilize this therapy method for veterans.
  • Detailed descriptions of the participants, intervention components, reasons for attrition, and the optimal intensity and duration of the therapy should be included in future studies to support more effective applications of equine-assisted interventions.

Cite This Article

APA
Kinney AR, Eakman AM, Lassell R, Wood W. (2019). Equine-assisted interventions for veterans with service-related health conditions: a systematic mapping review. Mil Med Res, 6(1), 28. https://doi.org/10.1186/s40779-019-0217-6

Publication

ISSN: 2054-9369
NlmUniqueID: 101643181
Country: England
Language: English
Volume: 6
Issue: 1
Pages: 28
PII: 28

Researcher Affiliations

Kinney, Adam R
  • Department of Occupational Therapy, Colorado State University, Fort Collins, CO, 80523, USA. Adam.Kinney@colostate.edu.
Eakman, Aaron M
  • Department of Occupational Therapy, Colorado State University, Fort Collins, CO, 80523, USA.
Lassell, Rebecca
  • Department of Occupational Therapy, Colorado State University, Fort Collins, CO, 80523, USA.
  • Temple Grandin Equine Center, Department of Animal Sciences, Colorado State University, Fort Collins, CO, 80523, USA.
Wood, Wendy
  • Temple Grandin Equine Center, Department of Animal Sciences, Colorado State University, Fort Collins, CO, 80523, USA.

MeSH Terms

  • Animals
  • Brain Injuries, Traumatic / psychology
  • Brain Injuries, Traumatic / rehabilitation
  • Equine-Assisted Therapy
  • Horses
  • Humans
  • Stress Disorders, Post-Traumatic / psychology
  • Stress Disorders, Post-Traumatic / rehabilitation
  • Treatment Outcome
  • Veterans / psychology

Conflict of Interest Statement

The authors declare that they have no competing interests.

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