Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.


Recreation-based health and wellness programs for military service members are currently a topic of significant interest in the recreation and health industries. This study examined the health outcomes associated with participation in Project Sanctuary, a week-long recreation-based health and wellness family retreat for injured military service members. Linear mixed modeling was used to examine changes in health outcomes over four time points, and considered multiple covariates. One-hundred twenty-seven service members participated. Statistically significant reductions in total scores for Post-Traumatic Stress Disorder Checklist (PCL) measures were found, as well as notable improvements in Depression, Anxiety, and Atress Scale (DASS) and mental health functioning immediately following the intervention. No changes were found in physical health functioning. Trends demonstrated that participants maintained the positive psychological health changes over the three and six month time points. Veteran's Administration (VA) disability rate was the only significant covariate associated with health outcome change across timepoints. Implications for future practice and research are discussed in the article.


Recreation Management and Policy

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Journal Title

Cogent Psychology


Taylor & Francis

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© 2018 The Author(s).


This is an open access article published by Taylor & Francis in Cogent Psychology in 2018, available online: