This trial is evaluating whether equine assisted activities will improve 16 primary outcomes in patients with Moral Injury. Measurement will happen over the course of Plasma norepinephrine concentrations will be assessed prior to the intervention and immediately following the eight week intervention..
This trial requires 30 total participants across 2 different treatment groups
This trial involves 2 different treatments. Equine Assisted Activities is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
"Moral injury refers to the violation of our ethical principles and values that are a source of satisfaction and of self-esteem, that provide the core of our sense of purpose." - Anonymous Online Contributor
"Moral injury is a common occurrence in both mental healthcare and general medical settings. The most common treatments are pharmaceutical and educational. In addition, moral injury is a complex and challenging experience for individuals and families; therefore, additional research is necessary to identify specific treatments that are most effective." - Anonymous Online Contributor
"A moral injury can be inferred once a person loses control of themselves due to circumstances like bullying, physical or mental abuse, and can result in a loss of trust in family and friends. Moral injuries should not be missed to keep people safe because in situations of moral injury, the person is unlikely to give reliable information, due to embarrassment and lack of trust, however they may express opinions about the situation or circumstance, they may have difficulty in remembering what happened or give information. \n\nMental Disorder\n\nThis is a disorder that impairs the ability to perform a person's functions in everyday activities. A mental disorder is a disorder that is caused by underlying disturbance in the thinking, feeling or emotion of a person or a group." - Anonymous Online Contributor
"Results from a recent paper found that MBI is prevalent in a national sample of individuals. Although most people reported experiencing moral injury in various life situations, not all of those who experienced moral injuries had a negative effect on their life, or a negative effect on the lives of others." - Anonymous Online Contributor
"The psychological and physical consequences of child neglect and abuse can cause psychological and physical harm to the child. The psychological and physical consequences of marital infidelity can cause psychological harm and cause physical symptoms." - Anonymous Online Contributor
"Many factors play a role in maintaining moral injury, such as: (1) loss of competence, (2) the inability to deal with others' moral damage, and (3) other problems of personal functioning. It is possible for dysfunctional moral distress, however, to be healed (and for the person to regain their competence and ability to deal with others' moral disaster), without substantive changes in the content of the moral injury." - Anonymous Online Contributor
"Results from a recent clinical trial suggest that equine assisted activities, including joint mobilisation and stretching, were associated with increases in health-related quality of life. Future research is required to determine whether these outcomes can be further enhanced in patients with longer-term follow-up." - Anonymous Online Contributor
"Results from a recent paper of this pilot study indicate that the primary cause of moral injury is an inability to perceive the suffering of others in the way that a normal person would do. Results from a recent paper are important because we need to make sure that the concept of moral injury is developed in a way that captures people's ability to perceive suffering in a compassionate way rather than just in a way that is in line with a preference for self-advancement or ego-interest. We also need to focus our work on people who are not aware of their suffering to people who have a sense of their suffering (at the time of assessment)." - Anonymous Online Contributor
"For at least half of the participants, their quality of life and psychological functioning improves, while for the remaining half, these outcomes deteriorate after one to 3 months. For the participants, benefits related to improved health and QOL, while less obvious for the facilitators, also persist. Findings for the facilitators suggest that they might benefit from additional time devoted to their role." - Anonymous Online Contributor
"In the general population, mean age at incident moral injury is 26 which is higher than prior estimates. The discrepancy underscores the importance of moral injury as an early marker of other debilitating health conditions." - Anonymous Online Contributor
"Today, many people are concerned about ethical issues such as medical negligence and moral injury. Therefore, research investigating the topic can help those affected deal with their moral injury as well as help those at the forefront of ethical research develop their theories to advance the field." - Anonymous Online Contributor
"There is strong consensus among health-care professionals that moral injury research provides an important public health opportunity, particularly as it addresses concerns relating to clinical trial recruitment and harms, the ability of patients to give informed consent, the need to implement ethical practices, and patient outcomes. The findings of this study show that there is a potential market for a national trial for moral injury. They suggest that there needs to be a strategy designed to develop partnerships, and a system of support to allow funding for such work. More funding for moral injury research may enable better outcomes for persons with moral trauma and reduce the burden on others." - Anonymous Online Contributor