Experiences of Military Veterans in a Therapeutic Horseback Riding Program.
Abstract: Posttraumatic stress disorder commonly occurs among U.S. military veterans. Therapeutic horseback riding (THR) has emerged as an adjunct therapy. We explored 20 veterans' perceived benefits, drawbacks and views of a 6-week THR program. Participants had confirmed diagnoses of posttraumatic stress disorder, traumatic brain injury, or both. Veterans rode the same horse weekly, the same day, at the same time. Data were collected as part of a randomized clinical trial testing the effects of THR on Post-Traumatic Stress Disorder. Veterans responded to an open-ended questionnaire. Content analysis was used for data analysis. Benefits were "Connection to the Horse," "Relaxing," "180 Degree Change," and "Meeting New People." Drawbacks were "None," "Struggle to Get There," "Pain," "Too Short," and "It is Structured." Overall perceptions were "I Absolutely Loved It," "Feel Again," "The Horse," "The People," and "No Worries." Participants viewed THR as positive. Findings may elucidate why THR may be clinically beneficial.
Publication Date: 2021-04-15 PubMed ID: 33855883DOI: 10.1177/10547738211003580Google Scholar: Lookup
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- Journal Article
- Randomized Controlled Trial
- Research Support
- Non-U.S. Gov't
Summary
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The study examines the experiences of 20 U.S. military veterans who participated in a 6-week therapeutic horseback riding (THR) program. All participants were diagnosed with either Post-Traumatic Stress Disorder (PTSD), Traumatic Brain Injury (TBI), or both, and the findings suggest that therapeutic horseback riding may offer significant benefits, such as improved relaxation, social connection and mood alterations, with minor detracting factors like pain or struggle to participate in the program.
Study Participants and Methods
- The research participants were 20 military veterans diagnosed with PTSD, TBI, or both. The decision to focus on these veterans was because PTSD is commonly experienced among this group.
- The veterans were involved in a 6-week therapeutic horseback riding program as a form of adjunct therapy for their conditions. The same horse was used for each veteran’s weekly riding session, scheduled on the same day and time.
- The data for this study were derived from a randomized clinical trial testing the effects of THR on PTSD, thus ensuring a regulated environment for analysis.
Data Analysis
- Data were collected using an open-ended questionnaire which allowed the veterans to freely express their experiences and perceptions of the THR program.
- The method of content analysis was employed in analyzing the collected data. This qualitative research method allows for the categorization of text data into themes for easier interpretation and understanding.
Findings from the Study
- The benefits delineated by the veterans included forming a connection with the horse, finding the experience relaxing, experiencing a significant positive change (“180 Degree Change”), and meeting new people.
- Some drawbacks were identified as well, such as the effort required to participate in the program (“Struggle to Get There”), physical discomfort (“Pain”), the short duration of the program (“Too Short”), and the structured or regimented nature of the program (“It is Structured”).
- However, the overall perception of the program was overwhelmingly positive. The most frequent sentiments expressed were love for the program, developing feelings or emotional capacities (“Feel Again”), appreciation of the horse and the people in the program, and a sense of being worry-free (“No Worries”).
Implications of the Study
- The findings of the study help to explicate why the THR program could be therapeutically beneficial, especially for military veterans suffering from PTSD and TBI.
- It offers insight into the specific positive aspects of the program (like connection with animals, relaxation, and broader social interaction), as well as highlighting areas that may warrant improvement (like addressing physical discomfort or making the process less regimented).
Cite This Article
APA
Johnson RA, Albright DL, Marzolf JR, Bibbo JL, Yaglom HD, Crowder SM, Carlisle GM, Grindler K, Harms N, Willard A, Wassman M, Russell CL.
(2021).
Experiences of Military Veterans in a Therapeutic Horseback Riding Program.
Clin Nurs Res, 30(7), 923-933.
https://doi.org/10.1177/10547738211003580 Publication
Researcher Affiliations
- University of Missouri, Columbia, USA.
- The University of Alabama, Tuscaloosa, USA.
- Whole Health Institute, Bentonville, AR.
- Benjamin Rose Institute on Aging, Cleveland, OH, USA.
- University of Missouri, Columbia, USA.
- Translational Genomics Research Institute (North), Flagstaff, AZ.
- Missouri Department of Vocational Rehabilitation, Jefferson City, MO.
- University of Missouri, Columbia, USA.
- Cedar Creek Therapeutic Riding Center, Columbia, MO, USA.
- TREE House of Greater St. Louis, Wentzville, MO, USA.
- TREE House of Greater St. Louis, Wentzville, MO, USA.
- Ride On St. Louis, Kimmswick, MO, USA.
- University of Missouri-Kansas City, USA.
MeSH Terms
- Animals
- Brain Injuries, Traumatic
- Emotions
- Equine-Assisted Therapy
- Horses
- Humans
- Stress Disorders, Post-Traumatic / therapy
- Veterans
Citations
This article has been cited 4 times.- Hernández-Espeso N, Bronchud LD, Bernabé-Valero G. Animal-Assisted Therapy for Reducing Anxiety in Vulnerable Clinical Populations: A Systematic Review. Healthcare (Basel) 2026 Jan 21;14(2).
- Kapteijn C, Reinders N, Hueting M, Van Huffelen RA, Vermetten E, Rodenburg B, Endenburg N. Are Equine Assisted Interactions (EAI) a Dark Horse Bet? A Systematic Review on Measuring the Psychological and Physiological Effects of EAI on PTSD, Anxiety and/or Mood Disorders. Psychiatry Clin Psychopharmacol 2025 Aug 11;35(Suppl 1):S90-S112.
- 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.
- 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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