Does an Occupational Therapy Program Enhance Mental Health Outcomes for Veterans Who Scuba Dive
|ClinicalTrials.gov Identifier: NCT03928392|
Recruitment Status : Completed
First Posted : April 26, 2019
Last Update Posted : June 24, 2019
|Condition or disease||Intervention/treatment||Phase|
|Post Traumatic Stress Disorder Depression Anxiety Stress, Psychological||Behavioral: SCUBA with Occupational Therapy (OT) Behavioral: Self-Contained Underwater Breathing Apparatus (SCUBA) without OT||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||15 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||There are two groups for this study. Both groups will engage in two SCUBA dives. Additionally one group will receive occupational therapy and the other will not. The occupational therapy sessions will occur in conjunction with the SCUBA dive.|
|Masking:||None (Open Label)|
|Official Title:||Does an Occupational Therapy Program Enhance Mental Health Outcomes for Veterans Who Scuba Dive|
|Actual Study Start Date :||February 3, 2019|
|Actual Primary Completion Date :||March 17, 2019|
|Actual Study Completion Date :||April 23, 2019|
Experimental: SCUBA Dive with OT
Two SCUBA dives in conjunction with occupational therapy intervention. The occupational therapy intervention will take place on the beach or on the boat before/after the SCUBA dive. The intervention will consist of learning 3 different breathing techniques. Participants will also be educated about mindfulness principals. Additionally, participants will complete journaling activities between dives.
Behavioral: SCUBA with Occupational Therapy (OT)
Study participants will complete two OT sessions in conjunction to their regular SCUBA diving activity. OT intervention includes breathing techniques, mindfulness strategies and a journal activity.
Active Comparator: SCUBA Dive without OT
The group will engage in two SCUBA dives.
Behavioral: Self-Contained Underwater Breathing Apparatus (SCUBA) without OT
Study participants will continue their regular SCUBA diving activity through the Wounded American Veterans Experience SCUBA (WAVES) program. They will complete two dives.
- Satisfaction with occupational performance [ Time Frame: Change between baseline and three weeks. ]Study participants will complete the assessment, Canadian Occupational Performance Measure (COPM) which is an individualized composite measurement of factors designed to assess clients' perception of their occupational performance and satisfaction with that performance. The participants will identify up to 5 goals. For each goal the participant will rate their perceived performance on a scale of 1 to 10, with 1 representing the lowest level of performance and 10 representing the highest level of performance. The average of the scores will be recorded. Participants will also rate their satisfaction with performance on a scale of 1 to 10, with 1 representing the lowest level of satisfaction and 10 representing the highest level of satisfaction. The average of these scores will represent the satisfaction with performance score.
- The PTSD Checklist for DSM-5 (PCL-5) [ Time Frame: Change between baseline and three weeks ]The PTSD Checklist for DSM-5 (PCL-5) assesses the 20 DSM-5 symptoms of PTSD through a 20-item self-report measure. In the PCL-5, individuals are presented with a list of problems people may have as a result of a stressful situation. Individuals are asked to indicate how much they have been bothered by this problem in the past month. Problems can be rated as "not at all, a little bit (1), moderately (2), quite a bit (3), or extremely" (4).
- The Depression Anxiety and Stress Scales (DASS) [ Time Frame: Change between baseline and three weeks ]The Depression Anxiety and Stress Scales (DASS) is a individualized composite measurement used to assess symptoms of depression, anxiety, and stress in community settings. The DASS-21 asks 21 questions and is comprised of three subscales: The Depression sub-scale which measures hopelessness, low self-esteem, and low positive affect; the Anxiety scale which assesses autonomic arousal, musculoskeletal symptoms, situational anxiety and subjective experience of anxious arousal; and the Stress scale which assesses tension, agitation, and negative affect. There are 21 questions and responses are provided on a 4-point Likert scale, Where 0 = Did not apply to me, 1 = applied to me some degree, or some of the time, 2 = applied to me a considerable degree or good part of time, and 3 = applied to me very much or most of the time.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03928392
|United States, California|
|Loma Linda Universtiy|
|Loma Linda, California, United States, 92350|
|Principal Investigator:||Dragana Krpalek, PhD||Loma Linda University Health|