Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial
Abstract Background Treatment completion is the greatest challenge for the treatment of substance use disorders (SUDs). A previous investigation showed that complementary horse-assisted therapy (cHAT) was associated with higher retention in treatment and completion than standard treatment alone. Thi...
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | Addiction Science & Clinical Practice |
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| Online Access: | https://doi.org/10.1186/s13722-020-0183-z |
| _version_ | 1818453759513067520 |
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| author | Francesca Gatti Espen Walderhaug Ann Kern-Godal Jeanette Lysell Espen Ajo Arnevik |
| author_facet | Francesca Gatti Espen Walderhaug Ann Kern-Godal Jeanette Lysell Espen Ajo Arnevik |
| author_sort | Francesca Gatti |
| collection | DOAJ |
| description | Abstract Background Treatment completion is the greatest challenge for the treatment of substance use disorders (SUDs). A previous investigation showed that complementary horse-assisted therapy (cHAT) was associated with higher retention in treatment and completion than standard treatment alone. This randomized controlled trial further explored the benefits of cHAT for patients with SUDs. Methods Fifty patients in residential SUD treatment at the Department of Addiction Treatment, Oslo University Hospital, were randomly allocated to either cHAT (cHAT group) or treatment as usual alone (TAU-only group). The primary end-point was treatment completion. Secondary end-points were dropout, transfer to another treatment, and time in treatment. Results The multinomial logistic regression analysis found no statistically significant association between intervention (cHAT) and treatment outcome (completion, dropout, transferred) among the 37 participants who were ultimately recruited to the study. Some unforeseen challenges were encountered in the study: a high number of subjects transferred to another treatment, variable attendance at cHAT sessions, and long temporary exits. Nevertheless, 44% of participants in the cHAT group completed their treatment, compared with 32% in the TAU-only group; this observation encourages further investigation in a larger sample. Conclusions Though no association was identified between cHAT and treatment retention or completion, our study may have been underpowered. Further work in a larger clinical population is needed; observational studies with repeated measures may also be useful for investigating whether cHAT increases retention in treatment or rates of completion, two important factors for successful SUD treatment. Trial registration The trial was registered and approved on 14 October 2011 by the Regional Committee for Medical and Health Research Ethics with registration number 2011/1642 and registered at ClinicalTrials.gov on 21 February 2013 with registration number NCT01795755 |
| first_indexed | 2024-12-14T21:44:06Z |
| format | Article |
| id | doaj.art-22c9e87a366f4c82b7a01a8dc3dc5206 |
| institution | Directory Open Access Journal |
| issn | 1940-0640 |
| language | English |
| last_indexed | 2024-12-14T21:44:06Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Addiction Science & Clinical Practice |
| spelling | doaj.art-22c9e87a366f4c82b7a01a8dc3dc52062022-12-21T22:46:23ZengBMCAddiction Science & Clinical Practice1940-06402020-02-0115111110.1186/s13722-020-0183-zComplementary horse-assisted therapy for substance use disorders: a randomized controlled trialFrancesca Gatti0Espen Walderhaug1Ann Kern-Godal2Jeanette Lysell3Espen Ajo Arnevik4Department of Addiction Treatment, Oslo University Hospital HFDepartment of Addiction Treatment, Oslo University Hospital HFDepartment of Addiction Treatment, Oslo University Hospital HFDepartment of Addiction Treatment, Oslo University Hospital HFDepartment of Addiction Treatment, Oslo University Hospital HFAbstract Background Treatment completion is the greatest challenge for the treatment of substance use disorders (SUDs). A previous investigation showed that complementary horse-assisted therapy (cHAT) was associated with higher retention in treatment and completion than standard treatment alone. This randomized controlled trial further explored the benefits of cHAT for patients with SUDs. Methods Fifty patients in residential SUD treatment at the Department of Addiction Treatment, Oslo University Hospital, were randomly allocated to either cHAT (cHAT group) or treatment as usual alone (TAU-only group). The primary end-point was treatment completion. Secondary end-points were dropout, transfer to another treatment, and time in treatment. Results The multinomial logistic regression analysis found no statistically significant association between intervention (cHAT) and treatment outcome (completion, dropout, transferred) among the 37 participants who were ultimately recruited to the study. Some unforeseen challenges were encountered in the study: a high number of subjects transferred to another treatment, variable attendance at cHAT sessions, and long temporary exits. Nevertheless, 44% of participants in the cHAT group completed their treatment, compared with 32% in the TAU-only group; this observation encourages further investigation in a larger sample. Conclusions Though no association was identified between cHAT and treatment retention or completion, our study may have been underpowered. Further work in a larger clinical population is needed; observational studies with repeated measures may also be useful for investigating whether cHAT increases retention in treatment or rates of completion, two important factors for successful SUD treatment. Trial registration The trial was registered and approved on 14 October 2011 by the Regional Committee for Medical and Health Research Ethics with registration number 2011/1642 and registered at ClinicalTrials.gov on 21 February 2013 with registration number NCT01795755https://doi.org/10.1186/s13722-020-0183-zRandomized controlled trialAddictionSubstance use disorderSUDComorbiditiesDropout |
| spellingShingle | Francesca Gatti Espen Walderhaug Ann Kern-Godal Jeanette Lysell Espen Ajo Arnevik Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial Addiction Science & Clinical Practice Randomized controlled trial Addiction Substance use disorder SUD Comorbidities Dropout |
| title | Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial |
| title_full | Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial |
| title_fullStr | Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial |
| title_full_unstemmed | Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial |
| title_short | Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial |
| title_sort | complementary horse assisted therapy for substance use disorders a randomized controlled trial |
| topic | Randomized controlled trial Addiction Substance use disorder SUD Comorbidities Dropout |
| url | https://doi.org/10.1186/s13722-020-0183-z |
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