Evidence map›Paper›PMID 29502529›Full record

Trial reportMilitary Medical Research2018

Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans.

Rebecca A Johnson, David L Albright, James R Marzolf, Jessica L Bibbo, Hayley D Yaglom, Sandra M Crowder, Gretchen K Carlisle, Amy Willard, Cynthia L Russell, Karen Grindler and 3 more

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Military Medical Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05422768 (PTSD Clinical Team Research Clinic), which is not on this map. Cited by 34 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 6 pooled it
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05422768 unknown statusnot on this mapstarted 2020, after this paper: background citation

PTSD Clinical Team Research Clinic (PCT Research Clinic)

TypeobservationalSponsorVA Salt Lake City Health Care SystemRan2020 to 2024Enrolled118ConditionsPTSDArmsWarrior Renew, Warrior Renew + EAL
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 6 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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  12. Horseback riding injuries in Sweden: a nationwide register-based study of fracture incidence.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Rebecca A JohnsonResearch Center for Human Animal Interaction, College of Veterinary Medicine, University of Missouri, Columbia, MO, 65211, USA. rajohnson@missouri.edu.
David L AlbrightSchool of Social Work, University of Alabama, Tuscaloosa, AL, 35487, USA.
James R MarzolfOccupational Health Services, Harry S. Truman Memorial Veterans' Hospital, Columbia, MO, 65211, USA.
Jessica L BibboCenter for the Human-Animal Bond, College of Veterinary Medicine, Purdue University, West Lafayette, IN, 47907, USA.
Hayley D YaglomSchool of Health Professions, University of Missouri, Columbia, MO, 65211, USA.
Sandra M CrowderResearch Center for Human Animal Interaction, College of Veterinary Medicine, University of Missouri, Columbia, MO, 65211, USA.
Gretchen K CarlisleResearch Center for Human Animal Interaction, College of Veterinary Medicine, University of Missouri, Columbia, MO, 65211, USA.
Amy WillardTREE House of Greater St. Louis, Wentzville, MO, 63385, USA.
Cynthia L RussellSchool of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, 64108, USA.
Karen GrindlerCedar Creek Therapeutic Riding Center, Columbia, MO, 65201, USA.
Steven OsterlindCollege of Education, School and Counseling Psychology, University of Missouri, Columbia, MO, 65211, USA.
Marita WassmanRide-On St. Louis, Kimmswick, MO, 63053, USA.
Nathan HarmsTREE House of Greater St. Louis, Wentzville, MO, 63385, USA.
University of Missouri · USHarry S. Truman Memorial Veterans' Hospital · USMissouri College · USPurdue University West Lafayette · USUniversity of Alabama · USUniversity of Missouri Health System · USUniversity of Missouri–Kansas City · US

Funding

Horses and Humans Research Foundation #00040568University of Missouri Interdisciplinary Center on Aging n/a
6 · The paper itself

Abstract

backgroundLarge numbers of post-deployment U.S. veterans are diagnosed with post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI), leading to an urgent need for effective interventions to reduce symptoms and increase veterans' coping. PTSD includes anxiety, flashbacks, and emotional numbing. The symptoms increase health care costs for stress-related illnesses and can make veterans' civilian life difficult.

methodsWe used a randomized wait-list controlled design with repeated measures of U.S. military veterans to address our specific aim to test the efficacy of a 6-week therapeutic horseback riding (THR) program for decreasing PTSD symptoms and increasing coping self-efficacy, emotion regulation, social and emotional loneliness. Fifty-seven participants were recruited and 29 enrolled in the randomized trial. They were randomly assigned to either the horse riding group (n = 15) or a wait-list control group (n = 14). The wait-list control group experienced a 6-week waiting period, while the horse riding group began THR. The wait-list control group began riding after 6 weeks of participating in the control group. Demographic and health history information was obtained from all the participants. PTSD symptoms were measured using the standardized PTSD Checklist-Military Version (PCL-M). The PCL-M as well as other instruments including, The Coping Self Efficacy Scale (CSES), The Difficulties in Emotion Regulation Scale (DERS) and The Social and Emotional Loneliness Scale for Adults-short version (SELSA) were used to access different aspects of individual well-being and the PTSD symptoms.

resultsParticipants had a statistically significant decrease in PTSD scores after 3 weeks of THR (P ≤ 0.01) as well as a statistically and clinically significant decrease after 6 weeks of THR (P ≤ 0.01). Logistic regression showed that participants had a 66.7% likelihood of having lower PTSD scores at 3 weeks and 87.5% likelihood at 6 weeks. Under the generalized linear model(GLM), our ANOVA findings for the coping self-efficacy, emotion regulation, and social and emotional loneliness did not reach statistical significance. The results for coping self-efficacy and emotion regulation trended in the predicted direction. Results for emotional loneliness were opposite the predicted direction. Logistic regression provided validation that outcome effects were caused by riding longer.

conclusionThe findings suggest that THR may be a clinically effective intervention for alleviating PTSD symptoms in military veterans.

Indexed as

Adaptation, PsychologicalAdultAgedBrain Injuries, TraumaticEquine-Assisted TherapyFemaleHumansLogistic ModelsMaleMiddle AgedStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransAnimal-assisted interventionCoping self-efficacyEmotion regulationMilitary veteransPost-traumatic stress disorderSocial engagementTherapeutic horseback ridingTraumatic brain injury

Identifiers

PMID29502529
PMCPMC5774121
OpenAlexW2790625360

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.