3MDR Trial

Participation Requirements

• Sex:

  Any

• Eligible Ages:

  18 and up

Participation Criteria

Inclusion Criteria:
• From one or more of the following groups: regular and reserve Canadian Armed Forces service members and veterans, public safety personnel (PSP - e.g., paramedics, police, firefighters, and correction officers), healthcare professionals (HCP), essential service providers (ESP) ;
• With one or more of the following concerns present for at least 3 months: (a) diagnosis of PTSD; (b) indication of PTSD based on a score ≥ 30 on the Clinician-Administered PTSD Scale (CAPS-5) on either worst or past month; (c) a post-traumatic stress injury (PTSI), operational stress injury, or other associated mental health conditions; (d) trauma associated with service provision during the COVID-19 pandemic; (e) military sexual trauma; and/or (f) moral injury;
• Be able to participate in 3MDR at one of the 3MDR study sites for 2 hours, once a week for 10 to 15 consecutive weeks and engage in follow up sessions;
• Be under the care of a healthcare provider or team (primary / lead service provider) for physical and mental health needs during the course of 3MDR and following receipt of the intervention;
• Able to tolerate strong emotions;
• Be able to process trauma, learn new things, and reconsolidate memories;
• Be able to walk on a treadmill for 1 hour (or if the individual uses a wheelchair, be able to maintain a regular wheelchair pace for 60 minutes on a wheelchair trainer unit, which is equivalent to a treadmill for a wheelchair user);
• If undergoing pharmacotherapy, participants must be stable on their current psychotropic medication for a period of 4 weeks before entering the trial and agree to not increase dosages or add any new medications during the course of the trial;
• If undergoing psychotherapeutic intervention, participants must be stable on a consistent treatment regime and agree not to enter into new interventions during receipt of the 3MDR intervention;
• If using substances (e.g., alcohol or cannabis), use must be stable and not interfere with effectively engaging in trauma therapy.
Exclusion Criteria:
• Is under the influence of substances that interfere with effectively engaging in 3MDR;
• Would not benefit from psychotherapy;
• Acute suicidality;
• Psychosis;
• Florid mania;
• Not socially appropriate;
• Unable to walk at a normal pace for 60 minutes on a treadmill (or if the individual uses a wheelchair, unable to maintain a regular wheelchair pace for 60 minutes on a wheelchair trainer unit, which is equivalent to a treadmill for a wheelchair user);
• The abilities, condition, or physical size of the participant are not compatible with the 3MDR system or engaging in the 3MDR intervention;
• Reduced cognitive processing that would exclude participants from following directions;
• Significant history of non-attendance in previous therapies.