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一项针对有成瘾障碍的退伍军人的休闲步道骑行的初步观察性研究。

A pilot observational study of recreational trail riding for Veterans with addictive disorders.

机构信息

Ride Utah! Equine Extension, Utah State University, 0500 Old Main Hill, Logan, UT 84322, USA; Department of Animal, Dairy and Veterinary Sciences, Utah State University, 0500 Old Main Hill, Logan, UT 84322, USA.

Department of Animal, Dairy and Veterinary Sciences, Utah State University, 0500 Old Main Hill, Logan, UT 84322, USA; VISN 19 Whole Health Flagship Site, Located at VA Salt Lake City Health Care System, 500 Foothill Drive, Salt Lake City, UT 84148, USA; Department of Psychiatry, University of Utah, 501 Chipeta Way, Salt Lake City, UT 84108, USA.

出版信息

Complement Ther Med. 2022 May;65:102813. doi: 10.1016/j.ctim.2022.102813. Epub 2022 Feb 3.

DOI:10.1016/j.ctim.2022.102813
PMID:35124209
Abstract

OBJECTIVES

The aim of study was to assess the safety, feasibility, and preliminary outcomes of recreational trail riding for Veterans with addictive disorders.

DESIGN

This was an observational pilot study.

SETTING

United States Veterans Health Care Administration Medical Center. Participants were 18 Veterans, 13 males and 5 females All had at least one addictive disorder, with most common being alcohol use disorder.

INTERVENTION

A recreational trail ride of approximately two hours duration.

MAIN OUTCOME MEASURES

Assessment of safety and pre- and post-intervention instruments, The State-Trait Anxiety Inventory, Craving Experience Questionnaire, Positive and Negative Affect Scale and Conner-Davidson Resilience Scale were utilized to assess changes in anxiety, craving, affect, and resilience, respectively.

RESULTS

The intervention was feasible to utilize for the population studied. In addition, it was possible to conduct the rides in such a way as to minimize risk to participants and there were no serious adverse outcomes to patients, staff, or equines. However, there was one incident that had potential to cause injury. There were significant pre- to post-intervention decreases in anxiety, negative affect and craving as well as increased positive affect. There was not a statistically significant increase in resilience.

CONCLUSIONS

These results indicate that recreational trail riding is, at least in some settings, feasible to utilize for this population. The safety assessment indicated that this intervention can be conducted in a manner such that risk can be mitigated. However, trail riding is a dangerous activity that can result in serious injury or death to participants. Thus, such activities should only be considered by programs that have the ability to implement stringent safety protocols. Preliminary outcomes suggest that this intervention has the potential to be beneficial to for Veterans with addictive disorders. Additional, more rigorous randomized, controlled studies are warranted.

摘要

目的

本研究旨在评估娱乐性小径骑行对有成瘾障碍的退伍军人的安全性、可行性和初步结果。

设计

这是一项观察性的初步研究。

地点

美国退伍军人医疗保健管理局医疗中心。参与者为 18 名退伍军人,其中男性 13 人,女性 5 人,均至少有 1 种成瘾障碍,最常见的是酒精使用障碍。

干预

大约两小时的娱乐性小径骑行。

主要观察指标

评估安全性和干预前后的工具,使用状态-特质焦虑量表、渴望体验问卷、正性和负性情绪量表以及康纳-戴维森韧性量表分别评估焦虑、渴望、情绪和韧性的变化。

结果

该干预措施对所研究的人群是可行的。此外,通过这种方式进行骑行可以将参与者的风险降到最低,并且患者、工作人员和马匹均无严重不良后果。然而,有一起事件有可能导致受伤。干预前后,焦虑、负性情绪和渴望显著降低,正性情绪显著增加,而韧性没有显著增加。

结论

这些结果表明,至少在某些情况下,娱乐性小径骑行对该人群是可行的。安全性评估表明,这种干预措施可以以降低风险的方式进行。然而,小径骑行是一项危险的活动,可能会导致参与者严重受伤或死亡。因此,只有具有实施严格安全协议能力的项目才应考虑此类活动。初步结果表明,该干预措施对有成瘾障碍的退伍军人可能有益。需要进行更多严格的随机对照研究。

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