Medicine and Horsemanship: The Effects of Equine-assisted Activities and Therapies on Stress and Depression in Medical Students

Chakales, Pressley A; Locklear, Jacklyn; Wharton, Tracy

doi:10.7759/cureus.6896

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…[ 28 ] recruited 28 first- and second-year medical students to participate in seven equine-assisted therapy sessions over two months. Compared to baseline, there was a significant reduction in depression (p = <0.001), stress severity (p = 0.014), and stress frequency [p = 0.001).…”

Section: Resultsmentioning

confidence: 99%

How are Medical Institutions Supporting the Well-being of Undergraduate Students? A Scoping Review

Mohmand

Monteiro

Solomonian

2022

Medical Education Online

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Introduction Medical students experience significant stress and impacts on mood due to multiple factors. Unmitigated stress impacts both physical and mental health while increasing the risk of unethical behavior. It is important for medical institutions to identify strategies that effectively reduce perceived stress and improve the well-being of their students. Methods The authors undertook a scoping review of the literature to identify strategies implemented by medical educational programs to improve the well-being of medical students. Results Of 1068 articles identified, 19 studies met the inclusion criteria. Interventions were categorized as mindfulness-based programs, reflection groups, curriculum changes, and ‘miscellaneous.’ All studies assessed outcomes of student stress/resilience, as well as additional domains including academic performance, mental health, and interpersonal skills. Some also assessed the acceptability of the intervention to students. Conclusions Despite the heterogeneity of interventions and outcome measures, a clear theme emerged that institutionally-provided strategies to promote student well-being tend to be effective when students opt into the program. It was noted that adding mandatory content or activities to a medical program without creating adequate space or support for it can have the opposite effect. Further high quality intervention studies involving randomization, blinding and rigorous controls are warranted.

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Section: Resultsmentioning

confidence: 99%

How are Medical Institutions Supporting the Well-being of Undergraduate Students? A Scoping Review

Mohmand

Monteiro

Solomonian

2022

Medical Education Online

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“…Bjick [114] wrong study design Blender [115] wrong intervention Brelsford et al [13] wrong population Broeyer et al [116] criteria for inter-library loan not met Buttelmann et al [117] wrong study design Chakales et al [118] wrong study design Chramouleeswaran et al [119] wrong population…”

Section: References Of Excluded Studies From Full Manuscript Search Reason Excludedmentioning

confidence: 99%

Animal-Assisted Interventions for the Improvement of Mental Health Outcomes in Higher Education Students: A Systematic Review of Randomised Controlled Trials

Parbery-Clark

Lubamba

Tanner

et al. 2021

IJERPH

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Background: The aim of this systematic review was to evaluate the effectiveness of Animal-Assisted Interventions (AAIs), particularly Animal-Assisted Therapy (AAT) and Animal-Assisted Activity (AAA), in improving mental health outcomes for students in higher education. The number of students in higher education reporting mental health problems and seeking support from universities’ student support services has risen over recent years. Therefore, providing engaging interventions, such as AAIs, that are accessible to large groups of students are attractive. Methods: MEDLINE, PsycINFO, Embase and Cochrane Library were searched from relative inception to end of April 2020. Additionally, a grey literature search was undertaken. Independent screening, data extraction and risk of bias assessment were completed, with varying percentages, by two reviewers. Results: After de-duplication, 6248 articles were identified of which 11 studies were included in the narrative synthesis. The evidence from randomised controlled trials suggests that AAIs could provide short-term beneficial results for anxiety in students attending higher education but with limited evidence for stress, and inconclusive evidence for depression, well-being and mood. For the non-statistically significant results, the studies either did not include a power calculation or were under-powered. Conclusions: Potential emerging evidence for the short-term benefits of AAI for anxiety, and possibly stress, for students in higher education was found.

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“…Os estudantes de Medicina da Universidade de Stanford têm acesso ao curso eletivo de Medicine and Horsemanship (M&H), desenvolvido por uma médica com o objetivo de desenvolver habilidades interpessoais 12 , qualidades de liderança, técnicas de autocuidado, reflexão e redução de estresse 14 . O curso parte do princípio de que a interação com os cavalos desenvolve inteligências não cognitivas, por requererem uma apreciação verbal e não verbal, o que ajuda a desenvolver habilidades necessárias ao médico 15 .…”

Section: Introductionunclassified

“…Na Flórida, foi realizada uma coorte observacional com 28 estudantes de Medicina de primeiro e segundo anos 14 aqui como o impulso para uma ação de harmonização, de modo a respeitar e restaurar os "princípios sistêmicos" apontados por Hellinger 16 .…”

Section: Introductionunclassified

Intervenções terapêuticas com cavalos: uma ferramenta para o bem-estar dos estudantes?

Evangelista,

Cesario

2023

Rev. bras. educ. med.

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Resumo: Introdução: A literatura sobre educação médica vem mostrando que os alunos de Medicina vivenciam dificuldades quanto à sobrecarga de atividades e tarefas, culminando com estresse e depressão, muitas vezes associados aos desafios trazidos pelo modelo pedagógico da Aprendizagem Baseada em Problemas. Objetivo: Este estudo teve como objetivo relatar os resultados de duas intervenções terapêuticas desenvolvidas com estudantes, tendo como foco situações-problema enfrentadas no curso de Medicina e como finalidade a promoção do bem-estar. Método: Trata-se de pesquisa de natureza qualitativa e exploratória. Criou-se um cenário para vivências psicodramáticas com cavalos. A amostra foi composta por duas discentes de Medicina, que atenderam ao critério de inclusão “participar do Centro Acadêmico”. As alunas atuaram como protagonistas-pacientes-participantes. As intervenções com cada participante foram individuais e agiram nos níveis intrapsíquico e sistêmico, considerando aqui o sistema educação médica. Além da dramatização em si no palco-arena, ocorreram entrevistas semidirigidas abertas, à guisa de aquecimento e compartilhamento dos resultados, no dia da intervenção e seis meses após. Resultado: As protagonistas-pacientes-participantes, provenientes de dois cursos diferentes, ambos com currículo organizado em Aprendizagem Baseada em Problemas, cursavam o sexto e oitavo semestres do curso. Os “dramas-sofrimento em relação ao curso” escolhidos para serem trabalhados foram “competição na tutoria” e “sobrecarga”. A dramatização trouxe à tona tomada de consciência do seu protagonismo em relação ao problema e da possibilidade de aquisição de novas respostas espontâneo-criativas, o que foi verificado seis meses após, por meio do relato das protagonistas-pacientes-participantes. O trabalho terapêutico realizado proporcionou às discentes melhora no bem-estar e melhor desempenho nas atividades estudantis, pessoais e sociais, de modo a prepará-las a ser as profissionais mais humanizadas que o SUS busca. Conclusão: Os resultados sugerem que o uso das “intervenções terapêuticas com cavalos” pode auxiliar as escolas médicas no cumprimento das DCN, pela via da promoção da saúde dos discentes de Medicina.

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Medicine and Horsemanship: The Effects of Equine-assisted Activities and Therapies on Stress and Depression in Medical Students

Cited by 6 publications

References 24 publications

How are Medical Institutions Supporting the Well-being of Undergraduate Students? A Scoping Review

How are Medical Institutions Supporting the Well-being of Undergraduate Students? A Scoping Review

Animal-Assisted Interventions for the Improvement of Mental Health Outcomes in Higher Education Students: A Systematic Review of Randomised Controlled Trials

Intervenções terapêuticas com cavalos: uma ferramenta para o bem-estar dos estudantes?

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