SLPRCTJournal of autism and developmental disorders2021

Brief Report: Mindfulness Training for Chinese Adolescents with Autism Spectrum Disorder and Their Parents in Hong Kong.

Ryan Yuk Fai Ho, Dexing Zhang, Stanley Kam Chung Chan and 8 others

PMID 33484370

WHAT IT FOUND

Nine mindfulness sessions for Chinese adolescents with ASD and parents were feasible; helpfulness to parents scored 5.91 out of 10, helpfulness to adolescents 4.73, below the paper's 5-point threshold, and the program did not show a clear advantage over waitlist.

Key findings

01The pilot RCT included 37 families, with 19 assigned to immediate mindfulness and 18 to waitlist control.

02Attendance was 80% overall, and the 11-parent program evaluation rated helpfulness to adolescents at 4.73 out of 10, below the paper's 5-point acceptability threshold.

03All secondary outcomes had p values greater than 0.05.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

This was a pilot with 37 families, so it was not large enough to detect real differences between mindfulness and waitlist. The primary outcomes were feasibility and acceptability, not whether mindfulness improved adolescent or parent functioning. Adolescent outcomes were reported by parents only, and the program evaluation was completed only by parents, not adolescents. Homework completion was not measured, so it is unclear whether participants practised the mindfulness exercises. The intervention ran during summer vacation, when school stress was absent, and both groups improved; this may make mindfulness effects hard to see. Participants and teachers could not be blinded, although data collectors and analysts were blinded. Baseline groups were not balanced on parent age and education; the mindfulness group had older and more educated parents. The reporting timelines of some pre-post measures overlapped, which may have led to inaccurate results. The study had a short follow-up, so long-term effects were unknown.

Declared interests

The supplied text reports only that the funder was the Health Care and Promotion Fund; no author conflict statements are provided.

The easy way to misread this

Do not read the 1.16 rumination effect size as proof mindfulness worked. This was a pilot, all secondary outcomes had p values greater than 0.05, and the waitlist group also improved.

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