NCT05490615

Brief Summary

The purpose of this study is to test the effectiveness of a virtual group mindfulness intervention for autistic adults on their mental health and well-being, compared to a group who has not received the virtual group intervention. Specifically, the investigators will compare change across multiple indicators of mental health and well-being for participants, post-intervention, and at 15 weeks follow-up, to participants in a waitlist control group who have not yet received the intervention.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
67

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2022

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 4, 2022

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 5, 2022

Completed
3 months until next milestone

Study Start

First participant enrolled

November 17, 2022

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2023

Completed
12 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2024

Completed
Last Updated

September 21, 2023

Status Verified

September 1, 2023

Enrollment Period

10 months

First QC Date

August 4, 2022

Last Update Submit

September 19, 2023

Conditions

Outcome Measures

Primary Outcomes (5)

  • Psychological distress: measured using the Depression and Anxiety Stress Scale (DASS-21)

    To assess psychological distress, including a 7-item depression subscale, a 7 -item anxiety subscale, and a 7-item stress subscale, each on a 4-point Likert scale, with higher scores indicating higher levels of distress. Total scores for each subscale range from 0 to 42 (summed numbers in each subscale multiplied by 2).

    Baseline or enrolment (Group-A and Group B)

  • Psychological distress: measured using the Depression and Anxiety Stress Scale (DASS-21)

    To assess psychological distress, including a 7-item depression subscale, a 7 -item anxiety subscale, and a 7-item stress subscale, each on a 4-point Likert scale, with higher scores indicating higher levels of distress. Total scores for each subscale range from 0 to 42 (summed numbers in each subscale multiplied by 2).

    7 Weeks (Group-A and Group B)

  • Psychological distress: measured using the Depression and Anxiety Stress Scale (DASS-21)

    To assess psychological distress, including a 7-item depression subscale, a 7 -item anxiety subscale, and a 7-item stress subscale, each on a 4-point Likert scale, with higher scores indicating higher levels of distress. Total scores for each subscale range from 0 to 42 (summed numbers in each subscale multiplied by 2).

    15 Weeks (Group-A and Group B)

  • Psychological distress: measured using the Depression and Anxiety Stress Scale (DASS-21)

    To assess psychological distress, including a 7-item depression subscale, a 7 -item anxiety subscale, and a 7-item stress subscale, each on a 4-point Likert scale, with higher scores indicating higher levels of distress. Total scores for each subscale range from 0 to 42 (summed numbers in each subscale multiplied by 2).

    22 Weeks (Group-B)

  • Psychological distress: measured using the Depression and Anxiety Stress Scale (DASS-21)

    To assess psychological distress, including a 7-item depression subscale, a 7 -item anxiety subscale, and a 7-item stress subscale, each on a 4-point Likert scale, with higher scores indicating higher levels of distress. Total scores for each subscale range from 0 to 42 (summed numbers in each suscale multiplied by 2).

    30 Weeks (Group-B)

Secondary Outcomes (28)

  • Autistic Participant Self Compassion - measured using Self Compassion Scale-Short Form (SCS-SF)

    Baseline/enrolment (Group-A and Group B)

  • Autistic Participant Self Compassion - measured using Self Compassion Scale-Short Form (SCS-SF)

    7 week (Group-A and Group B)

  • Autistic Participant Self Compassion - measured using Self Compassion Scale-Short Form (SCS-SF)

    15 Week (Group-A and Group B)

  • Autistic Participant Self Compassion - measured using Self Compassion Scale-Short Form (SCS-SF)

    22 Week (Group B)

  • Autistic Participant Self Compassion - measured using Self Compassion Scale-Short Form (SCS-SF)

    30 Week (Group B)

  • +23 more secondary outcomes

Study Arms (2)

Mindfulness Intervention (Group-A)

EXPERIMENTAL

Total length of study for participants in Group-A:15 Week Six weekly sessions (each 60 minutes in length) of group based virtual mindfulness instruction, co-led by a mindfulness teacher and two autistic adults, following a workbook designed for autistic adults. In between sessions, participants are encouraged to complete homework and keep a record of when they practice formal and informal mindfulness practices. In addition, participants are provided with a link to autism informed mental health resources (https://www.yorku.ca/health/lab/ddmh/am-help/)

Behavioral: Virtual Mindfulness

Waitlist Control (Group-B)

NO INTERVENTION

Total length of study for participants in Group-B: 30 Week A waitlist control group is an ethical alternative to no-treatment control groups when studying psychological and behavioral interventions. This group will have access to intervention at the end of the study as well. All waitlist participants are provided with a link to autism informed mental health resources (https://www.yorku.ca/health/lab/ddmh/am-help/)

Interventions

Investigators have previously developed and tested a virtual mindfulness program. Six 1-hour weekly group sessions will be led on WebEx. Focus will be on skill building through the teaching of formal and informal mindfulness practices. The intervention, based on the MBSR curriculum, has been modified to make it more accessible for autistic adults. The curriculum developed for this program was designed with autistic advisors guiding the team on the length of meditations, the language used when giving instructions, and the range of techniques that would be most helpful for autistic adults. Each activity is presented as optional, recognizing that some people may find certain silent sensory experiences too distressing. Autistic advisors will participate in sessions as co-facilitators and multiple communication options will be available to group participants (text and audio, camera on or off).

Mindfulness Intervention (Group-A)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Aged 18 years and older;
  • Autistic
  • Proficient in English;
  • Able to independently complete survey questionnaires;
  • Able to independently participate in an online based group;
  • Access to internet and computer/tablet

You may not qualify if:

  • Presence of intellectual disability;
  • Unable to comprehend English or speak or write in English;
  • No access to internet and computer/tablet.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CAMH

Toronto, Ontario, M5V 2B4, Canada

Location

MeSH Terms

Conditions

Autistic Disorder

Condition Hierarchy (Ancestors)

Autism Spectrum DisorderChild Development Disorders, PervasiveNeurodevelopmental DisordersMental Disorders

Study Officials

  • Yona Lunsky, PhD

    CAMH

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SEQUENTIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 4, 2022

First Posted

August 5, 2022

Study Start

November 17, 2022

Primary Completion

September 15, 2023

Study Completion

August 30, 2024

Last Updated

September 21, 2023

Record last verified: 2023-09

Locations