equine assisted activities for Moral Injury

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Rutgers Equine Science Center, New Brunswick, NJ
Moral Injury+1 More
equine assisted activities - Other
Eligibility
18+
Male
Eligible conditions
Select

Study Summary

This study is evaluating whether equine assisted activities may help reduce symptoms of post-traumatic stress disorder.

See full description

Eligible Conditions

  • Moral Injury

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

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..

Week 8
Co-regulation of cortisol between horse and human during EAA sessions.
Week 8
Co-regulation of epinephrine between horse and human during EAA sessions.
Week 8
Co-regulation of heart rate between horse and human during EAA sessions.
Week 8
Co-regulation of muscle activity between horse and human during EAA sessions.
Week 8
Co-regulation of norepinephrine between horse and human during EAA sessions.
Week 8
Co-regulation of oxytocin between horse and human during EAA sessions.
Co-regulation will be assessed prior to the intervention and immediately following the eight week intervention.
Changes in co-regulation of heart rate during dyadic (human-human) interactions following 8 weeks of EAA
Cortisol concentrations will be assessed prior to the intervention and immediately following the eight week intervention.
Changes in basal plasma cortisol concentration following 8 weeks of EAA
Plasma epinephrine concentrations will be assessed prior to the intervention and immediately following the eight week intervention.
Changes in basal plasma epinephrine concentration following 8 weeks of EAA
Plasma norepinephrine concentrations will be assessed prior to the intervention and immediately following the eight week intervention.
Changes in basal plasma norepinephrine concentration following 8 weeks of EAA
Plasma oxytocin concentrations will be assessed prior to the intervention and immediately following the eight week intervention.
Changes in plasma basal oxytocin concentration following 8 weeks of EAA
Resting heart rate will be assessed prior to the intervention and immediately following the eight week intervention.
Changes in resting heart rate following 8 weeks of EAA
Social motor synchrony will be assessed prior to the intervention and immediately following the eight week intervention.
Changes in social motor synchrony during dyadic (human-human) interactions following 8 weeks of EAA
Symptoms will be assessed prior to the intervention and 2-months after the end of the EAA sessions.
Change from Baseline to 2-months After the Conclusion of EAA in PTSD Symptoms as Assessed by PCL-5 & Brief Symptom Inventory
Symptoms will be assessed prior to the intervention and 6-months after the end of the EAA sessions.
Change from Baseline to 6-months After the Conclusion of EAA in PTSD Symptoms as Assessed by PCL-5 & Brief Symptom Inventory
Symptoms will be assessed prior to the intervention and immediately following the eight week intervention.
Change from Baseline to the Conclusion of 8 weeks of EAA in PTSD Symptoms as Assessed by PCL-5 & Brief Symptom Inventory

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Control
1 of 2
EAA
1 of 2
Active Control
Experimental Treatment

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.

EAA
Other
Participants in this arm will take part in eight weekly thirty minute sessions of equine facilitated learning where they interact with a horse and learn basic horsemanship skills.
Control

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: symptoms will be assessed prior to the intervention and 6-months after the end of the eaa sessions.
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly symptoms will be assessed prior to the intervention and 6-months after the end of the eaa sessions. for reporting.

Who is running the study

Principal Investigator
K. M. P.
Prof. Karyn Malinowski Ph.D., Professor and Director, Rutgers Equine Science Center
Rutgers, The State University of New Jersey

Closest Location

Rutgers Equine Science Center - New Brunswick, NJ

Eligibility Criteria

This trial is for male patients aged 18 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
male
was deployed and experienced combat in Iraq or Afghanistan
between 18 and 65 years of age

Patient Q&A Section

What is moral injury?

"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

Unverified Answer

What are common treatments for moral injury?

"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

Unverified Answer

What are the signs of moral injury?

"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

Unverified Answer

How many people get moral injury a year in the United States?

"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

Unverified Answer

What causes moral injury?

"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

Unverified Answer

Can moral injury be cured?

"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

Unverified Answer

Has equine assisted activities proven to be more effective than a placebo?

"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

Unverified Answer

What is the primary cause of moral injury?

"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

Unverified Answer

How does equine assisted activities work?

"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

Unverified Answer

What is the average age someone gets moral injury?

"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

Unverified Answer

What is the latest research for moral injury?

"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

Unverified Answer

Who should consider clinical trials for moral injury?

"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

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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