This quasi-experiment will evaluate the effectiveness of Equine Assisted Learning for reducing symptoms associated with trauma exposure among public safety personnel (e.g., fire fighters, police, paramedics, etc.).
The purpose of the proposed project is to investigate the effectiveness of Equine Assisted Learning (EAL) for reducing symptoms associated with trauma exposure among public safety personnel. EAL is an intervention in which mental health clinicians and equine specialists work together with clients to address a learning goal via unmounted interaction with a horse. Recent literature indicates that EAL shows promise in addressing a range of mental health diagnoses among a variety of populations, including military and Royal Canadian Mounted Police veterans with PTSD. The EAL intervention will be delivered at Cartier Farms in Spruce Home, Saskatchewan. Research components of this study will be conducted virtually via Zoom. The investigators will employ a quasi-experimental design with pre-post and follow-up testing. Participants will be assigned one of two groups based on the time that they complete their initial baseline interview: (1) the intervention group will receive the EAL intervention for 8 weeks, while (2) the waitlist control condition will not receive this treatment for the same amount of time. Data on trauma exposure symptom severity will be collected from all participants prior to the start of the the study (baseline), again 8 weeks later (post), and then a final time 3 months later (follow-up). The two conditions will then be compared to determine whether there are differences in trauma exposure symptom severity between groups. To obtain a sufficient sample size while also running appropriately sized interventions of 6-10 participants per session, the researchers will conduct 4-6 rounds of group assignment. All individuals in the waitlist control condition will be offered EAL following their completion of the study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
EAL is an intervention in which mental health clinicians and equine specialists work together with clients to address a learning goal via unmounted interaction with a horse. It is 16 sessions in length, at a rate of two sessions per week.
Cartier Farms
Prince Albert, Saskatchewan, Canada
PTSD symptomatology
Changes in performance on the Clinician Administered PTSD Scale (structured interview) at pre, post, and follow-up.
Time frame: 20 weeks
PTSD symptomatology
Changes in performance on the PTSD Checklist for DSM-5 at pre, post, and follow-up. Scores can range between 0 and 80 with higher scores denoting higher PTSD symptomatology.
Time frame: 20 weeks
Mental health symptomatology
Changes in performance on the Mini International Neuropsychiatric Interview (structured interview) at pre, post, and follow-up.
Time frame: 20 weeks
Depression, anxiety, and stress symptomatology
Changes in performance on the Depression Anxiety Stress Scale at pre, post, and follow-up. Scores can range between 0 and 42 with higher scores denoting higher depression, anxiety, and/or stress symptomatology.
Time frame: 20 weeks
Substance involvement
Changes in performance on the World Health Organization's Alcohol, Smoking, and Substance Involvement Test at pre, post, and follow-up. Each question on the ASSIST has a checklist set of responses to choose from to measure substances used in the past, and each response from questions 2 to 7 has a numerical score. Higher scores indicate more significant substance involvement.
Time frame: 20 weeks
Health complaints
Changes in performance on the Physical Symptoms Questionnaire at pre, post, and follow-up. Scores can range between 0 and 33 with higher scores denoting more health complaints.
Time frame: 20 weeks
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Sleep quality
Changes in performance on the Pittsburgh Sleep Quality Index at pre, post, and follow-up. Scores can range between 0 and 21 with higher scores denoting poorer sleep quality.
Time frame: 20 weeks
Body awareness
Changes in performance on the Multidimensional Assessment of Interoceptive Awareness - Version 2 at pre, post, and follow-up. Scores can range between 0 and 185 with higher scores denoting greater body awareness.
Time frame: 20 weeks
Moral injury
Changes in performance on the Moral Injury Assessment - Public Safety Personnel at pre, post, and follow-up. Scores can range between 17 and 102 with higher scores denoting higher moral injury.
Time frame: 20 weeks
Dissociation
Changes in performance on the Multiscale Dissociation Index at pre, post, and follow-up. Scores can range between 0 and 120 with higher scores denoting higher dissociative symptomatology.
Time frame: 20 weeks
Emotion regulation
Changes in performance on the Difficulties in Emotion Regulation Scale, at pre, post, and follow-up. Scores can range between 36 and 180 with higher scores denoting poorer emotion regulation.
Time frame: 20 weeks
Exposure to childhood trauma
Baseline description of trauma experienced in childhood based on the Childhood Trauma Questionnaire, which is a 28-item checklist where more endorsed traumatic experiences indicates more exposure to childhood trauma.
Time frame: Completed once at baseline
Alcohol use disorder symptomatology
Changes in performance on the Alcohol Use Disorder Identification Test at pre, post, and follow-up. Scores can range between 0 and 40 with higher scores denoting higher AUD symptomatology.
Time frame: 20 weeks
Cannabis use disorder symptomatology
Changes in performance on the Cannabis Use Disorder Identification Test at pre, post, and follow-up. Scores can range between 0 and 32 with higher scores denoting higher CUD symptomatology.
Time frame: 20 weeks
Substance use disorder symptomatology
Changes in performance on the Drug Use Disorder Identification Test at pre, post, and follow-up. Scores can range between 0 and 44 with higher scores denoting higher SUD symptomatology.
Time frame: 20 weeks
Resilience
Changes in performance on the Brief Resilience Scale at pre, post, and follow-up. Scores can range between 6 and 30 with higher scores denoting higher resilience.
Time frame: 20 weeks
Self-compassion
Changes in performance on the Self Compassion Scale at pre, post, and follow-up. Scores can range between 26 and 130 with higher scores denoting higher self-compassion.
Time frame: 20 weeks
Health and disability
Changes in performance on World Health Organization's Disability Assessment Schedule 12 at pre, post, and follow-up. Scores can range between 0 and 100 with higher scores denoting greater disability.
Time frame: 20 weeks
Disability
Changes in performance on the Sheehan Disability Scale at pre, post, and follow-up. Scores can range between 0 and 44 with higher scores denoting greater disability.
Time frame: 20 weeks
Work functioning and productivity
Changes in performance on Lam's Employment and Productivity Scale at pre, post, and follow-up. Scores can range between 0 and 28 with higher scores denoting more severe work impairment.
Time frame: 20 weeks