Exercise as an Adjuvant Therapy for Veterans with PTSD

运动作为患有创伤后应激障碍 (PTSD) 退伍军人的辅助疗法

• 批准号: 8783388
• 负责人: Katherine Shepherd Hall
• 金额: --
• 依托单位: DURHAM VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-10-01 至 2019-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8783388
• 关键词: Active Learning; Adherence; Adjuvant Therapy; Aerobic; Afghanistan; Age; Anxiety; Applications Grants; Area; Attenuated; Behavioral; Cardiovascular Diseases; Cardiovascular system; Caring; Cellular Phone; Chronic; Chronic Disease; Client satisfaction; Clinic; Clinical Investigator; Clinical Practice Guideline; Clinical Trials; Clinical Trials Design; Cognitive; Comorbidity; Complement; Complex; Development; Disease Management; Elderly; Enrollment; Exercise; Feasibility Studies; Future; Goals; Health; Health Benefit; Health Promotion; Health Technology; Healthcare; Healthcare Systems; Human; Individual; Intervention; Iraq; Link; Manuscripts; Mental Depression; Mental Health; Mental Health Services; Mentors; Mentorship; Metabolic; Metabolic Diseases; Methods; Modeling; Morbidity - disease rate; Online Systems; Outcome; Pain; Participant; Pathway interactions; Patients; Personal Satisfaction; Physical Function; Physical activity; Physical therapy exercises; Pilot Projects; Population; Post-Traumatic Stress Disorders; Preparation; Prevalence; Prevention; Provider; Questionnaires; Randomized; Randomized Controlled Clinical Trials; Recruitment Activity; Rehabilitation Research; Rehabilitation therapy; Reporting; Research; Research Personnel; Services; Severities; Sleep; Symptoms; System; Technology; Testing; Training; Training Activity; Translating; Veterans; Vulnerable Populations; War; Work; Writing; arm; base; behavior change; career; combat; comparative effectiveness; cost; design; disability; effective therapy; effectiveness clinical trial; evidence base; experience; functional disability; health economics; improved; innovation; interest; mHealth; mobile application; patient oriented; physical conditioning; pilot trial; post intervention; prevent; primary outcome; programs; psychologic; psychosocial; public health relevance; rehabilitation service; responsible research conduct; screening; secondary outcome; strength training; symptom management; therapy development; treatment as usual; treatment strategy; two-arm study

DESCRIPTION : Mentoring and Training Activities The proposed CDA-2 is designed to promote Dr. Hall's transition to an independent Rehabilitation Research career under the mentorship of leading researchers in the areas of physical function, PTSD, and chronic disease management. The training plan for this CDA-2 includes a mix of didactic and experiential learning activities. The primary objectives of this training plan include: develop competency in cognitive- behavioral approaches to reducing PTSD symptoms; develop hands-on experience and utilize innovative mobile health technologies; develop expertise in physical activity interventions for Veterans with PTSD and the development of comparative effectiveness clinical trials; and continued professional development in the areas of manuscript preparation, grant proposals, and the responsible conduct of research. There is substantial evidence that physical inactivity contributes to poorer physical health outcomes in older adults. There is a paucity of work examining physical activity in Veterans with PTSD. Consequently, the efficacy of exercise as a beneficial adjunctive therapy in the treatment for PTSD symptoms and related health sequelae has not been established. Methods: Eighty Veterans 60 years and older with PTSD will be recruited from the Durham VAMC PTSD clinic to participate in a 12-week physical activity program consisting of aerobic and strength-training activities. Participants will be randomized to an intervention arm or usual care. Outcomes: Changes in physical function, PTSD symptom severity, and aerobic endurance will be assessed between the two study arms. Secondary outcomes include compliance with the intervention, pain, sleep, and psychological well-being. Summary: This pilot trial will extend our understanding of the physical and psychological benefits of physical activity in Veterans with PTSD. The results from this study will be used to be used to develop a larger, randomized controlled exercise trial for Veterans with PTSD. Once new, effective exercise therapies for Veterans with PTSD are established, we can augment traditional PTSD therapy with exercise therapy to promote the prevention and treatment of chronic diseases common in this vulnerable population.

产品说明： 指导和培训活动拟议的CDA-2旨在促进霍尔博士在身体功能，创伤后应激障碍和慢性疾病管理领域的领先研究人员的指导下，过渡到独立的康复研究事业。CDA-2的培训计划包括教学和体验式学习活动。该培训计划的主要目标包括：发展减少创伤后应激障碍症状的认知行为方法的能力;发展实践经验并利用创新的移动的健康技术;发展创伤后应激障碍退伍军人体力活动干预的专门知识，并开展比较有效的临床试验;并在手稿准备，赠款提案和负责任的研究行为领域的持续专业发展。 有大量证据表明，缺乏身体活动会导致老年人身体健康状况较差。有一个缺乏工作检查身体活动的退伍军人与创伤后应激障碍。因此，运动作为治疗PTSD症状和相关健康后遗症的有效性尚未确定。研究方法：将从达勒姆VAMC创伤后应激障碍诊所招募80名60岁及以上的创伤后应激障碍退伍军人，参加为期12周的体育活动计划，包括有氧和力量训练活动。受试者将被随机分配至干预组或常规护理组。结果：将评估两个研究组之间身体机能、创伤后应激障碍症状严重程度和有氧耐力的变化。次要结果包括对干预的依从性、疼痛、睡眠和心理健康。总结：这项试点试验将扩大我们对创伤后应激障碍退伍军人体力活动的身体和心理益处的理解。本研究的结果将用于 用于为患有创伤后应激障碍的退伍军人开展一项更大规模的随机对照运动试验。一旦为患有创伤后应激障碍的退伍军人建立了新的有效的运动疗法，我们就可以用运动疗法来加强传统的创伤后应激障碍疗法，以促进对这一弱势群体常见慢性疾病的预防和治疗。