Trial of Surf and Hike Therapy for Major Depressive Disorder

NCT ID: NCT03302611

Last Updated: 2024-11-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-01

Study Completion Date

2020-09-01

Brief Summary

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This study uses a randomized controlled trial design to compare the psychological effects of surf therapy to hike therapy in active duty service members who have been diagnosed with major depressive disorder.

Detailed Description

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This prospective, longitudinal randomized controlled trial will enroll up to 86 active duty service members with major depressive disorder who are seeking surf or hike therapy as part of their standard medical care. Participants will be randomly assigned to receive 6 weeks of either surf or hike therapy. Assessor-administered and self-report measures will be completed at pre- and post-program, as well as three months following program completion. Participants also will complete brief, self-report assessments before and after each program activity session.

Conditions

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Major Depressive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Consenting active duty service members with major depressive disorder will be randomized to receive 6 weeks of either surf or hike therapy. Participants will be allowed to receive the other intervention (i.e., the condition that they were not originally randomized to) if interested after the initial intervention period.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The assessor will be blinded to participants' intervention condition.

Study Groups

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Surf Therapy

Participants receive a physical activity-based intervention, which in this arm is surf therapy. Each service member is paired with a surf instructor who typically works with them each week for the length of the program.

Group Type EXPERIMENTAL

Physical Activity-based Interventions

Intervention Type BEHAVIORAL

Participants will be randomized to one of two physical activity-based interventions, surf or hike therapy.

Hike Therapy

Participants receive a physical activity-based intervention, which in this arm is hike therapy. During hike therapy, service members may hike together or at a self-selected pace.

Group Type ACTIVE_COMPARATOR

Physical Activity-based Interventions

Intervention Type BEHAVIORAL

Participants will be randomized to one of two physical activity-based interventions, surf or hike therapy.

Interventions

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Physical Activity-based Interventions

Participants will be randomized to one of two physical activity-based interventions, surf or hike therapy.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Be a military service member seeking surf or hike therapy as part of the Wounded, Ill, and Injured Wellness program at Naval Medical Center San Diego;
* Have medical clearance to participate in these programs;
* Have a current diagnosis of Major Depressive Disorder based on DSM-5 criteria.

Exclusion Criteria

* Service members who are currently receiving surf or hike therapy (i.e., have already started attending program sessions);
* Service members who are currently pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Naval Health Research Center

FED

Sponsor Role collaborator

United States Naval Medical Center, San Diego

FED

Sponsor Role lead

Responsible Party

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Kristen Walter

Clinical Research Psychologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cynthia J. Thomsen, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Naval Health Research Center

Locations

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Naval Medical Center San Diego

San Diego, California, United States

Site Status

Countries

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United States

References

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Walter KH, Otis NP, Glassman LH, Ray TN, Michalewicz-Kragh B, Kobayashi Elliott KT, Thomsen CJ. Comparison of surf and hike therapy for active duty service members with major depressive disorder: Study protocol for a randomized controlled trial of novel interventions in a naturalistic setting. Contemp Clin Trials Commun. 2019 Aug 21;16:100435. doi: 10.1016/j.conctc.2019.100435. eCollection 2019 Dec.

Reference Type BACKGROUND
PMID: 31485546 (View on PubMed)

Walter KH, Otis NP, Ray TN, Glassman LH, Beltran JL, Kobayashi Elliott KT, Michalewicz-Kragh B. A randomized controlled trial of surf and hike therapy for U.S. active duty service members with major depressive disorder. BMC Psychiatry. 2023 Feb 17;23(1):109. doi: 10.1186/s12888-022-04452-7.

Reference Type RESULT
PMID: 36805672 (View on PubMed)

Otis NP, Walter KH, Glassman LH, Ray TN, Kobayashi Elliott KT, Michalewicz-Kragh B. Comorbidity of depression and posttraumatic stress disorder: Outcomes from a randomized controlled trial of surf and hike therapies among service members. Psychol Trauma. 2024 Dec;16(Suppl 3):S688-S697. doi: 10.1037/tra0001673. Epub 2024 Jul 8.

Reference Type RESULT
PMID: 38976384 (View on PubMed)

Glassman LH, Otis NP, Kobayashi Elliott KT, Michalewicz-Kragh B, Walter KH. Gender Differences in Psychological Outcomes Following Surf versus Hike Therapy among U.S. Service Members. Int J Environ Res Public Health. 2024 Feb 19;21(2):241. doi: 10.3390/ijerph21020241.

Reference Type RESULT
PMID: 38397730 (View on PubMed)

Walter KH, Otis NP, Miggantz EL, Ray TN, Glassman LH, Beltran JL, Kobayashi Elliott KT, Michalewicz-Kragh B. Psychological and functional outcomes following a randomized controlled trial of surf and hike therapy for U.S. service members. Front Psychol. 2023 Jun 8;14:1185774. doi: 10.3389/fpsyg.2023.1185774. eCollection 2023.

Reference Type RESULT
PMID: 37359884 (View on PubMed)

Related Links

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Other Identifiers

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NMCSD.2017.0007

Identifier Type: -

Identifier Source: org_study_id

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