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Titre : | Retrospective Examination of Service Dog Training Program Participation and Mental Healthcare Utilization (2023) |
Auteurs : | Rebecca N. Schulz ; Kalyn C. Jannace ; Elizabeth J. Hisle-Gorman ; Paul F. Pasquina |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 2, 2023) |
Article en page(s) : | 237-244 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.07.009 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Acceptation des soins par les patients ; Médecine militaire ; Psychoanaleptiques ; Réadaptation ; Thérapie assistée par l'animal ; Troubles anxieux ; Troubles de l'humeur ; Troubles de stress traumatique aigus ; Troubles du rythme circadien du sommeil |
Résumé : | Objective To investigate the association between Service Dog Training Program (SDTP) participation and mental health care utilization. Design Retrospective cohort study. Setting Outpatient rehabilitation clinic at a large military treatment facility. Participants Military Health System beneficiaries who attended at least 1 SDTP session at a large military treatment facility (N=597). SDTP program enrollment records identified participants. Intervention The SDTP, a unique application of animal-assisted therapy, is intended to improve the mental and cognitive health for individuals with war-related trauma. Main Outcome Measures Negative binomial regression calculated the associations between the SDTP participation rate and 2 mental health care utilization outcomes: mental health encounter days and psychotropic medication months? supply. Results Most of the 597 participants were male, enlisted service members, and aged 25-34 years. Approximately 46% had a posttraumatic stress disorder diagnosis, 21% had a traumatic brain injury diagnosis, 47% had an opioid prescription, and 58% had a sleep aid prescription pre-SDTP participation. Participation was categorized into low (?1 sessions), medium (>1 and ?2 sessions), and high (>2 sessions) monthly participation. In adjusted analysis, high monthly SDTP participation was associated with 18% fewer post-SDTP mental health encounter days (rate ratio [RR], 0.82; 95% confidence interval [CI], 0.68-0.96) than low monthly SDTP participation. High monthly SDTP participation was also associated with a 22% fewer post-SDTP psychotropic prescription months? supply (RR, 0.78; 95% CI, 0.64-0.95) than low monthly SDTP participation in adjusted analysis. Conclusions Results suggest that participants who attend more than 2 SDTP sessions monthly encounter mental health care differently post SDTP than participants who attended 1 or fewer monthly sessions. Adjunct therapies, such as the SDTP, may offer patients a nonstigmatizing way to engage in mental health care. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322005378 |