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Long-Term Evaluation of an Australian Peer Outdoor Support Therapy for Contemporary War Veterans

S Cloete
S Cloete
 y 
L Chantler
L Chantler
   | 01 sept 2022
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Article Category: short-report
Publicado en línea: 01 sept 2022
Páginas: 40 - 53
DOI: https://doi.org/10.21307/esw-2020-003
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© 2022 Cloete S et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Figure 1.

Stacked bar graph of distribution of depression (left), anxiety (centre) and stress (right) ratings by severity band (as outlined in (41)). Percentage of participants in each band is displayed pre-trek, immediately post-trek (0m), 2-3months post-trek (2-3m) and 9months post-trek (9m). Depression severity ratings: Extremely severe 28+, Severe 21-27, Moderate 14-20, Mild 10-13, Normal 0-9. Anxiety severity ratings: Extremely severe 20+, Severe 15-19, Moderate 10-14, Mild 8-9, Normal 0-7. Stress severity ratings: Extremely severe 34+, Severe 26-33, Moderate 19-25, Mild 15-18, Normal 0-14.
Stacked bar graph of distribution of depression (left), anxiety (centre) and stress (right) ratings by severity band (as outlined in (41)). Percentage of participants in each band is displayed pre-trek, immediately post-trek (0m), 2-3months post-trek (2-3m) and 9months post-trek (9m). Depression severity ratings: Extremely severe 28+, Severe 21-27, Moderate 14-20, Mild 10-13, Normal 0-9. Anxiety severity ratings: Extremely severe 20+, Severe 15-19, Moderate 10-14, Mild 8-9, Normal 0-7. Stress severity ratings: Extremely severe 34+, Severe 26-33, Moderate 19-25, Mild 15-18, Normal 0-14.

Figure 2.

Stacked bar graph of distribution of depression, anxiety, stress and self-efficacy ratings by reliable change from pre-trek measurement. Percentage of participants showing a reliable decrease (dark blue), no change (white) or a reliable increase (light blue) is shown, relative to pre-trek scores, immediately post-trek (0m), 2-3months post-trek (2-3m) and 9months post-trek (9m). As an example, the lower far right panel illustrates calculation of reliable change for a single variable (depression) at a single time point (0m post-trek, y-axis) compared to pre-trek (x-axis). The central diagonal line is drawn at x=y, or no change from pre- to post-trek. The upper and lower diagonal lines represent x=y ±the reliable change index (RCI). Points falling above this zone represent a reliable increase, and below, a reliable decrease, in scores. The dark blue bars for depression, anxiety and stress represent reliable decreases in these variables. The light blue bars for Self-Efficacy represent reliable increases.
Stacked bar graph of distribution of depression, anxiety, stress and self-efficacy ratings by reliable change from pre-trek measurement. Percentage of participants showing a reliable decrease (dark blue), no change (white) or a reliable increase (light blue) is shown, relative to pre-trek scores, immediately post-trek (0m), 2-3months post-trek (2-3m) and 9months post-trek (9m). As an example, the lower far right panel illustrates calculation of reliable change for a single variable (depression) at a single time point (0m post-trek, y-axis) compared to pre-trek (x-axis). The central diagonal line is drawn at x=y, or no change from pre- to post-trek. The upper and lower diagonal lines represent x=y ±the reliable change index (RCI). Points falling above this zone represent a reliable increase, and below, a reliable decrease, in scores. The dark blue bars for depression, anxiety and stress represent reliable decreases in these variables. The light blue bars for Self-Efficacy represent reliable increases.

Figure 3.

Stacked bar graph of distribution of friend, family, partner and life satisfaction ratings by simple change from pre-trek measurement. Percentage of participants showing a decrease (dark blue), no change (white) or an increase (light blue) is shown, relative to pre-trek scores, immediately post-trek (0m), 2-3months post-trek (2-3m) and 9months post-trek (9m). The top panel shows positive relationship measures and life satisfaction and the lower panel shows negative relationship measures. The predominantly black bars for positive friend, family and partner interactions and life satisfaction represent increases in these variables. The predominantly dark blue bars for negative friend, family and partner interactions represent decreases.
Stacked bar graph of distribution of friend, family, partner and life satisfaction ratings by simple change from pre-trek measurement. Percentage of participants showing a decrease (dark blue), no change (white) or an increase (light blue) is shown, relative to pre-trek scores, immediately post-trek (0m), 2-3months post-trek (2-3m) and 9months post-trek (9m). The top panel shows positive relationship measures and life satisfaction and the lower panel shows negative relationship measures. The predominantly black bars for positive friend, family and partner interactions and life satisfaction represent increases in these variables. The predominantly dark blue bars for negative friend, family and partner interactions represent decreases.

Descriptive Statistics for Wellbeing Measures (n=9).

DASS-21 Pre-Trek Immediately Post-Trek 2-3 Month Follow-Up 9-Month Follow-Up
Positive
Friend 4.9 (1.5) 5.6 (0.7) 6.2 (0.8) 7.1 (1.1)
Family 5.1 (2.3) 6.4 (1.8) 6.0 (1.9) 6.2 (2.5)
Partner* 8.0 (3.1) 9.9 (1.6) 9.8 (1.9) 8.5 (2.7)
Life Satisfaction 50.4 (23.9) 81.8 (14.8) 87.0 (25.4) 81.3 (24.3)
Negative
Friend 5.6 (1.4) 4.3 (0.9) 4.0 (1.2) 4.2 (1.4)
Family 6.2 (1.7) 4.8 (1.3) 5.3 (1.9) 5.8 (2.0)
Partner* 9.6 (2.2) 8.1 (1.6) 7.6 (2.0) 8.4 (1.9)

Descriptive Statistics for Depression, Anxiety, and Stress Subscales in the DASS-21 (n=9). The severity band for the mean scores is also indicated.

DASS-21 Pre-Trek Immediately Post-Trek 2-3 Month Follow-Up 9-Month Follow-Up
Depression 27.6 (10.1)severe 4.7 (7.0)normal 8.7 (6.3)normal 12.0 (11.5)mild
Anxiety 25.8 (7.1)extremely severe 10.4 (5.2)moderate 11.3 (9.4)moderate 11.6 (9.6)moderate
Stress 31.8 (5.7)severe 11.3 (8.7)normal 16.0 (6.5)mild 17.7 (11.0)mild
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