This paper describes a study investigating the application and effect of an Adventure Education (AE) program on the restoration and rehabilitation of redeploying military veterans. More veterans are now surviving and returning from combat missions with more physical, mental, or emotional injuries than from any previous military conflict. Statistical reports indicate record levels of long-term emotional trauma (e.g., posttraumatic stress) and suicides from redeployed veterans. While traditional therapies can be helpful to veterans, many soldiers have turned to nontraditional support programs, such as the Outward Bound Program for Vets (OB4V), as a useful intervention in the healing process. This study found support for the effectiveness of the OB4V on 9 of the 11 personal constructs studied and on the variable of resilience for a selected group of redeployed military veterans. Supporting theories and research findings from recent studies are described within the context of specific attributes of AE programs that appear most effective in addressing these types of challenges. Key Words: Adventure education—Military veterans—Natural environments—Outward Bound.
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References
1.
BartonJ., & PrettyJ. (2010). What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44, 3947–3955.
2.
BenightC. C., & BanduraA. (2004). Social cognitive theory of posttraumatic recovery: The role of perceived self-efficacy. Behavior Research Therapy, 42, 1129–1148.
3.
BeringerA. (2004). Toward an ecological paradigm in adventure programming. Journal of Experiential Education, 27, 51–66.
4.
BrittT. W., AdlerA. B., & BartoneP. T. (2001). Deriving benefits from stressful events: The role of engagement in meaningful work and hardiness. Journal of Occupational Health Psychology, 6, 53–63.
5.
ConnorK. M., & DavidsonJ. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76–82.
6.
CoxM. (2008). Together to the top. Air Force Times, 69, 36–38.
7.
D'AmartoL. G., & KrasnyM. E. (2011). Outdoor adventure education: Applying transformative learning theory to understanding instrumental learning and personal growth in environmental education. Journal of Environmental Education, 42, 237–254.
DriskellJ. E., JohnstonJ. H., & SalasE. (2001). Does stress training generalize to novel settings?. Human Factors, 43, 99–110.
10.
DuvallJ., & KaplanR. (2013). Exploring the benefits of outdoor experiences on veterans. Washington, DC: The Sierra Club, Military Families and Veterans Initiative.
11.
EwertA., & SibthorpJ. (2009). Creating outcomes through experiential education: The challenge of confounding variables. Journal of Experiential Education, 31, 376–387.
12.
EwertA. W., Van PuymbroeckM., FrankelJ., & OverholtJ. (2010a). Adventure education and the redeploying military veteran: What do we know?Paper presented at the 2010 NRPA Leisure Research Symposium, October 26–29, 2010, Minneapolis, MN.
13.
EwertA., Van PuymbroeckM., LuoY., & FrankelJ. (2010b). Coming home: Integrating the returning veteran through Outward Bound. Paper presented at the 2010 NRPA Leisure Research Symposium, October 26–29, 2010, Minneapolis, MN.
14.
EwertA., & VoightA. (2012). The role of adventure education in enhancing health-related variables. International Journal of Health, Wellness, and Society, 2, 75–88.
15.
EwertA., & YoshinoA. (2008). A preliminary exploration of the influence of short-term adventure-based expeditions on levels of resilience. Journal of Experiential Education, 30, 262–266.
16.
EwertA., & YoshinoA. (2011). The influence of short-term adventure-based experiences on levels of resilience. Journal of Adventure Education & Outdoor Learning, 11, 1–16.
FornerisC. A., GartelhnerG., BrownleyK. A., GaynesB. N., SonisJ., Coker-SchwimmerE.,…LohrK. N. (2013). Interventions to prevent post-traumatic stress disorder: A systematic review. American Journal of Preventative Medicine, 44, 635–650.
19.
FrankelJ., & EwertA. (2009). Evaluation and collaboration: Examining Outward Bound's research initiatives. Presentation at the 5th Annual Research and Evaluation of Adventure Programming (REAP) Symposium, March 18–20, 2009, Atlanta, GA.
20.
GassM. A., GillisH. L., & RussellK. C. (2012). Adventure therapy: Theory, research and practice. New York, NY: Routledge.
21.
GelkopfM., Hasson-OhayonI., BikmanM., & KravetzS. (2013). Nature adventure rehabilitation for combat-related posttraumatic chronic stress disorder: A randomized control trial. Psychiatry Research, 209, 485–493.
22.
GiffordR. K. (2006). Psychological aspects of combat (Vol. 1). Westport, CT: Praeger Security International.
23.
GoldenbergM., McAvoyL., & KlenoskyD. B. (2005). Outcomes from the components of an Outward Bound Experience. Journal of Experiential Education, 28, 123–146.
24.
GoodsonJ., & HelstromA. (2011). Treatment of posttraumatic stress disorder in US combat veterans: A meta-analytic review. Psychological Reports, 109, 573–599.
25.
HartigT., van den BergA. E., HagerhallC. M., TomalakM., BauerN., HansmannR.,…WaasethG. (2011). Health benefits of nature experience: Psychological, social, and cultural processes. In NilssonK., SangsterM., GallisC., HartigT., de VriesS., SeelandK. & SchipperijnJ. (Eds.), Forests, trees, and human health (pp. 127–168). New York, NY: Springer.
26.
HasbachP. H. (2012). Ecotherapy. In KahnP. H.Jr., & HasbachP. H. (Eds.), Ecopsychology: Science, totems, and the technological species (pp. 155–140). Cambridge, MA: The MIT Press.
27.
HattieJ., MarshH. W., NeillJ. T., & RichardsG. E. (1997). Adventure education and Outward Bound: Out-of-class experiences that make a lasting difference. Review of Educational Research, 67, 43–87.
28.
HuntM. G., & RosenheckR. A., (2011). Psychotherapy in mental health clinics of the Department of Veterans Affairs. Journal of Clinical Psychology, 67, 561–573.
29.
HyerL., BoydS., ScurfieldR., SmithD., & BurkeJ. (1996). Effects of Outward Bound experience as an adjunct to inpatient PTSD treatment of war veterans. Journal of Clinical Psychology, 52, 263–278.
30.
JohnsonD. R., FeldmanS. C., SouthwickS. M., & CharneyD. S. (1994). The concept of the second generation program in the treatment of post-traumatic stress disorder among Vietnam veterans. Journal of Traumatic Stress, 7, 217–236.
31.
KaplanS., & BermanM. G. (2010). Directed attention as a common resource for executive functioning and self-regulation. Perspectives on Psychological Science, 5, 43–57.
32.
KaplanR., & KaplanS. (1989). The experience of nature: A psychological perspective. Cambridge, MA: Cambridge University Press.
33.
KimP. Y., BrittT. W., KlockoR. P., RiviereL. A., & AldlerA. B. (2011). Stigma, negative attitudes about treatment, and utilization of mental health care among soldiers. Military Psychology, 23, 65–81.
34.
KingL. A., KingD. W., VogtD. S., DawneS., KnightJ., & SamperR. E. (2006). Deployment risk and resilience inventory: A collection of measures for studying deployment-related experiences of military personnel and veterans. Military Psychology, 18, 89–120.
35.
KrasnyM. E., PaceK. H., TidballK. G., & HelphandK. (2014). Nature engagement to foster resilience in military communities. In TidballK. G. & KrasnyM. E. (Eds.), Greening in the red zone: Disaster, resilience, and community greening (pp. 163–180). New York, NY: Springer Science.
36.
LamT., & BengoP. (2003). A comparison of three retrospective self-reporting methods of measuring change in instructional practice. American Journal of Evaluation, 24, 65–80.
37.
LamC. B., & McBride-ChangC. A. (2007). Resilience in young adulthood: The moderating influences of gender-related personality traits and coping flexibility. Sex Roles, 56, 159–172.
38.
LandresS. J., GarovoyN. D., & BurkmanK. M. (2013). Treating complex trauma among veterans: Three stage-based treatment models. Journal of Clinical Psychology: In Session, 69, 523–533.
39.
LundbergN., BennettJ., & SmithS. (2011). Outcomes of adaptive sports and recreation participation among veterans returning from combat with acquired disability. Therapeutic Recreation Journal, 45, 105–120.
40.
LutharS. S. (2006). Resilence in development: A synthesis of research across five decades. New York, NY: Wiley.
41.
McKenzieM. (2000). How are adventure education program outcomes achieved? A review of the literature. Australian Journal of Outdoor Education, 5, 19–29.
42.
NelsonK. M. (2006). The burden of obesity among a national probability sample of veterans. Journal of General Internal Medicine, 21, 915–919.
43.
OlfsonM., MarcusS. C., DrussB., ElinsonL., TanielianT., & PincusH. A. (2002). National trends in outpatient treatment of depression. Journal of the American Medical Association, 287, 203–209.
44.
PalmerC. (2008). A theory of risk and resilience factors in military families. Military Psychology, 20, 205–217.
45.
RayS. L. (2006). Embodiment and embodied engagement: Central concerns for the nursing care of contemporary peacekeepers suffering from psychological trauma. Perspectives in Psychiatric Care, 42, 106–113.
46.
ResnikA. J., & AllenS. M. (2007). Using international classification of functioning, disability, and health to understand challenges in community reintegration of injured veterans. Journal of Rehabilitation Research & Development, 44, 991–1006.
47.
RuzekJ. I., SchnurrP. P., VasterlingJ. J., & FriedmanM. J. (Eds.). (2011). Caring for veterans with deployment-related stress disorders, Washington, DC: American Psychological Association.
48.
ScheinfeldD. E. (2013). The intersection of masculinity and Outward Bound programming on psychological functioning for male military veterans. (Unpublished doctoral dissertation.) University of Texas at Austin, Austin, TX.
49.
SchiraldiG. R. (2000). The post-traumatic stress disorder sourcebook. New York, NY: McGraw-Hill.
50.
SealK. H., MetzlerT. J., GimaK. S., BertenthalD., MaguenS., & MarmarC. R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002–2008. American Journal of Public Health, 99, 16–51.
51.
SheardM., & GolbyJ. (2006). The efficacy of an outdoor adventure education curriculum on selected aspects of positive psychological development. Journal of Experiential Education, 29, 187–209.
52.
ShellmanA., & EwertA. (2010). A multi-method approach to understanding empowerment processes and outcomes of adventure education program experiences. Journal of Experiential Education, 32, 275–279.
SibthorpJ. (2003). An empirical look at Walsh and Golins' Adventure Education Process model: Relationships between antecedent factors, perceptions of characteristics of an adventure education experience, and changes in self-efficacy. Journal of Leisure Research, 35, 80–106.
55.
SibthorpJ., PaisleyK., GookinJ., & WardP. (2007). Addressing response-shift bias: Retrospective pretests in recreation research and evaluation. Journal of Leisure Research, 39, 295–315.
56.
SmithC., KlosterbuerA., & LevineA. S., (2009). Military experience strongly influences post-service eating behavior and BMI status in American veterans. Appetite, 52, 280–289.
TanielianT., & JaycoxJ. H. (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Corporation.
59.
TannenbaumS. I., & CerasoliC. P. (2013). Do team and individual debriefs enhance performance? A meta-analysis. Human Factors: The Journal of the Human Factors and Ergonomics Society, 55, 231–245.
60.
TaylorD. M., SegalD., & HarperN. J. (2010). The ecology of adventure therapy: An integral systems approach to therapeutic change. Ecopsychology, 2, 77–83.
61.
UlrichR. S. (1981). Natural versus urban scenes: Some psychophysiological effects. Environment and Behavior, 13, 523–556.
62.
UlrichR. S. (1984). View through a window may influence recovery from surgery. Science, 224, 420–421.
63.
Van PuymbroeckM., EwertA., LuoY., & FrankelJ. (2012). The influence of the Outward Bound Veterans Program on sense of coherence. American Journal of Recreation Therapy, 10, 1–8.
64.
WagnildG., & YoungH. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1, 165–178.
65.
WalshV., & GolinsG. (1976). The exploration of the Outward Bound process. Denver, CO: Outward Bound Publications.
66.
WestwoodM. J., McLeanH., CaveD., BorgenW., & SlakovP. (2010). Coming home: A group-based approach for assisting military veterans in transition. Journal for Specialists in Group Work, 35, 44–68.
67.
WilsonE. O. (1984). Biophilia: The human bond with other species. Cambridge, MA: Harvard University Press.
68.
ZinzowH. M., BrittT. W., McFaddenA. C., BurnetteC. M., & GillispieS. (2012). Connecting active duty and returning veterans to mental health treatment: Interventions and treatment adaptations that may reduce barriers to care. Clinical Psychology Review, 32, 741–753.
