Program
The Surf and Hike Therapy programs are provided as an option of standard care at NMCSD. Both programs consisted of six consecutive weekly sessions, each lasting 3 to 4 hours. In this study, the programs used a cohort format accommodating approximately 20 service members per cycle. The Surf Therapy program occurred at a public beach in San Diego and the Hike Therapy Program took place at various locations throughout San Diego County. Optional yoga was offered to Surf Therapy participants before each session as part of the existing NMCSD program. Information about the Surf and Hike Therapy programs has been published elsewhere [