Clinical trial NCT01795755: YATEP - The Impact of Horse Assisted Therapy (HAT) on Treatment Outcomes
Official title: The Impact of Horse Assisted Therapy (HAT) on Treatment Outcomes
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Addiction
Keywords: Horse Assisted Therapy (HAT)
Equine Assisted Psychotherapy (EAP)
clinical trial
Randomised Controlled Trial (RCT)
psychotherapy
Lead sponsor: Oslo University Hospital
Sponsor class: OTHER
Collaborators: name: Swedish-Norwegian Foundation for Equine Research
name: The Research Council of Norway
First posted: 2013-02-21
Enrollment: 50
Sex: ALL
Minimum age (years): 16
Maximum age (years): 26
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The objective of the study is to assess the impact of horse assisted therapy (HAT) on:

* Addiction treatment outcomes (its effectiveness as an alternative therapy)
* Addiction treatment dropout \& addiction relapse (its efficacy in preventing dropout).

Hypothesis: HAT will correlate with:

* beneficial treatment outcomes of depression, anxiety, aggression
* with improved self esteem \& motivation
* lower treatment dropout \& addiction relapse.

Detailed description: Background Inclusion of horses in therapeutic settings is a scientific issue with significant social and health implications in Norway. Challenges include increasing provision of horse assisted therapy of variable quality to vulnerable population groups with little substantiating evidence of associated benefit(s) due to lack of research, design issues, mainstream clinicians'/scientists' scepticism of "alternative therapy" and associated difficulties in attracting top researchers and funding. Extensive review of literature found a growing volume of studies but as indicated in the most recent systematic review, there are few studies with adequate research design.

Oslo University Hospital's Dept of Addiction Treatment - Youth (AUA) presents a unique research/evaluation potential to study HAT. It will treat approximately 100 patients per year aged 16 to 26 years with a primary diagnosis of addiction. Horse assisted therapy (using AUA's residential herd) is an integral part of the addiction therapeutic program. Furthermore, AUA's strong emphasis on research and its Youth Addiction Treatment Evaluation Project (YATEP) data base will provide an evidence base needed for sound study in an emerging area of science and psychotherapy.

Patient drop out from addiction therapy is high, often exceeding 50% (Stark 1992). Many AUA patients claim that they remain in treatment because of the horses.

The study is a randomised controlled trial of in-patients undergoing treatment. The Participant Group has treatment as usual plus HAT; the Control Group treatment as usual.

Participant and control groups are drawn from AUA patients (aged 16 to 26 years of age with a primary diagnosis of addiction International Classification of Diseases (ICD F10-F19), admitted between 2013 and 2014 to AUA's in-patient unit and who have consented to participate in research.

HAT is a structured program of 12 X 90 minute therapeutic sessions with horses, including horse care, ground and mounted work, conducted by two clinically qualified therapists who are also Level I Riding Instructors.

Eligibility criteria: Inclusion Criteria:

* Primary diagnosis of addictionInternational Classification of Diseases ICD F10-F19, admitted in 2011-2014 for treatment at AUA's in-patient unit

Exclusion Criteria:

* Ongoing psychoses

Primary outcomes:
measure: Lower treatment dropout
timeFrame: Within treatment period of upto 3 months
Secondary outcomes:
measure: Lower emotional distress (composite measure)
timeFrame: Within the treatment period of upto 3 months
measure: Improved self-esteem
timeFrame: Winthin the treatment period of upto 3 months
Other outcomes:
Locations:
city: Oslo
country: Norway
facility: Department of addiction treatment - youth
Study officials:
affiliation: Oslo University Hospital
name: Espen KA Arnevik, PhD
role: STUDY_CHAIR
References:
citation: Gatti F, Walderhaug E, Kern-Godal A, Lysell J, Arnevik EA. Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial. Addict Sci Clin Pract. 2020 Feb 4;15(1):7. doi: 10.1186/s13722-020-0183-z.