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Review of Department of Veterans Affairs Monograph on Potential Therapeutic Effects of Service and Emotional Support Dogs on Post-Traumatic Stress Disorder

Completed

Post-traumatic stress disorder (PTSD) is a leading cause of impairment in quality of life and functioning among Veterans. Service dogs have been promoted as a potential intervention for Veterans with PTSD, however research supporting their effectiveness is limited. In order to evaluate the potential benefits of either service dogs or emotional support dogs, the Department of Veterans Affairs designed a randomized multi-site clinical trial in which Veterans were randomly assigned to receive either a service dog or an emotional support dog. This National Academies’ Committee is tasked with reviewing the monograph that reports on the therapeutic outcomes of this trial.

Description

An ad hoc committee of the National Academies of Sciences, Engineering, and Medicine (NASEM) will conduct an independent review of the U.S. Department of Veterans Affairs (VA) draft monograph (No. 1) reporting results on the therapeutic benefits from the provision of service dogs to veterans with post-traumatic stress disorder (PTSD), including quality of life benefits as self-reported by the veterans participating in the study. The draft monograph will include extensive background information, a description of study methods, and the results of the data analysis of the efficacy of service dogs and emotional support dogs for mitigating symptoms of PTSD, which may include some health economic data collected by the study teams and already in the database. The committee will prepare a consensus report that critiques the draft monograph and addresses the following questions:
-- Are the research design and methods well documented, scientifically rigorous, and reasonable approaches to answer the research questions?

-- Does the data analysis systematically apply appropriate statistical and sound reasoning techniques to evaluate the data on the
therapeutic outcomes of service dogs and emotional support dogs for Veterans with PTSD?

-- Do the findings thoroughly report the data analysis and provide factual and objective answers to the research questions?

-- Do the findings present original scholarship and discuss principal outcomes of primary research with reliable credibility in a factual and objective way in relation to the research question and existing knowledge?

-- Does the draft monograph provide a coherent and cohesive written account and description of the main messages that are important to communicate?

-- Does the draft monograph provide, clear, appropriate and accurate graphics of the research results?

-- What other significant improvements, if any, might be made in the draft monograph?

The consensus report will be subject to the National Academies’ external peer review process.
Co-authors of the monograph will respond to the consensus report and submit a revised monograph for a second round of review and consensus reporting by the committee. If necessary, authors will again respond to the second committee report and submit a revised monograph to the committee for a third and final committee consensus report, and the iterative consensus reporting and response process will continue until the committee determines that the report is consistent with accepted scientific principles and is suitable for publication. All subsequent rounds of consensus reporting will be subject to review by the National Academies.
At the conclusion of the project, a statement of completion of review will be provided to the VA, indicating that the final version of the monograph has been reviewed for consistency with accepted scientific principles and is suitable for publication that the VA can incorporate in the monograph when published. The NASEM review does not guarantee acceptance of the monograph for publication.

Collaborators

Committee

Chair

Member

Member

Member

Member

Member

Member

Member

Sponsors

Department of Veterans Affairs

Staff

Teresa Sylvina

Lead

Audrey Thevenon

Lead

Andrea Hodgson

Lead

Kossana Young

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